scholarly journals Evaluating the Effect of Complete Dentures on Signs and Symptoms of Temporomandibular Disorders Analyzed by Craniomandibular Index in Completely Edentulous Patients: A Study Protocol (Preprint)

2020 ◽  
Author(s):  
Sharayu Vinod Nmonkar ◽  
Surekha Godbole ◽  
Vikram Murlidhar Belkhode ◽  
Pranali Nimonkar ◽  
Pranali Nimonkar

BACKGROUND Temporo-mandibular disorder (TMD) is a collective term for conditions that involve pain and/or dysfunction of the TMJ and the related structures. Tooth loss is a major cause of developing TMD. The prevalence of signs and symptoms of TMD in completely edentulous patients has been reported to be as high as in dentulous patients. OBJECTIVE To evaluate the effect of complete dentures on signs and symptoms of temporomandibular disorders with Craniomandibular Index in completely edentulous patients. METHODS A prospective interventional study will be conducted for two year. The subjects, who are non-denture wearer and completely edentulous for a post-extraction period of 6 months to 5 years without any complaint of TMD will be screened for signs and symptoms of TMD with the help of anamnestic component of the Helkimos Index. 110, such patients with mild to severe signs and symptoms of TMD will be involved in the study as study participants after informed consent. They will be grouped into Group A (subjects with mild symptoms, n=55) and Group B (subjects with severe symptoms, n=55). The craniomandibular index will be used to score the intensity of signs and symptoms of TMD in these subjects before starting the clinical steps in fabrication of complete denture and three months after the denture insertion. RESULTS Descriptive and analytical statistics will be done. SPSS (Statistical Package for Social Sciences) Version 20.1 will be used as statistical software. The statistical significance between the two groups before and after three months will be evaluated at P<.05. CONCLUSIONS We expect improvement or drop in the severity of the signs and symptoms of TMD in completely edentulous subjects after intervention with complete dentures. If this Hypothesis fails, then the prevalences of TMD in completely edentulous patients should be correlated with other factors such as anatomic or pathologic changes in TMJ and not with the loss of teeth or vertical dimensions.


Author(s):  
Sharayu Nimonkar ◽  
Surekha Godbole ◽  
Vikram Belkhode ◽  
Pranali Nimonkar

Background: A Temporo-mandibular disorder (TMD) itself is a cumulative terminology used to indicate the situations which entails the pain alone or in association with dysfunction of the Temporomandibular joint (TMJ) with or without involving the associated structures. One of the main cause of developing TMD is the loss of tooth. The completely edentulous patients also have reported high prevalence of TMD as in dentulous patients.  Methods: It is a prospective interventional study that will be carried out in three years. The sample size will be those completely edentulous subjects, who has not used dentures for a duration of  six  months to five years  of tooth extraction. Such subjects will then be subjected to anamnestic component of Helkimos Index for screening purpose.110 subjects exhibiting mild to severe signs and symptoms of Temporomandibular disorders will be considered as the study participants for the study. Study participants will be categorized as Group A (study participants having mild symptoms of TMD, n=55) and the second will be Group B (study participaants having severe symptoms of TMD, n=55). The Craniomandibular Index will be used to score the severity of the TMD before denture insertion. The initial recorded score will be then correlated with the score obtained after 3 months of delivery of denture. Descriptive as well as analytical statistics will be performed. The statistical relevance among the Group A and Group B before intervention and after 3months of intervention will be assessed at p<0.05.  Discussion: Through the study results we anticipate a fall in CMI score i.e improvement by lowering the intensity of TMD due to intervention by complete dentures in completely edentulous subjects. In case the above Hypothesis is not proved, then prevalence of TMD among patients who are completely edentulous needs to be anticipated with the factors such as anatomical or pathological diversities in TMJ and not to be associated with changes in vertical dimensions because of teeth loss.





Gerodontology ◽  
2007 ◽  
Vol 24 (2) ◽  
pp. 105-110 ◽  
Author(s):  
Maria Cristina Candelas Zuccolotto ◽  
Mathias Vitti ◽  
Krunislave Antônio Nóbilo ◽  
Simone Cecílio Hallak Regalo ◽  
Selma Siéssere ◽  
...  


