scholarly journals Efficacy of Sub Occipital Myofacial Release Technique on Functional Disability in Temporomandibular Dysfunction with Neck Pain: A Randomized Control Trial.

2021 ◽  
Author(s):  
Om Wadhokar ◽  
Deepali Patil ◽  
Pratik Phansopkar
Keyword(s):  
Cervical Spine ◽  
Temporomandibular Joint ◽  
Functional Disability ◽  
Spinous Process ◽  
Mouth Opening ◽  
Upper Cervical Spine ◽  
Clinical Trial Registry ◽  
Temporomandibular Joint Dysfunction ◽  
Temporomandibular Dysfunction ◽  
The Common

Abstract Temporomandibular joint dysfunction is one of commonest joint that gets affected in females, studies shows that the altered posture of cervical spine lead to mandibular retrusion and hence in long term leads to Temporomandibular dysfunction, the tightness of sub-occipital muscle leads to pulling of the ligaments around the joint in course causing retrusion or malocclusion. The common symptoms of temporomandibular joint dysfunction includes clicking, reduced mouth opening, headache. Alteration in the function of TMJ leads to poor quality of life of the individual as this joint is involved in basic activities like talking, eating, laughing and kissing. The sub-occipital muscles are the group of muscle extending from spinous process of C2 vertebrae to inferior nuchal line of occipital bone. Tightness of this muscle lead to extension of upper cervical spine and flexion of lower cervical spine. The common causes of temporomandibular dysfunction includes injury to jaw, overuse, inflammatory condition like arthritis and bruxism. Our aim is to find out the efficacy of sub-occipital Myofacial Release versus conventional physiotherapy on functional disability of TMJ. The clinical trial registry-India(CTRI) registration number for this trial is CTRI/2021/05/033493.

scholarly journals A Research Protocol on Effectiveness of Sub Occipital Myofacial Release on Functional Disability in Temporomandibular Dysfunction with Neck Pain: A Randomized Control Trial

2021 ◽  
pp. 180-185
Author(s):  
Om C. Wadhokar ◽  
Deepali S. Patil ◽  
Pratik Phansopkar
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Temporomandibular Joint ◽  
Functional Disability ◽  
Upper Cervical Spine ◽  
Temporomandibular Joint Dysfunction ◽  
Temporomandibular Dysfunction ◽  
The Common ◽  
Conventional Physiotherapy ◽  
Stretching Exercises

Background: Temporomandibular joint dysfunction is one of commonest joint that gets affected in females, studies shows that the altered posture of cervical spine lead to mandibular retrusion and hence in long term leads to Temporomandibular dysfunction, the tightness of sub-occipital muscle leads to pulling of the ligaments around the joint in course causing retrusion or malocclusion. The common symptoms of temporomandibular joint dysfunction includes clicking, reduced mouth opening, headache. Alteration in the function of TMJ leads to poor quality of life of the individual as this joint is involved in basic activities like talking, eating, laughing and kissing. The sub-occipital muscles are the group of muscle extending from spinous process of C2 vertebrae to inferior nuchal line of occipital bone. Tightness of this muscle lead to extension of upper cervical spine and flexion of lower cervical spine. The common causes of temporomandibular dysfunction includes injury to jaw, overuse, inflammatory condition like arthritis and bruxism. Our aim is to find out the efficacy of sub-occipital Myofacial Release versus conventional physiotherapy on functional disability of TMJ. The clinical trial registry-India (CTRI) registration number for this trial is CTRI/2021/05/033493. Methodology: In this study the total of 60 patients with mild to moderate Temporomandibular dysfunction with neck pain were divided into two group one group received MFR and other group received stretching exercises followed by conventional physiotherapy. The treatment was given for two week 5 session in each week. The assessment was done at day one of treatment and the end of first week and at the end of second week. Discussion: This study was done to find out the effectiveness of suboccipital Myofacial release and stretching exercises in mild to moderate Temporomandibular joint dysfunction with neck pain. Conclusion: Conclusion of the study can be made based on the effect of both technique on functional disability in patient with mild to moderate TMD and opt for more specific treatment for rehabilitation of patient with TMD.

