scholarly journals Temporomandibular disorders: Guidelines and Self-Care for Patients During COVID-19 Pandemic

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Simone Saldanha Ignacio de Oliveira ◽  
Sergio Luiz Melo Gonçalvez ◽  
Karin De Mello Weig ◽  
Thales Ribeiro Magalhães Filho ◽  
Omar Efrain Roque Martinez ◽  
...  
Keyword(s):  
Social Isolation ◽  
Latin American ◽  
Temporomandibular Disorders ◽  
Orofacial Pain ◽  
Temporomandibular Disorder ◽  
Management Strategies ◽  
Self Care ◽  
Signs And Symptoms ◽  
Cochrane Library ◽  
Increased Risk

Background: Temporomandibular disorder (TMD) belongs to a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, musculature and adjacent components. These conditions can generate signs and symptoms and be influenced by an altered biopsychosocial condition. Objective: This study aims to seek information to assist the patient in the presence of TMD signs and symptoms and Orofacial Pain, associated with the period of social isolation during the COVID-19 pandemic. Material and methods: For the preparation of this manual, a bibliographic search was performed in the databases PubMed, Latin American and Caribbean Health Sciences Literature (LILACS), BBO (BVS), Scopus, Web of Science and The Cochrane Library, using the keywords: orofacial pain, temporomandibular disorders, bruxism, stress, anxiety, biopsychosocial, diagnosis, self-care with important information on how to reduce and control the signs and symptoms of TMD and Orofacial Pain in this moment of pandemic that we are experiencing a social detachment. Results: The results show that the pandemic of COVID-19 and the need for social isolation, generates psychological impact that raises the pattern of anxiety and can directly affect patients with bruxism and TMD. Conclusion: Psychological factors associated with the pandemic can lead to an increased risk of developing, worsening and perpetuating bruxism, especially waking bruxism and TMD, so dentists should be aware of the occurrence of signs and symptoms to manage the multifactorial aspects of this condition. At that time, individual self-management strategies are advised for the patient, which consist of self-massage techniques, body education, exercise practices, sleep hygiene, meditation and making available the use of tools and online devices that facilitate this activity.KeywordsOrofacial pain; Temporomandibular disorders; Bruxism; Stress; Anxiety; Biopsychosocial; Diagnosis; Self-care; COVID-19.

Prevalence of Sign and Symptoms of Temporomandibular Joint Disorders in Pakistani Population at Sheikhupura, Lahore: A Gender comparison

2021 ◽  
Vol 15 (8) ◽  
pp. 2166-2168
Author(s):  
Ashfaq-ur- Rahim ◽  
Muhammad Nauman ◽  
Sadiq Ali ◽  
Saima Ihsan ◽  
Tannaza Qayyum ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Orofacial Pain ◽  
Temporomandibular Disorder ◽  
Signs And Symptoms ◽  
Temporomandibular Joint Disorders ◽  
Female Ratio ◽  
Pakistani Population ◽  
Female Predominance ◽  
History Of

Background: Temporomandibular disorders have been considered as a common orofacial pain condition. The term temporomandibular pain dysfunction (TMPD) is used synonymously with myofacial pain dysfunction disorder/syndrome, temporomandibular disorder, craniomandibular disorder and many other terms. Objective: To evaluate the prevalence of signs and symptoms of temporo-mandibular joint disorder (TMD). Study Design: Descriptive cross-sectional study Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Faryal Dental College, Sheikhupura , Lahore, Pakistan from 1st February 2019 to 31st May 2021. Methodology: One hundred adolescents aged 15 to 60 years were enrolled. A detailed history about the chief complaint was taken and clinical examination was done. Temporomandibular joint examination performed included Auscultation for temporomandibular joint sounds like clicking and crepitus and palpation of both TMJs and associated muscles for evaluation of pain. Results: The most common signs of temporomandibular joint disorders were temporomandibular joint pain 78%, temporomandibular joint clicking 53% and trismus 29%. The most prevalent predisposing factors of temporomandibular joint disorders were parafunctional habits 40%, unknown factors 23% and history of road traffic accident/history of difficult extractions 9%. Male to female ratio showed female predominance (P = 0.001). Conclusion: Signs and symptoms of temporomandibular joint disorders were prevalent in Pakistani population with a clear female predominance. Key words: Temporomandibular disorders, Temporomandibular joint, Orofacial pain, Bruxism, Headache, Pain

Review of Prelabor Rupture of the Membranes: Pathophysiologic Concepts and Novel Therapeutic Strategies

