Signs and symptoms of craniomandibular dysfunction in a population of Spanish children

2018 ◽  
Vol 16 (1) ◽  
pp. 24
Author(s):  
Maria Esperanza Sánchez-Sánchez
Keyword(s):  
Signs And Symptoms ◽  
Permanent Teeth ◽  
Tooth Sensitivity ◽  
Craniomandibular Dysfunction ◽  
Teeth Grinding ◽  
Specific Questionnaire ◽  
Other Hand ◽  
Opening And Closing

The craniomandibular dysfunction (CMD) is a pathology that can appear at early ages. In a sample of 36 childrenresiding in Madrid (Spain), of both sexes, with ages between 7 and 13 years, the prevalence of signs and symptomsof CMD was analyzed. For that purpose, we did a dental and muscular examination, together with temporomandibularjoints, functional and occlusal examination, and completed with a specific questionnaire. The results revealedthat 100% showed some sign or sympthom of CMD. 77,8% of the pacients presented 3 or more CMD signs.The most prevalent were painful muscle palpation (94,4%), together with sliding anteriorly (91,7%), painful jointpalpation (69,4%), wear facets in permanent teeth (41,7%) and altered opening and closing trayectory (38,9%). Onthe other hand, only 38,9% showed any CMD symptom. The most prevalent symptoms were night teeth grinding(27,8%), followed by tooth sensitivity (19,4%) and fullness in the ears (16,7%). We conclude that in our sample,25% presented mild CMD (less that 3 signs or symptoms), 58,3% presented moderate CMD (from 3 to 6 signs orsymptoms) and 16,7% showed severe CMD (more than 6 symptoms). Nevertheless, it’s important to remark thatnone of these pacients came seeking treatment for his CMD and these symptoms were refered only when beingasked. Hence the importance of a comprehensive clinic history to precociously diagnose this pathology and havethe ability to prevent its progression.

scholarly journals Prevalence of craniomandibular dysfunction sings and symptoms in students of the School of Stomatology in Belgrade

2004 ◽  
Vol 132 (9-10) ◽  
pp. 294-301 ◽  
Author(s):  
Slobodan Dodic
Keyword(s):  
Population Group ◽  
Signs And Symptoms ◽  
Epidemiological Studies ◽  
Treatment Programs ◽  
Craniomandibular Dysfunction ◽  
East European ◽  
Initial Stage ◽  
Young Subjects ◽  
Opening And Closing ◽  
Mandibular Movements

Numerous epidemiological studies suggest that CMD problem is rather present in most countries all over the world, particularly in the Scandinavian and East European countries. There have not still been epidemiological studies on incidence of CMD in our surroundings, either organized or academic treatment programs of these diseases. The results of this study showed that most common CMD signs and symptoms were: impaired mandibular movements, deviation (deflection) in opening and closing the jaws, and TMJ sounds during mandible movements. Pain as a primary symptom was seen only in 5.2% of the analyzed subjects. Such fact indicates that this analyzed population group manifested the initial stage signs and symptoms of CMD. Recording of signs and symptoms mentioned above in young subjects should lead the therapist to perform more detailed analysis and apply adequate therapy modalities.

scholarly journals The role of occlusal factor in the etiology of temporomandibular dysfunction

2009 ◽  
Vol 137 (11-12) ◽  
pp. 613-618 ◽  
Author(s):  
Slobodan Dodic ◽  
Vladimir Sinobad ◽  
Kosovka Obradovic-Djuricic ◽  
Vesna Medic
Keyword(s):  
Signs And Symptoms ◽  
Study Groups ◽  
Mean Value ◽  
Central Position ◽  
Therapeutic Effects ◽  
Posterior Teeth ◽  
Craniomandibular Dysfunction ◽  
Temporomandibular Dysfunction ◽  
The Mean

Introduction. The influence of occlusal condition at the onset of temporomandibular disorders (TMD) has been strongly debated for many years and still is the source of controversy. Up to the eighties in the last century, the occlusal factors such as the presence of uncured malocclusions, discrepancies between intercuspal position and retruded contact position greater than two millimeters, retrusive and nonworking side interferences and loss of posterior teeth were considered to be the primary causes of TMD. Objective. The aim of this study was to estimate the role of occlusal factor in the etiology of craniomandibular dysfunction and therapeutic effects of irreversible occlusal therapy (occlusal equilibration) in patients with TMD. Methods. In the investigation we studied a group of 200 men and women. The average age of the selected patients was between18 and 25 years. The purpose of TMD signs and symptoms was confirmed in every patient using a special functional analysis and evaluating the craniomandibular index (CMI) according to Fricton and Schiffman. The value of craniomandibular index was determined in the group of 15 patients with signs and symptoms of temporomandibular dysfunction. In the study groups occlusal equilibration (selective grinding) was performed according to Okeson using the central position of the mandible as the referent position in the occlusal therapy. The value of CMI was determined before and 30 days after occlusal equilibration. Results. The results of this study confirmed the significant reduction in the signs and symptoms of TMD after occlusal equilibration. The statistical elaboration of the differences between the values of CMI I (before treatment) and CMI II (30 days after treatment) revealed highly significant differences. The CMI I values in the group ranged between 0.076 and 0.346 with the mean value of 0.188?0.082.The values of CMI II ranged between 0.038 and 0.19 with the mean value of 0.038?0.053. Conclusion. The study conformed the validity of irreversible occlusal therapy (selective grinding) in patients with TMD.

