scholarly journals A Multidisciplinary Approach in the Treatment of Tempromandibular Joint Pain Associated with Qat Chewing

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Mansoor Shariff ◽  
Mohammed M. Al-Moaleem ◽  
Nasser M. Al-Ahmari
Keyword(s):  
Physical Activity ◽  
Temporomandibular Joint ◽  
Initial Treatment ◽  
Joint Pain ◽  
Multidisciplinary Approach ◽  
Missing Teeth ◽  
Anterior Teeth ◽  
Dental Hospital ◽  
The University

Pain of the tempro-mandibular joint (TMJ) has a direct bearing to missing teeth and excessive physical activity. Consumption of qat requires chewing on the leaves to extract their juice for long hours. A 65-year-old male Yemeni patient, a Qat chewer, reported to the university dental hospital at King Khalid University complaining of pain in left temporomandibular joint with missing mandibular anterior teeth. A multidisciplinary approach for the overall treatment of the patient was decided. Initial treatment was the relief of patient’s pain with the help of a night guard. This was followed by a fabrication of anterior FPD. The case was under maintenance and follow-up protocol for a period of 8 months with no complaint of pain discomfort.

Role of Electro Acupuncture Therapy on Temporomandibular Joint Pain With Orofacial Myalgia Following Post Healed Unilateral Cervicofacial Burn

2021 ◽  
Vol 46 (2) ◽  
pp. 123-134
Author(s):  
Gopal Nambi ◽  
Walid Kamal Abdelbasset ◽  
Shereen H. Elsayed ◽  
Anju Verma ◽  
Shimaa Abd El-Hamid Abase ◽  
...  
Keyword(s):  
Acupuncture Therapy ◽  
Temporomandibular Joint ◽  
Joint Pain ◽  
Pain Threshold ◽  
Mouth Opening ◽  
Temporomandibular Joint Pain ◽  
Pain Frequency ◽  
Disability Level

Background: Temporomandibular Joint (TJ) pain and orofacial myalgia (OM) are the most significant problems in physiotherapy context to treat in Cervicofacial burn (CB). However, there is a lack of clinical studies in investigating the effects of electro acupuncture therapy on TJ pain with OM following post healed CB patients.<br/> Objective: To investigate the effects of clinical and functional efficacy of electro acupuncture therapy on temporomandibular joint pain with orofacial myalgia following post healed cervicofacial burn patients.<br/> Methods: Through two block random sampling method, the eligible participants were randomized and allocated into active EAT (Active-EAT; n = 15) and placebo EAT (Placebo-EAT; n = 15) groups. The Active-EAT group received electro acupuncture therapy and the Placebo-EAT group received placebo effect with regular physiotherapy care for 4 times in a week for 4 weeks. Primary (pain intensity, pain threshold, pain frequency) and secondary (mouth opening, disability level and quality of life) measures were measured at baseline, after the 4th week, 8th week and 6 month follow up.<br/> Results: Baseline demographic and clinical attributes show homogenous presentation among the study groups (p > 0.05). After 4 weeks of treatment, and at the end of 6 months follow up, the pain intensity, 3.0 (CI 95% 2.83 to 3.16), pain threshold 18.6 (CI 95% -35.0 to -2.1), pain frequency 2.9 (CI 95% 2.54 to 3.25), mouth opening, -13.4 (CI 95% -15.1 to -11.6), disability level 12.4 (CI 95% 12.16 to 12.63), and quality of life -25.8 (CI 95% -31.0 to -20.5) showed more improvement (p < 0.001) in Active-EAT group than Placebo-EAT group.<br/> Conclusion: The reports of this study proved that, 4 weeks active electro acupuncture therapy with regular physiotherapy care has an ideal treatment protocol for temporomandibular joint pain with orofacial myalgia following post healed cervicofacial burn. This study also provided a new knowledge for physiotherapists in the field of TJ rehabilitation.

scholarly journals Genetic Risk of Talon Cusp: Talon Cusp in Five Siblings

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Nuha Abdel-Rahman Elmubarak
Keyword(s):  
Family History ◽  
Rural Areas ◽  
Genetic Risk ◽  
Dental Treatment ◽  
Case Series ◽  
Anterior Tooth ◽  
Anterior Teeth ◽  
The University ◽  
Clinical Problems

