Interexaminer reliability for tomographic findings in temporomandibular joint degenerative disease and its agreement with clinical diagnosis: a blinded controlled cross sectional study

2021 ◽  
Author(s):  
Priscila Brenner Hilgenberg-Sydney ◽  
Luís Felipe Schenato ◽  
Helena Bussular Marques ◽  
Fernanda Mara de Paiva Bertoli ◽  
Daniel Bonotto
Keyword(s):  
Temporomandibular Joint ◽  
Clinical Diagnosis ◽  
Cross Sectional Study ◽  
Degenerative Disease ◽  
Sectional Study ◽  
Cross Sectional ◽  
Interexaminer Reliability

Immuno-biological Assessments of Temporomandibular Joint Disease in Patients with Immune-mediated Rheumatic Conditions. A cross sectional study of 273 cases

2018 ◽  
Vol 68 (12) ◽  
pp. 2987-2991
Author(s):  
Cristina Iordache ◽  
Bogdan Vascu ◽  
Eugen Ancuta ◽  
Rodica Chirieac ◽  
Cristina Pomirleanu ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Psoriatic Arthritis ◽  
Temporomandibular Joint ◽  
Final Analysis ◽  
Cross Sectional Study ◽  
Joint Disease ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immune Parameters ◽  
Immune Mediated

Temporomandibular joint (TMJ) is commonly involved in various immune-mediated rheumatic disorders accounting for significant disability and impaired quality of life. The aim of our study was to assess inflammatory and immune parameters in patients with TMJ arthritis related to rheumatoid arthritis (RA), juvenile idiopathic arthritis (JIA), ankylosing spondylitis (AS) and psoriatic arthritis (PsA) and to identify potential relation with severity and dysfunction of TMJ pathology. We performed a cross-sectional study in a cohort of 433 consecutive RA, 32 JIA, 258 AS, and 103 PsA. Only patients presenting with clinically significant TMJ involvement (273) related to their rheumatic condition were included in the final analysis. TMJ involvement is traditionally described in chronic inflammatory rheumatic disorders, particularly in patients with higher levels of inflammation as detected in rheumatoid arthritis and psoriatic arthritis. Disease activity and severity, as well as biological and positive serological assessments (rheumatoid factor, anti-cyclic citrullinated peptide, IL-1) remain significant determinants of the severity of TMJ arthritis.

scholarly journals Mandibular range of motion in children with juvenile idiopathic arthritis with and without clinically established temporomandibular joint involvement and in healthy children; a cross-sectional study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Willemijn F. C. de Sonnaville ◽  
Caroline M. Speksnijder ◽  
Nicolaas P. A. Zuithoff ◽  
Daan R. C. Verkouteren ◽  
Nico W. Wulffraat ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Range Of Motion ◽  
Temporomandibular Joint ◽  
Cross Sectional Study ◽  
Joint Involvement ◽  
Healthy Children ◽  
Sectional Study ◽  
Cross Sectional ◽  
Explanatory Factors ◽  
Left And Right

Abstract Background Recognition of temporomandibular joint (TMJ) involvement in children with juvenile idiopathic arthritis (JIA) has gained increasing attention in the past decade. The clinical assessment of mandibular range of motion characteristics is part of the recommended variables to detect TMJ involvement in children with JIA. The aim of this study was to explore explanatory variables for mandibular range of motion outcomes in children with JIA, with and without clinically established TMJ involvement, and in healthy children. Methods This cross-sectional study included children with JIA and healthy children of age 6–18 years. Mandibular range of motion variables included active and passive maximum interincisal opening (AMIO and PMIO), protrusion, laterotrusion, dental midline shift in AMIO and in protrusion. Additionally, the TMJ screening protocol and palpation pain were assessed. Adjusted linear regression analyses of AMIO, PMIO, protrusion, and laterotrusion were performed to evaluate the explanatory factors. Two adjusted models were constructed: model 1 to compare children with JIA and healthy children, and model 2 to compare children with JIA with and without TMJ involvement. Results A total of 298 children with JIA and 169 healthy children were included. Length was an explanatory variable for the mandibular range of motion excursions. Each centimeter increase in length increased AMIO (0.14 mm), PMIO (0.14 mm), and protrusion (0.02 mm). Male gender increased AMIO by 1.35 mm. Having JIA negatively influenced AMIO (3.57 mm), PMIO (3.71 mm), and protrusion (1.03 mm) compared with healthy children, while the discrepancy between left and right laterotrusion raised 0.68 mm. Children with JIA and TMJ involvement had a 8.27 mm lower AMIO, 7.68 mm lower PMIO and 0.96 mm higher discrepancy in left and right laterotrusion compared to healthy children. Conclusion All mandibular range of motion items were restricted in children with JIA compared with healthy children. In children with JIA and TMJ involvement, AMIO, PMIO and the discrepancy between left and right laterotrusion were impaired more severely. The limitation in protrusion and laterotrusion was hardly clinically relevant. Overall, AMIO is the mandibular range of motion variable with the highest restriction (in millimeters) in children with JIA and clinically established TMJ involvement compared to healthy children.

scholarly journals Cephalometric characteristics of patients with temporomandibular joint disorders: A radiographic cross-sectional study

2014 ◽  
Vol 26 (2) ◽  
pp. 133
Author(s):  
AsimMustafa Khan ◽  
Rachita Chengappa ◽  
VeenaS Narayanan ◽  
JaishankarHomberhalli Puttabuddi ◽  
Mangala Rakaraddi ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Cross Sectional Study ◽  
Temporomandibular Joint Disorders ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Pattern of Clinical Medication Seeking for Import Malaria by Migrant Workers