Effectiveness of Combining Manual Therapy and Acupuncture on Temporomandibular Joint Dysfunction: A Retrospective Study

2007 ◽  
Vol 35 (02) ◽  
pp. 203-208 ◽  
Author(s):  
Byung-Cheul Shin ◽  
Chung-Hyo Ha ◽  
Yung-Sun Song ◽  
Myeong Soo Lee
Keyword(s):  
Retrospective Study ◽  
Temporomandibular Joint ◽  
Manual Therapy ◽  
Randomized Clinical Trials ◽  
Combined Treatment ◽  
Mouth Opening ◽  
Temporomandibular Joint Dysfunction ◽  
Future Studies ◽  
Before And After ◽  
Maximal Mouth Opening

This retrospective study investigated the effects of combining manual therapy and acupuncture on the pain and maximal mouth opening (MMO), which were associated with temporomandibular joint dysfunction (TMD). The 49 TMD patients (15 men, 34 women; mean age = 30.47 years, SD = 13.52 years) were treated with a combination of acupuncture and manual therapy two or three times a week at the hospital. The pain and maximal mouth opening were assessed before and after 1 and 4 weeks of treatment. The combination therapy produced significant changes in pain levels ( p < 0.001) and mouth opening ( p < 0.001). All pairwise non-parametric comparison showed a significant improvement in pain ( p < 0.05 for all pairs) and MMO ( p < 0.05 for all pairs). These findings suggest that combining manual therapy and acupuncture decreases the pain level and increases the MMO of TMD patients. However, future studies should further investigate the efficacy of combined treatment on TMD with more rigorous randomized clinical trials.

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.

scholarly journals Experience of using an integrated approach in the diagnosis of temporomandibular joint dysfunction

2022 ◽  
pp. 98-100
Author(s):  
A. A. Sultanov ◽  
Y. Y. Pervov ◽  
A. K. Yatsenko ◽  
M. A. Sultanova ◽  
D. O. Drozdova
Keyword(s):  
Physical Examination ◽  
Temporomandibular Joint ◽  
Orthodontic Treatment ◽  
Clinical Case ◽  
Mouth Opening ◽  
Integrated Approach ◽  
Masticatory Muscles ◽  
Temporomandibular Joint Dysfunction ◽  
The Right ◽  
Masseter Muscles

The article presents a clinical case of the diagnostics and treatment of the temporomandibular joint dysfunction (TMJ) in patient after orthodontic treatment. The hypertonia of masticatory muscles, limit of mouth opening and deviation of the jawbone to the right were observed during physical examination. Adhesion of the disk to the articular tubercle of the right temporal bone was detected on MRI. Hyperrotation of the articular head and the deviation of the jawbone to the right were observed on the charts during axiography. Disappearing of the feeling of heaviness in the right TMJ, free mouth opening, absence of deviation symptom, and the reduction of the rigidity of the masseter muscles were observed on the basis of diagnostic examinations after treatment. Presented clinical experience lets us make a conclusion that it is necessary to prescribe taking axiography and MRI during diagnosing and treating temporomandibular joint dysfunction.

Management of progressive facial asymmetry owing to a rare temporomandibular joint tumour: A case report

2020 ◽  
Vol 47 (2) ◽  
pp. 163-169
Author(s):  
Geetanjali Sharma ◽  
Mohammad Shorafa ◽  
Gurdeep Hans
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Male Patient ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Temporomandibular Joint Dysfunction ◽  
Limited Mouth Opening ◽  
History Of ◽  
Slow Growing ◽  
Park Hospital

Osteochondroma of the condyle is a rare, slow-growing, benign tumour of the temporomandibular joint that can result in facial asymmetry, limited mouth opening, temporomandibular joint dysfunction and malocclusion. The large majority of osteochondromas occur at the distal metaphysis of the femur and the proximal metaphysis of the tibia, whereas only 0.6% of osteochondromas have been reported as occurring in the craniofacial region. We discuss the diagnosis and treatment of a 56-year-old fit and well male patient who presented to the Orthodontic Department at Wexham Park Hospital with a four-year history of progressive facial asymmetry and functional concerns, owing to a rare osteochondroma of the condyle.

scholarly journals Diagnosis and management of temporomandibular joint dysfunction before surgery: a case report

2021 ◽  
Vol 14 (9) ◽  
pp. e244635
Author(s):  
Ken Tateno ◽  
Tsutomu Mieda ◽  
Katsushi Doi
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Mouth Opening ◽  
Anterior Dislocation ◽  
Temporomandibular Joint Dysfunction ◽  
Type Iiib ◽  
Articular Disk ◽  
Case Type ◽  
Temporomandibular Pain

