scholarly journals INTERRELATION OF TEMPOROMANDIBULAR JOINT DYSFUNCTION IN PATIENTS WITH GYNECOLOGICAL CHANGES IN ANAMNESIS ACCORDING TO THE QUESTIONNAIRE SURVEY

2020 ◽  
pp. 53-56
Author(s):  
V.M. Novykov ◽  
A.I. Shvets ◽  
K.Y. Rezvina ◽  
M.A. Korostashova
Keyword(s):  
Temporomandibular Joint ◽  
Reproductive System ◽  
Orthodontic Treatment ◽  
Temporomandibular Joint Dysfunction ◽  
The Past ◽  
Joint Pathology ◽  
Number Of Patients ◽  
Menstrual Irregularities ◽  
History Of ◽  
Symptom Complex

The incidence of temporomandibular joint dysfunction in women reaches 80% of the total number of patients. The symptoms of temporomandibular joint dysfunction are varied and were first described by otorhinolaryngologist J.B. Costen. In his honor, the entire symptom complex of this disease is named "Costen's syndrome" in specialized literature and in the International Classification of Diseases of the tenth revision. The symptom complex includes joint pain, sometimes radiating to the neck, back of the head, temple, ear, clicks in the joint during movements of the lower jaw, trismus, hearing loss, dull pain in the middle and outside the ear, pain and burning sensation of the tongue, dry mouth; dizziness, pain on the side of the affected joint and even facial pains like trigeminal neuralgia. It is clinically difficult to isolate all these symptoms in patients with dysfunction of the temporomandibular joint, because its pathogenic and etiological manifestation is characterized in most cases only by one or several symptoms. Temporomandibular joint dysfunction is polyetiological, has a varied clinical picture and is directly dependent on the hormonal state, and especially the gynecological status. Much attention is drawn to the study of estrogen, which, in addition to regulating the functioning of the reproductive system in a woman's body, also performs a number of other important functions, including helping the joint to remain healthy - preventing calcium leaching, stimulating collagen recovery and the work of osteoblasts. The aim of the study was to determine the frequency of temporomandibular joint dysfunction in women along with hormonal changes and to trace their correlation. Materials and methods. The study involved 169 students of the third year at the Department of Propedeutics of Surgical Dentistry of the Faculty of Dentistry of the Ukrainian Medical Stomatological Academy. The research methods were based on conducting an anonymous survey. The questions were written for both men and women and were characterized by general dental status. Questions on gynecological status were asked separately for women. Results and discussion. The study group consisted of 169 people, including 89 women and 80 men aged 18 to 28 years. 61% of men and 26% of women did not have complicated dental status, among those surveyed. At the same time, 35% of men (of their total number) and 28% of women (of their total number) had orthodontic pathology. The presence of individual symptoms of temporomandibular joint dysfunction in men was observed in 6% of the total number of patients, in women - 19% (4% of them had already consulted a dentist, but did not receive adequate treatment). It is worth noting that patients with suspected temporomandibular joint pathology complained only of clicks when opening their mouths or chewing. Among 89 women studied, 8% had temporomandibular joint dysfunction, but did not have pathologies of the reproductive system. In 20% of women who did not have temporomandibular joint dysfunction, pathology of the reproductive system was noted. 11% had temporomandibular joint dysfunction and pathology of the reproductive system. 26% of women were clinically healthy. Out of 10 women with temporomandibular joint dysfunction who had a pathology of the reproductive system, but never had problems with the dentition, 10% of the women in the group (1% of all women examined) suffered from menstrual irregularities and had human papillomavirus in their anamnesis. 20% had a suspicion of temporomandibular joint pathology along with problems in their gynecological status and a history of orthodontic treatment, 10% had menstrual irregularities (algodismenorrhea) and were treated by a gynecologist with hormonal contraceptives for up to 1.5 years. 30% of women had temporomandibular joint pathology with problems in their gynecological status and previous therapeutic treatment (presence of fillings in the oral cavity). Of these, 20% have menstrual irregularities, and 10% have cervical erosion. 40% of the total number of women had temporomandibular joint pathology with orthodontic treatment in the past and fillings in the oral cavity along with problems in their gynecological status, where all had menstrual irregularities. 10% of them had metaplasia, erosion of the cervix and uterine polyp, 10% - erosion of the cervix. It should be noted that out of 89 women, 14 (17.5%) did not have any complaints about the condition of the joint, but had fillings and orthodontic treatment in the past, as well as pathology of the reproductive system. 11 of them (14%) had menstrual irregularities. In 3 (4%) patients out of the total number of women, there was an increased level of androgens, progesterone, estradiol and a history of treatment by a gynecologist. Based on the results obtained, it is possible to confirm the forced frequency of women visiting the dentist. Among the total number of women with temporomandibular joint dysfunction and pathology of the reproductive system, there was only 1 patient out of 89 persons without any dental interventions in the past. This does not give us a reason to associate gynecological status with the etiology of temporomandibular joint dysfunction. But in view of the greater prevalence of temporomandibular joint dysfunction along with gynecological pathologies, it gives us a basis for active further research on this topic.

