Frequency of symptoms of temporominal joint dysfunction in children and adolescents in orphanages

2021 ◽  
Vol 1 (223) ◽  
pp. 28-33
Author(s):  
Roza Ibragimova ◽  
◽  
Аssilbek Yessirkepov ◽  
Gulbanu Dosberdiyeva ◽  
Кuralay Zhumabayeva ◽  
...  
Keyword(s):  
Secondary School ◽  
Children And Adolescents ◽  
Temporomandibular Joint ◽  
Comparison Group ◽  
Masticatory Muscles ◽  
Functional Disorders ◽  
Healthy Individuals ◽  
Keywords Temporomandibular Joint ◽  
The City ◽  
Masseter Muscles

Diseases of the temporomandibular joint (TMJ) occur in 20-76% of the population, of which up to 70-89% are functional joint disorders. In children and adolescents, TMJ dysfunction occurs in 14-20%. Among the variety of pathogenetic factors in the development of this pathology, the most important are: stress, psychological disorders, imbalance in the tone of the masticatory muscles, occlusive disharmony. Purpose of the study. To study the prevalence of symptoms of TMJ dysfunction, including prenosological, in children and adolescents living in orphanages. Material and research methods. The frequency of occurrence of symptoms of functional disorders of the TMJ, including prenosological, was studied in 331 children and adolescents living in orphanages. The comparison group consisted of 218 students of secondary school No. 30 in the city of Almaty. Results and discussion. These symptoms were found in 32.62% of children and adolescents living in orphanages in the city of Almaty, and in 35.32% of practically healthy individuals, and their frequency increased with age. More common in girls. In different combinations there were revealed the dislocation of the middle inter-incisive line, pain on palpation of the masseter muscles, joint noise, malopening mouth. Dentofacial anomalies were more often observed in children and adolescents with certain symptoms of functional disorders of the temporomandibular joint. Keywords: temporomandibular joint malfunction, children and adolescents living in orphanages.

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.

The role of elastic bands (kinesiotapes) in complex therapy of patients with temporomandibular joint osteoarthrosis

2021 ◽  
pp. 75-85
Author(s):  
E. A. Bulycheva ◽  
M. A. Postnikov ◽  
D. S. Bulycheva
Keyword(s):  
Temporomandibular Joint ◽  
Exercise Therapy ◽  
Comparison Group ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Pain Scale ◽  
Main Group ◽  
Treatment Methods ◽  
Elastic Bands ◽  
Opening Width

Introduction. Temporomandibular joint (TMJ) arthrosis is a chronic disease, characterized by dystrophic and degenerative changes in TMJ with aseptic inflammatory process. The prevelence of TMJ arthrosis in patients with a history of other TMJ disorders varies between 32-39 % of cases. Complex treatment of TMJ arthrosis includes pharmacotherapy, physiotherapy, exercise therapy for TMJ and massage of the masticatory muscles, manual therapy, prosthodontics, but these treatment methods are not always lead to a desired result.The aim of the study is to improve the traditional treament method of patients suffering from TMJ arthrosis by using elastic tapes (kinesiotapes).Materials and methods. 68 patients were examined at the «Galaxy» Beauty Institute Clinic (St. Petersburg) and FSBEI HE SamSMU MOH Russia (Samara). Comparison group of patients was prescribed pharmacotherapy, exercise therapy for TMJ and massage of masticatory muscles, while for the main group of patients the same therapy was enhanced by elastic bands. The effectiveness of therapy was evaluated using a visual-analog pain scale (VAS), mouth opening width and electromyography of the masticatory muscles.Results. Noticeable positive effect in the main group of patients was observed on the 21th day of treatment. By this time patients noticed significant decrease in pain intensity from 8,77±0,8 to 5,19±0,5 (Z1-4=-5,88; p1-4=0,0015) points as well as increase in mouth opening width from 21-23 to 33-35 mm. Similar changes in the comparison group of patients were achieved only by the beginning of fifth week of treatment (Z1-6=-5,58; p1-6=0,0015). The range of mouth opening width increased from 21-23 to 27-29 mm. Amplitude of masticatory muscles biopotentials in maximum intercuspation in patients of the main group almost approached to the normal results by the beginning of the fourth week. In patients of the comparison group the amplitude of masticatory muscles biopotentials remained reduced even by the end of observations (42 day of the study).Conclusion. Thus, the combination of elastic bands applications with conventional treatment methods of TMJ arthrosis greatly increases the effectiveness of therapy and allows to relief pain and normalize bioelectric activity of masticatory muscles in a relatively short time. Due to the simplicity of elastic bands application it is possible to teach patients the technique of self-applying bands and recommend to use them as a prevention of relapse of TMJ arthrosis.