AYUSHDHARA ◽  
2020 ◽  
pp. 2931-2939
Author(s):  
Manoj Kumar ◽  
Anjana Mishra ◽  
Vijay Chaudhary

Vatarakta is a disease which is encountered in the population leading to a sedentary lifestyle. The change in lifestyle is the main cause of many diseases, Vatrakta being one of these. Based on the causes, signs and symptoms, Vatarakta may be correlated to gouty arthritis in modern medicine. Gout is an abnormality of purine metabolism that causes hyperuricemia and deposition of monosodium urate crystal. Its prevalence has increased across the globe.2.1 million people are affected with gout worldwide. In India, it has been reported that the prevalence of gout is 2-6 per 1000. It is a potential signal for unrecognized co- morbidities like obesity, diabetes mellitus, hypertension and renal diseases. The purpose of this study is to explore and find out an effective, inexpensive, easily available and well accepted drug with minimal or no complications for this dreadful condition. 30 patients who were diagnosed with Vatarakta w.s.r Gouty Arthritis were allocated randomly into 2 groups. The test drug i.e., Bodhi vriksh twak kashaya 50ml B.I.D with Madhu was given to 15 patients of group A. The standard drug Amritaadikwath 50ml B.I.D, which was given to 15 patients of group B. The course of treatment was 60 days. Subjective parameters were assessed before and after the treatment as per the grade score. Serum uric acid was done before trial and on completion of trial i.e., 60th day. Data obtained during the trial was tabulated and statistically analyzed.



2020 ◽  
Vol 8 (10) ◽  
pp. 4694-4700
Author(s):  
Vasudev R ◽  
Swathi S Deshpande

Gridhrasi is one among Vatajananatmaja Vikara characterized by Sthabdhata, Ruk, Toda which radiates from buttock region, lumbar region, thigh, knee, calf muscles and legs. Gridhrasi is of two types viz Vataja and Vata Kaphaja Gridhrasi. Vataja Gridhrasi is characterized by severe pain and Vata Kaphaja Gridhrasi has symptoms viz Tandra, Gaurava and Aruchi. The signs and symptoms of Gridhrasi can be correlated to sciatica of modern medicine. Sciatica is characterized by constant aching pain felt in lumbar region which may radiate to the buttock, thigh, calf and foot and pain is experienced along the sciatic nerve pathway. It is a common condition with lifetime incidence varying from 13% to 40%. Matra Basti is indicated in dis-eases caused by vitiated Vata Doshas and thus considered as one of the treatments for Gridhrasi. It was a comparative clinical study with a pre and post design in 40 patients who were diagnosed with Gridhrasi, were assigned into 2 groups of 20 patients each randomly. After examination MatraBasti had given for group A with Vyoshadi Taila and group B with Sahacharadi Taila after Sthanika Abhyanga and Nad-isweda with respective oil for 7 days. The assessment criteria were noted before and after treatment and on followup. Among the subjective and objective parameters, Group A showed better reduction 51.47% in Ruk, Sthambha, Toda, Gaurava, active and passive SLR test, Bragard’s test and Lumbar movements. Group B does not have statistically significant over Gaurava, left lateral flexion and rotation to leave. Showed reduction 40.49% in Ruk, Sthambha, Toda active and passive SLR test and lumbar movement. Hence it can be concluded that MatraBasti with Vyosadi Tailam is having more effect on symptoms of Gridhrasi and shows long lasting result.



2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Sameerah Mustafa ◽  
Asal Tawfeeq ◽  
Hadeel Hasan

This study involved the collection of (90) samples of women serum which included (30) serum samples collected from women before menopause (reproductive women) in the age range of (22-43) years and were considered as (group A- control). While, (group B) included (30) serum samples collected from women using oral contraceptive pills between the ages of (22-43) years old. Whereas, another (30) serum samples were collected from women after menopause between the ages of (43-54) years and were considered as (group C). All of the collected serum samples were subjected to a number of serological and chemical tests for the measurement of (E2, HDL, LDL and Ca). Then, the obtained data were statistical analyzed and results showed a significant decrease (p˂ 0.05) in (E2 ,Ca and HDL) levels in menopausal women compared to that of the normal healthy controls. While, there were non-significant decrease (p> 0.05) in (E2, Ca and HDL) levels in women taking oral contraceptive when compared to the normal healthy controls. On the other hand, a significant increase (p˂ 0.05) was recorded in LDL level in menopausal women compared to that of the normal healthy controls whereas, no-significant increase (p˃ 0.05) in the LDL level in women taking oral contraceptives when compared to the control women.



