Temporomandibular disorders and occlusion effect on orthodontic treatment

Evidence in the literature indicates the significant association between temporomandibular joint disorders and orthodontic treatment. As a result of the epidemiological investigations that indicated the high prevalence of temporomandibular disorders among patients with malocclusions, it has been suggested that there might be a cause-and-effect correlation between both of these conditions. Evidence in the literature is inconsistent regarding the association between temporomandibular joint disorders and malocclusion, and orthodontic treatment. In the present literature review, we have discussed the different aspects of temporomandibular disorders and malocclusion and their relation to orthodontic treatment approaches. Among the different studies in the literature, solid evidence indicates a significant association between temporomandibular joint disorders and malocclusion, and accordingly, research aimed to study the impact of orthodontic treatment on curing and preventing the development of these disorders. The current evidence seems to be neutral regarding the impact of orthodontic treatment approaches on curing and preventing temporomandibular disorders. Therefore, it has been suggested that further investigations are still needed for adequate further evaluation. Finally, as we previously discussed, the attending orthodontist should adequately take care of certain parameters in these patients, including centric relation, maximal intercuspal position, simultaneous contact points, and evaluating the direction of forces applied on the relevant teeth.

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A SYSTEMATIC REVIEW OF CLINICAL OUTCOMES IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION USING ULTRASOUND GUIDED ARTHROCENTESIS AND CONVENTIONAL THERAPY

10.36106/ijsr/9303653 ◽

2021 ◽

pp. 19-22

Author(s):

Chirag Bhatia ◽

Hirkani Attarde

Keyword(s):

Systematic Review ◽

Temporomandibular Joint ◽

Operating Time ◽

Mouth Opening ◽

Risk Of Bias ◽

Temporomandibular Joint Disorders ◽

Current Evidence ◽

Cochrane Library ◽

Review Protocol ◽

Reported Data

Objective: This systematic review aimed to compare outcomes between ultrasound (US)-guided arthrocentesis and conventional arthrocentesis for the management of temporomandibular joint disorders (TMDs). Methods: PubMed, MEDLINE, Cochrane Library, Google Scholar and th EBSCOhost databases were searched up to 30 September 2020 for randomized control trials (RCTs) comparing US-guided and conventional arthrocentesis. The review protocol followed the PRISMA guidelines and was registered in PROSPERO (CRD42020211942). The risk of bias of the studies was independently evaluated using Cochrane Risk of Bias tool. Results: Four RCTs were included. It did not demonstrate any statistically signicant difference in pain or maximal mouth opening (MMO) scores after 1 week and 1 month of follow-up between US-guided and conventional arthrocentesis. Studies also reported data on intra-operative needle relocations and operating time but with conicting results. Conclusion: This study indicates that the use of US during arthrocentesis may not improve postoperative pain and MMO in the short term. Further high-quality adequately powered RCTs are required to strengthen current evidence.

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Etiology and management of disorders of temporomandibular joint: A literarure review

IP Indian Journal of Orthodontics and Dentofacial Research ◽

10.18231/j.ijodr.2021.019 ◽

2021 ◽

Vol 7 (2) ◽

pp. 102-105

Author(s):

Lalita Sheoran ◽

Monika Sehrawat ◽

Neha Nandal ◽

Divya Sharma ◽

Dania Fatima

Keyword(s):

Temporomandibular Joint ◽

Temporomandibular Disorders ◽

Treatment Modality ◽

Temporomandibular Joint Disorders ◽

Diagnosis And Treatment ◽

Unique Nature ◽

Morphological Deformities ◽

Muscles Of Mastication

Temporomandibular disorders usually represented as a group of painful as well as altered conditions involving the muscles of mastication and the muscles around the temporomandibular joint. Usually the patient are un aware of the condition. Temporomandibular joint disorders affects twenty five percent of the population. Temporomandibular disorders represent with musculoskeletal degenerative conditions of the joint which results in functional as well as morphological deformities of the temporomandibular joint. As temporomandibular disorders cases are complex with unique nature with respect to each case, so the diagnosis and treatment modality is quite different for each type of case.

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

10.53350/pjmhs211582166 ◽

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

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Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders

Brazilian Dental Science ◽

10.14295/bds.2018.v21i4.1614 ◽

2018 ◽

Vol 21 (4) ◽

pp. 403

Author(s):

Isabelle Sousa Dantas ◽

Jairo Matozinho Cordeiro ◽

Mariana Barbosa Câmara-Souza ◽

Camila Maria Bastos Machado De Resende ◽

Angelo Giuseppe Roncalli da Costa Oliveira ◽

...

