scholarly journals Association of occlusal wear facets in patients with temporomandibular disorders

2020 ◽  
Vol 16 (12) ◽  
pp. 1060-1068
Author(s):  
Faazila Fathima ◽  
Keyword(s):  
Early Diagnosis ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Tooth Wear ◽  
P Value ◽  
Age Group ◽  
Posterior Teeth ◽  
Index Data ◽  
Occlusal Wear ◽  
High Prevalence

Occlusal changes were important factors in temporomandibular disorder (TMD). It is of interest to evaluate the association of occlusal wear facets in TMD patients. We used a dataset of 49 patients with and without TMD for this study. Occlusal wear facets were evaluated using Smith and Knight tooth wear index. Data shows that teeth wear was present more in patients with TMD (55%). The age group 26-40 years showed high prevalence of teeth wear (grade1) in TMD patients (P value = 0.034). TMD was present more in females than males. Female (54%) patients with TMD showed more teeth wear compared to males. Most patients with TMD showed posterior teeth wear (61%) than generalized teeth wear. Thus, association was present between occlusal teeth wear and TMD patients especially in the age group of 26-40 years. Hence, proper evaluation of occlusal factors will aid in early diagnosis of TMDs.

scholarly journals The relationship of occlusal disharmonies and symptoms of temporomandibular disorders

2006 ◽  
Vol 134 (9-10) ◽  
pp. 380-385 ◽  
Author(s):  
Slobodan Dodic ◽  
Darinka Stanisic-Sinobad ◽  
Miroslav Vukadinovic
Keyword(s):  
Temporomandibular Disorders ◽  
Function Analysis ◽  
Temporomandibular Disorder ◽  
Control Group ◽  
Asymptomatic Group ◽  
Posterior Teeth ◽  
Average Value ◽  
Significant Difference ◽  
Relationship Of ◽  
Contact Position

Introduction: The influence of occlusal condition on the onset of temporomandibular disorder (TMD) has been strongly debated for many years and is still the source of controversy. Until 1980s, the occlusal factors such as the presence of uncured malocclusions, discrepancies between intercuspal position (ICP) and retruded contact position (RCP) greater than two millimeters, occlusal abnormality, particularly mediotrusion and retrusion, and loss of posterior teeth were considered the primary causes of TMD. Objective: The objective of our study was to find correlation of occlusion disharmonies (difference between ICP and RCP) and present sings and symptoms of TMD. Method: The study involved 60 subjects between 18 and 26 years of age who were divided in two groups. The study group consisted of 30 subjects between 18 and 26 years of age with sings and symptoms of temporomandibular disorders (TMD). TMD was confirmed according to Helkimo index. An average value of Helkimo index in this group was 1. The control group included 30 subjects between 20 and 25 years of age without TMD sings and symptoms. An average value of Helkimo index in this group was 0. The function analysis of cinematic centers position in RCP and ICP was performed in each subject using the computer pantograph Arcus-Digma (KaVo EWL GmbH, Leutkirch, Germany). Results: The results of our study showed that the translation tracing of cinematic points from RCP to ICP was significantly different in TMD subjects and asymptomatic group (p>0.16). In addition, the study revealed that 53.4 % of subjects with sings and symptoms of temporomandibular disorders had marked translation in the lower temporomandibular joint (0.61-1.2 mm) what directed to intracapsular disorders. Conclusion: The results of our study suggested significant difference of RCP and ICP between subjects with sings and symptoms of the temporomandibular disorders and subjects without sings and symptoms.

scholarly journals Oral splints for patients with temporomandibular disorders or bruxism: a systematic review and economic evaluation

2020 ◽  
Vol 24 (7) ◽  
pp. 1-224
Author(s):  
Philip Riley ◽  
Anne-Marie Glenny ◽  
Helen V Worthington ◽  
Elisabet Jacobsen ◽  
Clare Robertson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
Incremental Cost ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Clinical Effectiveness ◽  
Tooth Wear ◽  
Incremental Cost Effectiveness Ratio ◽  
Cost Effectiveness Ratio ◽  
A Value

