A Case of Open Bite Accompanied by Temporomandibular Joint Disorder. A Comparison of Occlusal Conditions before and after Treatment in Lateral-oblique Radiogram.

OBJECTIVE: The aim of this study was to determine the prevalence and the relation between the main occlusal factors and the temporomandibular disorder (TMD). METHODS: We analyzed 100 patients (50 diagnosed with TMD and 50 asymptomatic volunteers, control group) through a questionnaire that classified TMD as absent, mild, moderate and severe. Then, an evaluation was made of intraoral occlusal factors: Absence of posterior teeth, wear facets, overjet, overbite, open bite, posterior crossbite, sagittal relationship (Class I, II and III), centric relation discrepancy for maximum intercuspation, anterior guidance and balancing occlusal interference. The c² examined the association between TMD and considered occlusal variables. RESULTS: The prevalence of studied occlusal factors was higher in patients with moderate and severe TMD. Statistically significant results were found on: Absence of five or more posterior teeth, overbite and overjet greater than 5 mm, edge-to-edge bite, posterior crossbite, Class II and III, the absence of effective anterior guide and balancing side interferences. CONCLUSIONS: Indeed, it is concluded that there is a relationship between TMD and occlusal factors, however it can not be told to what extent these factors are predisposing, precipitating or perpetuating the disease. Therefore, despite its multifactorial etiology, one can not neglect the occlusal analysis of these patients.

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Temporomandibular Intra-Articular Steroid Injection: Its Impact on Relieving Otalgia

Journal of Oral & Dental Health ◽

10.33140/jodh.05.01.02 ◽

2021 ◽

Vol 5 (1) ◽

Keyword(s):

Temporomandibular Joint ◽

Steroid Injection ◽

Treatment Options ◽

Case Series ◽

Complete Relief ◽

Temporomandibular Joint Disorder ◽

Case Series Study ◽

Before And After ◽

Joint Disorder ◽

The Impact

Background: Temporomandibular joint disorder (TMD) is one of the most common non otological causes of otalgia. Treatment options vary from noninvasive options, such as non-steroidal anti-inflammatory drugs (NSAID) and physiotherapy to more invasive options of treatment such as intra-joint injections with corticosteroids and surgery. The aim of this study is to highlight the impact of the intra-articular steroid injection in TMJ on the otalgia not only the pain over the joint region. Methods: This study is a case series study that has been conducted on 12 patients (10 females and 2 males) aging from 23 to 47 years old with complaint of pain at area of temporomandibular joint and temple with prominent otalgia. Each patient has been asked to put a grade for otalgia from 0 to 2 before and after injection (0: no pain - 1: mild pain - 2: sever pain). Results: Ten cases showed complete relief of otalgia either after one or two injections. Two cases showed persistent otalgia after 3 attempts of injection. Conclusion: Temporomandibular intra articular steroid injection is a minor procedure that could be carried out safely at outpatient clinics and an effective option for relieving otalgia secondary to temporomandibular joint disorder (TMD).

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Impact of Anxiety on the Pain Intensity in Patients with Temporomandibular Joint Disorder During Splint Treatment

European Psychiatry ◽

10.1016/s0924-9338(09)70752-7 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

T. Badel ◽

J. Keros ◽

S. Kocijan Lovko ◽

J. Kern ◽

M. Marotti

Keyword(s):

Pain Intensity ◽

Temporomandibular Joint ◽

Temporomandibular Joint Disorder ◽

Significant Difference ◽

Before And After ◽

Pain Duration ◽

Joint Disorder ◽

The Mean ◽

And Gender ◽

Patient’S History

Objectives:Level of anxiety and pain intensity before and after splint treatment of patients with temporomandibular joint disorder (TMJD) was compared.Methods:TMJD in 60 patients (mean age 37.9 years, 80% women) was diagnosed using patient's history and clinical examination, and was confirmed by magnetic resonance imaging of the TMJs. Pain intensity was rated on a visual-analogue scale. The anxiety was confirmed by Spielberger's State-Trait Anxiety Inventory (STAI).Results:A higher level of anxiety was determined due to the fact that the mean score in STAI 1 was 39.80 and STAI 2 was 41.10. Before visiting a dentist, the patients suffered pain for 8.7 months on average. There is a statistically significant difference between patients depending on how long they previously suffered pain and anxiety values for all patients in STAI 1 and 2 (p< 0.0001). Including only patients with determined anxiety depending on age and gender there was no statistical difference in previous pain duration (p>0.05). There is a correlation between anxiety values on STAI 1 scale and post-treatment pain intensity (p< 0.026), and on STAI 2 scale pain intensity proved to be statistically significant before (p< 0.002) and after (p< 0.049) treatment. There was a statistically significant difference in scores of STAI 2 tests of patients with bruxism behaviour (p< 0.042).Conclusions:There is a possibility of negative interaction of psychological and psychosocial factors within all forms of musculoskeletal disorders’ treatment, including TMDs. This study confirmed the connection between anxiety and various categories of pain intensity in patients during splint treatment.

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Detection of Temporomandibular Joint Disorder Using Surface Electromypgraphy by Supervised Classification Models

Materials Today Proceedings ◽

10.1016/j.matpr.2021.07.375 ◽

2021 ◽

Author(s):

Dr D.S. Bormane ◽

Roopa B. Kakkeri

Keyword(s):

Temporomandibular Joint ◽

Supervised Classification ◽

Classification Models ◽

Temporomandibular Joint Disorder ◽

Joint Disorder

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Otological manifestation of temporomandibular joint disorder in Ekiti, a sub-Saharan African country

Journal of International Medical Research ◽

10.1177/0300060521996517 ◽

2021 ◽

Vol 49 (2) ◽

pp. 030006052199651

Author(s):

Waheed Atilade Adegbiji ◽

Gabriel Toye Olajide ◽

Anthony Tosin Agbesanwa ◽

Omotola Oluwaseyi Banjo

Keyword(s):

Temporomandibular Joint ◽

Clinical Features ◽

Temporomandibular Joint Disorder ◽

Prehospital Treatment ◽

Muscle Disorders ◽

Joint Disorder ◽

Study Population ◽

Male Patients ◽

Sub Saharan ◽

Nose And Throat

Objective To determine the prevalence, sociodemographic features, and clinical presentation of temporomandibular joint disorder in otorhinolaryngological practice. Methods This prospective hospital-based study involved patients diagnosed with temporomandibular joint disorder in our institution’s ear, nose, and throat department. Data for this study were obtained from the patients using pretested interviewer-assisted questionnaires. Results The prevalence of temporomandibular joint disorder in this study was 1.3%. The study population included 17 (26.2%) male patients with a male:female ratio of 1.0:2.8. Joint disorder accounted for 75.4% of all disorders, while both mastication muscle and joint disorder accounted for 21.5%. A majority of the patients (47.7%) presented between weeks 1 and 13 of the illness. Unilateral temporomandibular joint disorder accounted for 98.5% of all disorders. The main otologic clinical features were earache and a dull tympanic membrane in 100% and 35.4% of patients, respectively. Middle ear assessment revealed type A in 73.8% of patients and type B in 20.0% according to Jerger’s classification system of tympanometry. Most patients (81.5%) were referred by their family physician. All patients had undergone prehospital treatment prior to presentation. Conclusion Temporomandibular joint disorder is a common presentation in medical practice. Common clinical features include ear, joint, and mastication muscle disorders.

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