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.

scholarly journals Neonatal Herpes Simplex Infection

2004 ◽  
Vol 17 (1) ◽  
pp. 1-13 ◽  
Author(s):  
David W. Kimberlin
Keyword(s):  
Herpes Simplex ◽  
Neonatal Herpes ◽  
Cns Disease ◽  
The Past ◽  
Simplex Infection ◽  
Number Of Patients ◽  
History Of ◽  
Neonatal Herpes Simplex ◽  
Simplex Virus ◽  
Disseminated Disease

SUMMARY Tremendous advances have occurred over the past 30 years in the diagnosis and management of neonatal herpes simplex virus (HSV) disease. Mortality in patients with disseminated disease has decreased from 85 to 29%, and that in patients with central nervous system (CNS) disease has decreased from 50 to 4%. Morbidity has been improved more modestly: the proportion of patients with disseminated disease who are developing normally at 1 year has increased from 50 to 83%. While the proportion of patients with neurologic morbidity following CNS disease has remained essentially unchanged over the past three decades, the total number of patients who are developing normally following HSV CNS disease has increased due to the improved survival. Although additional therapeutic advances in the future are possible, more immediate methods for further improvements in outcome for patients with this potentially devastating disease lie in an enhanced awareness of neonatal HSV infection and disease. A thorough understanding of the biology and natural history of HSV in the gravid woman and the neonate provides the basis for such an index of suspicion and is provided in this article.

scholarly journals POSITION OF THE TEMPOROMANDIBULAR JOINT DYSFUNCTION SYNDROME AMONG FACIAL PAIN SYNDROMES

2018 ◽  
pp. 79-82
Author(s):  
V.L. Melnyk ◽  
V.K. Shevchenko ◽  
Yu.I. Sylenko
Keyword(s):  
Temporomandibular Joint ◽  
Trigeminal Nerve ◽  
Clinical Symptoms ◽  
Diagnostic Errors ◽  
Actual Problem ◽  
Temporomandibular Joint Dysfunction Syndrome ◽  
Joint Pathology ◽  
Number Of Patients ◽  
Long Time ◽  
Diagnostic Difficulties

At the present time, the actual problem of dentistry is the study of the issues of the syndrome of pain dysfunction (SPD) of the temporomandibular joint (TMJ), which is found in 14-20% of teenagers and significantly increases with age (Siemkin V.A, Rabukhina N.A., 2000 ; Khavatova VA, 2005). The pathology of TMJ dysfunction was detected in 80% of the examined patients (Bezrukov V.M, 2002). Separately allocated dysfunction of TMJ in dysplastic-dependent form of joint pathology, thereby emphasizing that dysfunction is a characteristic manifestation of dysplasia of connective tissue in the maxillofacial area (Statovskaia Ye.Ye, 2005; Kozlov D.L., Viazmin A.Y., 2007). According to observations of A.I Mirza, I.V. Mikheieva, V.M. Novikov and according to our data, in more than 90% of people, pathological phenomena in the area of the temporomandibular joint have nothing to do with the inflammatory processes of this combination. At the same time, various dysfunctions and pain spasm of separate areas of chewing muscles occupy the main place. The aim of the work was to analyze the causes and clinical symptoms of patients with SPD. In this regard, as it turned out from the anamnesis, many patients had been undergoing inappropriate treatment for a long time. The cavity of the temporomandibular joint was repeatedly injected emulsion hydrocortisone acetate, antibiotics and other medications, which do not work in case of SPD of the temporomandibular joint. In some cases, after such therapy, dysfunction of the mandible occurred, leading to an even greater disruption of the joint function and increased pain. A number of patients with SPD of the temporomandibular joint due to a false diagnosis for a long time received treatment for neuralgia of the trigeminal nerve by drugs, Novocain blockade or alcoholization of sensitive branches of the trigeminal nerve. These patients often had neuritis, which greatly worsened the patient’s condition and the prognosis of the disease. The clinical picture of the SPD of the temporomandibular joint and a number of such diseases (syndromes of Slider, Sikara, etc.) is often so obscure and confusing that a large clinical experience is needed to evaluate individual symptoms. In addition, it should be noted that dysfunction of the mandible occurs with lesions of any part of the temporomandibular complex. Thus, limitation of the mobility of the mandible usually develops with arthritis of the temporomandibular joint, abscesses and phlegmons of the parotideomasseterica, temporal regions, pterygomandibulare, parapharingenal space, jaw-tongue groove and osteomyelitis of the branches of the mandible. Diagnostic difficulties often increase due to the fact that it is not always possible to find out the atypical etiological origin of the SPD of the temporomandibular joint. Against the background of the listed objective adverse factors, the presence of diagnostic errors largely contributes to insufficient knowledge of dentists who have clinical questions and questions on treatment of the SPD TMJ due to the difficulty in differential diagnosis, which is not fully covered in textbooks on dentistry. Control of correctness of the established diagnosis is the blockade of the motor branches of the trigeminal nerve subcutaneously using the Yehorov's method, which results in the removal of muscle spasm, stops pain and improves the mobility of the mandible. Conducting additional paraclinical examination methods such as dynamic MRT, 3-D MRT, CT and electromyography should be done.

