scholarly journals Temporomandibular disorders: Old ideas and new concepts

Cephalalgia ◽  
2017 ◽  
Vol 37 (7) ◽  
pp. 692-704 ◽  
Author(s):  
Thomas List ◽  
Rigmor Højland Jensen
Keyword(s):  
Temporomandibular Disorders ◽  
Orofacial Pain ◽  
Masticatory Muscles ◽  
Psychosocial Risk ◽  
Temporomandibular Joints ◽  
New Concepts ◽  
The Face ◽  
The Individual ◽  
Central Factors

Background Temporomandibular disorders (TMD) is an umbrella term for pain and dysfunction involving the masticatory muscles and the temporomandibular joints (TMJs). TMD is the most common orofacial pain condition. Its prominent features include regional pain in the face and preauricular area, limitations in jaw movement, and noise from the TMJs during jaw movements. TMD affects up to 15% of adults and 7% of adolescents. Chronic pain is the overwhelming reason that patients with TMD seek treatment. TMD can associate with impaired general health, depression, and other psychological disabilities, and may affect the quality of life of the patient. Assessment Evaluations indicate that the recently published Diagnostic Criteria for TMD (DC/TMD) are reliable and valid. These criteria cover the most common types of TMD, which include pain-related disorders (e.g., myalgia, headache attributable to TMD, and arthralgia) as well as disorders associated with the TMJ (primarily disc displacements and degenerative disease). As peripheral mechanisms most likely play a role in the onset of TMD, a detailed muscle examination is recommended. The persistence of pain involves more central factors, such as sensitization of the supraspinal neurons and second-order neurons at the level of the spinal dorsal horn/trigeminal nucleus, imbalanced antinociceptive activity, and strong genetic predisposition, which also is included in DC/TMD. Conclusion The etiology is complex and still not clearly understood, but several biological and psychosocial risk factors for TMD have been identified. Several studies indicate that patients with TMD improve with a combination of noninvasive therapies, including behavior therapy, pharmacotherapy, physical therapy, and occlusal appliances. More stringently designed studies, however, are needed to assess treatment efficacy and how to tailor treatment to the individual patient.

Mandible: evaluation of its morphology, aging process and sexual dimorphism for aesthetic treatment purpose

2021 ◽  
Vol 5 (3) ◽  
pp. 42-46
Author(s):  
Luiz Eduardo Toledo Avelar
Keyword(s):  
Sexual Dimorphism ◽  
Bone Structure ◽  
Individual Characteristics ◽  
Mandibular Angle ◽  
Fractional Analysis ◽  
The Face ◽  
The Individual ◽  
Dynamic Quality ◽  
Base Of The Skull

The mandible is the most important bone structure of the facial makeup. Its morphology differs with respect to genetic factors, sexual dimorphism, and age. Among its particular characteristics is the ability to adapt with its counterpart, the base of the skull, conferring a dynamic quality of this bone, by the mechanism of constant remodeling. In order to understand the involvement of the mandible in the evaluation of the lower third of the face, a fractional analysis of its parts is necessary considering morphological parameters of the mandibular angle. The purpose of this study is to demonstrate the importance of the mandible as an instrument in the analysis of the lower third of the face, allowing the accomplishment of aesthetic treatment, respecting the individual characteristics.

PAINFUL TEMPOROMANDIBULAR DISORDERS ARE AN URGENT HEALTHCARE PROBLEM

2021 ◽  
Vol 2 (1) ◽  
pp. 18-22
Author(s):  
Kirsanov S.I.
Keyword(s):  
Temporomandibular Disorders ◽  
Scientific Literature ◽  
Pain Syndrome ◽  
Masticatory Muscles ◽  
Close Attention ◽  
Maxillofacial Region ◽  
Social Nature ◽  
Number Of Factors ◽  
High Prevalence