scholarly journals The Application of Manual Techniques in Masticatory Muscles Relaxation as Adjunctive Therapy in the Treatment of Temporomandibular Joint Disorders

2021 ◽  
Vol 18 (24) ◽  
pp. 12970
Author(s):  
Piotr Urbański ◽  
Bartosz Trybulec ◽  
Małgorzata Pihut
Keyword(s):  
Temporomandibular Joint ◽  
Adjunctive Therapy ◽  
Anterior Part ◽  
Masticatory Muscles ◽  
Temporomandibular Joint Disorders ◽  
Spontaneous Pain ◽  
Significant Drop ◽  
Myofascial Release ◽  
Group I ◽  
Masseter Muscles

Temporomandibular disorders (TMD) are primarily characterized by pain as well as disorders concerning the proper functioning of individual elements of the stomatognathic system (SS). The aim of the study was to compare the degree of relaxation of the anterior part of the temporal muscles and the masseter muscles, achieved through the use of post-isometric relaxation and myofascial release methods in patients requiring prosthetic treatment due to temporomandibular joint disorders with a dominant muscular component. Sixty patients who met the inclusion criteria were alternately assigned to one of the two study groups, either group I—patients received post-isometric relaxation treatment (PIR), or group II—patients received myofascial release treatment (MR). The series of ten treatments were performed in both groups. The comparative assessment was based on physiotherapeutic examination, a surface electromyography (sEMG) of the anterior temporal and masseter muscles and the intensity of spontaneous masticatory muscle pain, assessed using the Visual Analogue Scale (VAS). We observed a significant decrease in the electrical activity of examined muscles and a significant drop in the intensity of spontaneous pain in the masticatory muscles both in group I and II. There were no significant differences between groups. Both therapeutic methods may be used as successful forms of adjunctive therapy in the prosthetic treatment of TMD. The trial was registered with an international clinical trials register.

scholarly journals Therapeutic Agents for the Treatment of Temporomandibular Joint Disorders: Progress and Perspective

2021 ◽  
Vol 11 ◽  
Author(s):  
Mengjie Wu ◽  
Jingyi Cai ◽  
Yeke Yu ◽  
Sihui Hu ◽  
Yingnan Wang ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Masticatory Muscles ◽  
Therapeutic Agents ◽  
Health Condition ◽  
Delivery Systems ◽  
Temporomandibular Joint Disorders ◽  
Bioactive Molecules ◽  
Functional Disorders ◽  
Mandibular Movement ◽  
Therapy Strategies

Temporomandibular joint disorders (TMD) are a common health condition caused by the structural or functional disorders of masticatory muscles and the temporomandibular joint (TMJ). Abnormal mandibular movement in TMD patients may cause pain, chronic inflammation, and other discomfort, which could be relieved by a variety of drugs through various delivery systems. In this study, we summarized commonly used therapeutic agents in the management of TMD as well as novel bioactive molecules in preclinical stage and clinical trials. The emerging therapy strategies such as novel intra-TMJ delivery systems and implants based on tissue engineering are also discussed. This comprehensive review will strengthen our understanding of pharmacological approaches for TMD therapy.