Background Splints are a non-invasive, reversible management option for temporomandibular disorders or bruxism. The clinical effectiveness and cost-effectiveness of splints remain uncertain. Objectives The objectives were to evaluate the clinical effectiveness and cost-effectiveness of splints for patients with temporomandibular disorders or bruxism. This evidence synthesis compared (1) all types of splint versus no/minimal treatment/control splints and (2) prefabricated versus custom-made splints, for the primary outcomes, which were pain (temporomandibular disorders) and tooth wear (bruxism). Review methods Four databases, including MEDLINE and EMBASE, were searched from inception until 1 October 2018 for randomised clinical trials. The searches were conducted on 1 October 2018. Cochrane review methods (including risk of bias) were used for the systematic review. Standardised mean differences were pooled for the primary outcome of pain, using random-effects models in temporomandibular disorder patients. A Markov cohort, state-transition model, populated using current pain and Characteristic Pain Intensity data, was used to estimate the incremental cost-effectiveness ratio for splints compared with no splint, from an NHS perspective over a lifetime horizon. A value-of-information analysis identified future research priorities. Results Fifty-two trials were included in the systematic review. The evidence identified was of very low quality with unclear reporting by temporomandibular disorder subtype. When all subtypes were pooled into one global temporomandibular disorder group, there was no evidence that splints reduced pain [standardised mean difference (at up to 3 months) –0.18, 95% confidence interval –0.42 to 0.06; substantial heterogeneity] when compared with no splints or a minimal intervention. There was no evidence that other outcomes, including temporomandibular joint noises, decreased mouth-opening, and quality of life, improved when using splints. Adverse events were generally not reported, but seemed infrequent when reported. The most plausible base-case incremental cost-effectiveness ratio was uncertain and driven by the lack of clinical effectiveness evidence. The cost-effectiveness acceptability curve showed splints becoming more cost-effective at a willingness-to-pay threshold of ≈£6000, but the probability never exceeded 60% at higher levels of willingness to pay. Results were sensitive to longer-term extrapolation assumptions. A value-of-information analysis indicated that further research is required. There were no studies measuring tooth wear in patients with bruxism. One small study looked at pain and found a reduction in the splint group [mean difference (0–10 scale) –2.01, 95% CI –1.40 to –2.62; very low-quality evidence]. As there was no evidence of a difference between splints and no splints, the second objective became irrelevant. Limitations There was a large variation in the diagnostic criteria, splint types and outcome measures used and reported. Sensitivity analyses based on these limitations did not indicate a reduction in pain. Conclusions The very low-quality evidence identified did not demonstrate that splints reduced pain in temporomandibular disorders as a group of conditions. There is insufficient evidence to determine whether or not splints reduce tooth wear in patients with bruxism. There remains substantial uncertainty surrounding the most plausible incremental cost-effectiveness ratio. Future work There is a need for well-conducted trials to determine the clinical effectiveness and cost-effectiveness of splints in patients with carefully diagnosed and subtyped temporomandibular disorders, and patients with bruxism, using agreed measures of pain and tooth wear. Study registration This study is registered as PROSPERO CRD42017068512. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 7. See the NIHR Journals Library website for further project information.

scholarly journals Psychological distress and its associated factors in the hypertensive patient (HTN-Pt) in Ludhiana, Punjab: A questionnaire-based retrospective study

2021 ◽  
Vol 12 (3) ◽  
pp. 2132-2138
Author(s):  
Maninder Singh ◽  
Bikram Singh ◽  
Arshvir Kaur
Keyword(s):  
Psychological Distress ◽  
Alcohol Use Disorders ◽  
Concomitant Administration ◽  
P Value ◽  
Age Group ◽  
Herbal Drugs ◽  
Herbal Supplements ◽  
Face To Face ◽  
High Prevalence