2020 ◽  
Vol 16 ◽  
Author(s):  
Saadia Ghafoor
Keyword(s):  
Management Strategies ◽  
Signs And Symptoms ◽  
Cochrane Library ◽  
Main Body ◽  
Scientific Publications ◽  
Timely Diagnosis ◽  
Narrative Literature Review ◽  
Contemporary Management ◽  
Online Library ◽  
Novel Therapeutic Strategies

Background:: Prelabor rupture of membrane (PROM) refers to the breakage of fetal membranes before the onset of labor, resulting in the leakage of amniotic fluid. PROM affects approximately 3% and 8% of preterm and term pregnancies. Because of associated high maternal and perinatal mortality, correct and timely diagnosis together with effective management is highly recommended to prevent adverse fetal and maternal outcomes. Objective:: To provide an overview of the novel concepts in the understanding of PROM including etiology, pathophysiology, risk factors, complications, assessment, diagnostic modalities, and contemporary management strategies for PROM at preterm and term. Methodology:: This narrative literature review was conducted through a literature search using the Cochrane library and electronic databases including PubMed, Web of Science, Medline, Scopus, Crossref, Google Scholar, Wiley online library, ScienceDirect with specific search terms in scientific publications published from March 1980 to March 2020. Main Body:: Preterm PROM has the potential to cause prenatal morbidity and mortality. It is imperative to monitor the signs and symptoms of an impending infection due to the risk of infectious morbidity with PROM at preterm and preterm. PROM at preterm and term requires prompt diagnosis followed by an appropriate management strategy. Conclusion:: The correct and timely diagnosis of PROM is essential for efficacious management. Furthermore, it can reduce avoidable emergent health care visits and related costs in a clinical setting subjected to pregnancy with suspected PROM. Further studies are needed to fill the gaps in identifying better diagnostic predictive tools in high- risk pregnancies.

scholarly journals A comprehensive review on biomarkers associated with painful temporomandibular disorders

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Mayank Shrivastava ◽  
Ricardo Battaglino ◽  
Liang Ye
Keyword(s):  
Temporomandibular Disorders ◽  
Orofacial Pain ◽  
Temporomandibular Disorder ◽  
Complex Nature ◽  
Complex Interplay ◽  
Orofacial Region ◽  
Neuroimaging Biomarkers ◽  
Relationship Of ◽  
Global Health Problem

AbstractPain of the orofacial region is the primary complaint for which patients seek treatment. Of all the orofacial pain conditions, one condition that possess a significant global health problem is temporomandibular disorder (TMD). Patients with TMD typically frequently complaints of pain as a symptom. TMD can occur due to complex interplay between peripheral and central sensitization, endogenous modulatory pathways, and cortical processing. For diagnosis of TMD pain a descriptive history, clinical assessment, and imaging is needed. However, due to the complex nature of pain an additional step is needed to render a definitive TMD diagnosis. In this review we explicate the role of different biomarkers involved in painful TMD. In painful TMD conditions, the role of biomarkers is still elusive. We believe that the identification of biomarkers associated with painful TMD may stimulate researchers and clinician to understand the mechanism underlying the pathogenesis of TMD and help them in developing newer methods for the diagnosis and management of TMD. Therefore, to understand the potential relationship of biomarkers, and painful TMD we categorize the biomarkers as molecular biomarkers, neuroimaging biomarkers and sensory biomarkers. In addition, we will briefly discuss pain genetics and the role of potential microRNA (miRNA) involved in TMD pain.

scholarly journals Cone-beam computed tomography analysis of degenerative changes, condylar excursions and positioning and possible correlations with temporomandibular disorder signs and symptoms

2021 ◽  
Vol 21 ◽  
pp. e225442
Author(s):  
Nayara Stefany Leite-de-Lima ◽  
Eduardo Felippe Duailibi-Neto ◽  
Israel Chilvarquer ◽  
João Gualberto Cerqueira Luz
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Degenerative Changes ◽  
Cone Beam ◽  
Ratio Test ◽  
Clinical Records

