Temporomandibular Joint Dysfunction with Facial Pain in Children

PEDIATRICS ◽  
1982 ◽  
Vol 69 (5) ◽  
pp. 564-567
Author(s):  
Myron L. Belfer ◽  
Leonard B. Kaban
Keyword(s):  
Temporomandibular Joint ◽  
Facial Pain ◽  
Pediatric Patients ◽  
Myofascial Pain ◽  
Management Program ◽  
Temporomandibular Joint Dysfunction ◽  
Clinical Disorder ◽  
Reactive Depression ◽  
Pain Syndromes ◽  
Recurrent Otitis Media

Temporomandibular joint dysfunction with myofascial pain, a well-known clinical disorder in adults, is reported in children. In a series of 400 patients, 40 children less than 16 years of age were seen. Of these pediatric patients, 35% had a reactive depression as primary psychopathology. The multifactorial nature of the disorder is described. The need to differentiate this syndrome from recurrent otitis media and other pain syndromes is emphasized. A combined medical, oral surgical, and psychiatric management program is outlined.

scholarly journals Temporomandibular joint dysfunction in Parkinson's Disease: an integrative literature review

Revista CEFAC ◽  
2017 ◽  
Vol 19 (5) ◽  
pp. 702-711 ◽  
Author(s):  
Taysa Vannoska de Almeida Silva ◽  
Maria das Graças Wanderley de Sales Coriolano ◽  
Carla Cabral dos Santos Accioly Lins
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Temporomandibular Joint ◽  
Myofascial Pain ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Masticatory Muscles ◽  
Therapeutic Interventions ◽  
Temporomandibular Joint Dysfunction ◽  
Language Restriction

ABSTRACT Temporomandibular joint dysfunction is a set of disorders involving the masticatory muscles, temporomandibular joint and associated structures. It is known that the progression of motor symptoms in Parkinson's disease is an indication that these people are more prone to the development of this dysfunction. Thus, this study aims to investigate the signs and symptoms of temporomandibular dysfunction in people with Parkinson's disease. The search was performed in the databases: MEDLINE/ PubMed, LILACs, CINAHL, SCOPUS, Web of Science and PEDro, without timing or language restriction. Specific descriptors were used for each database and keywords, evaluated by the instruments: Critical Appraisal Skill Program and Agency for Health care and Research and Quality. A total of 4,209 articles were found but only 5 were included. After critical analysis of the methodology of the articles, one did not reach the minimum score required by the evaluation instruments, thus, it was excluded. The selected articles addressed, as signs and symptoms of temporomandibular joint dysfunction, the following: myofascial pain, bruxism, limitation of mouth opening, dislocation of the articular disc and asymmetry in the distribution of occlusal contacts. Further studies are needed in order to determine the relationship between cause and effect of the analyzed variables, so as to contribute to more specific and effective therapeutic interventions.

Facial Pain

PEDIATRICS ◽  
1982 ◽  
Vol 70 (6) ◽  
pp. 1010-1010
Author(s):  
ARTHUR A. GAGE
Keyword(s):  
Temporomandibular Joint ◽  
Otitis Media ◽  
Facial Pain ◽  
Treatment Modalities ◽  
Joint Region ◽  
Temporomandibular Joint Dysfunction ◽  
Number Of Treatment

The article, "Temporomandibular Joint Dysfunction with Facial Pain in Children," (Pediatrics 69:564, 1982) inferred that pains and/or dysfunctions of the temporomandibular (TM) joint constitute a disorder. This is not so. The joint, comprising various tissues, subject to diverse pathologies, may require any of a number of treatment modalities. If a conclusion of one disorder prevailed, it would invite irrational stereotyped "treatment," which, unfortunately does occur. Pain perceived in the joint region may be referred from a remote source of deep continuous pain, as from an otitis media.

scholarly journals Avaliação da efetividade de tratamentos conservadores para disfunções temporomandibulares miogênicas: revisão integrativa da literatura

2019 ◽  
Vol 24 (1) ◽  
pp. 141-147
Author(s):  
Bruna Fonseca Duarte ◽  
Raul Antonio Cruz ◽  
Myrian Camara Brew ◽  
Eduardo Grossmann ◽  
Caren Serra Bavaresco
Keyword(s):  
Drug Therapy ◽  
Temporomandibular Joint ◽  
Facial Pain ◽  
Temporomandibular Joint Dysfunction ◽  
Temporomandibular Joint Dysfunction Syndrome

Objetivo: revisão integrativa sobre os principais métodos de tratamento conservador para disfunção temporomandibular, sendo eles: placa oclusal, aconselhamento e farmacoterapia. Materiais e método: a busca foi feita nas bases de dados PubMed, SciELO, Lilacs e Google Acadêmico, utilizando os seguintes descritores: “counseling and temporomandibular joint”; “counseling and facial pain”; “counseling and temporomandibular joint dysfunction syndrome”; “counseling and temporomandibular joint and drug therapy”; e “counseling and drug therapy and facial pain”. Resultados: no total, foram encontrados 314 estudos nesta pesquisa, porém, somente 8 foram incluídos no estudo. Esses comprovam a eficácia desses métodos de tratamento, fazendo com que o paciente obtenha diminuição da sintomatologia dolorosa, melhora das funções mastigatórias, além de proporcionar um alívio na tensão muscular, devido ao relaxamento das estruturas relacionadas. A placa oclusal tende a diminuir as forças oclusais aplicadas, redistribuindo a carga mastigatória sobre as superfícies oclusais. Alguns fármacos (anti-inflamatórios, antidepressivos e relaxantes musculares) são capazes de minimizar a sintomatologia dolorosa, proporcionando uma melhora na qualidade do sono e a redução de episódios de dor intensa. Por sua vez, o aconselhamento orienta os pacientes para que possam evitar atitudes que piorem sua doença, educando-os e conscientizando-os sobre seus hábitos parafuncionais, além de reduzir os fatores causadores de sintomatologia dolorosa. Conclusão: conseguimos observar que esses tratamentos apresentam índices de sucesso relevantes, quando se referem à diminuição dos sintomas, especialmente o aconselhamento, que ainda é uma terapia conservadora pouco explorada. Faz-se necessária a realização de mais estudos neste campo, para que sejam obtidos resultados cada vez mais concretos e conclusivos.