An elevation in blood pressure is an important risk factor of cardiovascular disease and several factors that can contribute to hypertension induce psychological distress. This study was aimed at estimating the prevalence of psychological distress and to assess general awareness regarding disease, concomitant substance abuse, and use of herbal drugs among hypertensive patients (HTN-Pt) at Satguru Pratap Singh (SPS) Hospitals, Ludhiana.  The psychological distress was assessed using the standard Kessler-10 scale  along with face-to-face interview among 275 outpatient department (OPD) HTN-Pt on follow-up. 15.30% (n=33) of total participants (n=213) had alcohol use disorders and 8.80% (n=19) of them were addicted to smoking habits. K10 scale results in patients, showed 46.9% (100) patients were suffering from psychological distress out of which 26% (n=56) were having mild, 17% (n=36) moderate and 4% (n=8) patients were having severe psychological distress. Highest percentage (33.80%) of patients with psychological distress were from age group 31-60 years of age (p value=0.003, COR= 0.240, 95% CI 0.072, 0.584). Many HTN-Pt were consuming the herbal supplements out of which 92 % of patients consuming grapes were found to have psychological distress (p value=0.034, COR= 0.380, 95% CI 0.155, 0.930).  The results of the study indicated that there was a high prevalence of psychological distress in HTN-Pt belonging to age group of 31-60 years of age and patients involved in the consumption of grapes. This study asks for supervision on the concomitant administration of herbal supplements with allopathic medicines in HTN-Pt to avoid psychological distress.

scholarly journals Self-medication in patients with temporomandibular disorders

2014 ◽  
Vol 17 (4) ◽  
pp. 82 ◽  
Author(s):  
Isabela Maddalena Dias ◽  
Lilian Alves Guedes ◽  
Patricia Cataldo de Felipe Cordeiro ◽  
Isabel Cristina Gonçalves Leite ◽  
Fabíola Pessoa Pereira Leite
Keyword(s):  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Self Medication ◽  
Main Complaint ◽  
Constant Pain ◽  
High Prevalence ◽  
Orofacial Region ◽  
School Of Dentistry ◽  
Clinical Problems

<p>Temporomandibular Disorders (TMD) are a set of painful and / or functional clinical problems that affect the joints and / or muscles of the orofacial region. The practice of self-medication, defined as the consumption of unprescribed drugs, is explained in most TMD patient cases by the occurrence of constant pain, producing discomfort and fatigue, while performing essential functions such as chewing, speaking, and swallowing, causing a drop in the quality of life of patients who have this disorder. Because of this, many see medication as a quick and sufficient means of addressing the problem of pain, and do not seek help from a professional. This study therefore aimed to evaluate, through guided interviews, the practice of self-medication in patients with temporomandibular disorder. The researchers interviewed 115 patients who were referred for treatment at the Diagnosis and Treatment Service for Patients with Temporomandibular Disorder (TMJ Service), School of Dentistry, Federal University of Juiz de Fora. In the sample studied there was a high prevalence of self-medication among the patients interviewed, of whom 71.3% used medication without a prescription, with a majority being female (84.14%). Headache was the main complaint reported by patients who self-medicated (39.53%), analgesics the most used drug class (58.13%), and most of the pain relief drugs were acquired through old prescriptions (40.25%). Thus, this work emphasizes the importance of guiding the patient and the professional regarding this practice.</p>

Tooth wear patterns in subjects with class II division 1 and class II division 2 malocclusion

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Sankalp Agnani ◽  
Kamal Bajaj ◽  
Siddharth Mehta ◽  
Lavesh Pandey
Keyword(s):  
Statistical Significance ◽  
Tooth Wear ◽  
Class Ii ◽  
P Value ◽  
Class Ii Malocclusion ◽  
Occlusal Surfaces ◽  
Occlusal Wear ◽  
Division 1 ◽  
Division 2 ◽  
Class Ii Division 1

