scholarly journals MODERN VIEW ON THE ETIOLOGY AND PATHOGENESIS OF THE TEMPOROMANDIBULAR JOINT DYSFUNCTION

2018 ◽  
Vol 25 (6) ◽  
pp. 164-170
Author(s):  
S. V. Beinarovich ◽  
O. I. Filimonova

Aim.The study was conducted to analyze the sources of literature on the etiology and pathogenesis of the temporomandibular joint dysfunction (TMJD) with the reflection of the most urgent and unresolved problems.Materials and methods.A study of Russian and foreign literature of recent years in the databases of RINC, Scopus, Web of Science, Pubmed was conducted.Results.It was revealed that the issue of the etiology and pathogenesis of the TMJD remains open. There are different points of view on the etiology and pathogenesis of this pathology which allow many researchers to not only study the various causes of this pathology known to date but also to work towards finding new etiological factors. The polyetiology of the TMJD explains not only complexity but also requires complex diagnosis and treatment of this pathology.Conclusion.Despite the diversity of views on the etiology and pathogenesis of the TMJ, a number of issues remain that require detailed study. Obviously, it is necessary not only to improve the available methods of diagnosis and treatment but also to develop new methods based on the available various modern views on the problem of the etiology and pathogenesis of the TMJD.

PEDIATRICS ◽  
1987 ◽  
Vol 80 (4) ◽  
pp. 565-570
Author(s):  
Francine G. Pillemer ◽  
Bruce J. Masek ◽  
Leonard B. Kaban

A model for the diagnosis and treatment of temporomandibular joint dysfunction and facial pain in children is presented. Emphasis is placed on systematic assessment of physical, psychologic, and behavioral factors when conservative medical therapy is inadequate for symptom relief. The model represents a multidisciplinary approach to patient care which is described through case presentations. The results of research on the incidence of primary psychopathology in 53 children and 322 adults evaluated during a 3-year period for temporomandibular joint dysfunction and facial pain are also presented. It was found that children were more likely to be psychiatrically impaired (25%) than adults (7%). Children had a variety of psychiatric diagnoses including depression, conversion and adjustment disorders, overanxious behavior, and anorexia nervosa. The benefits of a multidisciplinary approach are discussed in terms of the efficacy of this coordinated treatment effort in ameliorating symptoms.


2020 ◽  
Vol 48 (11) ◽  
pp. 030006052097207
Author(s):  
Linhai He ◽  
Zhiyong Zhang ◽  
E Xiao ◽  
Yang He ◽  
Yi Zhang

Objective To comprehensively review the literature and summarize the results from human and animal studies related to the possible causes and pathogenesis of traumatic temporomandibular joint ankylosis (TMJA). Materials and Methods The Google Scholar, Embase, and Web of Science databases were used to search for articles related to traumatic TMJA from 2011 to 2020. All articles were screened according to the inclusion and exclusion criteria, collected, and analyzed. Results Nineteen relevant articles were collected. These articles were classified into three groups: predisposing and etiological factors, cellular studies, and molecular studies. Conclusion The pathological mechanisms are similar between TMJA and nonunion hypertrophy. Aberrant structural and etiological factors as well as disordered cellular and molecular mechanisms might contribute to TMJA formation. Although preclinical and clinical data have provided new evidence on the pathogenesis of traumatic TMJA, the molecular mechanisms and biological events require further exploration.


2021 ◽  
pp. 39-43
Author(s):  
V. V. Konnov ◽  
E. N. Pichugina ◽  
A. R. Arushanyan ◽  
A. A. Bizyaev ◽  
A. S. Khodorich ◽  
...  

The temporomandibular joint (TMJ) performs about 2000 different movements per day, therefore it is one of the most frequently functioning joints in the human body. The causes of TMJ pathology are quite diverse and until now scientists have not come to a consensus on this issue. Partial absence of teeth is a fairly common pathology of the dentoalveolar system and occurs in 75% of the adult population. The lack of treatment for this pathology for several years leads to a spatial topographic and anatomical restructuring of the elements of the temporomandibular joint. Defects in the dentition in combination with occlusive disorders are one of the main etiological factors in the development of TMJ dysfunction. The analysis of 105 studies of domestic and foreign authors on the effect of dentition defects on the formation of TMJ dysfunction was carried out. Of these, 71 sources were included in the analysis of the article. Many authors have reliably proven the relationship between occlusal disorders, due to distally unlimited defects in the dentition, and TMJ dysfunction. In addition, it has been proven that the signs of dysfunction of the temporomandibular joint are more pronounced in patients with unilateral terminal defects of the dentition.