Keyword(s):

Young Adult ◽

Temporomandibular Joint ◽

Temporomandibular Disorders ◽

High Sensitivity ◽

Dental Students ◽

Temporomandibular Joint Disorders ◽

Moderate Correlation ◽

Chi Square ◽

Significance Level ◽

Level Of Agreement

Objective: To verify the level of agreement among different indexes used to achieve the prevalence of Temporomandibular Disorders (TMD). Material and Methods: One hundred one dental students were selected by a randomized process. TMD were evaluated by the Fonseca’s Anamnestic Index (FAI), Helkimo’s Clinical Index (HCI), and the Research Diagnostic Criteria for TMD (RDC/TMD). Data was analyzed using Chi-square and Kappa tests, considering a significance level of 5%. Results: HCI showed the highest prevalence of TMD, and the comparison between RDC/TMD, FAI, and HCI showed low agreement (k=0.17 and k=0.35 respectively). Most individuals presented mild TMD for both FAI and HCI indexes. A moderate correlation for TMD severity was obtained (kw=0.53) between FAI and HCI, and a high sensitivity and low specificity were observed for both diagnosis when compared to RDC/TMD. Conclusion: The prevalence of TMD may vary significantly depending on the index used for its diagnosis, which may lead to a large number of false positives and overtreatments. Keywords: Epidemiology; Prevalence; Temporomandibular joint; Temporomandibular joint disorders; Young adult.

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Combined prostho-orthodontic treatment of temporomandibular joint disorders: Case reports

Prosthodontics ◽

10.5604/.1101957 ◽

2014 ◽

Vol 64 (1) ◽

pp. 34-43

Author(s):

Jolanta Kostrzewa-Janicka ◽

Marta Kubani ◽

Elżbieta Mierzwińska-Nastalska

Keyword(s):

Temporomandibular Joint ◽

Orthodontic Treatment ◽

Case Reports ◽

Temporomandibular Joint Disorders

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Relationship between Orthodontics and Temporomandibular Disorders

Balkan Journal of Dental Medicine ◽

10.1515/bjdm-2017-0022 ◽

2017 ◽

Vol 21 (3) ◽

pp. 127-132

Author(s):

Aikaterini Tagkli ◽

Polytimi Paschalidi ◽

Alexis Katsadouris ◽

Apostolos I. Tsolakis

Keyword(s):

Literature Review ◽

Temporomandibular Joint ◽

20Th Century ◽

Clinical Examination ◽

Temporomandibular Disorders ◽

Orthodontic Treatment ◽

Signs And Symptoms ◽

Normal Function ◽

Facial Aesthetics ◽

Number Of Patients

Summary Since the end of the 20th century, the problems of the temporomandibular disorders (TMDs) have aroused interest to the orthodontists. The aim of this literature review is to present the contemporary evidence concerning the association between the presence of malocclusions and the occurrence of signs and symptoms of the TMJ. In addition, additional variables, which may affect the TMJs of a patient during the orthodontic treatment are pointed out. It is evident that there is an increased number of patients who are seeking for orthodontic treatment, not only in order to enhance their facial aesthetics and the function of mastication system, but also to relieve the symptoms of the temporomandibular joint (TMJ). There are multiple etiological factors that have been associated with the TMDs and they may be manifested by pain and/or sounds of TMJ. In addition, during the clinical examination it can be detected a deviation from the normal function of the mandible.

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The Impact of Malocclusion/Orthodontic Treatment Need on the Quality of Life

The Angle Orthodontist ◽

10.2319/042108-224.1 ◽

2009 ◽

Vol 79 (3) ◽

pp. 585-591 ◽

Cited By ~ 101

Author(s):

Zhijian Liu ◽

Colman McGrath ◽

Urban Hägg

Keyword(s):

Quality Of Life ◽

Orthodontic Treatment ◽

Meta Analysis ◽

Current Evidence ◽

Future Research ◽

Evidence Based ◽

Treatment Need ◽

Methodologic Quality ◽

The Impact

Abstract Objective: To assess the current evidence of the relationship between malocclusion/orthodontic treatment need and quality of life (QoL). Materials and Methods: Four electronic databases were searched for articles concerning the impact of malocclusion/orthodontic treatment need on QoL published between January 1960 and December 2007. Electronic searches were supplemented by manual searches and reference linkages. Eligible literature was reviewed and assessed by methodologic quality as well as by analytic results. Results: From 143 reviewed articles, 23 met the inclusion criteria and used standardized health-related QoL (HRQoL) and orthodontic assessment measures. The majority of studies (18/23) were conducted among child/adolescent populations. Seventeen of the papers were categorized as level 1 or 2 evidence based on the criteria of the Oxford Centre for Evidence-Based Medicine. An observed association between HRQoL and malocclusion/orthodontic treatment need was generally detected irrespective of how they were assessed. However, the strength of the association could be described as modest at best. Key findings and future research considerations are described in the review. Conclusions: Findings of this review suggest that there is an association (albeit modest) between malocclusion/orthodontic treatment need and QoL. There is a need for further studies of their relationship, particularly studies that employ standardized assessment methods so that outcomes are uniform and thus amenable to meta-analysis.