scholarly journals Regenerative Endodontic Procedures, Disinfectants and Outcomes: A Systematic Review

2020 ◽  
Vol 9 (4) ◽  
pp. 65-84
Author(s):  
Adam S. Kharchi ◽  
Nara Tagiyeva-Milne ◽  
Shalini Kanagasingam
Keyword(s):  
Systematic Review ◽  
Observational Studies ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Permanent Teeth ◽  
Randomised Control Trial ◽  
Eligibility Criteria ◽  
High Quality Research ◽  
Patient Reported ◽  
Secondary Outcomes

Aims: This systematic review aims to identify and synthesise available evidence to determine the clinical and radiographic outcomes of REP involving any disinfection irrigant together with a non-antibiotic intracanal medicament. Methods: Experimental and observational studies evaluating the outcomes of REP in immature non-vital permanent teeth in 6-16 year olds, where the protocol used any type of disinfectant irrigant together with a non-antibiotic intracanal medicament (non-setting calcium hydroxide) were included. Data was narratively synthesised and presented in respect to the primary outcome (elimination of symptoms and infection) and secondary outcomes (increase in root length/width; positive response to vitality testing; patient-reported outcomes; adverse effects). Main findings: 1628 studies were identified, of which five met the eligibility criteria for inclusion in the review. Studies included one randomised control trial and four observational studies. All five studies showed an absence of clinical signs and symptoms for all teeth postoperatively with radiographic resolution or absence of pathology following the disinfection stages of the REP used. Choice of secondary outcomes were inconsistent but included further root development, coronal discolouration and root canal calcifications postoperatively. There was a high risk of bias in all five studies and subsequently the quality of the evidence base was judged to be low. Principle conclusions: REP using a non-antibiotic disinfectant approach appears capable of providing satisfactory outcomes for a non-vital immature permanent tooth. Further high-quality research is required before solid recommendations towards clinical practice guidelines for the disinfection portion of REP can be implemented.

scholarly journals In–Vivo Clinical Evaluation of Regenerative Endodontics in Immature Necrotic Permanent Teeth With Open Apex

2015 ◽  
Vol 03 (01) ◽  
pp. 026-033
Author(s):  
Prem Lata ◽  
Ajay Chhabra ◽  
Varun Jindal ◽  
Arun Thakur ◽  
Keyword(s):  
Platelet Rich Plasma ◽  
Signs And Symptoms ◽  
Permanent Teeth ◽  
Wall Thickening ◽  
Radiographic Findings ◽  
Regenerative Endodontics ◽  
Anterior Teeth ◽  
Group I ◽  
Significant Difference

Abstract Introduction: This study was conducted to evaluate clinical and radiographic findings induced by revascularization with and without platelet-rich plasma (PRP). Methods: Twenty patients with nonvital, immature anterior teeth were randomly categorized into 2 groups. Subsequent to minimal instrumentation of the root canal, disinfection was achieved with ledermix paste and followed by revascularization with and without PRP in groups 1 and 2, respectively. The cases were followed up clinically and radiographically at 6- and 12-month intervals. Results: Clinically, all cases were asymptomatic with complete resolution of signs and symptoms (except four cases which were considered as dropout). Radiographically, there was no significant difference in periapical healing, apical closure, and dentinal wall thickening in group I in comparison with group II. However, root lengthening was comparable for both of the procedures. Conclusions: Revascularization is a conservative and an effective method for inducing maturogenesis in nonvital, immature teeth. Supplementations with PRP can potentially improve the desired biological outcome of this regenerative procedure.

scholarly journals Is there a consensus for CBCT use in Orthodontics?