Talon cusp is a rare dental anomaly that appears as a cusp-like projection on anterior teeth. Although numerous articles considering this anomaly have been published, this report has displayed a unique presentation of talon cusp. This case series is the first report in literature on which talon cusp has been presented in multiple siblings which highlights the genetic/familial component of the etiology. The report has also displayed unfamiliar morphological appearance (heart shape) of the talon cusp. Furthermore, talon cusp has shown an association with taurodontism in this report. Taurodontism has never been mentioned in the previous literature among the odontogenic variations that may associate talon cusp. A 25-year-old male has presented with talon cusps on the palatal surface of anterior teeth. Family history revealed four of his siblings had the same anomaly on anterior teeth. Talon cusps in the five cases cause clinical problems like occlusal interference, displacement and proclination of the anterior tooth, caries in the grooves delineating talon cusp, or pulp necrosis. Free dental treatment has been offered in the university clinic. However, they live in remote rural areas making it difficult to follow up with treatment.

Repeat Radiosurgery for Intracranial Arteriovenous Malformations

Neurosurgery ◽  
2011 ◽  
Vol 70 (1) ◽  
pp. 150-154 ◽  
Author(s):  
John M. Stahl ◽  
Yueh-Yun Chi ◽  
William A. Friedman
Keyword(s):  
Initial Treatment ◽  
Arteriovenous Malformations ◽  
Intracranial Arteriovenous Malformations ◽  
University Of Florida ◽  
The Status ◽  
Median Volume ◽  
Radiation Induced ◽  
Prescription Dose ◽  
The University

Abstract BACKGROUND Despite a high success rate in the stereotactic radiosurgical treatment of intracranial arteriovenous malformations (AVMs) that cannot be safely resected with microsurgery, some patients must be managed after treatment failure. OBJECTIVE To provide an update on the use of repeat linear accelerator radiosurgery as a treatment for failed AVM radiosurgery at the University of Florida. METHODS We reviewed 103 patients who underwent repeat radiosurgical treatment for residual AVM at the University of Florida between December 1991 and December 2007. Each of these patients had at least 2 radiosurgical treatments for the same AVM. Patient information, including AVM nidus volume, prescription dose, age, and sex, was collected at the time of initial treatment and again at the time of retreatment. Patients were followed up after treatment with magnetic resonance, computed tomography, and angiographic imaging at standard intervals to determine the status of their AVM. The median follow-up after retreatment was 31 months. RESULTS Between the first and second treatments, the median AVM nidus volume was decreased by 69% (from a median volume of 12.7 to 4.0 cm3), allowing the median prescribed dose to be increased from 1500 cGy on initial treatment to 1750 cGy on retreatment. The final obliteration rate on retreatment was 65.3%. After salvage retreatment, 5 patients (4.9%) experienced radiation-induced complications, and 6 patients (5.8%) experienced posttreatment hemorrhage. CONCLUSION Repeat radiosurgery is a safe and effective salvage treatment for AVMs.

scholarly journals Aesthetic Rehabilitation in Teeth with Wear from Bruxism and Acid Erosion

2018 ◽  
Vol 12 (1) ◽  
pp. 486-493
Author(s):  
Pamella Tomazi Godoy de Oliveira ◽  
Deise Caren Somacal ◽  
Luiz Henrique Burnett Júnior ◽  
Ana Maria Spohr
Keyword(s):  
Joint Pain ◽  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Dental Erosion ◽  
Gingival Tissue ◽  
Clinical Report ◽  
Functional Disorder ◽  
Time Intervals ◽  
Anterior Teeth ◽  
Ceramic Restorations

