“RA.DI.CA.” Splint for the Management of the Mandibular Functional Limitation: A Retrospective Study on Patients with Anterior Disc Displacement without Reduction

The study aimed at assessing the effectiveness of the RA.DI.CA. splint in the management of temporomandibular joint disc displacement without reduction (ADDwoR) and jaw functional limitation. The authors developed a retrospective clinical study. A total of 2739 medical records were screened. One hundred and forty-one patients with chronic unilateral disc displacement without reduction and jaw limitation, treated with a multifunctional RA.DI.CA. splint, were enrolled. Temporomandibular pain, headache, familiar pain, neck pain, and emotional strain, maximum spontaneous mouth opening, and lateral excursions were evaluated at baseline (T0), after therapy (T1), and during the follow-up (T2). Descriptive statistical analysis was performed. Wilcoxon test assessed changes in symptomatology and functional aspects before and after treatment and between T1 and T2, with p < 0.05. Ninety-nine patients (70%) declared themselves “healed” from jaw functional limitation with no residual painful symptoms, 31 (22%) improved their symptoms and jaw function, 11 (8%) reported no changes compared to T0 and no one worsened. As for all parameters analyzed, the comparison between the ones before and after treatment was statistically significant (p < 0.05). The RA.DI.CA. splint proved to be highly performing and promoting functional and symptomatologic recovery, also in the medium and long term, through the restoration of the functional disc-condyle relationship and the healing of joint tissues.

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Management of Internal Derangement of Temporomandibular Joint Disc Displacement with Reduction Using Two Different Lines of Treatment

Brazilian Dental Science ◽

10.14295/bds.2021.v24i2.2080 ◽

2021 ◽

Vol 24 (2) ◽

pp. 8

Author(s):

Mohamed Ahmed Helal ◽

Shoroog Hassan Agou ◽

Amr Bayoumi ◽

Ahmed Imam ◽

Ali Habiballah Hassan

Keyword(s):

Range Of Motion ◽

Temporomandibular Joint ◽

Lower Cost ◽

Internal Derangement ◽

Disc Displacement ◽

Temporomandibular Joint Disc ◽

Non Invasive ◽

Anterior Disc Displacement ◽

Disc Displacement With Reduction

Objetive: This study was to compare the effectiveness of arthrocentesis versus the insertion of anterior repositioning splint (ARS) in improving the mandibular range of motion (MRM) for patients with the temporomandibular joint (TMJ) anterior disc displacement with reduction (ADDwR). Methods: 36 patients diagnosed as ADDwR were recruited and divided randomly into two groups. The first group (G1) was treated by arthrocentesis, and the second (G2) was treated using ARS. All patients were reexamined after six months. Results: Except that for protrusive movement, there were significant differences between the two groups for the percentage changes of the MRM as measured by the amount of pain free opening, unassisted opening, maximum assisted opening, right lateral and left lateral movements (p < 0.05). Conclusion: Within the context of the current study, the non-invasive, lower cost ARS, provided better results in improving the MRM when managing ADDwR cases. Keywords Arthrocentesis; Anterior repositioning splint; TMD; Internal derangement; Anterior disc displacement; Mandibular range of motion.

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Correlation between direction and severity of temporomandibular joint disc displacement and reduction ability during mouth opening

Journal of Oral Rehabilitation ◽

10.1111/joor.12576 ◽

2017 ◽

Vol 44 (12) ◽

pp. 957-963 ◽

Cited By ~ 1

Author(s):

M. Litko ◽

M. Berger ◽

J. Szkutnik ◽

I. Różyło-Kalinowska

Keyword(s):

Temporomandibular Joint ◽

Mouth Opening ◽

Disc Displacement ◽

Temporomandibular Joint Disc

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Is Temporomandibular Joint Disc Displacement without Reduction a Plausible Cause of Condylar Hypoplasia? A Case Report