2014 ◽  
Vol 19 (5) ◽  
pp. 136-149 ◽  
Author(s):  
Daniela G. Garib ◽  
Louise Resti Calil ◽  
Claudia Resende Leal ◽  
Guilherme Janson
Keyword(s):  
Treatment Planning ◽  
Tooth Movement ◽  
Treatment Plan ◽  
Signs And Symptoms ◽  
Cone Beam ◽  
Permanent Teeth ◽  
Current Evidence ◽  
Craniofacial Anomalies ◽  
Conventional Radiograph ◽  
New Information

This article aims to discuss current evidence and recommendations for cone-beam computed tomography (CBCT) in Orthodontics. In comparison to conventional radiograph, CBCT has higher radiation doses and, for this reason, is not a standard method of diagnosis in Orthodontics. Routine use of CBCT in substitution to conventional radiograph is considered an unaccepted practice. CBCT should be indicated with criteria only after clinical examination has been performed and when the benefits for diagnosis and treatment planning exceed the risks of a greater radiation dose. It should be requested only when there is a potential to provide new information not demonstrated by conventional scans, when it modifies treatment plan or favors treatment execution. The most frequent indication of CBCT in Orthodontics, with some evidence on its clinical efficacy, includes retained/impacted permanent teeth; severe craniofacial anomalies; severe facial discrepancies with indication of orthodontic-surgical treatment; and bone irregularities or malformation of TMJ accompanied by signs and symptoms. In exceptional cases of adult patients when critical tooth movement are planned in regions with deficient buccolingual thickness of the alveolar ridge, CBCT can be indicated provided that there is a perspective of changes in orthodontic treatment planning.

Influence of Ageing and Lint Accumulation on the Fastening Strength of Hook and Loop Fasteners

1992 ◽  
Vol 62 (12) ◽  
pp. 766-770 ◽  
Author(s):  
Alison R. Taylor ◽  
Nigel A. G. Johnson ◽  
Bruce Dowdell
Keyword(s):  
Linear Function ◽  
The Other ◽  
Other Hand ◽  
Opening And Closing

Two possible causes of deterioration in the fastening performance of hook and loop fasteners have been investigated. The performance, quantified by various shear and peel forces, fell by less than 20% over 5000 cycles of repeated opening and closing. On the other hand, accumulated lint caused a serious loss of performance, which was nearly a linear function of the mass of lint among the hooks.

scholarly journals External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

2021 ◽  
Vol 9 (6) ◽  
pp. 72
Author(s):  
Gianni Di Giorgio ◽  
Alessandro Salucci ◽  
Gian Luca Sfasciotti ◽  
Flavia Iaculli ◽  
Maurizio Bossù
Keyword(s):  
Case Report ◽  
Calcium Silicate ◽  
Root Resorption ◽  
Signs And Symptoms ◽  
Clinical Results ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.

Möbius Syndrome with Dental Involvement: A Case Report and Literature Review

1998 ◽  
Vol 35 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Maria Rizos ◽  
Reinaldo J. Negrón ◽  
Neill Serman
Keyword(s):  
Cranial Nerves ◽  
Signs And Symptoms ◽  
Permanent Teeth ◽  
Review Of The Literature ◽  
Missing Teeth ◽  
Moebius Syndrome ◽  
Möbius Syndrome ◽  
Clinicopathological Findings ◽  
Congenitally Missing Teeth ◽  
Congenitally Missing

The clinicopathological findings on a 17-year-old female with the Möbius/Moebius syndrome are reported. The signs and symptoms of this neuromus-cular condition include congenital bilateral or unilateral palsies of the facial and abducens cranial nerves and a broad scope of multisystem abnormalities. A case of unilateral deficiencies of cranial nerves VI and VII, congenital ectro-dactyly of toes, and multiple congenitally missing primary and permanent teeth is reported. A review of the literature reveals various ideas regarding the diversity of symptoms and the etiology of the syndrome. The purpose of this article is to report oral manifestations, such as congenitally missing teeth, associated with Möbius syndrome.

scholarly journals Relationship between Oral Parafunctions and Signs and Symptoms of Craniomandibular Dysfunction in Children with Cleft Lip and Palate

2021 ◽  
Vol 22 (3) ◽  
pp. 173-178
Author(s):  
Fabiana Vitória Ananias Gonçalves ◽  
Luiz Evaristo Ricci Volpato ◽  
Amanda Alves de Oliveira ◽  
Maria Emília Oliveira Gomes ◽  
Andreza Maria Fábio Aranha
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Dental Occlusion ◽  
Bivariate Analysis ◽  
Ratio Test ◽  
Craniomandibular Dysfunction ◽  
Craniomandibular Disorder ◽  
Nail Biting

