scholarly journals Anterior Bite Opening in Adulthood

2017 ◽  
Vol 11 (1) ◽  
pp. 628-635 ◽  
Author(s):  
Karolina Broberg ◽  
Birgitta Lindskog-Stokland ◽  
Christina Mejersjö
Keyword(s):  
Orthodontic Treatment ◽  
Orofacial Pain ◽  
Systemic Disease ◽  
Clinical Signs ◽  
Neuromuscular Diseases ◽  
Masticatory Muscles ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Tongue Pressure ◽  
Patient’S History

Objectives: To study anterior bite opening of unknown cause presenting in adulthood regarding prevalence, symptoms of Temporomandibular Dysfunction (TMD) and possible causes of the bite opening. Methods: Patients referred to two Orofacial Pain and TMD clinics with the complaint of recent anterior bite opening, presenting in adulthood and of unknown cause, were considered for the study. Patients with systemic rheumatic or neuromuscular diseases, degenerative joint disease, previous fractures of the jaws or orthodontic treatment, were excluded. The clinical examination was according to DC/TMD and extended for the occlusion. Reported symptoms, clinical signs, the occlusion and diagnoses found are presented. According to the information gained from the patient’s history, previous occlusion and appearance, and present signs of parafunction, a possible association with the bite opening was suggested. Results: Anterior bite opening was found in 1.6% of the referred patients. Symptoms of tiredness and/or orofacial pain were reported by 62%, headache by 41%, TMJ clicking by 24% and sensitive/tender teeth by 41%. Parafunction or bruxism was reported by 2/3 of the patients. A previous period in life of TMD symptoms, before the bite opening, was reported by 66%. Myalgia and headache associated with TMD were frequently diagnosed. The use of a partial dental splint, tongue pressure and pregnancy were possible causes found for the bite opening. Conclusion: Anterior bite opening can occur in adulthood without organic or systemic disease of the TMJ or masticatory muscles, and was frequently associated with muscle TMD symptoms.

scholarly journals Degenerative joint disease in cattle and buffaloes in the Amazon region: a retrospective study

2014 ◽  
Vol 34 (9) ◽  
pp. 845-850 ◽  
Author(s):  
José Diomedes Barbosa ◽  
Danillo Henrique S. Lima ◽  
Alessandra S. Belo-Reis ◽  
Cleyton P. Pinheiro ◽  
Melina G.S. Sousa ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bone Tissue ◽  
Phosphorus Deficiency ◽  
Clinical Signs ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Predisposing Factor ◽  
Hind Limbs ◽  
Postural Changes ◽  
Progressive Weight Loss

A retrospective study of the epidemiological and clinic-pathological aspects of cattle and buffaloes with degenerative joint disease (DJD) was conducted in the state of Pará, Brazil. From 1999 to 2014, eleven cattle and 24 buffaloes were evaluated. All the treated animals with suspected DJD underwent a clinical examination of the musculoskeletal system. In seven cattle and eight buffaloes with clinical signs of the disease postmortem examination was performed. The common clinical signs observed in both species were chronic lameness, stiff gait, postural changes, audible crackles in the affected limb, prolonged recumbency, difficulty in getting up and progressive weight loss. The lesions observed at necropsy were: irregular articular surfaces, erosion of the articular cartilage and the underlying bone tissue, and proliferation of the periarticular bone tissue with formation of osteophytes. The most affected joints in cattle and buffaloes wereof the hind limb. In buffaloes, the main predisposing factor to the onset of DJD was phosphorus deficiency. In cattle, defects of the anatomical conformation of the hind limbs, chronic trauma due to the activities performed, such as semen collection, and advanced age possibly contributed to the emergence of the disease.

scholarly journals Optimal Use of a Panoramic Radiograph as a Screening Tool for Condylar Resorption in Patients Undergoing Active Orthodontic Treatment: A Case Series

2020 ◽  
Vol 10 ◽  
pp. 65
Author(s):  
Shaima Malik ◽  
Shilpa Singh ◽  
Robby T. George ◽  
Mayank Kakkar ◽  
Nikhilesh R. Vaid
Keyword(s):  
Orthodontic Treatment ◽  
Behavioral Therapy ◽  
Mandibular Condyle ◽  
Case Series ◽  
Panoramic Radiograph ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Initial Examination ◽  
Panoramic Radiographs ◽  
Specific Medication