Abstract Introduction There is an increasing trend of malocclusion among children, so it is necessary to identify the cause of the tooth wear so that the orthodontist can treat the patient accordingly. It is necessary to determine the wear patterns of different malocclusions. Therefore, the aim of our study was to compare the patterns of tooth wear among two categories of Angle’s class II malocclusions, i.e. class II division 1 and class II division 2. Material and methods The sample consisted of 100 pretreatment orthodontic patients in the age group of 15–25 years with Angle’s class II malocclusion and were divided into following two groups: (a) Group 1: 50 subjects with full cusp Angle’s class II division 1 malocclusion. (b) Group 2: 50 subjects with full cusp Angle’s class II division 2 malocclusion. Clinical examination of the patients for tooth wear was done supplemented with dental casts, intraoral photographs and intraoral radiographs. Then each group was assessed for severity of tooth wear according to modified tooth wear index (TWI) given by de Carvalo Sales-Peres et al. Scores were subjected to statistical analysis and the pattern of tooth wear among the two groups of class II malocclusion was compared. A correlation between the gender of the patient and the tooth wear was also determined. The level of statistical significance (p-value) was less than 0.05. Results The class II division 1 subjects showed statistically greater wear on the occlusal surfaces of the maxillary canines, first, second premolar and first molar, and the occlusal surfaces of the mandibular first molars. The class II division 2 subjects showed statistically greater tooth wear on the labial surfaces of the mandibular central and lateral incisors, the incisal surface of maxillary and mandibular incisors, the palatal surfaces of the maxillary second premolars, first and second molars. In class II division 1 subjects, the tooth wear was significant on the buccal surface of maxillary canines, occlusal surface of mandibular first premolars and second molars in males. In class II division 2 subjects, the tooth wear was significant on the buccal surface of mandibular canines, palatal surface of maxillary central incisors in females and palatal surface of maxillary first premolars in males. Conclusions The results of this study suggested that the two categories of Angle’s class II malocclusion have different tooth-wear patterns. The wear patterns were different in both the sexes. Men showed higher occlusal wear scores than did women. The findings also suggest that tooth wear in relation to malocclusion is physiologic and is due to dissimilar interocclusal arrangement.

scholarly journals The Prevalence and Severity of Tooth Wear in Type 2 Diabetic Patients

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Patcharawan Srisilapanan ◽  
Matee Jindarat ◽  
Jeffrey Roseman
Keyword(s):  
Age Groups ◽  
Tooth Wear ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Age Group ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
High Prevalence ◽  
Type 2 Diabetic

Objective. To assess the prevalence and severity of tooth wear in type 2 diabetic patients. Methods. Attendees at a diabetic clinic at Wiang Pa Pao Hospital in Chiang Rai province, Thailand, were invited to take part in this cross-sectional study. All participants were aged 35–74 and had type 2 diabetes. Participants were required to have been diagnosed with diabetes for at least three months. 179 subjects accepted a clinical oral examination and completed the questionnaire. Tooth wear was assessed clinically using the Smith and Knight Tooth Wear Index. Results. The mean age of diabetic patients was 56.5 ± 7.8 years. The majority (44.1%) had diabetes more than 5 years. The average years of having had diabetes was 6.5 ± 6.3 years. The most prevalent type of tooth wear was attrition (99.4%). The prevalence of erosion, abrasion, and abfraction were 64.8%, 31.3%, and 7.3%, respectively. The majority of the tooth wear was moderate to high severity (62.1%). Erosion and abfraction showed significant association with age group (p<0.05). Age group was significantly associated with the severity level (p=0.017). Mild tooth wear severity was the highest in age groups 35–44 and 45–54 (53.8% and 41.2%, respectively). Moderate tooth wear was the highest proportion in age groups 55–65 and 65–74 (52.2% and 44.0%, respectively). There were no significant differences between specific diabetic symptoms and types of tooth wear. Conclusion. There was a high prevalence of tooth wear among diabetic patients. The role of prevention is vital in maintaining the integrity of the teeth and to avoid treating these worn teeth in diabetic patients.

