scholarly journals Analysis of Earlier Temporomandibular Joint Disorders in JIA Patients: A Clinical Report

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1140
Author(s):  
Alessandro Polizzi ◽  
Vincenzo Quinzi ◽  
Simona Santonocito ◽  
Giuseppe Palazzo ◽  
Giuseppe Marzo ◽  
...  

The aim of this study was to analyse the structural characteristics of the temporo-mandibular joint (TMJ) and the dysfunctional consequences induced by disease in subjects with juvenile idiopathic arthritis (JIA). The study was conducted in 25 patients with JIA (median age (IQR), 13.9 (10.9–15.3)) and 26 healthy controls (median age (IQR), 14.3 (11.6–17.2)) years. All enrolled patients were subjected to anamnestic evaluation, laboratory parameters, JIA subclass, and type of therapy for the disease. A clinical-gnathological evaluation, anamnestic and dysfunctional index (Ai and Di), and magnetic resonance imaging of TMJs were performed in all patients. The test group showed a significant reduction (p < 0.001) regarding the clinical findings such as maximal mouth opening, left and rightward laterotrusion and protrusion, and a significant difference in the reported symptoms (TMJ sounds, reduced mouth opening and pain), and Ai and Di (p < 0.001) compared to healthy patients. Correlation analysis showed a significant correlation between the median duration of disease and the maximum mouth opening and between visual analogue scale (VAS) score and maximum mouth opening, leftward laterotrusion, rightward laterotrusion, and protrusion. The results obtained in this study suggest that patients with JIA presented a cohort of symptoms in TMJs in comparison with healthy controls. Moreover, a careful TMJs evaluation and an early diagnosis of TMJs dysfunction and regular follow-ups are recommended in order to prevent and reduce functional and chewing problems in patients with JIA.

2018 ◽  
Vol 12 (1) ◽  
pp. 770-781
Author(s):  
Deepak Gupta ◽  
Soheyl Sheikh ◽  
Shambulingappa Pallagatti ◽  
Ravinder Singh ◽  
Amit Aggarwal

Objective(s):The objective of this study was to determine the frequency of “subluxation” and presence of clinical signs of Temporomandibular Joint Disorder (TMD) in asymptomatic individuals and its distribution according to age and sex.Materials and Methods:The material investigated comprised of 200 asymptomatic subjects with 400 joints. The subjects were divided into two groups of 18-25 years and 50-60 years of age consisting of equal number of males and females. Clinical examination involved measurement of maximal inter-incisal distance, joint sounds and deviation. For radiological examination, Temporomandibular Joint (TMJ) open mouth close mouth view option (TMJ1/2) was used on a Digital Panoramic Machine. All the radiographs were traced to assess subluxation and anterior translation of the condyle. The statistical analysis was carried out using Statistical Package for Social Sciences (SPSSInc., Chicago, IL, version 15.0 for Windows).Results:The prevalence of the signs of TMDs in the asymptomatic population was found to be very high and more predominant in females as compared to males. Furthermore, the older age group had comparatively less signs of TMDs. It was of interest that the subjects presenting with clinical signs of TMD were significantly less as compared to the subjects presenting with subluxation. The value of anterior translation was found to be more in females in the younger age group as compared to the males. Similarly, it was more in males as compared to females in older age group. But the mean anterior translation difference in females in 18-25 years and 50-60 years showed a statistically significant difference withP-value 0.017.Conclusion:Subluxation is a very common feature found in almost all the subjects in this study with a high prevalence. Hence, we may assume that the increased incidence of TMDs could be a direct result of the phenomena of subluxation. The decrease in mandibular length could be the cause of decreased mouth opening and increased subluxation.