We present a case of colorectal cancer with temporomandibular joint dysfunction and discuss the management of the case. Type IIIb temporomandibular disorder involves anterior dislocation of the articular disk, trismus and difficult intubation. A 68-year-old woman was scheduled for colectomy. The day before surgery, the patient had temporomandibular pain. On examination, the mouth opening was 13 mm. We diagnosed type IIIb temporomandibular disorder. A simple splint was fabricated with gauze and she bit it. The mouth opening was 55 mm on the day of surgery. The pain disappeared, and intubation was uneventful. Temporomandibular disorders are generally treated by dentists. It is beneficial for general hospitals without a dentistry department to employ a dental anaesthesiologist to assist in potentially difficult intubations in patients with temporomandibular disorders.

scholarly journals Temporomandibular dysfunction diagnosis by means of computerized axiography

2020 ◽  
Author(s):  
Smaranda Buduru ◽  
Silvia Balhuc ◽  
Alexandru Ciumasu ◽  
Andreea Kui ◽  
Cosmin Ciobanu ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Clinical Diagnosis ◽  
Analytical Study ◽  
Masticatory Muscles ◽  
The Other ◽  
Functional Information ◽  
Temporomandibular Joint Dysfunction ◽  
Temporomandibular Dysfunction ◽  
Temporomandibular Joints ◽  
Number Of Patients

Background and aims.The objective of this study was to evaluate the accuracy of the CADIAX Compact 2 axiograph in confirming the presumptive clinical diagnosis of temporomandibular dysfunction, established according to the muscular-articular clinical examination. Methods. A retrospective analytical study was carried out on 50 patients, aged between 21 and 62 years, 31 women and 19 men. A clinical diagnosis was established after masticatory muscles, temporomandibular joints and mandibular border limit movements were assessed. During the same day a computerized axiography (Cadiax Compact 2, Gamma, Vienna, Austria) was performed in order to confirm the diagnosis. Results. The study had a sensitivity of 100%, which means that the CADIAX device detected all clinically positive patients. On the other hand, the specificity of the study was 74%, representing the percentage of patients negatively diagnosed by CADIAX device out of the total number of patients clinically diagnosed as negative. The 88% accuracy shows the proportion in which the CADIAX device provides a diagnosis equal to the clinical one. Conclusions. Of all the methods for investigating temporomandibular joint dysfunction, axiography is less invasive, does not irradiate the patient, it is relatively easy to use and it offers functional information about the TMJ function.

Dental otalgia

2007 ◽  
Vol 121 (12) ◽  
pp. 1129-1134 ◽  
Author(s):  
D S Kim ◽  
P Cheang ◽  
S Dover ◽  
A B Drake-Lee
Keyword(s):  
Temporomandibular Joint ◽  
Sensory Nerve ◽  
Temporomandibular Joint Disorders ◽  
Diagnostic Challenge ◽  
Temporomandibular Joint Dysfunction ◽  
Posterior Teeth ◽  
Temporomandibular Joint Dysfunction Syndrome ◽  
Common Causes ◽  
The Common ◽  
Joint Examination

AbstractBackground:Secondary or referred otalgia can represent a diagnostic challenge to the otolaryngologist. Collectively, dental disorders are the most common causes of secondary otalgia presenting to the ENT clinic, and may account for up to 50 per cent of referred otalgia. Temporomandibular joint dysfunction syndrome represents the most common dental cause of referred otalgia. Decay and pulpal inflammation of posterior teeth can also frequently present as otalgia. The common embryological developmental origin of both oral and dental structures and the ear is responsible for their overlapping sensory nerve supplies, and this explains referred otalgia secondary to dental and temporomandibular joint disorders. These disorders can be easily overlooked, resulting in unnecessary and costly investigations.Aims:This review aims to give a succinct overview of common dental causes of otalgia, and to provide ENT clinicians with guidelines for performing a rapid and simple dental and temporomandibular joint examination, which will reliably diagnose or exclude dental otalgia.

Endonasal Surgery of the Upper Cervical Spine: A Morphometric Analysis

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Harminder Singh ◽  
Bartosz Grobelny ◽  
Adam Flanders ◽  
Marc Rosen ◽  
Paul Schiffmacher ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Morphometric Analysis ◽  
Upper Cervical Spine ◽  
Endonasal Surgery ◽  
Upper Cervical
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