Background:Bruxism is defined as a repetitive activity of grinding the teeth through lateral or protrusive movements of the mandible, and it is considered the most complex and destructive functional disorder. In addition, erosion caused by diet or reflux can damage the remaining teeth.Objective:In this report, a patient with bruxism and dental erosion was treated with a multidisciplinary approach to restore the function and aesthetic.Methods:This clinical report describes the management of an adult woman, 33 years old, who was dissatisfied with the aesthetics of her smile and complained of joint pain and headaches. As result of her condition, the patient’s dentition exhibited generalized wear on the vestibular and incisal surface of the upper incisors incompatible with her age, moderate darkening of the teeth and excess gingival tissue in the upper incisors. After a detailed anamnesis and clinical examination, a diagnosis of bruxism and acid erosion caused by a diet rich in citrus foods and beverages was obtained. Forthwith, a treatment plan was established, and the patient underwent home bleaching, gingivoplasty and ceramic laminates of lithium disilicate on the anterior teeth. After the rehabilitation was completed, a night guard was made to reduce the symptoms of bruxism and avoid fracture of the ceramic restorations. The patient was followed at different time intervals.Conclusion:The improvement in the aesthetics of the teeth was significant and remained stable after periodic controls in which no adverse effects were observed.

scholarly journals Gambaran kemampuan mastikasi pada pasien pengguna gigi tiruan penuh di Rumah Sakit Gigi dan Mulut Universitas Sam Ratulangi Manado

e-GIGI ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Yuniar P. Panjaitan ◽  
Shane H. R. Ticoalu ◽  
Krista V. Siagian
Keyword(s):  
Observational Study ◽  
Sampling Method ◽  
Missing Teeth ◽  
Cross Sectional ◽  
Good Ability ◽  
Dental Hospital ◽  
Cross Sectional Design ◽  
The University

Abstract: Full dentures are made for people with missing teeth entirely. One of the objectives of full denture usage is to improve and enhance the function of mastication. Mastication is a process of pulverizing food to be swallowed and digested. This study aimed to assess the mastication ability of patients with full denture made at Dental Hospital of the University of Sam Ratulangi Manado. This was a descriptive observational study with a cross sectional design. There were 56 respondents in this study obtained by using total sampling method. Respondents were patients with full dentures made at the Dental Hospital University of Sam Ratulangi during January 2014 - December 2015. The instrument consisted of questionnaires about mastication ability. Data were processed and analyzed descriptively then were presented in tables. The results showed that 60.71% of respondents had good ability of mastication. Conclusion: The mastication ability of patients with full denture at the Dental Hospital of the University of Sam Ratulangi was in good categoryKeywords: full denture, mastication, the ability of masticationAbstrak: Gigi tiruan penuh dibuat untuk penderita kehilangan gigi seluruhnya yang bertujuan antara lain untuk memperbaiki dan meningkatkan fungsi mastikasi. Mastikasi merupakan proses melumatkan makanan untuk ditelan dan dicerna. Penelitian ini bertujuan untuk menilai kemampuan mastikasi pasien pengguna gigi tiruan penuh di Rumah Sakit Gigi dan Mulut Universitas Sam Ratulangi Manado. Jenis penelitian ialah deskriptif observasional dengan desain potong lintang. Terdapat 56 responden yang diperoleh dengan metode total sampling yaitu pasien yang membuat gigi tiruan penuh di Rumah Sakit Gigi dan Mulut Universitas Sam Ratulangi periode Januari 2014-Desember 2015. Instrumen penelitian berupa kuesioner mengenai kemampuan mastikasi. Data yang diperoleh diolah dan dianalisis secara deskriptif kemudian disajikan berdasarkan distribusi dalam bentuk tabel. Hasil penelitian menunjukkan bahwa 60,71% responden memiliki kemampuan mastikasi yang baik. Simpulan: Kemampuan mastikasi pasien pengguna gigi tiruan penuh di Rumah Sakit Gigi dan Mulut Universitas Sam Ratulangi dalam kategori baik.Kata kunci: gigi tiruan penuh, mastikasi, kemampuan mastikasi

scholarly journals Shoulder Strength and Physical Activity Predictors of Shoulder Pain in People With Paraplegia From Spinal Injury: Prospective Cohort Study

2015 ◽  
Vol 95 (7) ◽  
pp. 1027-1038 ◽  
Author(s):  
Sara J. Mulroy ◽  
Patricia Hatchett ◽  
Valerie J. Eberly ◽  
Lisa Lighthall Haubert ◽  
Sandy Conners ◽  
...  
Keyword(s):  
Physical Activity ◽  
Shoulder Pain ◽  
Shoulder Joint ◽  
Joint Pain ◽  
Spinal Injury ◽  
Strong Predictor ◽  
Study Entry ◽  
Activity Levels ◽  
Cord Injury

