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

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.

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

Sensitivity and specificity of different indexes used to diagnose Temporomandibular Disorders

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

<p><strong>Objective:</strong> To verify the level of agreement among different indexes used to achieve the prevalence of Temporomandibular Disorders (TMD). <strong>Material and Methods</strong>: 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%. <strong>Results:</strong><em> </em>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 (k<sub>w</sub>=0.53) between FAI and HCI, and a high sensitivity and low specificity were observed for both diagnosis when compared to RDC/TMD. <strong>Conclusion</strong><em>:</em> 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.</p><p><strong> </strong></p><p><strong>Keywords: </strong>Epidemiology; Prevalence; Temporomandibular joint; Temporomandibular joint disorders; Young adult.</p>

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

CoDAS ◽  
2015 ◽  
Vol 27 (2) ◽  
pp. 207-212 ◽  
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.

scholarly journals Prevalence of temporomandibular dysfunction in children and adolescents

2013 ◽  
Vol 31 (4) ◽  
pp. 538-545 ◽  
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.

scholarly journals Application of botulinum toxin in maxillofacial field: Part II. Wrinkle, intraoral ulcer, and cranio-maxillofacial pain

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Kyung-Hwan Kwon ◽  
Kyung Su Shin ◽  
Sung Hee Yeon ◽  
Dae Gun Kwon
Keyword(s):  
Botulinum Toxin ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Facial Pain ◽  
Tension Headache ◽  
Temporomandibular Joint Disorders ◽  
Local Injection ◽  
Clinical Use ◽  
Facial Wrinkle

Abstract Botulinum toxin (BTX) is used in various ways such as temporarily resolving muscular problems in musculoskeletal temporomandibular disorders, inducing a decrease in bruxism through a change in muscular patterns in a patient’s bruxism, and solving problems in patients with tension headache. And also, BTX is widely used in cosmetic applications for the treatment of facial wrinkles after local injection, but conditions such as temporomandibular joint disorders, headache, and neuropathic facial pain could be treated with this drug. In this report, we will discuss the clinical use of BTX for facial wrinkle, intraoral ulcer, and cranio-maxillofacial pain with previous studies and share our case.

scholarly journals Disfunção temporomandibular associada à cocleopatia: relato de caso

2020 ◽  
Vol 8 (12) ◽  
Author(s):  
Paula Gomes Soares ◽  
Lioney Nobre Cabral
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Anatomical Study ◽  
Sleep Bruxism ◽  
Sao Paulo ◽  
Temporomandibular Joint Disorders ◽  
São Paulo ◽  
Temporomandibular Joint Dysfunction ◽  
Ear Symptoms ◽  
Dent Assoc

