scholarly journals Temporomandibular disorders in patients with craniocervical dystonia

2011 ◽  
Vol 69 (6) ◽  
pp. 896-899 ◽  
Author(s):  
André L. Costa ◽  
Lidiane S. Campos ◽  
Marcondes C. França Jr. ◽  
Anelyssa D'Abreu

Temporomandibular disorders are a set of musculoskeletal dysfunctions within the masticatory system, with multiple etiologies. OBJECTIVE: Since craniocervical dystonia can involve the same neuromuscular structure as the temporomandibular joint, we sought to assess the correlation between temporomandibular disorders and craniocervical dystonia. METHOD: We applied the Research Diagnostic Criteria for Temporomandibular Disorders to 42 patients with craniocervical dystonia, in order to identify orofacial pain and temporomandibular characteristics on the day of botulinum toxin injection. RESULTS: Twenty-two patients (52.3%) reported temporomandibular joint pain; 24 (57.1%), joint sounds; 20 (47.6%), masticatory muscle pain; and 21 (50%), diminished jaw mobility. The patients with oromandibular dystonia presented temporomandibular disorders more frequently than did patients with other types of craniocervical dystonia (p<0.001). CONCLUSION: Temporomandibular disorders occur frequently in patients with oromandibular dystonia. Further studies should address the proper treatment of temporomandibular disorders associated with dystonia.

2004 ◽  
Vol 83 (9) ◽  
pp. 693-697 ◽  
Author(s):  
T.C.B. Schütz ◽  
M.L. Andersen ◽  
S. Tufik

Since nitric oxide is related to nociception and the sleep-wake cycle, this study sought to determine its involvement in the altered sleep pattern in a temporomandibular joint pain model by investigating the effect of the inhibitor of nitric oxide synthase (L-NAME) and that of its precursor (L-arginine). The temporomandibular joints of test animals were injected with Freund’s adjuvant or saline, and their sleep was recorded. The procedure was repeated after the administration of L-NAME and L-arginine. L-NAME increased rapid eye movement (REM) sleep in the control group. The orofacial pain group showed a reduction in total sleep time and an increase in sleep latency compared with the SHAM group. L-NAME increased sleep time, non-rapid eye movement (NREM), and REM sleep and reduced sleep latency in the orofacial pain group. L-arginine did not alter sleep parameters. Thus, L-NAME improved sleep efficiency, whereas L-arginine did not modify it, suggesting the involvement of nitric oxide in painful temporomandibular joint conditions.


2013 ◽  
Vol 21 (1) ◽  
pp. 77-84
Author(s):  
Omar Franklin Molina ◽  
Zeila Coelho Santos ◽  
Paula Scotta ◽  
Bruno Ricardo Huber Simião ◽  
Rise Consolação Iuata Rank ◽  
...  

Objective. To assess the frequency of somatisation/dissociation in bruxers and temporomandibular disorders patients, to evaluate the frequencies of somatization and dissociation and to correlates with bruxism Method. We evaluated the the questionnaires for TMDs/ bruxism, clinical examination, the Rief and Hiller´s questionnaire, and the Bernstein and Putnam´s instrument in 137 bruxers (123 fe­male, mean age 35.3) and 31 controls (20 female, mean age 34.9) Sign and symptoms of joint noises, facial or temporomandibular joint pain, tenderness to palpation, difficulties to perform jaw movements, and joint noises were evaluated. Results. Mean scores in bruxism, soma­tisation and dissociation in bruxers /TMDs were 11.8, 9.6 and 16.3, and 2,6, 4,8 and 10,4 in the controls. Somatisation and dissociation scores in TMDs and controls were about 9,6 and 16,3 (p=0.0001) and 4,8 and 10,4 (p<0.0001). Scores in somatisation (6,2, 9,6, 10,7, and 11,8; p<0.0001) and dissociation (10,6, 16,4, 15,2, and 27.1; p<0.0001) increased with severer bruxism). Bruxism, Somatisation, and dissociation were positively correlated. The frequency of disso­ciation was about 16,8. Conclusions. Somatization and dissociation scores in TMD individuals were higher as compared to control ones. The frequencies of somatisation and dissociation increased more se­vere bruxism, and were positive correlated.


Author(s):  
Sandeep Kumar ◽  
Bhumika K. Badiyani ◽  
Amit Kumar ◽  
Garima Dixit ◽  
Prachi Sharma ◽  
...  