Condylar resorption of temporomandibular joint findings in the panoramic radiographs is an indication of bone resorption suggesting possible degenerative joint disease that warrants early screen and subsequent referral to a dedicated specialist. This case series reports three patients that underwent the active orthodontic treatment for the duration of approximately 24–36 months. The patients were asymptomatic at the initial examination. The clinical examination was negative for clicking; the range of motion on opening, lateral excursion, and protrusion was normal. Neither of these patients had a history of rheumatic disease or bruxism. During the later stages of orthodontic treatment, two of the three patients reported mild pain and clicking during mastication, which was also confirmed chairside on clinical evaluation. Patients were referred to the orofacial pain specialist, were they were prescribed specific medication for the symptoms, along with cognitive behavioral therapy, and were further evaluated for splint therapy. Panoramic radiographs taken before the start of the treatment, during the treatment and at the completion of the orthodontic treatments indicate the progression in the resorption of mandibular condyle in all three patients suggesting possible degeneration that warrants further investigation and therapy.

scholarly journals The pathophysiology and medical management of canine osteoarthritis : continuing education

1997 ◽  
Vol 68 (1) ◽  
Author(s):  
T. Vaughan-Scott ◽  
J.H. Taylor
Keyword(s):  
Continuing Education ◽  
Clinical Signs ◽  
Cartilage Degeneration ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Joint Cartilage ◽  
Pharmacological Management ◽  
Gradual Onset ◽  
Joint Surfaces ◽  
Canine Osteoarthritis

Osteoarthritis or degenerative joint disease is a condition characterised by degeneration of articular cartilage often associated with the formation of new bone at joint surfaces or margins. Commonly encountered in dogs, osteoarthritis may have a gradual onset, but may also occur acutely. Osteoarthritis can be a primary disease of joint cartilage, but is more often secondary to abnormal stresses on joints. This article describes the pathogenesis and progression of cartilage degeneration as well as the dietary, lifestyle and pharmacological management of osteoarthritis. Recent pharmacological developments allow the clinician not only to control clinical signs of the disease, but also to slow the progression of cartilage degeneration.

The Therapeutic Efficacy of Carprofen (Rimadyl-V™) in 209 Clinical Cases of Canine Degenerative Joint Disease

1992 ◽  
Vol 05 (04) ◽  
pp. 140-144 ◽  
Author(s):  
R. B. Parker ◽  
B. S. Beale ◽  
R. L. Friedman ◽  
R. H. Holtsinger
Keyword(s):  
Therapeutic Efficacy ◽  
Clinical Signs ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Double Blind ◽  
Inflammatory Drug ◽  
Logistic Analysis ◽  
The Usa ◽  
Geographic Regions ◽  
Anti Inflammatory

SummaryCarprofen (D,L-6-chlor-alphamethylcarbazole-2-acetic acid) is a nonsteroidal anti-inflammatory drug with demonstrated therapeutic activity in the relief of clinical signs of degenerative joint disease in laboratory animal models and in human trials. The double-blind clinical study, reported herein, compared the therapeutic efficacy of carprofen with that of a placebo, in the acute relief of clinical canine degenerative joint disease. Twohundred and nine cases were collected from 10 studies in three geographic regions of the USA. The results of logistic analysis showed that dogs treated with carprofen were 24.8 times more likely to receive a positive evaluation by the veterinarian than those treated with a placebo (p <0.01). The odds of showing improvement, when evaluated by the owners, were 13.4 times greater than placebo (p <0.01). The evaluation from the veterinarian and the owner had excellent agreement (Kappa = 0.997) for dogs treated with carprofen and good agreement (Kappa = 0.667) for those treated with the placebo. Regional differences in response rate were not found in these studies. This trial demonstrated that carprofen is efficacious, across geographic regions, in the acute relief of clinical signs associated with canine degenerative joint disease.Carprofen is a new anti-inflammatory drug (NSAID) with analgesic potency. Side effects reported are few. Dogs with degenerative joint disease (DSD) treated with carprofen were 24.8 times more likely to respond favourably than placebo-treated dogs (p <0.01). This study concluded that carprofen is an effective NSAID in relieving the clinical signs of DSD in dogs.

scholarly journals Glucosamine and chondroitin sulfate in the repair of osteochondral defects in dogs - clinical-radiographic analysis

Revista CERES ◽  
2012 ◽  
Vol 59 (5) ◽  
pp. 587-596 ◽  
Author(s):  
Renato Barros Eleotério ◽  
Andréa Pacheco Batista Borges ◽  
Kelly Cristine de Sousa Pontes ◽  
Natália Alves Fernandes ◽  
Priscila Ferreira Soares ◽  
...  
Keyword(s):  
Chondroitin Sulfate ◽  
Femoral Condyle ◽  
Clinical Signs ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Control Group ◽  
Radiographic Analysis ◽  
Osteochondral Defects ◽  
Radiographic Findings ◽  
And Control