Abstract The aim of this study was to evaluate the association of oral parafunctions with the presence of signs and symptoms of craniomandibular disorder in children with cleft lip and palate (CLP). A cross-sectional study was  performed in which one hundred and eighty-eight children with CLP and absence of associated syndromes or malformations were investigated. During clinical examination, the presence of wear facets and dental occlusion were observed and palpation was performed in the temporomandibular joint region (TMJ) and orofacial musculature . The children and their guardians were interviewed regarding the presence of oral parafunctional habits (bruxism, the act of biting the lips and/or cheeks, nail biting, sucking of fingers and pacifiers) and signs and symptoms of craniomandibular dysfunction (headache, ear and/or neckache, tiredness or crack in the TMJ during mouth opening and chewing movements). The data were analyzed by means of absolute and relative frequency measurements, and bivariate analysis using Pearson’s chi-square test and likelihood ratio test were performed, considering the significance level of 5%. A higher prevalence of cleft lip and palate type (76.0%) and the presence of malocclusion (61.7%) was observed, highlighting the anterior crossbite (58.7%) and midline deviation (48.9%). There was a higher occurrence of teeth grinding (40.4%), onychophagy (28.7%) and biting lips and/or cheeks (28.7%). Onychophagia was associated with headache (p <0.05) and with pain or cracking during mouth opening (p <0.05). It was concluded that parafunctional oral habits may be associated with signs and symptoms of craniomandibular disorder in children with cleft lip and palate.Keywords: Craniomandibular Disorders. Nail Biting. Bruxism. Maxillofacial Abnormalities. Resumo O objetivo do estudo foi avaliar a associação de parafunções orais com sinais e sintomas da disfunção craniomandibular em crianças com fissuras labiopalatinas (FLP). Um estudo transversal foi realizado, no qual cento e oitenta e oito crianças com FLP e ausência de síndromes ou malformações associadas, foram investigadas. Durante exame clínico, a presença de facetas de desgaste e a oclusão dentária foram observadas e foi realizada a palpação na região da articulação temporomandibular (ATM) e musculatura orofacial. As crianças e seus responsáveis foram entrevistados com relação à presença de hábitos orais parafuncionais (bruxismo, ato de morder os lábios e/ou bochechas, onicofagia, sucção de dedos e de chupeta) e sinais e sintomas de disfunção craniomandibular (cefaléia, ouvido, dor, cansaço ou estalo na ATM durante movimentos de abertura bucal e de mastigação). Os dados foram analisados por meio de medidas de frequência absoluta e relativa e a análise bivariada foi realizada por meio dos testes do Qui-quadrado de Pearson (χ2) e a Razão de verossimilhança, considerando o nível de significância de 5%. Uma maior prevalência das fissuras envolvendo lábio e palato (76,0%) e presença de maloclusão (61,7%) foi observada, com destaque para mordida cruzada anterior (58,7%) e desvio de linha média (48,9%). Houve uma maior ocorrência do ato de ranger os dentes (40,4%), da onicofagia (28,7%) e do hábito de morder lábios e/ou bochechas (28,7%). A onicofagia foi associada à cefaléia (p<0,05) e à dor ou estalo durante abertura bucal (p<0,05). Conclui-se que hábitos orais parafuncionais podem estar associados a presença de sinais e sintomas da disfunção craniomandibular em crianças com FLP.Palavras-chave: Transtornos Craniomandibulares. Hábito de Roer Unhas. Bruxismo. Anormalidades Maxilofaciais.

scholarly journals What Role Does Synovitis Play in Craniomandibular Dysfunction (CMD)? A 3T-MRI Study

2019 ◽  
Vol 191 (10) ◽  
pp. 924-931
Author(s):  
Herbert Stimmer ◽  
Lucas Ritschl ◽  
Carolin Goetz ◽  
Andreas Kolk ◽  
Benedikt Hofauer ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Signs And Symptoms ◽  
Joint Inflammation ◽  
Joint Effusion ◽  
Mri Findings ◽  
Disc Disease ◽  
Craniomandibular Dysfunction ◽  
Clinical Signs And Symptoms ◽  
Mri Study ◽  
Arthrosis Deformans

Purpose The purpose of the present study was to investigate the degree and clinical relevance of synovitis in craniomandibular dysfunction. Materials and Methods In total, 140 temporomandibular joints were examined using a 3 T MRI scanner. Quantitative analysis of synovial enhancement was performed and interrelated with arthrosis deformans, degenerative disc disease, joint effusion, bone marrow edema and restriction of motion. Results We found a statistically high and significant correlation between the degenerative changes as mentioned above and the intensity of synovial enhancement. Conclusion The study shows that typical MRI findings in CMD patients are often combined with signs of synovitis. Presumably joint inflammation has an effect on the clinical signs and symptoms and also the prognosis of CMD. These results should be taken into consideration when selecting treatment. Key Points:  Citation Format

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