scholarly journals Mouth-Opening Exercise and Patient Control Use of NSAIDs: Preliminary Study of Disk Displacement without Reduction

Author(s):  
Eri Umemura
2009 ◽  
Vol 6 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Koji Kashima ◽  
Rie Yokota ◽  
Mikiko Iino, ◽  
Yu Hamasuna ◽  
Kaori Igawa ◽  
...  

2021 ◽  
Author(s):  
Remillieux Franck ◽  
Typhanie Dos anjos ◽  
Chaufferin Gilles ◽  
Gerentes Philippe

Abstract Background The purpose of this investigation was to determine if neuromotor programming using the ALLYANE® process would significantly improve mouth-opening capacity in patients suffering from temporomandibular disorders (TMD). Methods A total of 21 adult patients (20 females and 1 male; mean age = 44 years) who underwent a rehabilitation session with neuromotor reprogramming were included. Maximal mouth opening (MMO) was measured before and just after neuromotor reprogramming session. Results The results showed a statistically significant (p < 0.001) mean gain of 4.95 mm (+ 13%) after neuromotor reprogramming. Furthermore, this preliminary study showed that the gain registered in patients with a lower-than-normal mouth opening and improvement of lateral movements were greater than the one obtained with the other patients. Conclusions Although these preliminary results need confirmation, the study suggests that the use of neuromotor reprogramming in patients suffering from TMD could present new possibilities for enhanced outcomes, in particular to relax the stomatognathic system with a noninvasive, reversible therapy without known side effects, providing open new perspectives in the area of joint diseases.


2008 ◽  
Vol 19 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Alicio Rosalino Garcia ◽  
Sérgio Folli ◽  
Paulo Renato Junqueira Zuim ◽  
Valdir de Sousa

This study quantified by, electrovibratography, the amount of mandible protrusion required to decrease significantly temporomandibular joint (TMJ) vibratory energy as an aid in the diagnosis of the recapture of anteriorly displaced disk. Eighteen patients diagnosed as having anterior disk displacement with reduction and TMJ clicking were submitted to electrovibratographic examination at the first appointment and treated with a stabilizing appliance and anterior positioning appliance with 1 to 5 mm protrusion. Vibratory energy was checked in each of these positions. Baseline data were used as control. At the first appointment, the patients had vibrations with more elevated intensities at the middle and late phases of the mouth opening cycle. At only one clinical step, mandible protrusion was obtained with the anterior repositioning appliance, ranging from 1 to 5 mm protusion. At each new position, a new electrovibratographic exam was made. After the 5-mm mandibular projection, only 2 patients presented vibration, with means between 0.6 and 2.8 Hz. Data were analyzed statistically by ANOVA and Tukey's test (alpha=0.05). The outcomes of this study indicate that 3 mm is the minimum amount of mandible protrusion to significantly decrease the TMJ vibratory energy and to recapture the displaced articular disk.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Amr Abdulazim ◽  
Andreas Filis ◽  
Pooyan Sadr-Eshkevari ◽  
Fried Schulte ◽  
Nora Sandu ◽  
...  

Purpose. Patients undergoing craniotomies necessitating preparation of the temporal muscle (TM) may experience postoperative functional impairment of the temporomandibular joint. This topic has not been thoroughly discussed in the literature so far. In the present study, the authors propose a questionnaire as an evaluation tool to assess to what degree different TM preparation techniques correlate with postoperative temporomandibular joint dysfunction.Materials and Methods. Between 2004 and 2006, 286 patients underwent either pterional or temporal craniotomies in the department of craniotomies at the University of Münster in Germany. Intraoperatively the TM was prepared either interfascial, submuscular, or subfascial. A patient-based questionnaire was designed and validated (Kendalls-τ= +1) in order to evaluate the patients’ postoperative temporomandibular functional outcome. Based on strict inclusion/exclusion criteria, 69 patients were eligible for the application of the questionnaire in this preliminary study.Results. Seventeen percent of the patients complained of either temporomandibular joint pain (3%) or restricted mouth opening (13%) postoperatively in a follow-up period between 3 and 12 months. In 92% postoperative complaints were reported within the first 3 months and in 58% of the patients with complaints the pain eased off. In 34% a therapy was required for the pain to be controlled. In one patient (8%) a postoperative arthroscopy has been necessary. Of the patients who experienced postoperative complaints, 67% had undergone temporal and 33% pterional craniotomy. In the group where postoperatively there were issues of temporomandibular pain/dysfunction, 42% had had the TM dissected, in 25% incised, and in 8% transected. For 25% of the patients, the type of intraoperative manipulation remained unknown.Conclusion. For postoperative quality control, the questionnaire showed to be a suitable evaluation tool. Concerning the different preparation techniques, subfascial preparation of the TM tends to result in less postoperative complaints and is thus recommended.


Author(s):  
John H.L. Watson ◽  
John L. Swedo ◽  
R.W. Talley

A preliminary study of human mammary carcinoma on the ultrastructural level is reported for a metastatic, subcutaneous nodule, obtained as a surgical biopsy. The patient's tumor had responded favorably to a series of hormonal therapies, including androgens, estrogens, progestins, and corticoids for recurring nodules over eight years. The pertinent nodule was removed from the region of the gluteal maximus, two weeks following stilbestrol therapy. It was about 1.5 cms in diameter, and was located within the dermis. Pieces from it were fixed immediately in cold fixatives: phosphate buffered osmium tetroxide, glutaraldehyde, and paraformaldehyde. Embedment in each case was in Vestopal W. Contrasting was done with combinations of uranyl acetate and lead hydroxide.


Author(s):  
H.D. Geissinger ◽  
C.K. McDonald-Taylor

A new strain of mice, which had arisen by mutation from a dystrophic mouse colony was designated ‘mdx’, because the genetic defect, which manifests itself in brief periods of muscle destruction followed by episodes of muscle regeneration appears to be X-linked. Further studies of histopathological changes in muscle from ‘mdx’ mice at the light microscopic or electron microscopic levels have been published, but only one preliminary study has been on the tibialis anterior (TA) of ‘mdx’ mice less than four weeks old. Lesions in the ‘mdx’ mice vary between different muscles, and centronucleation of fibers in all muscles studied so far appears to be especially prominent in older mice. Lesions in young ‘mdx’ mice have not been studied extensively, and the results appear to be at variance with one another. The degenerative and regenerative aspects of the lesions in the TA of 23 to 26-day-old ‘mdx’ mice appear to vary quantitatively.


Author(s):  
J P Cassella ◽  
V Salih ◽  
T R Graham

Left ventricular assist systems are being developed for eventual long term or permanent implantation as an alternative to heart transplantation in patients unsuitable for or denied the transplant option. Evaluation of the effects of these devices upon normal physiology is required. A preliminary study was conducted to evaluate the morphology of aortic tissue from calves implanted with a pneumatic Left Ventricular Assist device-LVAD. Two 3 month old heifer calves (calf 1 and calf 2) were electively explanted after 128 days and 47 days respectively. Descending thoracic aortic tissue from both animals was removed immediately post mortem and placed into karnovsky’s fixative. The tissue was subsequently processed for transmission electron microscopy (TEM). Some aortic tissue was fixed in neutral buffered formalin and processed for routine light microscopy.


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