Aim: To describe cone-beam computed tomography (CBCT) features in patients with temporomandibular disorders (TMDs), in terms of degenerative changes, condylar excursions and positioning as well as their possible correlations with signs and symptoms. Methods: Clinical records of patients diagnosed with TMD who were seen between January 2018 and December 2019 were retrospectively evaluated. These patients were divided into the following groups based on the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): arthralgia, myalgia, and arthralgia and myalgia groups. The CBCT examination findings of the patients were evaluated in relation to degenerative changes, estimates of condylar excursion, and condylar positioning. The likelihood ratio test was used to verify the possible differences among the three groups, whereas the chi-square test was used to verify the possible differences among the signs and symptoms for the tomographic findings (p ≤ 0.050). Results: In this study, 65 patients with TMD were included. These patients were predominantly female (84.6%) with a mean age of 40.6 years. Tomographic findings of flattening, hyperexcursion and posterior condylar positioning were frequent. A significant correlation was noted between osteophyte and lateral capsule pain (p = 0.027), erosion and posterior capsule pain (p = 0.026), and flattening, pseudocysts (p < 0.050) and condylar excursion (p < 0.001) with mouth opening. Conclusion: Few correlations were noted between degenerative changes and signs of joint pain as well as degenerative changes and condylar hypoexcursion with mouth opening. These correlations were likely associated with division by diagnosis, whereas condylar positioning did not correlate with signs and symptoms.

Collectivity as a coping strategy: A study of Latin American domestic workers in the commodified care system of Barcelona

2021 ◽  
Vol 24 (1) ◽  
pp. 25-42
Author(s):  
Martina Madaula Munt
Keyword(s):  
Grounded Theory ◽  
Social Isolation ◽  
Latin American ◽  
Coping Strategy ◽  
Self Care ◽  
Domestic Workers ◽  
Ethnographic Study ◽  
Burden Of Care ◽  
Care Practices ◽  
Third Dimension

Abstract This ethnographic study draws from my research on the three main care practices Latin American domestic workers experience in Barcelona: caring as part of their jobs, caring for their families from afar, and caring for each other. Stemming from grounded theory, I will argue that one of the main pressures they suffer daily is social isolation and loneliness. Starting from a brief analysis of how migrant domestic workers bear the burden of care individually ‐ firstly, as part of their jobs and, secondly, as part of their gender duty when being mothers from afar ‐ this paper will trace a third dimension of care seen in collective practices to cope with social isolation. The last section of the empirical overview will focus on the daily navigation of the concepts of self-care, activism, and feminism by Latin American domestic workers. These concepts were encountered in fieldwork by my research participants and given a new meaning when developing their own versions of them based on collective values more present in their home cultures.

scholarly journals Venous Thromboembolism Prophylaxis and Treatment in Patients With Cancer: ASCO Clinical Practice Guideline Update

2020 ◽  
Vol 38 (5) ◽  
pp. 496-520 ◽  
Author(s):  
Nigel S. Key ◽  
Alok A. Khorana ◽  
Nicole M. Kuderer ◽  
Kari Bohlke ◽  
Agnes Y.Y. Lee ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Medical Condition ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Signs And Symptoms ◽  
Cochrane Library ◽  
Thromboembolism Prophylaxis ◽  
Vte Prophylaxis ◽  
Patients With Cancer ◽  
Increased Risk

PURPOSE To provide updated recommendations about prophylaxis and treatment of venous thromboembolism (VTE) in patients with cancer. METHODS PubMed and the Cochrane Library were searched for randomized controlled trials (RCTs) and meta-analyses of RCTs published from August 1, 2014, through December 4, 2018. ASCO convened an Expert Panel to review the evidence and revise previous recommendations as needed. RESULTS The systematic review included 35 publications on VTE prophylaxis and treatment and 18 publications on VTE risk assessment. Two RCTs of direct oral anticoagulants (DOACs) for the treatment of VTE in patients with cancer reported that edoxaban and rivaroxaban are effective but are linked with a higher risk of bleeding compared with low-molecular-weight heparin (LMWH) in patients with GI and potentially genitourinary cancers. Two additional RCTs reported on DOACs for thromboprophylaxis in ambulatory patients with cancer at increased risk of VTE. RECOMMENDATIONS Changes to previous recommendations: Clinicians may offer thromboprophylaxis with apixaban, rivaroxaban, or LMWH to selected high-risk outpatients with cancer; rivaroxaban and edoxaban have been added as options for VTE treatment; patients with brain metastases are now addressed in the VTE treatment section; and the recommendation regarding long-term postoperative LMWH has been expanded. Re-affirmed recommendations: Most hospitalized patients with cancer and an acute medical condition require thromboprophylaxis throughout hospitalization. Thromboprophylaxis is not routinely recommended for all outpatients with cancer. Patients undergoing major cancer surgery should receive prophylaxis starting before surgery and continuing for at least 7 to 10 days. Patients with cancer should be periodically assessed for VTE risk, and oncology professionals should provide patient education about the signs and symptoms of VTE. Additional information is available at www.asco.org/supportive-care-guidelines .