Author(s):  
Н.И. Маслова ◽  
О.Б. Филиппова ◽  
А.И. Фролов ◽  
А.Н. Бетин

Эффективность применения кормовых пребиотических добавок в рационах телят возрастает в ранний (молочный) период их выращивания, когда происходит изменение трофических процессов, способов переработки пластических веществ, синхронизация биологических ритмов роста, развитие органов и систем организма, повышение чувствительности клеток к стимулирующим и тормозящим воздействиям. Цель работы заключалась в испытании кормовой пребиотической добавки, разработанной для профилактики и лечения диареи телят в молочный период выращивания. Опытная группа телят в период с 3- до 60-суточного возраста получала пребиотическую добавку в виде болюсов следующего состава (г): чистотел большой – 3,5; ромашка лекарственная – 3,5; куркума длинная – 0,6; аскорбиновая кислота – 1,2; фруктоза – 1,2; энтеросорбент – 2,0; сахар – 3,0; зерновая мука – 1,0. Суточная доза добавки, в зависимости от возраста и живой массы, составляла 12–16 г. В качестве энтеросорбента использовался глауконит Бондарского месторождения. В научно-производственном опыте установлено, что уже через два месяца экспериментального кормления отмечено статистически значимое различие в живой массе между группами, которое составило 2,1 кг в пользу опытных животных. Макроскопический анализ кала животных обеих групп показал, что консистенция, цвет и запах практически были одинаковыми, pH – слабокислая (5,23–5,22), примеси (кишечные паразиты и др.) отсутствовали, из чего следует, что секреторная и всасывающая функция желудочно-кишечного тракта у телят были нормальными. В контрольной группе у двух телят в течение первой недели после рождения были зафиксированы признаки нарушения функции желудочно-кишечного тракта (ЖКТ), которое сопровождалось диареей. Продолжительность болезни каждого телёнка составляла в среднем 4 суток. В целом, скармливание фитопребиотика в течение первых месяцев жизни телят оказало лечебное действие на простую диарею, обеспечило нормальное функционирование микробиоты кишечника, стимулировало увеличение среднесуточных приростов живой массы на 5%. The effectiveness of the use of prebiotic food supplements in diets of calves increases in the early (dairy) period of their growing when there is a change in trophic processes, methods of processing plastic substances, synchronization of biological growth rhythms, the development of organs and systems of the body, increasing the sensitivity of cells to stimulating and inhibitory effects. The purpose of the work was to test a food prebiotic supplement developed for the prevention and treatment of calf diarrhea during the dairy period of growing. Test group of calves from 3 to 60 days old received a prebiotic supplement in the form of boluses of the following composition (g): Chelidonium majus – 3.5; Matricaria chamomilla – 3.5; Curcuma longa – 0.6; ascorbic acid – 1.2; fructose – 1.2; enterosorbent – 2.0; sugar – 3.0; grain flour – 1.0. The daily dose of the supplement depending on age and live weight was 12–16 g. Glauconite of the Bondarsky deposit was used as an enterosorbent. In the research and production experiment it was found that after two months of experimental feeding a statistically significant difference in live weight between the groups was noted which amounted to 2.1 kg in favor of the experimental animals. Macroscopic analysis of feces in animals of both groups showed that the consistency, color and smell were almost the same, pH was slightly acidic (5.23–5.22), impurities (intestinal parasites, etc.) were absent which implies that the secretory and absorbing function the gastrointestinal tract in calves was normal. In the control group two calves during the first week after birth showed signs of a derangement of the function of the gastrointestinal tract (GIT) which was accompanied by diarrhea. The duration of disease of each calf averaged 4 days. In general feeding a phytoprebiotic during the first months of life of calves had a therapeutic effect on simple diarrhea, ensured the normal functioning of the intestinal microbiota and stimulated an increase in daily live weight gain by 5%.


Author(s):  
Chang-Woo Kim ◽  
Sung-Jae Lee ◽  
Euy-Hyun Kim ◽  
Dong-Keon Lee ◽  
Mong-Hun Kang ◽  
...  

Abstract Background We evaluated the improvement of pain and the increase in mouth opening after temporomandibular joint arthrocentesis and the possible association with various factors such as previous splint treatment, medication, and diagnosis. Results We studied 57 temporomandibular joint disorder patients who underwent arthrocentesis at Korea University Anam Hospital. These patients (24 males and 33 females, aged between 15 and 76 years) underwent arthrocentesis that was performed by one surgeon. The degree of mouth opening (assessed using the maximum mouth opening: MMO) and pain (assessed using the visual analog scale: VAS) were assessed pre- and post-arthrocentesis. The study also investigated whether treatment modalities other than arthrocentesis (medication and appliance therapy) were performed. Statistical analysis revealed that there was a significant difference in mouth opening and pain after temporomandibular joint arthrocentesis. Preoperative appliance therapy affected the results of arthrocentesis, but it was not statistically significant. With regard to pain relief, preoperative diagnosis did not show a significant difference. However, with regard to maximum mouth opening, patients with disc displacement without reduction with limited mouth opening (closed lock) showed the highest recovery (11.13 mm). Conclusion The average of MMO increase after arthrocentesis was 9.10 mm, and patients with disc displacement without reduction with locking (closed lock) showed most recovery in maximum mouth opening and it was statistically significant. The average pain relief of patients after arthrocentesis was 3.03 in the VAS scale, and patients using anterior repositioning splint (ARS) preoperatively showed the most pain relief.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Oksana Kinash ◽  
Mycola Rozhko ◽  
Andryyi Kostyshyn