scholarly journals The Prevalence and Overlaps of Temporomandibular Disorders in Patients with Myofascial Pain with Referral—A Pilot Study

2021 ◽  
Vol 18 (18) ◽  
pp. 9842
Author(s):  
Joanna Kuć ◽  
Krzysztof Dariusz Szarejko ◽  
Maria Gołębiewska
Keyword(s):  
Temporomandibular Disorders ◽  
Myofascial Pain ◽  
Small Sample Size ◽  
Temporomandibular Disorder ◽  
Small Sample ◽  
Group I ◽  
Temporomandibular Joints ◽  
High Prevalence ◽  
Joint Vibration Analysis ◽  
Joint Vibration

The aim of the study was to evaluate the temporomandibular joint, the prevalence of single and multiple diagnosis and potential sided domination of temporomandibular dysfunction in patients with temporomandibular disorder—myofascial pain with referral. The study group enrolled 50 people—37 females and 13 males between 18 and 25 years old with an average age of 23.36 ± 2.14. The patients underwent joint vibration analysis. Sixty seven percent of all examined tem-poromandibular joints were classified as group I according to Mark Piper’s classification. Class IIIA appeared in 17% of joints. Eight percent of temporomandibular joints were classified as class IVA. There were no statistically significant differences in the prevalence of temporomandibular disorder with respect to gender (p = 0.838639). The relatively high prevalence of multiple diagnoses proved the overlapping nature of muscle and intraarticular disorders. Twenty eight percent of the subjects suffered from a combination of myofascial pain with referral and bilateral temporoman-dibular dysfunction. In 62% of the patients a lack of intraarticular disorders was reported. The suggestion that there exists sided domination in the occurrence of temporomandibular disorders has not been confirmed. Due to the small sample size, such differences cannot be excluded. Fur-ther research is needed.

scholarly journals Full-mouth Rehabilitation of a Patient with Severe Attrition using Hobo Twin-Stage Procedure

2011 ◽  
Vol 1 (3) ◽  
pp. 177-181
Author(s):  
Tapas Gupta ◽  
Ardhendu Banerjee ◽  
Saurav Banerjee ◽  
Nabarun Chakraborty ◽  
Rajwinder Singh
Keyword(s):  
Tooth Wear ◽  
Occlusal Plane ◽  
Clinical Report ◽  
Posterior Teeth ◽  
Severe Wear ◽  
Anterior Teeth ◽  
Occlusal Wear ◽  
Anterior Guidance ◽  
Full Mouth Rehabilitation ◽  
Occlusal Disharmony

ABSTRACT Excessive occlusal wear can result in pulpal injury, occlusal disharmony, impaired function and esthetic deformity. Loss of anterior guidance can result from severe wear of anterior teeth, which protects the posterior teeth during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This clinical report describes the use of Hobo Twin- stage procedure for rehabilitation of a patient with severe tooth wear, resulting in reduced VDO.

scholarly journals The impact of occlusal support on temporomandibular disorders: a literature review

2021 ◽  
pp. 201010582110237
Author(s):  
Minh Son Nguyen ◽  
Mare Saag ◽  
Triin Jagomägi ◽  
Quang Hai Nguyen ◽  
Ülle Voog-Oras
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Aetiological Factor ◽  
Posterior Teeth ◽  
Number Of Teeth ◽  
Osseous Changes ◽  
Masticatory System ◽  
The Impact