Background Shoulder joint pain is a frequent secondary complaint for people following spinal cord injury (SCI). Objective The purpose of this study was to determine predictors of shoulder joint pain in people with paraplegia. Methods/Design A 3-year longitudinal study was conducted. Participants were people with paraplegia who used a manual wheelchair for at least 50% of their mobility and were asymptomatic for shoulder pain at study entry. Participants were classified as having developed shoulder pain if they experienced an increase of ≥10 points on the Wheelchair User's Shoulder Pain Index in the 3-year follow-up period. Measurements of maximal isometric shoulder torques were collected at study entry (baseline), 18 months, and 3 years. Daily activity was measured using a wheelchair odometer, and self-reported daily transfer and raise frequency data were collected by telephone every 6 weeks. Results Two hundred twenty-three participants were enrolled in the study; 39.8% developed shoulder pain over the 3-year follow-up period. Demographic variables and higher activity levels were not associated with shoulder pain onset. Baseline maximal isometric torque (normalized by body weight) in all shoulder muscle groups was 10% to 15% lower in participants who developed shoulder pain compared with those who remained pain-free. Lower shoulder adduction torque was a significant predictor of shoulder pain development (log-likelihood test=11.38), but the model explained only 7.5% of shoulder pain onset and consequently is of limited clinical utility. Limitations Time since SCI varied widely among participants, and transfer and raise activity was measured by participant recall. Conclusions Participants who developed shoulder pain had decreased muscle strength, particularly in the shoulder adductors, and lower levels of physical activity prior to the onset of shoulder pain. Neither factor was a strong predictor of shoulder pain onset.

scholarly journals Condylar Changes in Patients after Orthodontic Treatment - A Retrospective Panoramic Study from Chennai, India

2021 ◽  
Vol 10 (42) ◽  
pp. 3628-3632
Author(s):  
Deepigaa Manivasagam ◽  
Arvind Muthukrishnan
Keyword(s):  
Temporomandibular Joint ◽  
Orthodontic Treatment ◽  
Articular Surface ◽  
Hospital Setting ◽  
P Value ◽  
Dental Hospital ◽  
Long Term Follow Up ◽  
The Right

BACKGROUND Idiopathic condylar resorption (ICR) is a progressive, extensive loss of condylar resorption with or without temporomandibular joint (TMJ) symptoms. Orthodontic treatment causes abnormal joint loading, thus sustained physical stress to the articular surface of TMJ when exceeds adaptive capacity leads to dysfunctional remodelling of the mandible. Condylar changes were not assessed both during pre and post orthodontic treatment. The purpose of this study was to assess the condylar changes following orthodontic treatment using orthopantomogram (OPG). METHODS This retrospective study was conducted in a university dental hospital setting covering patients visiting for orthodontic treatment from October 2020 to February 2021. Analysis of pre-operative and post-operative OPG’s of patients who have undergone orthodontic treatment was done. Morphologic changes of condyle were recorded using idiopathic condylar resorption subgroups classification. The statistical software used for analysis was IBM Statistical Package for Social Sciences (SPSS 23) and a paired t test was used to assess the pre-operative and postoperative condylar changes. RESULTS 50 condyles of 25 patients (right and left side) ranging from 11 - 40 years of age were evaluated pre and post orthodontic treatment. Female predilection (60 %) with phenotype 1 (44 % - right; 44 % - left) being more common and left condyle most commonly affected. The mean and S.D. of the right side were - 680 and 0.748 respectively (P value 0.000) and left side values were - 800 and 1.118 respectively which was also statistically significant (P value 0.002). CONCLUSIONS ICR is the result of many predisposing and contributory factors and an accurate and timely diagnosis of this pathology is essential in dental practice. The available literature confirms the presence of condylar changes after orthodontic therapy, however more evidence-based high-quality clinical trials with detailed design and long-term follow-up periods need to be conducted yet in order to gain more insight and knowledge on the onset and progression of this pathology. KEY WORDS Idiopathic Condylar Resorption (ICR), Temporomandibular Joint (TMJ), Orthodontic Treatment

scholarly journals Direct Adhesive Pin-Retained Restorations for Severely Worn Dentition Treatment: A 1.5-Year Follow-Up Report