Author(s):  
Praveenkumar H. Bagali ◽  
A. S. Prashanth

The unique position of man as a master mechanic of the animal kingdom is because of skilled movements of his hands and when this shoulder joints get obstructed, we call it as Apabahuka (Frozen shoulder), we do not find satisfactory management in modern medical science. Various effective treatment modalities have been mentioned which reverse the pathogenesis, Shodhana is advised initially followed by Shamana therapies. In the present study 30 patients were selected incidentally and placed randomly into two groups A and B, with 15 subjects in each group. Group A received Amapachana with Panchakola Churna, Jambeera Pinda Sweda and Nasya Karma. Group B received Amapachana with Panchakola Churna, Jambeera pinda Sweda and Nasaapana. In both the groups two months follow up was done. Both groups showed significant improvement in the signs and symptoms of Apabahuka as well as the activities of daily livings, thereby improving the quality of life of the patients. Nasya Karma and Nasaapana provided highly significant results in all the symptoms of Apabahuka. In the present study as per the clinical data, Nasaapana is found to be more effective than Nasya Karma.



Author(s):  
Renuka M. Tenahalli

Shweta Pradara (Leucorrhoea) is the disease which is characterized by vaginal white discharge. Vaginal white discharge this symptom is present in both physiological and pathological condition, when it becomes pathological it disturbs routine life style of the woman. Most of the women in the early stage will not express the symptoms because of hesitation and their busy schedule. If it is not treated it may leads to chronic diseases like PID (Garbhashaya Shotha etc.) Charaka mentioned Amalaki Choorna along with Madhu and Vata Twak Kashaya Yoni Pichu Dharana. This treatment is used in Shweta Pradara shown positive results, hence a study was under taken to assess its clinical efficacy. 30 diagnosed patients of Shweta Pradara were randomly selected, allocated in three groups. Group A and Group B received Amalaki Choorna with Madhu and Vata Twak Kashaya Yoni Pichu Dharana respectively and Group C received Amalaki Choorna with Madhu followed by Vata Twak Kashaya Yoni Pichu Dharana for 15 days. The patients were assessed for the severity of the symptoms subjectively and objectively before and after the treatment and at the end of the follow up. Data from each group were statistically analyzed and were compared. No side effects were noted and it may be considered as an effective alternative medicine in Shweta Pradara (leucorrhea). Amalaki is rich in natural source of vitamin C and contains phosphorus, iron and calcium. Honey contains carbohydrate, vitamin C, phosphorus iron and calcium. All together these help to increase Hb% and immunity. Vata Twak Kashaya contains tannin which helps to maintain normal pH of the vagina.



2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Eman M. Ibraheem ◽  
Hisham S. ElGabry

Abstract Background This study aimed to evaluate the effect of mandibular complete dentures relining using soft relining material on the distribution of various occlusal forces using T-Scan system. Fifty completely edentulous patients having their conventional complete dentures earlier fabricated and utilized were selected for this study. Patients were controlled diabetics, characterized by having their residual alveolar ridges moderately developed and lined with firm mucoperiosteum. Mandibular complete dentures were relined with soft denture liner and T-Scan device was used for occlusal force distribution measurement prior to denture relining and three months thereafter the relinning procedure. Results Comparison between occlusal forces percentages before and after denture relining revealed that occlusal forces percentages was significantly lower after denture relining in anterior area, significantly higher after denture relining in right posterior area, where it was insignificantly higher after relining in left posterior area. Conclusions Our findings revealed that the use of soft denture liner for mandibular complete denture relining significantly improved the occlusal load distribution. Clinical trial registration Trial registration NCT, NCT04701970. Registered 23/11/2020—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04701970



Author(s):  
Joanna Matla ◽  
Katarzyna Filar-Mierzwa ◽  
Anna Ścisłowska-Czarnecka ◽  
Agnieszka Jankowicz-Szymańska ◽  
Aneta Bac

Seniors are a constantly growing group of people in many societies. It is necessary to develop physiotherapeutic programs to improve their mobility. The aim of this study was to assess the impact of the physiotherapeutic program conducted unstable ground on selected indicators of motor functions of elderly women. Sixty women (60–80 years) participated in the research. Group A (N = 20) underwent a 12-week physiotherapeutic program on stable ground, group B (N = 20) followed an exercise program on unstable ground, and group C (N = 20) (control group) had no therapeutic intervention. The effects of the therapy were assessed by using a FreeMed platform (foot load analysis) and a Biosway balance system. The results were compared using ANOVA (the one-way analysis), the Kruskal–Wallis test and also the post hoc tests (Tukey’s test and the multiple comparison test). In group A, a statistically significant change was observed in the static test and balance assessment, in group B this was observed in the static and dynamic foot tests and balance assessment, in group C, no statistical significance was achieved. The authors’ physiotherapeutic program had a statistically significant effect on changes in the balance and selected indicators of the motor functions of the examined people. Comparing the results before and after the therapy more improvement changes were noted in women training on an unstable ground compared to women training on a stable ground.



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