scholarly journals Comparison of Two Different Treatment Methods to Treat the Temporomandibular Joint Disorders (Myofascial Pain) in a Short Period of Time - A Retrospective Study

2021 ◽  
Vol 10 (38) ◽  
pp. 3342-3345
Author(s):  
Hamad Nasser Albageah ◽  
Abdulaziz Abdulhakim Alwakeel
Keyword(s):  
Retrospective Study ◽  
Temporomandibular Joint ◽  
Masseter Muscle ◽  
Orofacial Pain ◽  
Myofascial Pain ◽  
Temporomandibular Joint Disorder ◽  
Short Period ◽  
Significant Difference ◽  
Joint Disorder ◽  
Pain Patients

BACKGROUND Temporomandibular joint(TMJ)is the third most common site of pain in the orofacial area, while the masseter muscle was the primary painful masticatory muscle. The temporal and frontal region were pain areas indicated by temporomandibular joint disorder (TMDs) patients. The purpose of this study was to compare two different treatment modalities, physical therapy and occlusal appliance to treat myofascial pain. METHODS This retrospective study comprises of all orofacial pain patients attending orofacial pain clinics of Dental University Hospital, King Saud University in Riyadh, Saudi Arabia. Patients were categorized into two groups, the first group: patients treated by the occlusal appliance (hard type). The second group: patients treated by physiotherapy home exercises, including posture position modification. Physical therapy included muscle stretching and isometric tension against resistance exercises and guided jaw movements. Methods of clinical examination was based on the research diagnostic criteria for temporomandibular disorders (RDC/TMD) criteria. The data of pain level was collected based on the visual analog scale (VAS). RESULTS 16.1 % of patients were male, and 83.9 % of the patients were female. With the mean age being 31.1 years old. 92.9 % were Saudi patients and 7.1 % were non-Saudi. 50 % of the patients were using an occlusal appliance, and 50 % went for physiotherapy. The independent t-test showed a highly significant difference between different management methods with a P – value of 0.038 and a mean difference of 0.32143. 80.5 % of the patients reported masseter muscle pain as one of their main complaints. CONCLUSIONS A significant difference was observed between physiotherapy and occlusal appliances with education in treating patients with myofascial pain. Patients using the occlusal appliances showed a high percentage of pain reduction (85.7 %) compared to physiotherapy treatment (57.1 %) in a short period of time. Henceforth, patient’s education plays a significant role in pain reduction. KEY WORDS Temporomandibular Joint Disorder, Occlusal Appliance, Myofascial Pain, Physiotherapy

scholarly journals Masseter Muscle Activity in Orthodontically Treated Patients with a History of Temporomandibular Joint Disorder: An Electromyographic Study

2021 ◽  
Vol 16 (2) ◽  
pp. 191-198
Author(s):  
Nisallina Apridini ◽  
Nia Ayu Ismaniati Noerhadi ◽  
Erwin Siregar
Keyword(s):  
Temporomandibular Joint ◽  
Muscle Activity ◽  
Masseter Muscle ◽  
Maximum Voluntary Contraction ◽  
Control Group ◽  
Temporomandibular Joint Disorder ◽  
Joint Disorder ◽  
History Of ◽  
Masseter Muscles ◽  
Semg Activity

The present study aimed to evaluate the surface electromyography (sEMG) activity of the masseter muscles in patients with a history of temporomandibular joint disorder (TMJD) who received orthodontic treatment. In total, 22 participants aged 18–35 years old were included in this study. They were divided into the control group (patients without a history of TMJD [n = 11]) and the test group (those with a history of TMJD [n = 11]). Each participant underwent sEMG of the right and left masseter muscles at 5-s maximum voluntary contraction (MVC). Results showed that the TMJD group had a lower sEMG activity of masseter muscles at MVC than the non-TMJD group. However, the differences were not statistically significant (p > 0.05, t-test). The Spearman’s correlation coefficient test revealed a weak negative correlation between muscle activity on sEMG and history of TMJD (p > 0.05). In conclusion, orthodontically treated patients in TMJD group have reduced masseter muscle activity during MVC, compare to the non-TMJD group.

