scholarly journals Focus article. Evaluation of the research diagnostic criteria for temporomandibular disorders for the recognition of anterior disc displacement with reduction

BDJ ◽  
2010 ◽  
Vol 208 (3) ◽  
pp. 113-113
Keyword(s):  
Diagnostic Criteria ◽  
Temporomandibular Disorders ◽  
Disc Displacement ◽  
Anterior Disc Displacement ◽  
Disc Displacement With Reduction ◽  
Research Diagnostic Criteria

scholarly journals Analysis of Chronic Temporomandibular Disorders Based on the Latest Diagnostic Criteria

2015 ◽  
Vol 42 (1) ◽  
pp. 49-55 ◽  
Author(s):  
V. Svechtarov ◽  
S. Nencheva-Svechtarova ◽  
Ts. Uzunov
Keyword(s):  
Diagnostic Criteria ◽  
Clinical Studies ◽  
Temporomandibular Disorders ◽  
Myofascial Pain ◽  
Disc Displacement ◽  
Degenerative Diseases ◽  
Diagnostic Indices ◽  
Icd 10 ◽  
Prevalence Of Pain ◽  
Disc Displacement With Reduction

Summary The objective of this study is to analyze the distribution of the most common diagnoses observed in patients with chronic temporomandibular disorders, based on the new diagnostic criteria (DC/TMD) adopted in 2014. The previous Research Diagnostic Criteria (RDC/TMD) adopted in 1992, consisted of three main groups of eight diagnostic subgroups and is currently transformed into two main groups and twelve subgroups, respectively. All subgroups correspond to the nomenclature of the ICD-10. The new clinical diagnostic indices are also modified. The analysis showed a prevalence of Pain-Related TMD compared with that of intra-articular disorders in ratio 57.89% to 42.10%. In Pain-Related TMD arthralgia was represented in 55% of cases; local myalgia - in 12%, myofascial pain - in 18%, myofascial pain with referral - in 14%, headache attributed to TMD - in 1%. In Intra-articular TMD disc displacement with reduction was found in 23% of the cases, disc displacement with reduction with intermittent locking - in 3%, disc displacement without reduction with limited opening - in 25%, disc displacement without reduction and without limited opening - in 8%. Degenerative diseases were found in 14.28%, and hypermobility and subluxations - in 26.98%. These analyzes differ and can only partly be compared with previous analyzes based on RDC system. The changes in the diagnostic criteria require new clinical studies in order to refine the picture of temporomandibular pathology in accordance with the modern views on the matter.

scholarly journals Prävalenz kraniomandibulärer Dysfunktionen bei Senioren – symptombezogene Analysen bei jüngeren und älteren Senioren

2021 ◽  
Author(s):  
Angelika Rauch ◽  
Cäcilie Angrik ◽  
Andreas Zenthöfer ◽  
Sophia Weber ◽  
Sebastian Hahnel ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Temporomandibular Disorders ◽  
Kraniomandibuläre Dysfunktionen ◽  
Research Diagnostic Criteria

Zusammenfassung Hintergrund Kraniomandibuläre Dysfunktionen (CMD) können auch im hohen Alter auftreten. Die Prävalenz von CMD-Symptomen bei Senioren wurde bisher nur wenig untersucht. Ziel der Arbeit Ziel dieser Untersuchung war es, die Prävalenz von Symptomen einer CMD bei Senioren nach Befunderhebung mit den Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) zu bestimmen. Dabei sollten die Prävalenzwerte von jüngeren (60 bis 74 Jahren) und älteren (≥ 75 Jahre) Senioren verglichen werden. Material und Methoden Im Rahmen der Interdisziplinären Längsschnittstudie des Erwachsenenalters (ILSE) wurden Probanden nach repräsentativen Gesichtspunkten rekrutiert. Während der vierten Nachverfolgungswelle im Zeitraum von 2014 bis 2016 im Bereich des Studienzentrums Leipzig wurden die Probanden auf das Vorliegen von anamnestischen und klinischen CMD-Symptomen untersucht. Ergebnisse Anamnestische CMD-Symptome bei Senioren (n = 192) waren v. a. durch Schmerzen im Gesichtsbereich (13,0 %) gekennzeichnet. Das häufigste klinische CMD-Symptom waren Kiefergelenkgeräusche mit einer Prävalenz bis zu 35,5 %. Frauen gaben anamnestisch häufiger Kopfschmerzen/Migräne an. Kiefergelenkgeräusche und eine limitierte Mundöffnung wurden klinisch häufiger bei weiblichen Teilnehmenden beobachtet. Statistisch signifikante Unterschiede zeigten sich bei dem Vergleich von jüngeren und älteren Senioren hinsichtlich der Prävalenz von Kopfschmerzen/Migräne, jedoch nicht bei klinischen Symptomen. Schlussfolgerung Anamnestisch werden Gesichtsschmerzen von 13,0 % der Senioren angegeben. Kiefergelenkgeräusche werden bei jedem dritten Älteren klinisch beobachtet. CMD-Symptome scheinen bei jüngeren und älteren Senioren im ähnlichen Maße ausgeprägt zu sein.