Despite nearly a century of research on diseases affecting the temporomandibular joint (TMJ), masticatory muscles and associated structures, this problem still remains open. Pain syndrome caused by TMJ diseases ranks first in terms of prevalence among non-odontogenic pain syn-dromes in the maxillofacial region and leads to a signifi-cant deterioration in the quality of life of patients. The high prevalence of these diseases in female patients and the presence of a number of factors of a somatic, psycho-logical and social nature, contributing to such a high prevalence, indicate the need for more close attention of researchers to these aspects, which can become a way to develop new effective methods for the diagnosis and treatment of TMJ diseases in this category of patients. A review of scientific literature was carried out in order to identify topical scientific issues related to the study, di-agnosis and treatment of TMJ diseases.

scholarly journals Amelogenesis Imperfecta, hypoplastic type associated with some dental abnormalities: a case report

2010 ◽  
Vol 21 (2) ◽  
pp. 170-174 ◽  
Author(s):  
Emin Murat Canger ◽  
Peruze Çelenk ◽  
Murat Yenísey ◽  
Selcen Zeynep Odyakmaz
Keyword(s):  
Quality Of Life ◽  
Treatment Options ◽  
Masticatory Muscles ◽  
Amelogenesis Imperfecta ◽  
Radiographic Examination ◽  
Temporomandibular Joints ◽  
Related Quality ◽  
Health Related

Amelogenesis imperfecta (AI) is a hereditary disorder expressing a group of conditions that cause developmental alterations in the structure of enamel. AI is a serious problem that reduces oral health-related quality of life and causes some physiological problems. The treatment of patients with AI may upgrade the quality of life and reinforce their self-esteem. Among the treatment options for AI, full-mouth metal reinforced porcelain restoration constitutes an important alternative because of its properties. This paper presents a case of AI of the hypoplastic rough type associated with a group of dental anomalies, and describes the prosthetic management of the patient. A 26-year-old female patient presented with a chief complaint of discolored teeth. Clinical and radiographic examination of the patient confirmed the diagnosis of rough pattern hypoplastic AI. The patient was treated with full-mouth metal reinforced porcelain fixed bridge. The adaptation of the temporomandibular joints and masticatory muscles was carefully observed periodically during 4 months and, after this period, the patient tolerated well her new vertical dimension. The patient received instructions on cleansing of the subpontic and interproximal areas. Follow-up visits were scheduled at 3 months and then at 6 months. No esthetic or functional problems were seen after the follow up period.

scholarly journals The use of occlusal splints in temporomandibular disorders - an overview.

2020 ◽  
Vol 3 (2) ◽  
pp. 3-8
Author(s):  
Andreea Kui ◽  
Silvia Pop ◽  
Smaranda Buduru ◽  
Marius Negucioiu
Keyword(s):  
Temporomandibular Disorders ◽  
Mouth Opening ◽  
Clinical Situation ◽  
Masticatory Muscles ◽  
The State ◽  
Common Symptom ◽  
Occlusal Splints ◽  
Temporomandibular Joints ◽  
Closed Lock ◽  
State Of Art

AbstractTemporomandibular disorders (TMD) affect the temporomandibular joints, the masticatory muscles, and surrounding tissues. Among symptoms such as jumps, joint noises, reduced mouth opening (closed lock), difficulties in closing the mouth (subluxation or open lock), pain is the most common symptom encountered among patients diagnosed with temporomandibular disorders. As literature on this topic is abundant and sometimes controversial, the authors focus on reviewing the state of art of occlusal splints indications. Therefore, the most common occlusal splints, like Lucia jig, nociceptive trigeminal inhibition (NTI), directive splints, etc., are being described, based on their design and therapeutic indications. Cases of malocclusions associated or not with parafunctions are usually manageable using the splints mentioned in this article. In case of disc displacements, occlusal appliances can be used, but as the etiology is multifactorial, there are some limitations, depending on the complexity of each clinical situation.

scholarly journals Diagnostic of Temporomandibular Disorders and Other Facial Pain Conditions—Narrative Review and Personal Experience

Medicina ◽  
2020 ◽  
Vol 56 (9) ◽  
pp. 472
Author(s):  
Pihut Małgorzata ◽  
Kulesa-Mrowiecka Małgorzata ◽  
Chmura Karolina ◽  
Andrzej Gala
Keyword(s):  
Differential Diagnosis ◽  
Temporomandibular Disorders ◽  
Personal Experience ◽  
Facial Pain ◽  
Masticatory Muscles ◽  
Medical Interview ◽  
Unified Protocol ◽  
Temporomandibular Joints ◽  
Examination Methods