scholarly journals Relationship between Orthodontics and Temporomandibular Disorders

2017 ◽  
Vol 21 (3) ◽  
pp. 127-132
Author(s):  
Aikaterini Tagkli ◽  
Polytimi Paschalidi ◽  
Alexis Katsadouris ◽  
Apostolos I. Tsolakis
Keyword(s):  
Literature Review ◽  
Temporomandibular Joint ◽  
20Th Century ◽  
Clinical Examination ◽  
Temporomandibular Disorders ◽  
Orthodontic Treatment ◽  
Signs And Symptoms ◽  
Normal Function ◽  
Facial Aesthetics ◽  
Number Of Patients

Summary Since the end of the 20th century, the problems of the temporomandibular disorders (TMDs) have aroused interest to the orthodontists. The aim of this literature review is to present the contemporary evidence concerning the association between the presence of malocclusions and the occurrence of signs and symptoms of the TMJ. In addition, additional variables, which may affect the TMJs of a patient during the orthodontic treatment are pointed out. It is evident that there is an increased number of patients who are seeking for orthodontic treatment, not only in order to enhance their facial aesthetics and the function of mastication system, but also to relieve the symptoms of the temporomandibular joint (TMJ). There are multiple etiological factors that have been associated with the TMDs and they may be manifested by pain and/or sounds of TMJ. In addition, during the clinical examination it can be detected a deviation from the normal function of the mandible.

Radiation-Associated Atheromatous Disease of the Cervical Carotid Artery: Report of Seven Cases and Review of the Literature

Neurosurgery ◽  
1989 ◽  
Vol 24 (2) ◽  
pp. 171-178 ◽  
Author(s):  
John L. D. Atkinson ◽  
Thoralf M. Sundt ◽  
Allan J. D. Dale ◽  
Terrence L. Cascino ◽  
Douglas A. Nichols
Keyword(s):  
State Of The Art ◽  
Carotid Surgery ◽  
Review Of The Literature ◽  
Postoperative Results ◽  
The Past ◽  
Number Of Patients ◽  
History Of ◽  
Physical Examinations ◽  
Reconstructive Arterial Surgery

Abstract The natural history of postirradiation extracranial cerebrovascular disease is uncertain. Previous reported cases spanning 20 years of carotid surgery are difficult to evaluate, because patients may sometimes have unspecified symptoms, physical examinations, postoperative results, and follow-up. Also, the evolution of carotid surgery over the past two decades makes it impossible to compare earlier operative technique with the state-of-the-art technique of today. Our series of 7 patients underwent 9 carotid endarterectomies with an average follow-up period of 46 months. The number of patients is small, and although technically this is a more difficult operation, we feel the results are favorable and may be comparable with endarterectomy procedures in nonirradiated patients. These patients should be approached as if radiation changes are not a major factor when they are considered for reconstructive arterial surgery.