scholarly journals THE PREVALENCE AND STRUCTURE OF CLINICAL MANIFESTATIONS OF TEMPOROMANDIBULAR JOINT DYSFUNCTION

2020 ◽  
Vol 16 (2) ◽  
pp. 11-16
Author(s):  
Valeriya Galimullina ◽  
Sergey Lebedev ◽  
Aleksandr Bragin
Keyword(s):  
Temporomandibular Joint ◽  
Clinical Manifestations ◽  
Masticatory Muscles ◽  
Scientific Data ◽  
Functional Disorders ◽  
Scientific Publications ◽  
Temporomandibular Joint Dysfunction ◽  
Temporomandibular Joint Dysfunction Syndrome ◽  
Lower Jaw ◽  
Joint Pathology

Subject. The relevance of the study is associated with the widespread prevalence of diseases of the temporomandibular joint and masticatory muscles. The large amount and inconsistency of literature data, the lack of generally accepted terminology and diagnostic criteria, and the variety of treatment methods proposed by various authors lead to difficulties in the choice of treatment tactics encountered by the dentist in everyday practice in treating patients with temporomandibular joint pathology. The goal is to study the available literature data on the prevalence and structure of clinical manifestations of functional disorders of the temporomandibular joint. Methodology. The study was conducted on the basis of a search and study of scientific publications on the epidemiology of clinical manifestations of functional disorders of the temporomandibular joint in the databases PubMed, eLibrary, Scopus, Web of Sciens, Medline. The selection of materials was carried out by keywords. Results. The review presents the scientific data of various authors on the epidemiology of the clinical manifestations of dysfunctional disorders of the temporomandibular joint. The most characteristic objective signs of the temporomandibular joint dysfunction syndrome are: “noise” phenomena in the joint during movements of the lower jaw, pain during palpation of the masticatory muscles, restriction of opening of the mouth, deviation during opening of the mouth, bruxomania, displaced position of the lower jaw relative to the upper (transverse, medial distal), the presence of otological symptoms (pain and / or a feeling of stuffiness in the ears), a burning sensation, tingling, tingling, or pain in the tongue. Conclusions. A study of the literature over the past 15 years has revealed a wide variation in the prevalence of clinical manifestations of functional disorders of the temporomandibular joint, which does not allow an unambiguous conclusion about the epidemiology of its dysfunction.

scholarly journals Temporomandibular Disorders and Bruxism Prevalence in a Portuguese Sample

2021 ◽  
Vol 5 (1) ◽  
pp. 37
Author(s):  
João Belo ◽  
André Almeida ◽  
Paula Moleirinho-Alves ◽  
Catarina Godinho
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Masticatory Muscles ◽  
Diagnostic Aspects ◽  
Relevant Role

Temporomandibular disorder (TMD) encompasses a set of disorders involving the masticatory muscles, the temporomandibular joint and associated structures. It is a complex biopsychosocial disorder with several triggering, predisposing and perpetuating factors. In the etiology of TMD, oral parafunctions, namely bruxism, play a relevant role. The study of bruxism is complicated by some taxonomic and diagnostic aspects that have prevented achieving an acceptable standardization of diagnosis. The aim of this study was to analyze the prevalence of temporomandibular disorders and bruxism in a Portuguese sample.

scholarly journals Relative Validity of an Italian EPIC Food Frequency Questionnaire for Dietary Factors in Children and Adolescents. A Rizzoli Orthopedic Institute Study

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1245
Author(s):  
Inge Huybrechts ◽  
Rossella Miglio ◽  
Lorenza Mistura ◽  
Sara Grioni ◽  
Irene Pozzebon ◽  
...  
Keyword(s):  
Secondary School ◽  
Children And Adolescents ◽  
Food Frequency Questionnaire ◽  
Dietary Factors ◽  
Food Groups ◽  
Food Frequency ◽  
Relative Validity ◽  
Diary Method ◽  
Italian Children ◽  
The Impact