The relevance of the topic is related to the necessity for a more detailed study of the effectiveness of surface electromyography as a method for diagnosis of pathological conditions of the teeth-and-jaws system and estimation of the orthopaedic treatment results. The objective of the study was to investigate the effectiveness of using a mastication test while performing surface electromyography in dental patients. We studied and analysed the output of surface electromyograms of m.masseter and m.temporalis obtained from a functional test of the maximum jaw clenching and a mastication test with a food stimulus in 54 persons. The results of the study showed a slight difference in the absolute values between the data of the functional test of the maximum jaw clenching and the mastication test. However, the comparative data of the tests after editing (removal of fragments representing the maximal mouth opening during the mastication from electromyograms in the "Neuro-MSP" program) showed no significant difference in data ($>$0.05) and the maximum approximation of the absolute values of the functional and mastication tests in all cases. Thus, it has been established that in practice the mastication test while performing electromyography in dental patients should be determined and carried out as an additional one in order to clarify the results of treatment. Further studying and establishment of the most effective methods for electromyography is considered to be promising in dentistry.


2007 ◽  
Vol 01 (03) ◽  
pp. 179-182 ◽  
Author(s):  
Alper Alkan ◽  
Burcu Baş

ABSTRACTObjective: The purpose of this study is to demonstrate a temporomandibular lavage instrument with double needles in a single canula that make the procedure easier for surgeons.Materials and methods: 38 year old woman was referred to our department with pain on the right temporomandibular joint (TMJ) region and restricted mouth opening. Magnetic resonance imaging reveals anterior disc displacement without reduction of the right TMJ. TMJ lysis and lavage was performed with double needle canula method.Results: The upper joint space was successfully lavaged with 50 mL of 0.9% saline solution. Maximal mouth opening and lateral jaw movement increased and jaw functions improved immediately after the procedure.Conclusion: It is recommended as a simple alternative to classical arthrocentesis with two needles that it is easy to use and enables to perform lysis and lavage with a single puncture. (Eur J Dent 2007;1:179-182)


Author(s):  
Ilayaraja Alagia Thiruvevenkadam ◽  
Lee Tze Ling

Background and Objectives: Awareness of temporomandibular joint disorder (TMD) is fairly concerning in management of physiotherapy as patients often seek for treatment from orthodontics when pain become their main concerns. In this case, cervical aspects are often overlooked in the treatment of temporomandibular joint disorder. This study aims to determine the effect of cervical extensor strengthening on severity of temporomandibular joint disorder. Methods: A randomized controlled trial study was carried out for 4 weeks to determine the effect of cervical extensor strengthening on severity of temporomandibular joint disorder among university students. A total of 40 participants were recruited via convenient sampling method. Subjects were randomly assigned into two groups: experimental group (E) and control group (C) through lottery randomization. Subjects in experimental group were instructed to perform 1 set of cervical extensor strengthening with 10 repetitions and goldfish exercises whereas subjects in control group were asked to perform goldfish exercises only. A pre-test and post-test severity of TMD, maximal mouth opening and maximal isometric cervical extensor strength were measured for both groups. Results: After 4 weeks of training, there was significant difference in pre-test and post-test severity of TMD and maximal mouth opening for both E and C group. On the other hand, there was significant difference of pre and post-test of maximal isometric cervical extensor strength in experimental group. There was no significant difference in post-test for severity of TMD (p=0.67), maximal mouth opening (p=0.21) and maximal isometric cervical extensor strength (p=0.40) between two groups. Conclusions: The study concluded that, 4 weeks of anti-gravity cervical extensor strengthening exercises protocol showed there was no significantly difference of the severity of TMD and maximal mouth opening between both control and experimental group. On the other hand, goldfish exercises showed significant improvement of maximal mouth opening and reduction in severity of TMD after 4 weeks of intervention period.


2021 ◽  
Author(s):  
Kubra Turan ◽  
Mucteba Enes Yayla ◽  
Murat Arslan ◽  
Suna Tokgoz Yilmaz ◽  
Ercan Okatan ◽  
...  