scholarly journals Current trends in routine myocardial revascularization

2021 ◽  
Vol 10 (2) ◽  
pp. 25-35
Author(s):  
S. V. Ivanov ◽  
A. N. Sumin
Keyword(s):  
Perioperative Complications ◽  
Myocardial Revascularization ◽  
Fold Increase ◽  
Perioperative Mortality ◽  
Surgical Interventions ◽  
The Past ◽  
Number Of Patients ◽  
History Of ◽  
The Mean ◽  
Artery Disease

Highlights. A 12-year experience of myocardial revascularization at the Research Institute of Complex Issues of Cardiovascular Diseases is reported. An increase in the number of patients with comorbidities resulted in more complex surgeries. Perioperative mortality and complication rates are consistent with the reported global data.Aim. To assess the temporal changes in baseline characteristics of patients with coronary artery disease (CAD), the range of surgical interventions, and the structure of significant in-hospital complications following coronary artery bypass grafting (CABG).Methods. 9,043 patients who underwent CABG between 2006 and 2018 were identified from a prospective CABG registry. 1,847 (20.4%) were women (the mean age of 63.11±7.4 years) and 7,196 (79.6%) were men (the mean age of 59.0±7.9 years). The main parameters on the underlying cardiovascular disease and comorbidities, the prevalence and extent of non-cardiac atherosclerosis, the type of CABG, and the volume of associated surgical interventions as well as the structure of perioperative complications were included in the statistical analysis.Results. We determined several trends characterizing the temporal changes in the clinical, morphological, and functional status of patients. The number of women undergoing CABG has increased 2.7-fold. The mean age of patients undergoing CABG has increased by 7.3 years. Patients are present with higher rates of comorbidities, including AF, diabetes (a 2.5-fold increase), hypertension (a 12% increase), as well as severe BCA stenoses (a 2.7-fold increase), a positive history of stroke, or TIA (a 2.1-fold increase). The number of combined surgical procedures during CABG has increased by 2.9. The prevalence of perioperative neurological and hemorrhagic complications requiring revision surgery, and deep wound infection have increased 4.3-fold. Waiting time for elective CABG has significantly reduced. The number of patients with a history of myocardial infarction (a 14.5% decrease) and severe peripheral artery disease has decreased. In-hospital mortality has decreased over the past decade.Conclusion. Over the past decade, the number of patients with comorbidities who require more complex surgeries has increased at the Research Institute for Complex Issues of Cardiovascular Diseases. Perioperative mortality tends to decrease. However, an increase in the number of neurological, hemorrhagic, and infectious perioperative complications requires the initiation of new preventive measures.

Possibilities of osteopathic correction in complex therapy of temporomandibular joint dysfunction

2019 ◽  
pp. 43-50 ◽  
Author(s):  
Yu. A. Milutka ◽  
I. G. Yushmanov ◽  
A. N. Badmaeva
Keyword(s):  
Temporomandibular Joint ◽  
Orthodontic Treatment ◽  
Control Group ◽  
Temporomandibular Joint Dysfunction ◽  
Mandibular Joint ◽  
The Status ◽  
Osteopathic Treatment ◽  
The Mean ◽  
And Control ◽  
Methods Of Treatment

Introduction. Dysfunction of the temporo-mandibular joint is a frequent, complex, multifactorial disease that is traditionally treated by orthodontic methods, but not always with a positive result.Goal of research — to assess the effect of osteopathic treatment combined with orthodontic treatment on the temporo-mandibular joint dysfunction and osteopathic status of patients with TMJ disfunction.Materials and methods. The study included 40 patients with the temporo- mandibular joint dysfunction receiving orthodontic treatment (hard and soft splints, brace system, exercises). All patients were women without severe somatic pathology divided into 2 groups: treatment group and control group. The mean (±SD) age of participants was 27,5±5,3 and 29,2±5,7 years, respectively. In both groups, osteopathic, orthodontic status have been evaluated, patients completed a questionnaire on the status of the temporo-mandibular joint. In the main group, the described orthodontic methods of treatment were supplemented by osteopathic correction.Results. The study showed a decrease in the number of somatic dysfunctions, objective symptoms and subjective sensations arising from dysfunction of the temporo-mandibular joint. The analysis showed a greater effi cacy of combined osteopathic and orthodontic treatment in comparison with exclusively orthodontic treatment.Conclusion. The obtained results provide possibility of further research of the effectiveness of osteopathic correction in combination with orthodontic treatment of the temporomandibular joint dysfunction.