Effect of Cervical Extensor Strengthening on severity of Temporomandibular Joint Disorder among University students: A Randomized controlled trial

2021 ◽  
pp. 2233-2242
Author(s):  
Ilayaraja Alagia Thiruvevenkadam ◽  
Lee Tze Ling
Keyword(s):  
Temporomandibular Joint ◽  
Controlled Trial ◽  
Mouth Opening ◽  
Control Group ◽  
Temporomandibular Joint Disorder ◽  
Significant Difference ◽  
Post Test ◽  
Joint Disorder ◽  
Maximal Mouth Opening ◽  
Experimental Group

Background and Objectives: Awareness of temporomandibular joint disorder (TMD) is fairly concerning in management of physiotherapy as patients often seek for treatment from orthodontics when pain become their main concerns. In this case, cervical aspects are often overlooked in the treatment of temporomandibular joint disorder. This study aims to determine the effect of cervical extensor strengthening on severity of temporomandibular joint disorder. Methods: A randomized controlled trial study was carried out for 4 weeks to determine the effect of cervical extensor strengthening on severity of temporomandibular joint disorder among university students. A total of 40 participants were recruited via convenient sampling method. Subjects were randomly assigned into two groups: experimental group (E) and control group (C) through lottery randomization. Subjects in experimental group were instructed to perform 1 set of cervical extensor strengthening with 10 repetitions and goldfish exercises whereas subjects in control group were asked to perform goldfish exercises only. A pre-test and post-test severity of TMD, maximal mouth opening and maximal isometric cervical extensor strength were measured for both groups. Results: After 4 weeks of training, there was significant difference in pre-test and post-test severity of TMD and maximal mouth opening for both E and C group. On the other hand, there was significant difference of pre and post-test of maximal isometric cervical extensor strength in experimental group. There was no significant difference in post-test for severity of TMD (p=0.67), maximal mouth opening (p=0.21) and maximal isometric cervical extensor strength (p=0.40) between two groups. Conclusions: The study concluded that, 4 weeks of anti-gravity cervical extensor strengthening exercises protocol showed there was no significantly difference of the severity of TMD and maximal mouth opening between both control and experimental group. On the other hand, goldfish exercises showed significant improvement of maximal mouth opening and reduction in severity of TMD after 4 weeks of intervention period.

Impact of Anxiety on the Pain Intensity in Patients with Temporomandibular Joint Disorder During Splint Treatment

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
T. Badel ◽  
J. Keros ◽  
S. Kocijan Lovko ◽  
J. Kern ◽  
M. Marotti
Keyword(s):  
Pain Intensity ◽  
Temporomandibular Joint ◽  
Temporomandibular Joint Disorder ◽  
Significant Difference ◽  
Before And After ◽  
Pain Duration ◽  
Joint Disorder ◽  
The Mean ◽  
And Gender ◽  
Patient’S History

Objectives:Level of anxiety and pain intensity before and after splint treatment of patients with temporomandibular joint disorder (TMJD) was compared.Methods:TMJD in 60 patients (mean age 37.9 years, 80% women) was diagnosed using patient's history and clinical examination, and was confirmed by magnetic resonance imaging of the TMJs. Pain intensity was rated on a visual-analogue scale. The anxiety was confirmed by Spielberger's State-Trait Anxiety Inventory (STAI).Results:A higher level of anxiety was determined due to the fact that the mean score in STAI 1 was 39.80 and STAI 2 was 41.10. Before visiting a dentist, the patients suffered pain for 8.7 months on average. There is a statistically significant difference between patients depending on how long they previously suffered pain and anxiety values for all patients in STAI 1 and 2 (p< 0.0001). Including only patients with determined anxiety depending on age and gender there was no statistical difference in previous pain duration (p>0.05). There is a correlation between anxiety values on STAI 1 scale and post-treatment pain intensity (p< 0.026), and on STAI 2 scale pain intensity proved to be statistically significant before (p< 0.002) and after (p< 0.049) treatment. There was a statistically significant difference in scores of STAI 2 tests of patients with bruxism behaviour (p< 0.042).Conclusions:There is a possibility of negative interaction of psychological and psychosocial factors within all forms of musculoskeletal disorders’ treatment, including TMDs. This study confirmed the connection between anxiety and various categories of pain intensity in patients during splint treatment.