scholarly journals Associação entre a sintomatologia dolorosa e a disfunção temporomandibular

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Wyllka Cyntya Galvão da Silva ◽  
Karolinne Domingos Medeiros ◽  
Eloisa Cesário Fernandes ◽  
Sandja Gabriela Oliveira ◽  
Caio Rodrigues Maia ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Epidemiologic Study ◽  
Masticatory Muscles ◽  
Degenerative Disorders ◽  
International Conference On Bioinformatics ◽  
Research Diagnostic Criteria

Introdução: A Disfunção Temporomandibular (DTM) é um quadro patológico que afeta o sistema estomatognático e, frequentemente, acompanhada de dor. Objetivos: Aferir o nível de dor dos pacientes portadores de DTM e a prevalência de sintomatologia articular e muscular. Percebeu-se que a relação entre a origem da DTM e a sintomatologia dolorosa é pouco relatada na literatura. Materiais e Métodos: Trata-se de um estudo descritivo, observacional de corte transversal, desenvolvido com 30 pacientes com DTM, diagnosticado pelo Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). A amostra foi determinada pelas estimativas de atendimento. A associação entre a sintomatologia e a origem da DTM foram verificadas através do teste qui-quadrado, com intervalos de confiança (95%). Foi usada uma ficha clínica para a coleta de dados com idade, gênero e nível da dor, que foi aferido através da Escala Visual Analógica de dor. Resultados: Constatou-se que 26 pacientes eram do sexo feminino e 4 do sexo masculino. Quinze apresentaram idade inferior a 36,5 anos, e os outros uma idade superior a esta. Quanto a origem da DTM, 19 tinham desordem articular e 11 muscular. A categoria moderada foi o nível mais prevalente, seguida do intenso. Determinou-se que não houve associação estatisticamente significante entre as variáveis deste estudo com a DTM. Conclusão: Constatou-se que, os fatores etiológicos analisados isoladamente não influenciam de forma única no desenvolvimento da DTM, mas poderão atuar em conjunto com outros fatores, já que a sua causa é multifatorial.Descritores: Dimensão Vertical; Boca Edêntula; Dor Facial; Síndrome da Disfunção da Articulação Temporomandibular.ReferênciasDworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(4):301-55.Gonçalves DAG, Bigal ME, Jales LCF, Camparis CM, Speciali JG. Headache and symptoms of temporomandibular disorders: an epidemiologic study. Headache. 2010;50(2):231-41.Piccin CF, Pozzebon D, Chiodelli L, Boufleus J, Pasinato F, Corrêa ECR. Aspectos clínicos e psicossociais avaliados por critérios de diagnóstico para disfunção temporomandibular. Revista Cefac. 2016;18(1):113-19.Winocur E, Emodi-Perlman A. Occlusion, orthodontic treatment and temporomandibular disorders: myths and scientific evidences. in: Orthodonthics-basis aspects and clinical considerations. In Tech. 2012.Jorge JMS, Dini C, Santos L, Camara de Bem SH, Custodio W. Associação entre dimensão vertical de oclusão e transtornos temporomandibulares. ClipeOdonto – UNITAU. 2016;8(1):44- 50.Bayma PTC, Feltrin PP, Dias CAS, Costa JF, Laganá DC, Inoue RT. Temporomandibular disorders in otolaryngology patients. RGO (Porto Alegre). 2010;58(3):313-17.Martinez JE, Grassi DC, Marques LG. Análise da aplicabilidade de três instrumentos de avaliação de dor em distintas unidades de atendimento: ambulatório, enfermaria e urgência. Rev Bras Reumatol. 2011;51(4):299-308.Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, Sanders AE et al. Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dental Res. 2016; 95(10):1084-92.Rauhala K., Oikarinen KS, Raustia AM. Role of temporomandibular disorders (TMD) in facial pain: occlusion, muscle and TMJ pain. Cranio. 1999;17(4):254-61.Manfredini D, Favero L, Gregorini G, Cocilovo F, Guarda-Nardini L. Natural course of temporomandibular disorders with low painrelated impairment: a 2-to-3-year follow-up study. J Oral Rehabil. 2013;40(6):436-42.Freitas LS. Associação da disfunção Temporomandibular com o polimorfismo 102T-C do gene receptor da serotonina HTR2A [tese]. São José do Rio Preto: Faculdade de Medicina do São José do Rio Preto – FAMERP; 2011.Tanaka E, Detamore MS, Mercuri LG. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res. 2008;87(4):296-307.Lopes PRR, Campos PSF, Nascimento RJM. Dor e inflamação nas disfunções temporomandibulares: revisão de literatura dos últimos quatro anos. R Ci med biol. 2011;10(3):317-25.Wang X, Guo H, Wang Y, Yi X. The effects of estrogen on cytoplasmic ca2+ concentration of masticatory muscles myoblast in acid condition. 5th International Conference on Bioinformatics and Biomedical Engineering (iCBBE); 10-12 May 2011; Wuhan, China. Anais. Disponível em http://www.icbbe.org/2011/Proceeding2010.aspx.Cairns BE. Pathophysiology of TMD Pain—Basic Mechanisms and Their Implications for pharmacotherapy. J Oral Rehabil. 2010; 37(6):391-410.Portinho CP, Razera MV, Splitt BI, Gorgen ARH, Faller GJ, Collares MVM. Apresentação clínica inicial em pacientes com disfunção Temporomandibular. Rev Bras Cir Craniomaxilofac. 2012;15(3):109-12.