scholarly journals Differential Diagnostics of Pain in the Course of Trigeminal Neuralgia and Temporomandibular Joint Dysfunction

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
M. Pihut ◽  
M. Szuta ◽  
E. Ferendiuk ◽  
D. Zeńczak-Więckiewicz
Keyword(s):  
Trigeminal Neuralgia ◽  
Temporomandibular Joint ◽  
Facial Pain ◽  
Differential Diagnostics ◽  
Complex Nature ◽  
Neurogenic Pain ◽  
Temporomandibular Joint Dysfunction ◽  
Medical Specialties ◽  
History Of ◽  
Vascular Pain

Chronic oral and facial pain syndromes are an indication for intervention of physicians of numerous medical specialties, while the complex nature of these complaints warrants interdisciplinary diagnostic and therapeutic approach. Oftentimes, lack of proper differentiation of pain associated with pathological changes of the surrounding tissues, neurogenic pain, vascular pain, or radiating pain from idiopathic facial pain leads to improper treatment.The objective of the paperis to provide detailed characterization of pain developing in the natural history of trigeminal neuralgia and temporomandibular joint dysfunction, with particular focus on similarities accounting for the difficulties in diagnosis and treatment as well as on differences between both types of pain. It might seem that trigeminal neuralgia can be easily differentiated from temporomandibular joint dysfunction due to the acute, piercing, and stabbing nature of neuralgic pain occurring at a single facial location to spread along the course of the nerve on one side, sometimes a dozen or so times a day, without forewarning periods. Both forms differ significantly in the character and intensity of pain. The exact analysis of the nature, intensity, and duration of pain may be crucial for the differential diagnostics of the disorders of our interest.

scholarly journals Efficiency of treatment of patients with muscular and joint dysfunction of the temporomandibular joints

2020 ◽  
Vol 86 (1) ◽  
pp. 94-102
Author(s):  
T. Kostiuk ◽  
A. Kaniura
Keyword(s):  
Temporomandibular Joint ◽  
Sagittal Plane ◽  
Muscle Relaxation ◽  
Pain Syndrome ◽  
Temporomandibular Joint Dysfunction ◽  
Occlusal Splints ◽  
Temporomandibular Joints ◽  
Number Of Patients ◽  
Before And After ◽  
Opening And Closing

The prevalence of dysfunction of the temporomandibular joint, especially in people aged 18-60 years, reached 95-98 % among all dental applications. The course of the pathology is usually hidden, with periodic recurrences and has a long nature, which is accompanied by a decrease in overall quality of life. Treatment of this pathology of the temporomandibular joint is a set of complex therapeutic, orthopedic and psychological measures. The literature describes many ways to treat temporomandibular joint dysfunction, one of the modem ones is the use of occlusal splints, which allow to change the position of the mandible, diagnose and eliminate musculoskeletal dysfunction of the temporomandibular joint. The aim of the study was to determine the effectiveness of treatment of musculoskeletal dysfunction of the temporomandibular joint with occlusal splints according to axiography. 274 patients aged 18 to 65 years were diagnosed with temporomandibular joint pain syndrome before and after treatment. All patients with signs of temporomandibular joint dysfunction before treatment had a violation of the trajectory of the mandible (deviation is 68.7 %, dyslexia is 31.3 %). When opening and closing the mouth, asymmetrical shifts of the lower jaw to the sides of more than 2 mm (deviation from the midline is more than 2 mm) were observed. After treatment with occlusal splints there was an improvement in the trajectory of opening and closing the mouth: the number of patients with a violation of the trajectory decreased by 89.1 %, and the displacement of the mandible during opening and closing the mouth in 92.4 % of patients decreased on average to 0.9 mm. When analyzing the movements of the mandible in the sagittal plane in 79 % of cases, deviations of the trajectory of the mandible were detected. After treatment with occlusive muscle relaxation splints, elimination of violations of the trajectory of the mandible in the transverse plane was noted in 93.4 % of cases, reduction of displacement to 0.9 mm in 78.1 % of patients. The trajectory of the mandible in the sagittal plane improved in 80.1 % of patients, normalization of the position of the mandible relative to the neuromuscular trajectory was achieved in 93.4 % of clinical cases. According to the analysis of parameters, such treatment should be considered effective. Keywords: musculoskeletal dysfunction, temporomandibular joint, clinical dysfunction index, axiography, sagittal articular pathway angle, sagittal incisor pathway angle, Bennett’s angle (movement), duration.

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