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Posisi kondilus setelah perawatan ortodontik pada maloklusi kelas II divisi 1 dengan pencabutan premolarCondylar position after orthodontic treatment in class II division 1 malocclusion with premolar extraction

Jurnal Kedokteran Gigi Universitas Padjadjaran ◽

10.24198/jkg.v33i1.30643 ◽

2021 ◽

Vol 33 (1) ◽

pp. 59

Author(s):

Dhani Ayu Andini ◽

Maria Purbiati ◽

Nia Ayu Ismaniati Suria ◽

Ira Tanti

Keyword(s):

Temporomandibular Joint ◽

Orthodontic Treatment ◽

Joint Space ◽

Class Ii ◽

Temporomandibular Joint Disorders ◽

Premolar Extraction ◽

Division 1 ◽

Before And After ◽

The Right ◽

Class Ii Division 1

Pendahuluan: Maloklusi kelas II divisi 1 dilaporkan seringkali memicu terjadinya gangguan sendi temporomandibula. Posisi kondilus mengalami perubahan pada akhir perawatan ortodontik dengan pencabutan premolar pada maloklusi kelas II divisi 1. Tujuan penelitian menganalisis posisi kondilus pada akhir perawatan ortodontik supaya dapat memberikan pelayanan yang efektif dan komprehensif kepada pasien. Metode: Jenis penelitian deskriptif observasional dengan desain kohort dilakukan pada Klinik Spesialis RSKGM FKG UI dari Maret sampai Mei 2019. Subjek sebanyak 30 orang mengalami maloklusi kelas II divisi 1 yang memiliki gejala gangguan temporomandibular yang memenuhi kriteria inklusi. Metode sampling yang digunakan adalah sampling konsekutif. Foto transkranial dibandingkan dan diukur ruang sendinya bagian anterior, posterior dan superior dan dianalisis menggunakan uji Mc Nemar. Hasil: Sebelum dan sesudah perawatan ortodontik, posisi kondilus kanan dan kiri tidak mengalami perubahan yang signifikan (p>0,05). Sebelum dan sesudah perawatan ortodontik, AJS (Anterior Joint Space), PJS (Posterior Joint Space), SS (Superior Space) kanan dan kiri tidak mengalami perubahan yang signifikan (p>0,05). Gejala gangguan sendi temporomandibula pada akhir perawatan ortodontik adalah kliking dan krepitasi dilaporkan masih ada sedangkan gejala tidak nyaman dan keterbatasan membuka mulut dilaporkan sudah hilang. Simpulan: Tidak terdapat perbedaan posisi kondilus kanan dan kiri, sebelum dan sesudah perawatan ortodontik dengan pencabutan premolar pada maloklusi kelas II divisi 1. Keluhan gangguan sendi temporomandibular tidak ditemukan lagi pada akhir perawatan ortodontik.Kata kunci: Posisi kondilus, perawatan ortodontik, maloklusi kelas II divisi 1, pencabutan premolar. ABSTRACTIntroduction: Class II division 1 malocclusion is reported to trigger temporomandibular joint disorders often. The position of the condyles changed at the end of orthodontic treatment with premolar removal in class II division 1 malocclusion. This study aimed to analyse the position of the condyles at the end of orthodontic treatment to provide effective and comprehensive services to patients. Methods: This type of descriptive observational study with a cohort design was conducted at the Specialist Clinic of University of Indonesia Dental Hospital from March to May 2019. Thirty subjects experienced class II division 1 malocclusion who had temporomandibular disorders that met the inclusion criteria. The sampling method used was consecutive sampling. Transcranial radiographs were compared, and anterior, posterior and superior joint spaces were measured and analysed using the McNemar test. Results: Before and after orthodontic treatment, the position of the right and left condyles did not change significantly (p>0.05). Before and after orthodontic treatment, AJS (Anterior Joint Space), PJS (Posterior Joint Space), SS (Superior Space) right and left did not change significantly (p>0.05). Symptoms of temporomandibular joint disorder at the end of orthodontic treatment were clicking, and crepitus was reported to be present, while the symptoms of discomfort and limited opening of the mouth were reported to have disappeared. Conclusion: There is no difference in the position of the right and left condyles before and after orthodontic treatment with premolar extraction in class II division 1 malocclusion. Complaints of temporomandibular joint disorders were not found again at the end of orthodontic treatment. Keywords: Condyle position, orthodontic treatment, class II division 1 malocclusion, premolar extraction.

