scholarly journals Treatment of Malocclusion and TMJ Dysfunction Secondary to Condylar Fractures

2009 ◽  
Vol 2 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Edward Ellis ◽  
Robert V. Walker
Keyword(s):  
Temporomandibular Joint ◽  
Mandibular Fractures ◽  
Temporomandibular Joint Dysfunction ◽  
Treatment Methods ◽  
Condylar Fractures

Unfavorable sequelae from mandibular fractures includes malocclusion and temporomandibular joint dysfunction. The management of these complications is presented in this article and is largely based on the authors’ experience. Cases that provide details on treatment methods are shown. Finally, an algorithm for treatment is suggested.

Early diagnostics of temporomandibular joint structural elements injures caused by traumatic mandibular bone fractures

2017 ◽  
Vol 89 (3) ◽  
pp. 31-35 ◽  
Author(s):  
Kh. R. Pohranychna ◽  
A.R. Stasyshyn ◽  
U.D. Matolych
Keyword(s):  
Temporomandibular Joint ◽  
Bone Fractures ◽  
Tissue Injury ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Mandibular Fractures ◽  
Structural Elements ◽  
Magnetic Resonance Imaging Mri ◽  
Condylar Fractures ◽  
Joint Ankylosis

A rapidly increasing number of mandibular condylar fractures and some complications related to injuries of temporomandibular elements make this study important. Intra-articular disorders lead to secondary pathological findings such as osteoarthritis, deforming osteoarthrosis, and temporomandibular joint ankylosis that limits mouth opening, mastication, swallowing, breathing, and decreased/lost working capacity or disability. Early diagnosis of intra-articular disorders can prevent from long-lasting functional complications caused by temporomandibular joint injuries. This study was performed for the purpose of early detection and investigation of organic pathological changes in the cartilaginous and osseous tissues of the temporomandibular joint caused by traumatic fractures of the mandibular condyle. Twenty patients underwent a general clinical examination, magnetic resonance imaging (MRI), and immune-enzyme testing for biochemical markers of connective tissue injury (pyridinoline and deoxypyridinoline) in urine. Disk dislocation, deformation, adhesion, perforation or squeeze, tension or disruption of ligaments, and injury of articular surfaces are among complications of mandibular fractures that can be revealed on MRI. As regards biochemical findings, we revealed a sharp rise in the levels of pyridinoline and deoxypyridinoline before treatment and a lack of stabilization within 21 days of treatment.

scholarly journals EVALUATION OF THE EFFECTIVENESS OF TREATMENT OF PATIENTS WITH TEMPOROMANDIBULAR JOINT DYSFUNCTION AFTER MANDIBULAR FRACTURES ACCORDING TO X-RAY EXAMINATION

2021 ◽  
Vol 74 (9) ◽  
pp. 2082-2086
Author(s):  
Olga L. Skrypa
Keyword(s):  
Temporomandibular Joint ◽  
Statistical Processing ◽  
Treatment Method ◽  
Joint Space ◽  
Main Group ◽  
Control Group ◽  
Mandibular Fractures ◽  
Temporomandibular Joint Dysfunction ◽  
Radiological Data ◽  
Post Traumatic

The aim: On the basis of radiological data to evaluate the effectiveness of our developed treatment complex of patients with temporomandibular joint dysfunction after mandibular fractures. Materials and methods: To achieve this goal, 92 patients hospitalized in the department of surgical dentistry of the Chernivtsi Regional Clinical Hospital were examined for traumatic fractures of the mandible with functional disorders of the TMJ. 46 patients (main group) were treated according to the treatment method developed by us, and 46 patients (control group) were treated with the traditional method. Patients underwent orthopanthography and radiography of the temporomandibular joint according to Schuller. Statistical processing of research results was carried out using commonly used methods of variation statistics. Results: After 12 months of studies in patients of the main group, unilateral narrowing of the joint space was determined in 6,52 ± 1,83% of persons p, p1 0.05.The number of persons with unilateral expansion of the joint space according to Rtg, in the main group decreased by 2,3 times relative to the data before treatment. Conclusions: Timely treatment of musculoskeletal disorders with the help of pharmacological and physiotherapeutic methods proposed by us, allowed, to a large extent, to eliminate clinical, radiological and ultrasound symptoms of temporomandibular joint dysfunction in patients with post-traumatic lesions of mandibule. This was confirmed by the improvement of the data of the conducted functional researches.