Among the proposed treatments to repair lesions of degenerative joint disease (DJD), chondroprotective nutraceuticals composed by glucosamine and chondroitin sulfate are a non-invasive theraphy with properties that favors the health of the cartilage. Although used in human, it is also available for veterinary use with administration in the form of nutritional supplement independent of prescription, since they have registry only in the Inspection Service, which does not require safety and efficacy testing. The lack of such tests to prove efficacy and safety of veterinary medicines required by the Ministry of Agriculture and the lack of scientific studies proving its benefits raises doubts about the efficiency of the concentrations of such active substances. In this context, the objective of this study was to evaluate the efficacy of a veterinary chondroprotective nutraceutical based on chondroitin sulfate and glucosamine in the repair of osteochondral defects in lateral femoral condyle of 48 dogs, through clinical and radiographic analysis. The animals were divided into treatment group (TG) and control group (CG), so that only the TG received the nutraceutical every 24 hours at the rate recommended by the manufacturer. The results of the four treatment times (15, 30, 60 and 90 days) showed that the chondroprotective nutraceutical, in the rate, formulation and administration at the times used, did not improve clinical signs and radiologically did not influence in the repair process of the defects, since the treated and control groups showed similar radiographic findings at the end of the treatments.

A retrospective study of canine hip dysplasia in 116 military working dogs. Part II: Clinical signs and performance data

1996 ◽  
Vol 32 (5) ◽  
pp. 423-430 ◽  
Author(s):  
CM Banfield ◽  
JE Bartels ◽  
JA Hudson ◽  
JC Wright ◽  
RD Montgomery ◽  
...  
Keyword(s):  
Hip Dysplasia ◽  
Clinical Signs ◽  
Clinical History ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Significant Difference ◽  
Working Dogs ◽  
And Performance ◽  
Student’S T ◽  
Military Working Dogs

The progression of hip dysplasia was investigated in 116 military working dogs. Medical records were reviewed for any clinical history of hind-limb lameness. Pelvic radiographs were studied for evidence and degree of hip dysplasia, degenerative joint disease, or both. The number of months each dog worked was determined. Each dog's age at termination from service and cause of death (or euthanasia) were recorded. The mean months of work for normal and dysplastic dogs were evaluated using the Student's t-test. No significant difference was found in the total number of months worked between normal and dysplastic dogs (p greater than 0.05).

Failure of Monoiodoacetate to Induce Lameness in Dogs

1994 ◽  
Vol 07 (02) ◽  
pp. 91-93 ◽  
Author(s):  
D. Stobie ◽  
Nancy Greer ◽  
A. J. Lipowitz
Keyword(s):  
Physical Examination ◽  
Gait Analysis ◽  
Guinea Pigs ◽  
Clinical Signs ◽  
Degenerative Joint Disease ◽  
Chronic Arthritis ◽  
Force Platform ◽  
Joint Disease ◽  
Limb Function ◽  
Different Doses

SummaryIntra-articular sodium monoiodoace-tate (MIA) has been shown to consistently induce a reproducible model of chronic arthritis in rats, chickens, guinea pigs, rabbits and horses. The purpose of this study was to determine if intra-articular injections of MIA would produce clinical signs of degenerative joint disease in dogs.Two different doses of MIA were injected into the stifle joints of normal dogs. Changes in limb function were evaluated by physical examination and force platform gait analysis. The dogs were evaluated weekly for three weeks, after which the MIA injections were repeated. They were again evaluated weekly for an additional two weeks.Significant changes in limb function were not found during any portion of the study as determined by physical examination of the injected joints and force platform gait analysis. Intra-articular MIA, at the doses used in this study, did not induce lameness nor clinical signs of degenerative joint disease.This study evaluated the potential of intra-articular injections of sodium monoiodoacetate (MIA) to produce degenerative joint disease in dogs. Changes in the injected joints and limb function were evaluated by physical examination and force platform gait analysis. Intraarticular MIA at the doses used in this study did not induce lameness nor clinical signs of degenerative joint disease in dogs.

scholarly journals Clinical and radiographic evaluation of a polyester prosthesis in dogs with cranial cruciate ligament rupture

2002 ◽  
Vol 32 (5) ◽  
pp. 793-798 ◽  
Author(s):  
André Luis Selmi ◽  
João Guilherme Padilha Filho ◽  
Glenda Ramalho Barbudo ◽  
Luiz Eduardo Carvalho Buquera ◽  
Júlio Carlos Canola
Keyword(s):  
Cruciate Ligament ◽  
Clinical Signs ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Radiographic Evaluation ◽  
Joint Movement ◽  
Cranial Cruciate Ligament ◽  
Radiographic Findings ◽  
Over The Top ◽  
Cranial Cruciate Ligament Rupture