scholarly journals Otological manifestation of temporomandibular joint disorder in Ekiti, a sub-Saharan African country

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199651
Author(s):  
Waheed Atilade Adegbiji ◽  
Gabriel Toye Olajide ◽  
Anthony Tosin Agbesanwa ◽  
Omotola Oluwaseyi Banjo
Keyword(s):  
Temporomandibular Joint ◽  
Clinical Features ◽  
Temporomandibular Joint Disorder ◽  
Prehospital Treatment ◽  
Muscle Disorders ◽  
Joint Disorder ◽  
Study Population ◽  
Male Patients ◽  
Sub Saharan ◽  
Nose And Throat

Objective To determine the prevalence, sociodemographic features, and clinical presentation of temporomandibular joint disorder in otorhinolaryngological practice. Methods This prospective hospital-based study involved patients diagnosed with temporomandibular joint disorder in our institution’s ear, nose, and throat department. Data for this study were obtained from the patients using pretested interviewer-assisted questionnaires. Results The prevalence of temporomandibular joint disorder in this study was 1.3%. The study population included 17 (26.2%) male patients with a male:female ratio of 1.0:2.8. Joint disorder accounted for 75.4% of all disorders, while both mastication muscle and joint disorder accounted for 21.5%. A majority of the patients (47.7%) presented between weeks 1 and 13 of the illness. Unilateral temporomandibular joint disorder accounted for 98.5% of all disorders. The main otologic clinical features were earache and a dull tympanic membrane in 100% and 35.4% of patients, respectively. Middle ear assessment revealed type A in 73.8% of patients and type B in 20.0% according to Jerger’s classification system of tympanometry. Most patients (81.5%) were referred by their family physician. All patients had undergone prehospital treatment prior to presentation. Conclusion Temporomandibular joint disorder is a common presentation in medical practice. Common clinical features include ear, joint, and mastication muscle disorders.

scholarly journals Efficacy of Selective Grinding Guided by an Occlusal Splint in Management of Myofascial Pain: A Prospective Clinical Trial

2017 ◽  
Vol 11 (1) ◽  
pp. 301-311
Author(s):  
Felipe J. Fernández-González ◽  
Jorge Cabero-López ◽  
Aritza Brizuela ◽  
Ivan Suazo ◽  
Esteban Pérez-Pevida ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Myofascial Pain ◽  
Vertical Displacement ◽  
Occlusal Splint ◽  
Significant Difference ◽  
Before And After ◽  
Skeletal Pattern ◽  
Condylar Position ◽  
The Stability ◽  
Facial Types

Background:For patients whose centric relation (CR) has not been considered at the start and during treatment, the task of achieving an occlusal scheme that works together with the temporomandibular joint, the muscles, and the structures of the stomatognathic apparatus becomes a major concern.Objective:This study aims to describe a reproducible, predictable and to date unreported procedure of selective grinding guided by an occlusal splint and to analyze condylar position (CP) based on the skeletal pattern.Methods:A total of 72 symptomatic patients (38 females and 34 males) were classified into three groups: hyperdivergent, intermediate and hypodivergent. CP was quantified by mounted casts on a measures condyle displacement (MCD) device. Helkimo index was also performed in order to assess the severity of the temporomandibular joint (TMJ) disorders attending to clinical dysfunction, occlusal state and anamnestic dysfunction. Once the stability had been obtained, the splint was progressively reduced until the maximum intercuspation (MIC) was achieved.Results:The vertical displacement was found to be significantly different between the hyperdivergent and other two groups (p<0.01). Comparisons of MCD analysis before and after the selective grinding procedure identified a statistically significant difference in the horizontal and vertical CP (p<0.01) between the different groups whereas the Helkimo Index showed a clear improvement of TMJ disorders.Conclusion:All facial types, specially the hyperdivergent face type, showed a reduction in condylar displacement (CD) and less craniomandibular symptoms using this procedure, making it an excellent technique for clinicians.

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