Dietary factors play a major role in the development of non-communicable diseases, however little is known regarding the impact of nutrition on rare diseases like sarcomas. This Rizzoli Orthopedic Institute study aimed to evaluate the relative validity of a Food Frequency Questionnaire (FFQ) to measure the consumption of foods in comparison with a 3-days diary diet in a healthy Italian student population aged between 12 and 17 years. An extended version (including food groups for children) of the semi-quantitative FFQ used in the European Prospective Investigation into Cancer and Nutrition (EPIC) was administered. The validity of the FFQ was assessed by comparing the intakes from the FFQ against the 3-day diary method. 254 Italian subjects were included in the analyses: 128 females; 126 males; 116 from High Secondary School (14–17 years); 138 from Low Secondary School (12–13 years). Mean and median intakes are overall higher in the FFQs than in the food diaries. Spearman correlations adjusted for within-person variability were highest for legumes, vegetables and coffee/tea (>0.5), followed by potatoes, meat, fruits, breakfast cereals, biscuits and candies, and milk/yoghurts (>0.4). Moderate correlations were found for alcoholic drinks, soft drinks, juices, and grains (>0.3). For some food groups, such as fish, potatoes, and bread, correlations tend to become higher when stratifying the analyses for age group. These results demonstrate that the adapted EPIC COS FFQ validated in Italian adults is also appropriate and well understood by Italian children and adolescents.

Organizational foundations of outpatient psychiatric care for children and adolescents in the city neuropsychiatric dispensary

1985 ◽  
Vol 66 (2) ◽  
pp. 160-160
Author(s):  
N. A. Blukherova ◽  
N. N. Alatyreva ◽  
V. I. Karpukhina
Keyword(s):  
Children And Adolescents ◽  
Psychiatric Care ◽  
The City ◽  
Outpatient Psychiatric Care

The organizational foundations of out-of-hospital and psychiatric care for children and adolescents, provided by pediatricians, pediatric neuropathologists and psychiatrists, are stated.

What does low psychological distress mean in patients with no mental disorders and different pains of the musculoskeletal system?

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Michael Brinkers ◽  
Giselher Pfau ◽  
Wolfgang Ritz ◽  
Frank Meyer ◽  
Moritz Kretzschmar
Keyword(s):  
Psychological Distress ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Musculoskeletal System ◽  
Management Program ◽  
Insurance Companies ◽  
Functional Disorders ◽  
Healthy Individuals ◽  
Pain Management Program ◽  
Icd 10

Abstract Objectives The aim of this study is to define the different levels of psychological distress in patients suffering from pain and functional disorders of the musculoskeletal system. Methods This investigation was conducted as a retrospective study of 60 patients randomly selected of a German specialized orthopaedic hospital within the year 2016, whose therapeutic approaches are based on a non-surgical orthopaedic multimodal approach of manual therapy. All patients were suffering from pain and functional disorders of the musculoskeletal system. Two groups were formed: one without and one with additional mental disorders according to ICD-10. The impairment score (ISS) according to Schepank was determined. Results The somatic sub score of the ISS was the highest sub score in both patient groups. The cumulative value of the ISS score of patients with both a mental disorder and pain in the musculoskeletal system was higher than for patients without concomitant mental disorder. For patients without concomitant mental disorder, the cumulative ISS exceeded the test criteria for mentally healthy individuals. Conclusions Patients without mental disorder but with chronic pain of the locomotoric system receive a psychological pain management program, as it is part of the billing code OPS 8-977 to the health insurance companies in Germany. However, the data show that these patients also have a substantial somatic subscore and a cumulative ISS above the level of healthy individuals. The absence of psychological disorders (according to ICD-10) in patients with pain of the musculoskeletal system should not lead to the assumption that these patients are psychologically inconspicuous. Subsyndromal mental findings (below ICD-10) can be one aspect of a mental disorder presenting with primarily somatic symptoms. In this case, patients would benefit from a psychotherapeutic program in a similar way as the patients with mental disorders according to ICD-10.

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