Temporomandibular disorders are complex dysfunctions of masticatory muscles and temporomandibular joints. Their symptoms affect more than 40% of the population and their prevalence is rising. It is important to establish a unified protocol for this specialistic examination. This review describes the authors’ own longstanding experiences and the discrepancies in the current literature regarding this topic as well as a detailed procedure of diagnosing temporomandibular disorders including the leading but often underrated role of a medical interview. We presented optimal physical examination methods as well as specific situations in which additional diagnostic and imaging tools may be useful. The emphasis was put on the importance of differential diagnosis between temporomandibular disorders and other diseases presenting with similar symptoms.

scholarly journals Vitamin D and Temporomandibular Disorders: What Do We Know So Far?

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1286
Author(s):  
Andreea Kui ◽  
Smaranda Buduru ◽  
Anca Labunet ◽  
Silvia Balhuc ◽  
Marius Negucioiu
Keyword(s):  
Vitamin D ◽  
Temporomandibular Disorders ◽  
Potential Role ◽  
Current Knowledge ◽  
Masticatory Muscles ◽  
The Body ◽  
Ultraviolet B ◽  
Pathological Conditions ◽  
Temporomandibular Joints

Background and aims. Vitamin D is synthesized in the skin with the aid of ultraviolet-B radiation, playing a variety of roles in the body. Temporomandibular disorders (TMDs) are a group of pathological conditions involving the temporomandibular joints as well as the masticatory muscles and othersurrounding tissues. In the present narrative review, we investigated the potential role of vitamin D in the etiology of temporomandibular disorders in order todetermine whether the current knowledge supports 25-hidroxyvitamin D (25-OHD) supplementation in temporomandibular disorders associated with insufficient or deficient levels of vitamin D. Methods. A literature research was performed in PubMed, Scopus, Science Direct, and Google Scholar databases, and a total of 10 articles were included for analysis. Results.Among the observational studies published to date, investigating the role for vitamin D in the etiology of TMDs, six of them suggest that there is a connection between the two aspects. In this context, patients suffering from TMD, with deficient levels of vitamin D (<30 ng/mL), are most likely to benefit from supplementation, whereas individuals with vitamin D level >50ng/mL probably have little benefit from supplementation.Conclusion.Vitamin D might be a safe, simple, and potentially beneficial way to prevent TMDs or to reduce pain; however, more randomized and placebo-controlled trials are required before any firm conclusions can be drawn.

scholarly journals Treatment of Patients with Somatic Tinnitus Attributed to Temporomandibular Disorder: A Case Report

2021 ◽  
Vol 5 (1) ◽  
pp. 22
Author(s):  
Paula Moleirinho-Alves ◽  
Pedro Cebola ◽  
André Almeida ◽  
Haúla Haider ◽  
João Paço
Keyword(s):  
Temporomandibular Disorders ◽  
Multidisciplinary Approach ◽  
Physical Therapists ◽  
Temporomandibular Disorder ◽  
Common Symptom ◽  
Multidisciplinary Management ◽  
Multimodal Management ◽  
The Individual

Tinnitus is a common symptom described in patients with temporomandibular disorders (TMDs), affecting quality of life and frequently causing distress. Somatic or somatosensory tinnitus can be attributed to the somatic system of the temporomandibular or cervical spine. Due to the multifactorial etiology of TMD, its management should be based on a multidisciplinary approach. Dentists and physical therapists may play a role in the individual and multimodal management of such patients. The aim of this case study is to analyse the effects of the conservative multidisciplinary management of tinnitus in patients with coexisting tinnitus, TMD and bruxism.

scholarly journals Evaluation Of The Elderly On Oral Health In The Basic Attention

10.3823/2338 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Carmem Silvia Laureano Dalle Piagge ◽  
Karoline De Lima Alves ◽  
Luípa Michele Silva ◽  
Adriana Maria Moreira Alexandre ◽  
Mariana De Lacerda Siqueira Brasileiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Health Assessment ◽  
Family Health ◽  
The Elderly ◽  
Psychological Pain ◽  
Assessment Index ◽  
The Face ◽  
The Individual