Clinical and radiographic findings after intra-articular replacement of cranial cruciate ligament with a polyester prosthesis using a modified over-the-top technique were evaluated in six dogs. Seven surgeries were done due to bilateral involvement of the cranial cruciate ligament in one dog. Clinical evaluation was performed on postoperative days 3, 10 and 40, and radiographic evaluation was done at 5 and 24 months after surgery in five dogs, where signs of progressive degenerative joint disease were confirmed. Resolution of clinical signs was observed from 25 to 68 days after surgery as evaluated by dog owners. Overall function of joint movement after surgery was classified as good. Two dogs presented fraying of the implant after surgery. It was concluded that the polyester prosthesis, as implanted in these dogs, was not a satisfactory replacement for the injured ligament, as better results may be obtained with less invasive and simpler techniques.

scholarly journals Pathological findings in spontaneously dead and euthanized sows – a descriptive study

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Eve Ala-Kurikka ◽  
Camilla Munsterhjelm ◽  
Paula Bergman ◽  
Taina Laine ◽  
Henna Pekkarinen ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Tooth Wear ◽  
Descriptive Study ◽  
Degenerative Joint Disease ◽  
The Body ◽  
Joint Disease ◽  
Post Mortem ◽  
Pathological Findings ◽  
Convenience Sample ◽  
Locomotor System

Abstract Background A high rate of euthanized and spontaneously dead sows causes production losses and likely indicates underlying welfare problems. Identification of predisposing factors to on-farm deaths requires a thorough understanding of the causes. Post-mortem examination is needed for a proper diagnosis. The aims of this descriptive study were to determine causes of spontaneous deaths and euthanasia in sows in a convenience sample of Finnish herds and to describe pathological findings in the locomotor system and in teeth and gums. Results This study described post-mortem findings in 65 sows found dead or euthanized on 15 farms. All but one of the sows presented with two or more pathological findings. The majority of primary pathologic-anatomic diagnoses (PAD-1) were inflammatory. The most prevalent diagnoses were arthritis and peritonitis (9% of sows each). The locomotor system was the body part most commonly affected by lesions. Findings in the locomotor system unassociated with death were present in 85% of the animals, additionally 29% of PAD-1 s concerned the locomotor system. The prevalence for both degenerative joint disease and tooth wear was 71%. Farmers had noted clinical signs within 30 days of death in every euthanized sow and in half of the spontaneously dead ones. The farmer’s impression of the cause of death agreed at least partly with the PAD-1 in 44% of the cases. Conclusion Multiple pathologies were the norm in the present animals. This may indicate an extended course of illness and therefore also an unnecessary delay in medical treatment or euthanasia. The prevalence and clinical relevance of the most common disorders, including degenerative joint disease and tooth wear, need to be elucidated.

Apportionment of Impairment from Meniscal Tears and Knee Arthritis

2013 ◽  
Vol 18 (5) ◽  
pp. 1-10 ◽  
Author(s):  
Charles N. Brooks ◽  
James B. Talmage
Keyword(s):  
Medial Meniscus ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Detailed Knowledge ◽  
Meniscal Tears ◽  
Knee Arthritis ◽  
Degenerative Arthritis ◽  
Study Results ◽  
Physical Findings ◽  
Causation Analysis

Abstract Meniscal tears and osteoarthritis (osteoarthrosis, degenerative arthritis, or degenerative joint disease) are two of the most common conditions involving the knee. This article includes definitions of apportionment and causes; presents a case report of initial and recurrent tears of the medial meniscus plus osteoarthritis (OA) in the medial compartment of the knee; and addresses questions regarding apportionment. The authors, experienced impairment raters who are knowledgeable regarding the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), show that, when instructions on impairment rating are incomplete, unclear, or inconsistent, interrater reliability diminishes (different physicians may derive different impairment estimates). Accurate apportionment of impairment is a demanding task that requires detailed knowledge of causation for the conditions in question; the mechanisms of injury or extent of exposures; prior and current symptoms, functional status, physical findings, and clinical study results; and use of the appropriate edition of the AMA Guides. Sometimes the available data are incomplete, requiring the rating physician to make assumptions. However, if those assumptions are reasonable and consistent with the medical literature and facts of the case, if the causation analysis is plausible, and if the examiner follows impairment rating instructions in the AMA Guides (or at least uses a rational and hence defensible method when instructions are suboptimal), the resulting apportionment should be credible.

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