Current Dentistry ◽

10.2174/2542579x01666180919121059 ◽

2019 ◽

Vol 1 (1) ◽

pp. 68-73 ◽

Cited By ~ 1

Author(s):

Yi-Shu Liu ◽

Adrian U-Jin Yap ◽

Jie Lei ◽

Kai-Yuan Fu

Keyword(s):

Temporomandibular Joint ◽

Clinical Presentation ◽

Mouth Opening ◽

Disc Displacement ◽

Normal Morphology ◽

Temporomandibular Joint Disc ◽

Tmj Disc ◽

Heat Therapy ◽

Initial Support ◽

Tmj Pain

Background: The causes of mandibular condylar hypoplasia can be congenital or acquired in nature. Cited local causes of acquired hypoplasia include trauma, infection and irradiation. We report a case of hypoplastic condyle that was attributed to temporomandibular joint (TMJ) disc displacement without reduction (DDwoR). Clinical Presentation: A 16-year-old male presented with restricted mouth opening and right TMJ pain for 6 months. He was subsequently diagnosed with DDwoR. Conservative treatment comprising self-care and moist-heat therapy was administered and he was followed for 27 months without any further interventions. During this period, transitions from “normal” morphology to condylar flattening / erosion, and eventually a re-modeled smaller “normal” right TMJ were observed. Conclusion: The present case provided initial support that DDwoR could be a plausible cause of condylar hypoplasia in adolescents / young adults.

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Disc stability after condylar discopexy with open surgery technique. A case report.

International Journal of Medical and Surgical Sciences ◽

10.32457/ijmss.2019.028 ◽

2019 ◽

Vol 6 (3) ◽

pp. 92-95

Author(s):

Angélica Valenzuela ◽

Jorge Beltrán

Keyword(s):

Joint Pain ◽

Open Surgery ◽

Functional Limitation ◽

Clinical Signs ◽

Mouth Opening ◽

Signs And Symptoms ◽

Disc Displacement ◽

Imaging Evaluation ◽

Lateral Dislocation ◽

Clinical Signs And Symptoms

Of the temporomandibular joint (TMJ) pathologies, temporomandibular disorders (TMD) of disc displacement present several clinical signs and symptoms, the main ones being joint pain measured with the visual analogue scale (VAS) reporting on average VAS>6, and functional incapacity measured in mm of mouth opening, reporting on average <30mm in cases of TMD. The present case corresponds to a patient with limitation of mouth opening <15mm, joint pain VAS= 8, and functional limitation. The subject’s condition was diagnosed clinically and by magnetic resonance imaging (MRI). The patient presented a Wilkes VI lateral dislocation of the left condyle disc without reduction, treated with open surgery discopexy, with disc fixation by monocryl suture and retrodiscal thermocoagulation. The patient showed a significant improvement in the removal of pain and in joint function. In clinical checkups at 1 month, 3 months, 6 months and 1 year, the patient showed decrease of pain levels, from VAS= 8 to VAS= 0, and mouth opening of <15mm to 36mm in the last checkup. Clinical and imaging evaluation at 4 years shows disc stability, with maximum mouth opening of 36 mm, with no disc displacement and clinically asymptomatic VAS = 0. In this case, discopexy with open surgery achieved improvements in functional capacity and removal of pain at short term. Long-term stability was associated with anatomical functions without alteration and without relapse of the symptomatology.

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Manual reduction of articular disc after traumatic extraction of mandibular third molar: a case report

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.20.5.101-107.oar ◽

2015 ◽

Vol 20 (5) ◽

pp. 101-107 ◽

Cited By ~ 2

Author(s):

Rubens Camino Junior ◽

Marcello Roberto Manzi ◽

Matheus Furtado de Carvalho ◽

João Gualberto de Cerqueira Luz ◽

Angélica Castro Pimentel ◽

...