The temporomandibular joint

2020 ◽  
pp. 377-396
Keyword(s):  
Temporomandibular Joint ◽  
Surgical Procedures ◽  
Myofascial Pain ◽  
Signs And Symptoms ◽  
Differential Diagnoses ◽  
Temporomandibular Joint Dysfunction ◽  
Surgical Interventions ◽  
Recommended Treatment ◽  
Treatment Considerations ◽  
Open Joint

This chapter first describes and illustrates the anatomy of the temporomandibular joint (TMJ). It then proceeds to detail the fundamental principles of TMJ disorders (both developmental and acquired), trismus, myofascial pain, temporomandibular joint dysfunction, TMJ replacement, ankylosis, and dislocation. For each topic, useful terms and definitions are introduced and appropriate diagnostic studies are recommended. Treatment considerations are then discussed, including medical management, minor surgical procedures, and open joint surgical interventions. Finally, some of the rarer TMJ disorders are outlined, and these serve as a useful reminder of the range of differential diagnoses that exist for signs and symptoms that arise around the temporomandibular joint complex.

scholarly journals The Enigma of Myofascial Pain Dysfunction Syndrome

2015 ◽  
Vol 1 (1) ◽  
pp. 01 ◽  
Author(s):  
Pooja Arora ◽  
Roma Goswami ◽  
Shrimant Raman ◽  
Pulkit Jain
Keyword(s):  
Temporomandibular Joint ◽  
Muscle Pain ◽  
Myofascial Pain ◽  
Definite Diagnosis ◽  
Temporomandibular Joint Dysfunction ◽  
Rest Position ◽  
Surgical Methods ◽  
Myofascial Pain Dysfunction ◽  
Limited Function ◽  
Cardinal Symptoms

Introduction:Myofascial Pain Dysfunction Syndrome (MPDS) is one of the most common and important cause of the orofacial pain.Patients with temporomandibular joint and muscle pain gradually learn to live with the symptoms although they have been exposed to a variety of treatments. In some instances the symptoms have been aggravated by the treatment, while other patients have recovered without treatment.Masticatory muscle fatigue and spasm are responsible for the cardinal symptoms of pain, tenderness, clicking, and limited function that characterize the MPD Syndrome.The symptoms of a typical temporomandibular joint dysfunction is classified as (a) pain and its sequelae, (2) clicking and crepitus, and (3) irregularities of mandibular movement.The pain can be unilateral or bilateral with varying degree of pain.Mandibular deviation is a third characteristic often evident in temporomandibularjoint patients. Mandibular deviation, in this instance, refers to the deviation from rest position to mouth wide open is a result of joint malfunction and muscle pain. Various non- surgical and surgical methods are used for the treatment of myofascial pain dysfunction syndrome.Conclusion: Since MPDS consists of variable symptoms, it might be very difficult to provide any definite diagnosis and treatment. Therefore the more the specialists extend their knowledge and information about this disorder, the more they will make the best decision in this regard.

Temporomandibular Joint Dysfunction and Facial Pain in Children: An Approach to Diagnosis and Treatment

PEDIATRICS ◽  
1987 ◽  
Vol 80 (4) ◽  
pp. 565-570
Author(s):  
Francine G. Pillemer ◽  
Bruce J. Masek ◽  
Leonard B. Kaban
Keyword(s):  
Temporomandibular Joint ◽  
Facial Pain ◽  
Multidisciplinary Approach ◽  
Symptom Relief ◽  
Diagnosis And Treatment ◽  
Psychiatric Diagnoses ◽  
Adjustment Disorders ◽  
Temporomandibular Joint Dysfunction ◽  
Systematic Assessment ◽  
Case Presentations

A model for the diagnosis and treatment of temporomandibular joint dysfunction and facial pain in children is presented. Emphasis is placed on systematic assessment of physical, psychologic, and behavioral factors when conservative medical therapy is inadequate for symptom relief. The model represents a multidisciplinary approach to patient care which is described through case presentations. The results of research on the incidence of primary psychopathology in 53 children and 322 adults evaluated during a 3-year period for temporomandibular joint dysfunction and facial pain are also presented. It was found that children were more likely to be psychiatrically impaired (25%) than adults (7%). Children had a variety of psychiatric diagnoses including depression, conversion and adjustment disorders, overanxious behavior, and anorexia nervosa. The benefits of a multidisciplinary approach are discussed in terms of the efficacy of this coordinated treatment effort in ameliorating symptoms.

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