2015 ◽  
Vol 3 (2) ◽  
pp. 230
Author(s):  
Muhammad Mahmudi ◽  
Ririh Yudhastuti
Keyword(s):  
Clinical Diagnosis ◽  
Migrant Workers ◽  
Migrant Worker ◽  
Cross Sectional Study ◽  
Quantitative Approach ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Agricultural Laborers

Number of malaria cases in Kabupaten Trenggalek in 2014 is 89 cases, and 83 cases are import malaria from migrant workers. Import malaria is transmitted across two areas and affects the clinical medication seeking. This research wants to describe the pattern of clinical medication seeking for import malaria by migrant workers in Puskesmas Pandean working area. This was cross sectional study with descriptive quantitative approach. Research’s sample is 26 import malaria sufferers in 2013–2015 who has chosen purposively with inclusion criteria. Interview had used to get information about characteristics, place felt the symptom, first clinical medication seeking (place and time), clinical diagnosis, medication follow up, and recovery status. The result of the research shows 100% respondent is man and the age about 20-30 years old (53,8) who is working as agricultural laborers outside Java. Mostly of respondent feel the malaria symptoms in their working place (53,8%). The day seeks clinical medication at day three after symptom (34, 6%). Respondents that feel the symptom in Puskesmas Pandean working area chose Puskesmas as clinical medication place (42,3%), and hospital (19,2%) for them whose experience the malaria symptom in their working area. Puskesmas is chosen as clinical diagnosis place (69%) and only 11,5% respondent got medication follow up. Puskesmas is chosen as intermediate clinical medication place (60%) for 19,2% respondent that is not recovered well, although 20% go to Dukun. All of respondent chose the clinical medication as their prime medication. Need to make medication follow up visitation well complete.Keyword: pattern, clinical medication, import malaria, migrant worker

scholarly journals THE COMPATIBILITY ANALYSIS OF SERUM ASCITES ALBUMIN GRADIENT AND ASCITIC FLUID EVALUATION TO CLINICAL DIAGNOSIS OF THE PATIENT

2019 ◽  
Vol 26 (1) ◽  
pp. 35
Author(s):  
Ivonne Desiana Thioritz
Keyword(s):  
Statistical Analysis ◽  
Clinical Diagnosis ◽  
Ascitic Fluid ◽  
Cross Sectional Study ◽  
Statistical Test ◽  
Sectional Study ◽  
Fluid Accumulation ◽  
Cross Sectional ◽  
Compatibility Analysis ◽  
Underlying Diseases

Ascites is a condition of abnormal fluid accumulation in the peritoneal cavity that can be caused by many underlying diseases. Some studies conclude that ascitic fluid evaluation with transudate-exudate concept has been replaced by greater indicator, known as Serum Ascites Albumin Gradient (SAAG). This study aims to analyze the compatibility of SAAG and ascitic fluid evaluation to the clinical diagnosis of patients in Dr. Wahidin Sudirohusodo Hospital Makassar. The retrospective cross-sectional study was conducted by taking data from all patients with ascites condition examining both ascitic fluid and serum albumin simultaneously or within 3 days at the Dr. Wahidin Sudirohusodo Hospital Makassar from January – August 2018. The statistical analysis was performed for frequency distribution and Kappa statistical test to assess the compatibility of SAAG and ascitic fluid evaluation to clinical diagnosis of the patient. The study was conducted on 68 subjects and found that both ascitic fluid examination and SAAG were significantly compatible to the clinical diagnosis, 25.8% (p <0.05), 42.5% (p <0.001), respectively. SAAG and ascitic fluid evaluation were significantly in accordance with the clinical diagnosis of the patient. The compatibility value of SAAG is greater than ascitic fluid evaluation so that SAAG is more recommended for ascites examination.

scholarly journals Emergency management of temporomandibular joint dislocation with manual reduction

2019 ◽  
Vol 1 (2) ◽  
pp. 27
Author(s):  
Zefry Zainal Abidin ◽  
Ronny Baehaqi
Keyword(s):  
Temporomandibular Joint ◽  
Cross Sectional Study ◽  
Emergency Unit ◽  
Sectional Study ◽  
Cross Sectional ◽  
Joint Dislocation ◽  
Manual Reduction ◽  
Tmj Dislocation ◽  
Direct Management ◽  
Temporomandibular Joint Dislocation

Objective:Present serial case management of temporomandibular joint dislocation in emergency unit and to provide information on emergency handling in the case of temporomandibula joint especially for dentist.Method: Datas of temporomandibular joint dislocation cases were collected from October 2016 to March 2017 with a cross sectional study presented by Oral and Maxillofacial Resident in RSUD Dr Soetomo Surabaya.Results: Nine patients were managed. In totalmales accounted for 66,67% of the patients, and yawning was the most frequent etiological factor. Acute TMJ dislocation had the highest frequency in this study. The management conducted was giving muscle relaxant, manual repositioning and head bandage. Manual reduction of TMJ dislocation can be divided into three approaches, intraorally, extraorally and a combination between the two approaches; intraorally by using Hippocrates’ technique and Wrist Pivot technique. The extraoral approach does not involve fingers in the oral cavity. Applying these three approaches could be distinguished by clinical examination and patient history.Conclusion: Temporomandibular joint dislocation is one of the problem in dentistry that requires direct management and could cause complications if immediate treatment is not givenKeywords: Dislocations, Manual Reduction , Temporomandibular joint

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