scholarly journals Morphological changes in temporomandibular joint dysfunction and effectiveness of different treatment methods

2020 ◽  
Vol 14 (2) ◽  
pp. 102-110
Author(s):  
Fatma Duman ◽  
Aynur Emine Çiçekçibaşı ◽  
Nesrin Atçı ◽  
Fatma Öztürk ◽  
Bircan Yücekaya ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Morphological Changes ◽  
Masticatory Muscles ◽  
Control Group ◽  
Dry Needling ◽  
Temporomandibular Joint Dysfunction ◽  
Anatomical Structures ◽  
Treatment Methods ◽  
Mandibular Fossa ◽  
Group B

Objectives: Temporomandibular joint dysfunction (TMD) results in changes in anatomical structures. The aim of this study was to examine the morphological changes using magnetic resonance imaging (MRI) and evaluate the effectiveness of different treatment methods in patients with TMD. Methods: 34 TMD patients (18–62 years of age) were randomly divided into two treatment groups. Group A (n=18) was subjected to dry needling (DN) and mobilization for 10 sessions, Group B (n=16) was instructed to use occlusal splint with home exercises for one month. The control group included MRIs of 17 healthy adults that were randomly selected from the archives of Radiology Department of Mustafa Kemal University. The length and width of the masseter, lateral and medial pterygoid muscles and the depth of the mandibular fossa were measured and mandibular condyle types were recorded. Range of motion of each temporomandibular joint was evaluated in pre- and post-treatment periods to test the effectiveness of the treatment methods. Results: The size of the masticatory muscles in TMD group was significantly smaller than the control group (p<0.05). The depth of the mandibular fossa was significantly shallower in the TMD group (p<0.05). The most commonly encountered condylar shape was convex in the TMD group (63.6%), but flat (58.8%) in the control group. No statistically significant relationship was observed between condyle type and fossa depth (p>0.05). However, the fossa depth showed a significant correlation with muscle size (p<0.05) and this correlation decreased with dysfunction. Dry needling and mobilization significantly decreased pain and increased mandibular movements (p<0.05); however, there was no significant change for Group B. Conclusion: The anatomical structures associated with the temporomandibular joint seems to be affected in patients with TMD. We suggest that the limited movement of the temporomandibular joint may cause atrophy of the masticatory muscles, affecting the range of motion of the joint. Dry needling and mobilization techniques might be a more effective alternative than occlusal splint in the treatment of TMD.

Temporomandibular joint dysfunction and selected health parameters in the elderly

1990 ◽  
Vol 70 (4) ◽  
pp. 406-413 ◽  
Author(s):  
Linda P. Harriman ◽  
David A. Snowdon ◽  
Louise B. Messer ◽  
Del Marie Rysavy ◽  
Sharon K. Ostwald ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
The Elderly ◽  
Temporomandibular Joint Dysfunction ◽  
Health Parameters

Effectiveness of Combining Manual Therapy and Acupuncture on Temporomandibular Joint Dysfunction: A Retrospective Study

2007 ◽  
Vol 35 (02) ◽  
pp. 203-208 ◽  
Author(s):  
Byung-Cheul Shin ◽  
Chung-Hyo Ha ◽  
Yung-Sun Song ◽  
Myeong Soo Lee
Keyword(s):  
Retrospective Study ◽  
Temporomandibular Joint ◽  
Manual Therapy ◽  
Randomized Clinical Trials ◽  
Combined Treatment ◽  
Mouth Opening ◽  
Temporomandibular Joint Dysfunction ◽  
Future Studies ◽  
Before And After ◽  
Maximal Mouth Opening

This retrospective study investigated the effects of combining manual therapy and acupuncture on the pain and maximal mouth opening (MMO), which were associated with temporomandibular joint dysfunction (TMD). The 49 TMD patients (15 men, 34 women; mean age = 30.47 years, SD = 13.52 years) were treated with a combination of acupuncture and manual therapy two or three times a week at the hospital. The pain and maximal mouth opening were assessed before and after 1 and 4 weeks of treatment. The combination therapy produced significant changes in pain levels ( p < 0.001) and mouth opening ( p < 0.001). All pairwise non-parametric comparison showed a significant improvement in pain ( p < 0.05 for all pairs) and MMO ( p < 0.05 for all pairs). These findings suggest that combining manual therapy and acupuncture decreases the pain level and increases the MMO of TMD patients. However, future studies should further investigate the efficacy of combined treatment on TMD with more rigorous randomized clinical trials.

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