Keyword(s):

Third Molar ◽

Mouth Opening ◽

Disc Displacement ◽

Articular Disc ◽

Manual Reduction ◽

Anterior Disc Displacement ◽

Mandibular Third Molar ◽

Condylar Head ◽

Passive Stretch ◽

Mandibular Movements

Introduction: Disc displacement without reduction with limited opening is an intracapsular biomechanical disorder involving the condyle-disc complex. With the mouth closed, the disc is in an anterior position in relation to the condylar head and does not reduce with mouth opening. This disorder is associated with persistent limited mandibular opening.Case report:The patient presented severe limitation to fully open the mouth, interfering in her ability to eat. Clinical examination also revealed maximum assisted jaw opening (passive stretch) with less than 40 mm of maximum interincisal opening. Magnetic resonance imaging was the method of choice to identify the temporomandibular disorders.Conclusion: By means of reporting this rare case of anterior disc displacement without reduction with limited opening, after traumatic extraction of a mandibular third molar, in which manual reduction of temporomandibular joint articular disc was performed, it was possible to prove that this technique is effective in the prompt restoration of mandibular movements.

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Angulation change of the third molar tooth in orthodontic treatment

Journal of Dentomaxillofacial Science ◽

10.15562/jdmfs.v2i1.448 ◽

2017 ◽

Vol 2 (1) ◽

pp. 40

Author(s):

Ardiansyah S. Pawinru

Keyword(s):

Orthodontic Treatment ◽

Third Molar ◽

Molar Tooth ◽

Wilcoxon Test ◽

Good Effect ◽

The Third ◽

Mandibular Third Molar ◽

Retrospective Clinical Study ◽

Before And After ◽

Measured Change

Objective : Impaction of the third molar tooth mandibular is often found in patients with orthodontic treatment. In orthodontic treatment, extraction cases of impaction of the third molar tooth are usually performed, but the patients often refuse this extraction. Extraction of premolar has a good effect on the third molar mandibular angulation during treatment.Material and Methods : This study is a retrospective clinical study with descriptive analytic to find out the effect of the first mandibular premolar tooth extraction to angulation change of the third molar mandibular in orthodontic treatment with a standard edgewise method. Angulation change was performed by comparing the third molar mandibular angulation before and after orthodontic treatment with panoramic radiographs. Angulation of the third molar tooth mandibular was calculated from the angle formed between the long axis of the tooth with the reference line infraorbita.Results : The sample comprised 60 of impacted mandibular third molar region of the left and right regions of 30 patients who had been treated declared cured in clinic of orthodontic specialist of Dentistry Faculty Padjadjaran University. The sample was divided into three (3) groups of patients before treatment angulation of the third molar tooth mandibular under 300, 300 to 600 and above 60o, then measured change of angulation and observed whether it increased, fixed or decreased. Results were analyzed by T- test and Wilcoxon test showed that there was a significant change in angulation of the third molar mandibular in orthodontic treatment with the first premolar tooth mandibular extraction.Conclusion : This study is that the first premolar tooth mandibular extraction affects the angulation of the third molar tooth mandibular after orthodontic treatment.

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EFEKTIVITAS BOOKLET TERHADAP PENGETAHUAN DAN SIKAP PEMELIHARAAN KESEHATAN GIGI MULUT PADA IBU HAMIL

Jurnal Maternitas Kebidanan ◽

10.34012/jumkep.v4i1.499 ◽

2019 ◽

Vol 4 (1) ◽

pp. 66

Author(s):

Rahmaini Fitri

Keyword(s):