scholarly journals Orofacial pain in juvenile idiopathic arthritis is associated with stress as well as psychosocial and functional limitations

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Alexandra Dimitrijevic Carlsson ◽  
Kerstin Wahlund ◽  
Erik Kindgren ◽  
Thomas Skogh ◽  
Carin Starkhammar Johansson ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Pain Intensity ◽  
Psychosocial Factors ◽  
Temporomandibular Disorders ◽  
Daily Living ◽  
Orofacial Pain ◽  
Functional Limitations ◽  
Signs And Symptoms ◽  
Inflammatory Activity ◽  
Jaw Function

Abstract Background The aim of this study was to investigate relations between psychosocial factors, signs and symptoms of orofacial pain and jaw dysfunction in patients with juvenile idiopathic arthritis (JIA). Methods Forty-five patients with JIA (median age 12 years) and 16 healthy matched controls (median age 13 years) were examined according to the diagnostic criteria for temporomandibular disorders (DC/TMD). The subjects answered the DC/TMD questionnaires regarding psychosocial factors (pain intensity, pain–related disability, depression, stress, catastrophizing, pain locations and jaw function). Results JIA patients with orofacial pain had higher degree of stress, depression, catastrophizing and jaw dysfunction compared to subjects without. In turn, these factors were associated with orofacial pain intensity. Also, patients with orofacial pain had higher systemic inflammatory activity. Conclusions Orofacial pain in patients with JIA is associated with stress, psychological distress, jaw dysfunction and loss of daily living activities. Pain intensity seems to be the major pain aspect related to these factors. In addition, systemic inflammatory activity appears to be an important factor contributing to orofacial pain in JIA.

scholarly journals Prevalence study of signs and symptoms of temporomandibular disorder in Brazilian college students

2006 ◽  
Vol 20 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Anamaria Siriani de Oliveira ◽  
Elton Matias Dias ◽  
Rogério Guimarães Contato ◽  
Fausto Berzin
Keyword(s):  
College Students ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Signs And Symptoms ◽  
Health Care Needs ◽  
Care Needs ◽  
Chi Square ◽  
Chi Square Test ◽  
Degree Of Severity ◽  
Severity Degree

The aim of this study was to evaluate the prevalence and severity of temporomandibular disorders (TMD) in Brazilian college students. A questionnaire was administered to 2,396 students. Seventy-three percent of women (mean age 21.94 ± 5 years) and 27% of men (mean age 22.41 ± 4.8 years) answered the questionnaire. The anamnestic index was used to classify the volunteers according to TMD severity degree. The results showed a higher percentage of men without TMD (43.74%) (p < 0.05, Chi-square test). The women exhibited some degree of severity (73.03%) at a higher frequency than men (56.26%). No significant differences were observed between sexes for a same TMD severity degree (p > 0.05). The results indicated TMD prevalence in Brazilian college students similar to that presented in other studies found in the literature reviewed. Longitudinal studies are recommended to follow the prevalence and health care needs in this population.

scholarly journals Alterations of Temporomandibular Disorders before and after Orthognathic Surgery

2007 ◽  
Vol 77 (4) ◽  
pp. 729-734 ◽  
Author(s):  
Cecilia Abrahamsson ◽  
Ewa Carin Ekberg ◽  
Thor Henrikson ◽  
Lars Bondemark
Keyword(s):  
Temporomandibular Disorders ◽  
Orthognathic Surgery ◽  
Search Strategy ◽  
Scientific Evidence ◽  
Signs And Symptoms ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Method Error ◽  
Before And After

Abstract Objective: To answer the question whether orthognathic surgery does affect the prevalence of signs and symptoms of temporomandibular disorders (TMDs). Materials and Methods: A literature survey in the PubMed and Cochrane Library electronic databases was performed and covered the period from January 1966 to April 2006. The inclusion criteria were controlled, prospective or retrospective studies comparing TMDs before and after orthognathic surgery in patients with malocclusion. There were no language restrictions, and three reviewers selected and extracted the data independently. The quality of the retrieved articles was evaluated by four reviewers. Results: The search strategy resulted in 467 articles, of which 3 met the inclusion criteria. Because of few studies with unambiguous results and heterogeneity in study design, the scientific evidence was insufficient to evaluate the effects that orthognathic surgery had on TMD. Moreover, the studies had problems with inadequate selection description, confounding factors, and lack of method error analysis. Conclusion: To obtain reliable scientific evidence, additional well-controlled and well-designed studies are needed to determine how and if orthognathic surgery alters signs and symptoms of TMD.

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