2014 ◽  
Vol 25 (4) ◽  
pp. 357-362 ◽  
Author(s):  
Camila Lima de Andrade ◽  
Thais Marques Simek Vega Gonçalves ◽  
Ícaro Leite dos Santos ◽  
Michel Silva Barros ◽  
Nubia Rafaela Ribeiro Araújo ◽  
...  
Keyword(s):  
Eating Problems ◽  
Surface Wear ◽  
Missing Teeth ◽  
Invasive Treatment ◽  
Stabilization Splint ◽  
Anterior Teeth ◽  
Full Mouth Rehabilitation ◽  
Occlusal Disharmony ◽  
Single Crowns

Excessive occlusal surface wear can result in occlusal disharmony, functional and esthetic impairment. As a therapeutic approach, conventional single crowns have been proposed, but this kind of treatment is complex, highly invasive and expensive. This case report describes the clinical outcomes of an alternative minimally invasive treatment based on direct adhesive-pin retained restorations. A 64-year-old woman with severely worn dentition, eating problems related to missing teeth and generalized tooth hypersensitivity was referred for treatment. Proper treatment planning based on the diagnostic wax-up simulation was used to guide the reconstruction of maxillary anterior teeth with direct composite resin over self-threading dentin pins. As the mandibular remaining teeth were extremely worn, a tooth-supported overdenture was installed. A stabilization splint was also used to protect the restorations. This treatment was a less expensive alternative to full-mouth rehabilitation with positive esthetic and functional outcomes after 1.5 years of follow-up.

scholarly journals Relationship between the Effectiveness of Arthrocentesis under Sufficient Pressure and Conditions of the Temporomandibular Joint

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Shinya Yura ◽  
Kazuhiro Ooi ◽  
Yuri Izumiyama
Keyword(s):  
High Pressure ◽  
Regression Analysis ◽  
Multiple Regression Analysis ◽  
Temporomandibular Joint ◽  
Initial Treatment ◽  
Joint Pain ◽  
Mouth Opening ◽  
Arthroscopic Examination ◽  
Closed Lock ◽  
Maximum Opening

Background. The purpose of this study is to investigate the conditions of the temporomandibular joint relative to the effectiveness of an arthrocentesis-like enforced manipulation technique followed by irrigation under high pressure in patients with closed lock. Methods. We performed arthroscopic examination and manipulation followed by irrigation as the initial treatment in 50 joints with closed lock. Relationship between the effectiveness of the procedure and conditions of the temporomandibular joint was statistically analyzed using multiple regression analysis. Results. Significant inverse correlations were found between the extent of improvement in maximum mouth opening after treatment and the initial maximum opening before treatment. There were no significant correlations between improvement of joint pain at mouth opening and in biting and conditions of the temporomandibular joint. Conclusions. Pathologic conditions of the temporomandibular joint did not have an influence on the efficacy of the technique. This result suggests that this procedure has wider application than conventional arthrocentesis.

scholarly journals Bilateral Mandibular Posterior Edentulous Rehabilitation for Unstable Occlusion Patient with Bilateral Attachment Retained Mandibular Removable Partial Denture

2019 ◽  
Vol 53 (6) ◽  
Author(s):  
Cindy Karina Hartono ◽  
Nike Hendrijantini ◽  
Soekobagiono
Keyword(s):  
Missing Teeth ◽  
Functional Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Aesthetic Result ◽  
Dental Hospital ◽  
Aesthetic Results ◽  
Mandibular Teeth ◽  
Patient’S Expectation

A 62-year-old female patient came to the Dental Hospital of Universitas Airlangga to maintain her remaining teeth and make dentures for the missing teeth, and expressed that she expected a high aesthetic result. The patient had lost bilateral posterior mandibular teeth, resulting in unstable occlusion. To stabilize the occlusion, this patient was treated by temporary denture. After 3 months of follow up and confirmed adaptation with the new occlusion, prosthodontic treatment was done consisting of bilateral attachment retained mandibular removable partial denture, aimed at the patient’s expectation of acquiring good aesthetic results and functional rehabilitation.

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