Abstract Background: Orofacial pain may have an impact on quality of life. It may affect the overall well-being of an individual. Objective: To assess the prevalence of orofacial pain and its impact on quality of life in early adolescents in Indore city, India. Methods: This was a cross-sectional study which included a total of 800 children selected from various public and private schools located in Indore city, India. A questionnaire was developed which collected information on sociodemographic characteristics and previous dental visits. The severity of pain was assessed using Von Korff pain scale and quality of life using the General Health Questionnaire 12 (GHQ-12). The chi-square test and logistic regression analysis were performed. Results: The overall prevalence of orofacial pain was found to be 17.9%. Toothache (10.1%) was found to be the most prevalent orofacial pain followed by temporomandibular joint pain (4.3%). The highest severity of pain (Grades 3 and 4) was reported for toothache followed by temporomandibular joint pain. The results of the logistic regression model showed that the prevalence of orofacial pain (odds ratio=7.18, p-value<0.0001a) was strongly associated with poor quality of life. Conclusion: The orofacial pain has a negative influence on the quality of life of adolescents. Effective policies should be created to improve the quality of life of adolescents focusing on oral health education and prevention of oral diseases.


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Gabriel Muñoz Quintana

La musculatura del sistema masticatorio y la articulación temporomandibular (ATM) están protegidos por reflejos nerviosos básicos y sistema neuromuscular a través de la coordinación de fuerzas musculares, todo lo que produce sobrecarga muscular repetitiva como los hábitos parafuncionales (HPF) pueden ocasionar trastornos temporomandibulares (TTM)1. Los HPF se caracterizan por movimientos anormales a la función mandibular normal sin objetivo funcional, al estar alterados constituyen una fuente productora de fuerzas traumáticas caracterizadas por dirección anormal, intensidad excesiva y repetición frecuente y duradera (Rolando Castillo Hernández, 2001)4. El objetivo del estudio fue identificar la asociación entre la presencia de hábitos parafuncionales de la cavidad bucal y los TTM en adolescentes de la ciudad de Puebla. Estudio observacional descriptivo. Se incluyeron 258 adolescentes, 132 (51.2%) mujeres y 126 (48.8%) hombres, con una edad promedio de 12.5±.73 y quienes fueron diagnosticados con los CDI/TTM y los HPF fueron auto-reportados por los pacientes. Se encontró una prevalencia de los TTM del 39.9% y una prevalencia de HPF del 86%. Los HPF más frecuentemente reportados fueron la succión labial y la onicofagia. Se encontró una asociación significativa (x2=7.31, p=0.007) entre los hábitos parafuncionales y los TTM en adolescentes. Palabras clave: Trastornos temporomandibulares, hábitos parafuncionales, adolescentes, articulación temporomandibular. Abstract The muscles of the masticatory system and temporomandibular joint (TMJ) are protected by basic nerve reflex and neuromuscular system through the coordination of muscle forces, all that repetitive muscle overload occurs as habit parafunctional (HPF) can cause temporomandibular disorder TMD)1. The characteristics of HPF are abnormal jaw movements without a functional objective. Being the jaw movements altered, they constitute a source of traumatic forces with an abnormal direction, excessive intensity and long-lasting and frequent duration. (Rolando Hernandez Castillo 2001)4. Objective: was to identify the association between the presences of parafunctional habits of the oral cavity and TMD in adolescents in the Puebla city in Mexico. Material and methods: Is a observational study, we included 258 adolescents 132 (51%) females and 126 (48.8%) were men, mean age 12.5±.73 and who were diagnosed with CDI/TTM and HPF were self- reported by patients. Results: The prevalence of TMD was 39.9% and a prevalence of 86% HPF. The most frequently reported HPF were lip sucking and nail biting. We found a significant association (x2= 7.31, p = 0,007) between HPF and TMD in adolescents. Key words: Parafunctional habits of oral cavity, temporomandibular disorders, temporomandibular joint. (Odontol Pediatr 2011;10(2): 90-94).


2012 ◽  
Vol 18 (1) ◽  
pp. 63-72
Author(s):  
Ernest A. Jennings ◽  
Michael C. Williams ◽  
Vasiliki Staikopoulos ◽  
Jason J. Ivanusic

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