Considerada uma deficiência funcional de ampla complexidade de sistematização dos sintomas e diagnósticos diferenciais, as disfunções temporomandibulares têm maior prevalência no gênero feminino, variando a faixa etária dos 18 aos 45 anos de idade. Pode estar associada a fatores dentários e/ou faciais, os quais se relacionam com o aparelho estomatognático. É imprescindível a anamnese criteriosa e avaliação física amiudada do sistema manducatório (sistema postural que integra músculos mastigatórios e cervicais) – campo multidisciplinar da odontologia, fonoaudiologia, otorrinolaringologia, neurologia e fisioterapia – para adequada propedêutica e assim, correto diagnóstico e precisa abordagem terapêutica do paciente. Este trabalho apresenta um relato de caso de paciente portadora de Disfunção Temporomandibular com alterações cocleares, diagnosticada, conduzida, tratada e evoluída em disciplina clínica de Estomatologia da Universidade do Estado do Amazonas. A problematização do caso, suas resoluções, e o compartilhamento dessas informações corroboram de modo considerável no aspecto clínico e científico, possibilitando ampliar o reconhecimento das diversas situações possíveis no atendimento aos pacientes com este quadro. Assim, as relações profissional-paciente e a multidisciplinaridade dos profissionais envolvidos ganham crescente relevância.Descritores: Orelha Média; Sistema Estomatognático; Dor de Orelha; Cefaleia.ReferênciasMiraglia SS, Nogueira RP, Monazzi MS, Soares FAV. Principais Problemas da ATM. Guia prático de orientação diagnóstica para o clínico geral. Rev Bras Prot Clin Lab. 2001;3(14):271-77.Matta MAP, Honorato DC. Uma abordagem fisioterapêutica nas desordens temporomandibulares: estudo retrospectivo. Fisioter Pesq. 2003;10(2):77-83.Pereira KNF, Andrade LLS, Costa ML, Portal TF. Sinais e sintomas de pacientes com disfunção temporomandibular. Rev CEFAC. 2005;7(2):221-28.Seedorf H, Jude HD. Otalgia as a result of certain temporomandibular joint disorders. Laryngorhinootologie. 2006;85(5):327-32.Costen JB, Louis ST. A syndrome of ear and sinus symptoms dependent upon disturbed function of thetemporomandibular joint 1934. Ann Otol Rhinol Laryngol. 1997;106(10 Pt 1):805-19.Mota LAA, Albuquerque KMG, Santos MHP, Travassos RO. Sinais e sintomas associados à otalgia na disfunção temporomandibular. Arq Int Otorrinolaringol. 2007;11(4):411-15.Pascoal MIN, Abrão R, Chagas JFS, Pascoal MPBN, Claudiney CC, Magna LA. Prevalência dos sintomas otológicos na desordem temperomandibular: estudo de 126 casos. Rev Bras Otorrinolaringol. 2001;67(5):627-33.Sicher H. Temporomandibular articulation in mandibular overclosure. J Am Dent Assoc. 1948;36(2):131-39.Gardner E, Gray DJ, O’Rahilly R, Benevento RH. Anatomia: estudo regional do corpo humano. Rio de Janeiro: Guanabara Koogan; 1978.Myrhaug H. The incidence of ear symptoms in cases of malocclusion and temporomandibular joint disturbancez. Br J Oral Surg. 1964;2(1):28-32.Zocoli R, Mota ME, Sommavilla A, Perin LR. Manifestações otológicas nos distúrbios da articulação temporomandibular. ACM Arq Catarin Med. 2007;36(1):90-95.Ramírez, LM, Ballesteros ALE, Sandoval OGP. A direct anatomical study of the morphology and functionality of disco-malleolar and anterior malleolar ligaments.Int J Morphol. 2009;27(2):367-79.Okeson PJ. Tratamento das desordens temporomandibulares e oclusão. São Paulo: Artes Médicas; 2000.Camparis CM, Formigoni G, Teixeira MJ, de Siqueira JT. Clinical evaluation of tinnitus in patients with sleep bruxism: prevalence and characteristics. J Oral Rehabil. 2005;32(11):808-14.Paiva HJ, Vieira AMF, Cavalcante HCC, Medeiro ME, Gondim NFR, Barbosa RAD. Oclusão: noções e conceitos básicos. São Paulo: Santos;1997.Quinto AC. Classificação e Tratamento das Disfunções Temporomandibulares. Qual o papel do fonoaudiólogo no tratamento dessas disfunções? Rev CEFAC. 2000;2(2):15-22.López-Zuazo A, Sánchez PM.A. Salinas Cubillas Servicio de Neurología. Hospital Universitario de Guadalajara. Guadalajara. España. Medicine. 2015;11:4184-97.Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders. N Engl J Med. 2008;359(25):2693-705.Barreto DC, Barbosa ARC, Frizzo ACF. Relação entre disfunção temporomandibular e alterações auditivas. Rev CECAF. 2010;12(6):1067-76.Felício CM, Oliveira JAA, Nunes LJ, Jeronymo LFG, Ferreira-Jeronymo RR. Alterações auditivas relacionadas ao zumbido nos distúrbios otológicos e da articulação temporomandibular. Rev Bras Otorrinolaringol. 1999;65(2):141-46.Jorge JH, Silva Junior GS, Urban VM, Neppelenbroek KH, Bombarda NHC. Desordens temporomandibulares em usuários de prótese parcial removível: prevalência de acordo com a classificação de Kennedy. Rev Odontol UNESP. 2013;42(2):72-7.Fricton J. Myogenous temporomandibular disorders: diagnostic and management considerations. Dent Clin North Am. 2007;51(1):61-83.Feine JS, Widmer CG, Lund JP. Physical therapy: a critique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(1):123-27.Alves Rezende MCR, Marques CB, Gonçales AN, Sales A, Ávila SMHC, Magalhães AP et al. Sinais e sintomas na síndrome de Costen associada a desordens temporomandibulares: relato de caso clínico. Revista Odontol Araçatuba. 2011;32(1):65-9.Garcia AR. Desordens Temporomandibulares. In: Madeira MC. Anatomia da face. São Paulo: Sarvier; 2010.Figueiredo VMG, Cavalcanti AL, Farias ABL e Nascimento SR. Prevalência de sinais, sintomas e fatores associados em portadores de disfunção temporomandibular. Acta Sci Health Sci. 2009;31(2):159-63.Ash CM, Pinto OF. The tmj and the mddle ear: structural and functional correlates for aural symptoms associated with temporomandibular joint dysfunction. Int J Prosthodont. 1991;4(1):51-7.

scholarly journals Prevalence of Temporomandibular Joint Disorders Among Dental Patients in A Private Institution

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1309-1315
Author(s):  
Nor Masitah Mohamed Shukri ◽  
Santhosh Kumar M P ◽  
Arthi Balasubramaniam
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Temporomandibular Joint Disorders ◽  
Dental Patients ◽  
Gum Chewing ◽  
Temporomandibular Joints ◽  
Age And Gender Differences ◽  
Inflammatory Drugs ◽  
Male Patients ◽  
And Gender

Temporomandibular joints (TMJ) are the bilateral synovial articulation between temporal bone and lower jaw, seen on each side of the jaws. Temporomandibular joint disorders (TMD) can be defined as the tenderness of the jaws and dysfunction of the associated muscles of mastication and the temporomandibular joints, which connect the mandible to the skull. The exact cause of TMD still remains mysterious and unclear. However, the possible attributes of TMD are arthritis, trauma or blow to the TMJ, excessive gum chewing and bruxism. Patients are usually treated with ice packs, gentle massage at the jaw area and prescription of nonsteroidal anti-inflammatory drugs (NSAIDs). This study sought to evaluate the incidence rate, age and gender differences of TMD among patients reporting to Saveetha Dental College and Hospital. The following parameters were evaluated based on the dental records; age, gender and types of TMD. Excel tabulation and SPSS version 23 was used for data analysis. The prevalence of temporomandibular disorders was higher in female patients (51.9%) than male patients (48.1%). The most frequent age group affected by temporomandibular disorders was 31-40 years (36.7%). Disc-condyle disorder (75.9%) is the most frequent sub-type of temporomandibular disorders present in the patients. There was no statistically significant correlation between age and TMD (p=0.847); and gender and TMD (p=0.365). It can be concluded that within the limits of study, TMD was present in adulthood and was more common in women, with disc-condyle disorder being the most prevalent type.

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