2020 ◽  
Vol 174 (5) ◽  
pp. 21-35
Author(s):  
E. A. Godzhello ◽  
M. V. Khrustaleva ◽  
D. G. Shatveryan ◽  
N. A. Bulganina

Introduction. The interest in achalasia has signifi cantly increased with the advent of new methods for the diagnosis and treatment of this disease. New methods are introduced several years earlier abroad than in Russia, prospective randomized trials are conducted more often, based on the results of which clinical recommendations are established. Therefore, the authors of this article provide an extensive review of foreign literature devoted to the diagnosis and treatment of achalasia, which refl ects not only current trends, but also those areas to which researchers of past years paid attention. Results. Traditional and new diagnostic methods (timed barium swallow and high-resolution manometry) are described. The Chicago classifi cation of esophageal motility disorders version 3.0 is given. The whole spectrum of treatment of esophageal achalasia — conservative and surgical methods with analysis of immediate and long-term results, including the comparison of these methods and with the combined use of several techniques in one patient is presented. The complex problem of choosing a treatment method for the end-stage achalasia is considered. For key points in diagnosing and treating the disease, clinical guidelines on achalasia published in 2020 (European Guideline on Achalasia — UEG and ESNM recommendations) are presented. Conclusion. Esophageal achalasia is a chronic disease, for the treatment of which there is still no consensus. Balloon pneumatic dilation, peroral endoscopic myotomy and laparoscopic Heller myotomy with fundoplication are safe and highly eff ective and can be recommended for the treatment of achalasia. Currently, there is a gradual transition to a less invasive initial treatment of the end-stage achalasia, but large multicenter and randomized clinical trials are necessary to obtain fi nal data on various treatment options.


2021 ◽  
Vol 10 (4) ◽  
pp. e4510413282
Author(s):  
Camilla Amorim Acioli Borba ◽  
Daniel José Silveira Tôrres ◽  
Esdras Gabriel Alves-Silva ◽  
Renata Araújo Gomes de Sá ◽  
Eloiza Leonardo de Melo ◽  
...  

As disfunções temporomandibulares são caracterizadas pela presença de dor, inchaço e disjunção da articulação temporomandibular e/ou da musculatura. Sendo assim, o uso do laser proporciona anestesia dessa região, diminuindo a inflamação e o desconforto. O objetivo deste trabalho foi realizar uma revisão integrativa da literatura sobre o uso do laser no tratamento da DTM, destacando benefícios, limitações, eficácia, relevância e impacto para saúde bucal. A pergunta norteadora é: Qual a eficácia do uso de laser de baixa potência no tratamento da DTM? Uma revisão integrativa da literatura foi realizada por meio de uma busca de artigos científicos nas bases de dados eletrônica Web of Science, PubMed e Medline, utilizando os descritores LLLT (low-level laser therapy), TMD (temporomandibular joint dysfunction) e Orofacial, indexados no período de 2015 a 2020 que tratavam de case reports, clinical trial, review, meta-analysis e randomized controlled e excluindos artigos de books and documents e editoriais, através da integração das palavras “AND” e “MORE”. Após os critérios de elegibilidade foram analisados 7 artigos integralmente publicados em língua inglesa. Os estudos mostraram que o uso do laser auxilia no tratamento da DTM diminuindo o período de reparação da lesão, dor e inflamação devido a sua capacidade analgésica e anti-inflamatória. Sua eficácia se deve ao aumento de colágeno na ferida, estímulo à angiogênese e na proporção de células disponíveis para cicatrização. Contudo, se torna necessário que estudos continuem sendo realizados para que assuntos como este sejam disseminados para a população, já que essa técnica se mostra promissora.


Author(s):  
Valentina Yurievna Bakhareva ◽  
A. Yu Turkina ◽  
Yu. O. Paramonov

External cervical resorption of the root of the tooth, is asymptomatic and has no characteristic morphological manifestations, to make a reliable diagnosis in most cases is impossible. External inflammatory root resorption is one of the most destructive and aggressive types of pathology. The analysis of domestic and foreign literature and publications. This article highlights the main etiological factors and pathogenesis mechanisms of external resorption of the root. Both local and systemic etiological factors can lead to the development of root resorption. Allocate superficial, inflammatory and replacement external resorption. The modern approaches to the diagnosis and treatment of this disease are considered.


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