Temporomandibular disorders are a multifactorial disease. Occlusal support and the number of teeth in dentition have significant effects on the masticatory system. The current study aims to review the role of occlusal support in association with findings of temporomandibular disorders. Data sources were PubMed, Web of Science and Google Scholar, with 1411 citations published over the period 1992–2019. The selection criteria stipulated that articles must have reported the association between the number of teeth, occlusal unit, occlusal support and temporomandibular disorders. A total of 15 full-text articles was finally accessed for eligibility in the current review. The studies on temporomandibular disorders were collected from various sources, including articles reporting temporomandibular disorder symptoms ( n=1), temporomandibular disorder signs ( n=5), temporomandibular joint osseous changes ( n=1), temporomandibular joint dysfunction using the Helkimo index ( n=2), and temporomandibular disorder classification ( n=6). Of these articles, significant associations were found between: the number of missing teeth and temporomandibular disorders ( n=5); the number of occlusal units and occlusal supports and temporomandibular disorders ( n=3); the position of the lost occlusal units and temporomandibular disorders ( n=1). Loss of the occlusal unit has more impact on temporomandibular disorders than the loss of posterior teeth. The total loss of unilateral occlusal support seems to be an aetiological factor for temporomandibular disorders, and maintenance of balanced posterior occlusal support has a role in the prevention and management of temporomandibular disorders.

Asociación entre hábitos parafuncionales de la cavidad bucal y los transtornos temporomandibulares en adolescentes

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Gabriel Muñoz Quintana
Keyword(s):  
Oral Cavity ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Temporomandibular Disorder ◽  
Neuromuscular System ◽  
Jaw Movements ◽  
Nail Biting ◽  
Palabras Clave ◽  
Masticatory System ◽  
Objective Being

La musculatura del sistema masticatorio y la articulación temporomandibular (ATM) están protegidos por reflejos nerviosos básicos y sistema neuromuscular a través de la coordinación de fuerzas musculares, todo lo que produce sobrecarga muscular repetitiva como los hábitos parafuncionales (HPF) pueden ocasionar trastornos temporomandibulares (TTM)1. Los HPF se caracterizan por movimientos anormales a la función mandibular normal sin objetivo funcional, al estar alterados constituyen una fuente productora de fuerzas traumáticas caracterizadas por dirección anormal, intensidad excesiva y repetición frecuente y duradera (Rolando Castillo Hernández, 2001)4. El objetivo del estudio fue identificar la asociación entre la presencia de hábitos parafuncionales de la cavidad bucal y los TTM en adolescentes de la ciudad de Puebla. Estudio observacional descriptivo. Se incluyeron 258 adolescentes, 132 (51.2%) mujeres y 126 (48.8%) hombres, con una edad promedio de 12.5±.73 y quienes fueron diagnosticados con los CDI/TTM y los HPF fueron auto-reportados por los pacientes. Se encontró una prevalencia de los TTM del 39.9% y una prevalencia de HPF del 86%. Los HPF más frecuentemente reportados fueron la succión labial y la onicofagia. Se encontró una asociación significativa (x2=7.31, p=0.007) entre los hábitos parafuncionales y los TTM en adolescentes. Palabras clave: Trastornos temporomandibulares, hábitos parafuncionales, adolescentes, articulación temporomandibular. Abstract The muscles of the masticatory system and temporomandibular joint (TMJ) are protected by basic nerve reflex and neuromuscular system through the coordination of muscle forces, all that repetitive muscle overload occurs as habit parafunctional (HPF) can cause temporomandibular disorder TMD)1. The characteristics of HPF are abnormal jaw movements without a functional objective. Being the jaw movements altered, they constitute a source of traumatic forces with an abnormal direction, excessive intensity and long-lasting and frequent duration. (Rolando Hernandez Castillo 2001)4. Objective: was to identify the association between the presences of parafunctional habits of the oral cavity and TMD in adolescents in the Puebla city in Mexico. Material and methods: Is a observational study, we included 258 adolescents 132 (51%) females and 126 (48.8%) were men, mean age 12.5±.73 and who were diagnosed with CDI/TTM and HPF were self- reported by patients. Results: The prevalence of TMD was 39.9% and a prevalence of 86% HPF. The most frequently reported HPF were lip sucking and nail biting. We found a significant association (x2= 7.31, p = 0,007) between HPF and TMD in adolescents. Key words: Parafunctional habits of oral cavity, temporomandibular disorders, temporomandibular joint. (Odontol Pediatr 2011;10(2): 90-94).

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