Abstract Objective The aim of the present study was to evaluate hearing loss in patients diagnosed with SSc (systemic sclerosis) and to investigate the relation between hearing loss, subtypes of the disease, its duration and clinical findings, and antibody positivity. Methods The study included 47 patients with SSc and 44 healthy controls. Audiometric, tympanometric and otoacoustic emission measurements were applied to both groups. Results The evaluation of the participants medical history showed that among the patients with SSc, 19.1% experienced ear fullness, 27.7% experienced vertigo and 36.2% experienced tinnitus. Hearing loss was detected in 23.4% of the patients with SSc. The corresponding result was 4.3% in the control group with a statistically significant difference (p = 0.001). Transient evoked otoacoustic emission (TEOAE) amplitude values were significantly lower in the patients both ears with SSc than the control group (p &lt; 0.005). Duration of disease was significantly longer and DLCO (diffusing capacity of the lungs for carbon monoxide) values were significantly higher in the patients with SSc and sensorineural hearing loss. Conclusions The present study found that the incidence of hearing loss was significantly higher in the study group than healthy control group. In addition to other organ involvements, cochlear involvement occurs in these patients, and further studies are required.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Farah A. Alsadat ◽  
Najlaa M. Alamoudi ◽  
Azza A. El-Housseiny ◽  
Osama M. Felemban ◽  
Faisal M. Dardeer ◽  
...  

Abstract Background Celiac disease (CD) is an immune-mediated enteropathy. CD may also involve complications with the oral cavity, which can result in various dental and oral pathologies. There are currently a limited number of studies on the oral manifestation of CD. This study aims to compare the oral manifestations of children with CD against healthy controls in Saudi Arabia. Materials and methods This study includes 208 children aged 6–14 years, distributed equally into CD patients and healthy controls. A parent completed and validated the interview questionnaire, which included the child's personal information and medical history. A dental examination was undertaken to measure possible recurrent aphthous stomatitis (RAS), dental enamel defects (DEDs), dental caries experience, and dental malocclusion. Data were analyzed using descriptive statistics and bivariate and multivariate analysis. Results Two hundred and eight participants were included (104 CD patients and 104 controls). The mean age for CD patients was 10.67 ± 2.39 years and 10.69 ± 2.36 for the healthy controls. CD children had more RAS than controls (42.3% vs. 15.4%, P < 0.001) (OR = 4.03, 95% CI = 2.09–7.81) and more DEDs than healthy controls (70.2% vs. 34.6%, P < 0.001) (OR = 4.45, 95% CI = 2.48–7.97). No significant difference was found in the frequency of malocclusion between cases and controls. Conclusion Saudi Arabian children with CD had a greater number of clinical findings of RAS and DEDs than healthy controls. Pediatric dentists should consider the possibility of CD in child patients presenting with RAS or DEDs.


1974 ◽  
Vol 75 (3) ◽  
pp. 497-502
Author(s):  
Mayer B. Davidson ◽  
Roger M. Steele

ABSTRACT Since fructose is normally metabolized in diabetics and has recently been shown to stimulate GH secretion, it was used to assess GH responses in diabetics. Fourteen diabetics (9 on insulin) and 8 controls matched for weight were studied. Fructose, infused over 10 min, was compared to arginine, infused over 30 min, both at 0.5 g/kg. Samples were collected at 0, 30, 60, 90 and 120 min and GH responses assessed as area under the curve minus the fasting area. There was no significant difference between the GH responses in diabetics and controls to either agent. Responses to arginine and fructose were significantly correlated (r = 0.60, P < 0.01) in all subjects, but not related to therapy, duration of disease or fasting glucose (75–287 mg/100 ml) in the diabetics. Oral glucose blunted the GH response to fructose in 2 controls. It is concluded that 1) fructose can stimulate GH secretion in male diabetics; 2) however, fructose-stimulated GH responses are not increased in diabetes mellitus.


2016 ◽  
Vol 1 (1) ◽  
pp. 22
Author(s):  
Nazli Zainuddin ◽  
Nurul Azira Mohd Shah ◽  
Rosdan Salim

Introduction: The role of virgin coconut oil in the treatment of allergic rhinitis is controversial. Thus, the aim of the present study is to determine the effects of virgin coconut oil ingestion, in addition to standard medications, on allergic rhinitis. We also studied the side effects of consumption of virgin coconut oil. Methods: Fifty two subjects were equally divided into test and control groups. All subjects received a daily dose of 10mg of loratadine for 28 days. The test group was given 10ml of virgin coconut oil three times a day in addition to loratadine. The symptoms of allergic rhinitis were scored at the beginning and end of the study. Results:, the symptom score were divided into nasal and non-nasal symptom scores. Sneezing score showed a significant difference, however the score was more in control group than test group, indicating that improvement in symptom was more in control group. The rest of the nasal symptom and non-nasal symptom score showed no significant difference between test and control groups. Approximately 58% of the test subjects developed side effects from consumption of virgin coconut oil, mainly gastrointestinal side effects. Conclusion: In the present study, ingestion of virgin coconut oil does not improve the overall and individual symptoms of allergic rhinitis, furthermore it has side effects.


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