ABSTRACT
OBJECTIVES: The aim of this work is to introduce a new condition within temporomandibular disorders, temporomandibular joint compromise (TMJC), a mandibular movement limiting disorder of extra-articular traumatic cause, and evaluate the response rate and safety of treatment. The limiting cause of mandibular movement is the lack of space between the mandibular ramus and maxilla. The main symptoms of TMJC include headache, dizziness, and tinnitus. In many cases, the headache is previously diagnosed as a migraine. METHODS: Data were collected from 54 patients aged between 6 and 59 years that had a confirmed diagnosis of migraine according to the 3rd Edition of the International Headache Classification of the International Headache Society of 2018, and were treated for TMJC in a dental clinic. They also presented with other otolaryngological symptoms. A retrospective quasi-experimental study without a control group was carried out due to ethical considerations related to the harmless nature of the treatment. RESULTS: After treatment of TMJC, migraine symptoms disappeared in 52 patients (96.3%, P<.001), and persisted, although with clinical improvement, in 2 (3.7%). There was also an improvement in the other associated symptoms: dizziness disappeared in 23 out of 27 affected patients (85.21%, P<.001), and tinnitus disappeared in the 31 affected patients (100%, P<.001). No significant treatment-related side effects were observed. CONCLUSIONS: This study shows the high rate of response and safety of the treatment of TMJC.
Subject(s)
Headache Disorders , Headache/etiology , Temporomandibular Joint Disorders , Adolescent , Adult , Child , Humans , Middle Aged , Retrospective Studies , Temporomandibular Joint , Temporomandibular Joint Disorders/complications , Young AdultABSTRACT
Los trastornos temporomandibulares constituyen un conjunto de entidades clínicas que pueden afectar la musculatura masticatoria y las articulaciones temporomandibulares. A tales efectos se realizó una revisión bibliográfica donde se exponen algunos aspectos que incluyen: características clínicas, causas que lo originan, tratamiento con férulas oclusales, clasificación de estas, tipos, así como ventajas y desventajas en cuanto a su uso.
The temporomandibular disorders constitute a group of clinical entities that can affect the masticatory muscles and the temporomandibular joints. To such effects a literature review was carried out where some aspects are exposed that include: clinical features, causes that originate it, treatment with oclusal splints, their classification, types, as well as advantages and disadvantages concerning their uses.
Subject(s)
Temporomandibular Joint Disorders , Occlusal Splints , Temporomandibular JointABSTRACT
Los trastornos temporomandibulares constituyen un conjunto de entidades clínicas que pueden afectar la musculatura masticatoria y las articulaciones temporomandibulares. A tales efectos se realizó una revisión bibliográfica donde se exponen algunos aspectos que incluyen: características clínicas, causas que lo originan, tratamiento con férulas oclusales, clasificación de estas, tipos, así como ventajas y desventajas en cuanto a su uso(AU)
The temporomandibular disorders constitute a group of clinical entities that can affect the masticatory muscles and the temporomandibular joints. To such effects a literature review was carried out where some aspects are exposed that include: clinical features, causes that originate it, treatment with oclusal splints, their classification, types, as well as advantages and disadvantages concerning their uses(AU)