Oral Health ◽

Pregnant Women ◽

The Body ◽

Wilcoxon Test ◽

Percentage Increase ◽

Oral Diseases ◽

Health Maintenance ◽

Knowledge And Attitudes ◽

Before And After ◽

Knowledge And Attitude

Pregnancy causes physiological changes in the body and as well as in the oral cavity. Dental and oral diseases associated with pregnancy that is, gingivitis, periodontitis and pregnancy granuloma. Mouth dental disease during pregnancy is not only influenced by the pregnancy itself but rather the lack of knowledge about dental and oral health maintenance. Efforts to improve the knowledge of pregnant women about oral health is done by providing information, information necessary for health education media. In this case the media is created and used to improve the knowledge of pregnant women is the booklet. This study aimed to analyze the differences in knowledge and attitudes before and after maintenance booklet oral health in pregnant women. This study is a quasi experiment with one group pre and post test design. The sample is the first trimester pregnant women who come to the health center in Sentosa Baru Medan as many as 34 people. Analysis of the data forcompare the average difference in scores of knowledge and attitudes before and after the intervention used the Wilcoxon test. The results showed there is an increased knowledge and attitude maintenance of oral health in pregnant women after being given a booklet with a value of p < 0.001, a percentage increase of 30% knowledge and attitudes percentage of 37%. The conclusions of this study is increased knowledge and attitude maintenance of oral health in pregnant women after being given a booklet.

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Pengaruh Self Help Group Terhadap Kemampuan Keluarga Dalam Merawat Klien Skizofrenia Di Poli Jiwa Puskesmas Kalitidu

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v10i2.107 ◽

2020 ◽

Vol 10 (2) ◽

Author(s):

Yusuf Efendi ◽

Errix Kristian Julianto

Keyword(s):

Mental Disorders ◽

Group Intervention ◽

Family Members ◽

Wilcoxon Test ◽

Sign Test ◽

Significance Level ◽

Self Help ◽

Before And After ◽

Self Help Groups ◽

Self Help Group

ABSTRAKDiera perkembangan jaman saat ini, beberapa keluarga dihadapkan dengan permasalahna tentang adanya angggota keluarga yeng mengaami gangguan jiwa, tak jarang keluarga tidak mengetahui bagaimana merawat angota keluarga dengan gangguan jiwa. Self help group pada keluarga dengan gangguan jiwa perlu dilakukan untuk membantu keluarga mengatasi permasalahannya yang diselesaikan bersama dalam kelompok. Manfaat yang didapatkan pada terapi ini adalah terdapatnya peningkatan pengetahuan keluarga tentang Skizofrenia. Peningkatan pengetahuan ini akan berdampak terhadap kemampuan keluarga dalam merawat klien Skizofrenia..Desain penelitian ini menggunakan desain pre eksperimental dengan rancangan one group pre-posttest design. Sampel pada penelitian ini adalah keluarga penderita Skizofrenia di PKU Jiwa Kalitidu yang berjumlah 32. . Data dikumpulkan menggunakan kuesioner kemudian dianalisis dengan menggunakan uji Wolcoxon sign dengan tingkat kemaknaan 0,05. Hasil penelitian menunjukkan bahwa kondisi responden sebelum dan sesudah dilakukan intervensi dengan self help group pada kemampuan merawat dengan nilai uji wilcoxon sebesar 0,001 yang berarti ada pengaruh dari intervensi self help group dengan merawat keluarga dengan gangguan jiwa. Kata Kunci : Self Help Group, Kemampuan Merawat, Skizofrenia ABSTRACT. In the current era of development, some families are faced with problems about family members who suffer from mental disorders, often families do not know how to care for family members with mental disorders. Self help groups for families with mental disorders need to be done to help families overcome the problems that are solved together in a group. The benefit of this therapy is that there is an increase in family knowledge about Schizophrenia. This increase in knowledge will have an impact on the ability of families to care for Schizophrenia clients.The design of this study used a pre-experimental design with one group pre-posttest design. The sample in this study was the families of Schizophrenics in Kalitidu public helath centre, amounting to 32.. Data were collected using a questionnaire and then analyzed using the Wolcoxon sign test with a significance level of 0.05.The results showed that the condition of the respondents before and after the intervention with self help group on the ability to care for Wilcoxon test value of 0.001, which means there is an influence of self help group intervention by caring for families with mental disorders. Keywords: Self Help Group, Caring Ability, Schizophrenia

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