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The use of superficial heat for treatment of temporomandibular disorders: an integrative review

CoDAS ◽

10.1590/2317-1782/20152014148 ◽

2015 ◽

Vol 27 (2) ◽

pp. 207-212 ◽

Cited By ~ 8

Author(s):

Renata Maria Moreira Moraes Furlan ◽

Raquel Safar Giovanardi ◽

Ana Teresa Brandão de Oliveira e Britto ◽

Denise Brandão de Oliveira e Britto

Keyword(s):

Heat Treatment ◽

Temporomandibular Joint ◽

Temporomandibular Disorders ◽

Selection Criteria ◽

Muscle Tension ◽

Mouth Opening ◽

Stimulus Frequency ◽

Temporomandibular Joint Disorders ◽

Integrative Review ◽

Temporomandibular Joint Dysfunction Syndrome

Purpose: To perform an integrative review of scientific bibliographic production on the use of superficial heat treatment for temporomandibular disorders. Research strategy : Literature review was accomplished on PubMed, LiLACS, SciELO, Bireme, Web of Science, and BBO databases. The following descriptors were used: hot temperature, hyperthermia induced, heat transference, temporomandibular joint, temporomandibular joint disorders, temporomandibular joint dysfunction syndrome, and their equivalents in Portuguese and Spanish. Selection criteria : Articles that addressed the superficial heat for the treatment of temporomandibular disorders, published in English, Spanish, or Portuguese, between 1980 and 2013. Data analysis : The following data were collected: technique of applying superficial heat, duration of application, stimulated body area, temperature of the stimulus, frequency of application, and benefits. Results : initially, 211 studies were found, but just 13 contemplated the proposed selection criteria. Data were tabulated and presented in chronological order. Conclusion: Several techniques for superficial heat application on treatment of temporomandibular disorders were found in the literature. The moist heat was the most widely used technique. Many studies suggested the application of heat for at least 20 minutes once a day. Most authors recommended the application of heat in facial and cervical regions. The heat treatment resulted in significant relief of pain, reduced muscle tension, improved function of the mandible, and increased mouth opening.

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Prevalence of temporomandibular dysfunction in children and adolescents

Revista Paulista de Pediatria ◽

10.1590/s0103-05822013000400018 ◽

2013 ◽

Vol 31 (4) ◽

pp. 538-545 ◽

Cited By ~ 38

Author(s):

Marina Fernandes de Sena ◽

Késsia Suênia F. de Mesquita ◽

Fernanda Regina R. Santos ◽

Francisco Wanderley G. P. Silva ◽

Kranya Victoria D. Serrano

Keyword(s):

Children And Adolescents ◽

Temporomandibular Joint ◽

Diagnostic Criteria ◽

Temporomandibular Disorders ◽

Selection Process ◽

Case Reports ◽

Temporomandibular Joint Disorders ◽

Sample Size Determination ◽

Cross Sectional ◽

Temporomandibular Joint Dysfunction Syndrome

OBJECTIVE: To review the prevalence of temporomandibular disorders (TMD) in children and adolescents, verifying the methodological variations. DATA SOURCES: Research conducted in Medline, PubMed, Lilacs and BBO databases, including manuscripts (except reviews and case reports) published from 1990 to 2012. The descriptors were "temporomandibular joint syndrome", "temporomandibular joint dysfunction syndrome", "temporomandibular joint disorders", "prevalence studies", and "cross-sectional studies"; the words "dysfunction", "disorder", "temporomandibular", "children", "adolescents", "prevalence", "frequency", and "transversal" were used. DATA SYNTHESIS: Seventeen articles were selected, and the TMD frequency varied from 16 to 68%. Regarding the methodological criteria, only three articles (18%) reported sample size determination, three (18%) clearly described the sample selection process by stratified selection technique, and nine studies (53%) carried out the calibration of the examiners. The diagnostic criteria used in the studies were: Helkimo index (n=2; 12%), Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (n=4; 24%), the jaw index (n=1; 6%), clinical protocols (n=10; 59%), and anamnestic questionnaires (n=6; 35%). CONCLUSIONS: The TMD prevalence in children and adolescents varies in the literature. Appropriate and standardized methods are needed to identify, with greater validity, the presence of TMD in this population, allowing a better understanding of the pathological aspects in order to address more effective preventive and therapeutic procedures.

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