scholarly journals Management of Internal Derangement of Temporomandibular Joint Disc Displacement with Reduction Using Two Different Lines of Treatment

2021 ◽  
Vol 24 (2) ◽  
pp. 8
Author(s):  
Mohamed Ahmed Helal ◽  
Shoroog Hassan Agou ◽  
Amr Bayoumi ◽  
Ahmed Imam ◽  
Ali Habiballah Hassan
Keyword(s):  
Range Of Motion ◽  
Temporomandibular Joint ◽  
Lower Cost ◽  
Internal Derangement ◽  
Disc Displacement ◽  
Temporomandibular Joint Disc ◽  
Non Invasive ◽  
Anterior Disc Displacement ◽  
Disc Displacement With Reduction

Objetive: This study was to compare the effectiveness of arthrocentesis versus the insertion of anterior repositioning splint (ARS) in improving the mandibular range of motion (MRM) for patients with the temporomandibular joint (TMJ) anterior disc displacement with reduction (ADDwR). Methods: 36 patients diagnosed as ADDwR were recruited and divided randomly into two groups. The first group (G1) was treated by arthrocentesis, and the second (G2) was treated using ARS. All patients were reexamined after six months. Results: Except that for protrusive movement, there were significant differences between the two groups for the percentage changes of the MRM as measured by the amount of pain free opening, unassisted opening, maximum assisted opening, right lateral and left lateral movements (p < 0.05). Conclusion: Within the context of the current study, the non-invasive, lower cost ARS, provided better results in improving the MRM when managing ADDwR cases.   Keywords Arthrocentesis; Anterior repositioning splint; TMD; Internal derangement; Anterior disc displacement; Mandibular range of motion.