Background: For aging healthy, the prevention and maintenance of oral health is essential in the general health of the individual. Objective: Thus, we sought to evaluate the elderly's perception of themselves, associating this information with their reported quality of life. Methods: This is an exploratory descriptive study with a quantitative approach. It was held in the Family Health Units in the city of João Pessoa-Paraiba-Brazil, in 2015. The Geriatric Oral Health Assessment Index questionnaire was used to assess the Socio Dental Indicator. Results: Were 258 elderly, mostly female, married, who perceive their oral health positively, although they report having suffered limitations, being them physical, psychological, pain or discomfort. Conclusion: In the face of the evidence, measures are suggested to minimize the gaps, adopting more public policies aimed at the health of the elderly. These measures will ensure better conditions of service and development of projects with the aim of providing ageing with quality of life, to this age group. The results of this study may contribute to educational actions aimed at improving the care of the elderly.

scholarly journals The prevalence of Jaw and temporomandibular disorders and its relationship with malocclusions in children

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Amirhosein Pakravan ◽  
Tahmine Bamdadian ◽  
Zohreh Taqavi ◽  
Faeze Valipour ◽  
Mahdi Babaei Hatkehloui
Keyword(s):  
Temporomandibular Disorders ◽  
Masticatory Muscles ◽  
Second Phase ◽  
Temporomandibular Joints ◽  
Number Of Patients ◽  
The Common ◽  
Two Phases ◽  
Masticatory Muscle Pain ◽  
Subclinical Symptoms ◽  
Clinical Problems

In recent years the number of patients with temporomandibular disorders (TMDs) is on the rise, given this, this paper aimed to investigate the prevalence of jaw and TMDs and its relationship with malocclusions in children. This study was conducted as a review article. The study was a descriptive – library type in which by referring to all the resources and literature of the existing studies, their results have been summed up. The TMDs is referred to clinical problems that involve masticatory muscles, temporomandibular joints or both of them. Its prevalence is 12 to 20%, and including subclinical symptoms, it reaches to 65 %. The common age is reported to be between 20 and 40 years, and its prevalence is higher in women. The most common symptoms are masticatory muscle pain, and the most common cause of it is premature contacts. Its treatment includes two phases;  the first phase includes reducing anxiety, medication, and physiotherapy. The second phase involves orthodontic treatment.

scholarly journals Pendampingan Persiapan Psikologis Pranikah pada Calon Pasangan Pengantin Muslim melalui Kursus Calon Pengantin (Suscatin) Berbasis Komunitas di Kelurahan Jambangan Kota Surabaya

2018 ◽  
Vol 2 (1) ◽  
pp. 9-25
Author(s):  
Triana Rosalina Noor ◽  
Wenika Agustitia
Keyword(s):  
Counseling Session ◽  
Counseling Process ◽  
Guidance Counseling ◽  
The Family ◽  
The Face ◽  
Happy Marriage ◽  
The Stability ◽  
The Individual ◽  
The Right

Individual wishing a happy marriage, this can be achieved with effort and hard work. One effort that can be done to achieve a happy marriage is to have the right information about married life, thereby can bring up individual awareness that not always marriage is happy, and not always marriage always faces problems. The existence of premarital knowledge will make the individual has readiness in the face of the dynamics of marriage, more able to accept the reality of marriage life and can improve the quality of marriage. This dedication was held in January-March 2017. As for prenuptial psychological counseling process was done by preparing the module book containing the material related to the marriage life that would be discussed and discussed in the mentoring process in the guidance counseling session. The location of the research took place at RW 1 Keluahan. Jambangan Surabaya. These mentoring groups were five prospective Muslim couples who would be married within a period of <6 months and between 6-12 months. The result of this mentoring was that the preparation of prenuptial psychological preparation for Muslim couples was one of the right ways to help the stability of prospective couples before marriage. Through the mentoring that used of module books and counseling process, could facilitate the prospective couples in opening insights about the marriage life, so that it could formulate how the family settings they would build.

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