scholarly journals PREVALENCE OF OTOLARYNGOLOGICAL SYMPTOMS IN PATIENTS WITH TEMPOROMANDIBULAR DISORDERS- A CROSS-SECTIONAL STUDY

2020 ◽  
Vol 8 (10) ◽  
pp. 780-782
Author(s):  
Annie Susan Thomas ◽  
◽  
Ariel Hannah Philip ◽  
Philip Oommen ◽  
◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Temporomandibular Disorders ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Muscular Disorder ◽  
High Prevalence ◽  
Males And Females ◽  
Ear Symptoms ◽  
Research Diagnostic Criteria

Aim:To investigate the prevalence of otolaryngological symptoms with Temporomandibular Disorders (TMD) in TMD patients. Materials and Methods: In this cross sectional study, the sample consisted of 172 TMD patients, both males and females of 18-59 years. Diagnosis of TMD was based on Research Diagnostic Criteria for TMD (RDC-TMD) Axis 1. The prevalence of otolaryngological symptoms was determined using questionnaire. Results: Of the 172 TMD patients evaluated, 81 patients were having Muscular disorder alone or combined with Intracapsular disorder. Out of the 81 patients having muscular disorder, 74 had ear symptoms (91.4%). Conclusion: A high prevalence (91.4%) of Otolaryngological symptoms with TMD was found in the present study. Ruling out causes of ear symptoms other than TMD by an ENT specialist is essential before proceeding with the treatment of these category of patients for a better prognosis.

Masticatory muscle activity during maximum voluntary clench in different research diagnostic criteria for temporomandibular disorders (RDC/TMD) groups

2008 ◽  
Vol 13 (5) ◽  
pp. 434-440 ◽  
Author(s):  
Gianluca M. Tartaglia ◽  
Marco Antonio Moreira Rodrigues da Silva ◽  
Stefano Bottini ◽  
Chiarella Sforza ◽  
Virgilio F. Ferrario
Keyword(s):  
Diagnostic Criteria ◽  
Muscle Activity ◽  
Temporomandibular Disorders ◽  
Masticatory Muscle ◽  
Masticatory Muscle Activity ◽  
Research Diagnostic Criteria

scholarly journals Tempo de ativação muscular em portadoras de disfunção temporomandibular durante a mastigação

2014 ◽  
Vol 19 (2) ◽  
pp. 202-207 ◽  
Author(s):  
Mariana Barcellos Machado ◽  
Gabriel Silva Nitsch ◽  
Natássia Côndilo Pitta ◽  
Anamaria Siriani de Oliveira
Keyword(s):  
Diagnostic Criteria ◽  
Temporomandibular Disorders ◽  
Duty Factor ◽  
Research Diagnostic Criteria

Objetivo Comparar, entre portadoras de disfunção temporomandibular (DTM) e controles, o tempo de ativação do músculo masseter e do músculo temporal anterior, em diferentes faixas de amplitude eletromiográfica de superfície, durante a mastigação. Métodos Foram avaliadas 22 voluntárias, com idades entre 18 e 48 anos, divididas em Grupo DTM (n=14) do tipo “Ia”, de acordo com o Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TDM) e Grupo Controle (n=8), assintomáticas. Foram registrados, por meio de eletromiografia de superfície, a amplitude e o tempo de ativação dos músculos masseter e temporal anterior, durante mastigação bilateral de Parafilm M® por dez segundos. Os sinais eletromiográficos foram categorizados em três faixas percentuais, 0-39%, 40-74% e 75-100%, relativas ao valor médio de amplitude de três contrações máximas de apertamento dentário. As porcentagens dos tempos totais de ativação (duty factor), em cada uma das faixas de amplitude, foram comparadas entre os grupos pelo teste t-Student, para dados não pareados. Resultados Não houve diferenças significativas do duty factor na comparação entre os grupos controle e DTM. Conclusão A variável eletromiográfica testada não se mostrou útil como ferramenta diagnóstica na prática clínica, o que será possível apenas quando em conjunto com a história clínica e exame físico do indivíduo.

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