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1.
Orthod Fr ; 91(1-2): 69-81, 2020 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-33146135

RESUMEN

Standard TMJ is the key to the morphology of the face as it enables the occlusive function and spatially situates the chin. The diagnosis of the temporomandibular joint disorders is made intricate not only by the multifactorial etiology of these pathologies but also by the difficulty to comprehend the pain felt by the patient. Through a review of the literature and our respective practices (over 30 years) and teachings, this article surveys the main principles of temporomandibular joint disorder. As numerous writers have focused on the problems created by TMJ pathologies, it's only natural that various therapeutic approaches be suggested. What primarily matters is that they lead to a stabilization of the occlusion. As far as diagnosis is concerned, only a precise and rigorous protocol - followed by everyone - can produce a therapeutic result that would be acceptable for each patient. The orthodontist can and must be the coordinator of the cross-disciplinary team. He steps in over 72 % of temporomandibular joint disorder cases and proposes the most conservative, cheapest, and the best cost/benefit ratio for the patient.


Asunto(s)
Trastornos de la Articulación Temporomandibular , Oclusión Dental , Humanos , Masculino , Dolor , Articulación Temporomandibular , Trastornos de la Articulación Temporomandibular/diagnóstico , Trastornos de la Articulación Temporomandibular/terapia
2.
J Craniofac Surg ; 31(8): e809-e810, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33136921

RESUMEN

The epidemic of coronavirus disease 2019 (COVID-19) has become a major public health disaster worldwide. From January 23 to March 20, total 17 patients with TMJ dislocation were treated in dental emergency department in School and Hospital of Stomatology, Wuhan University. Almost half of the patients are older than 80 years of age and they have recurrent joint dislocations. They are also at high risk for the COVID-19. The supine position technique method is suggested. The authors consider it necessary to recommend a practical management for TMJ dislocation.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Servicio de Urgencia en Hospital , Luxaciones Articulares/terapia , Neumonía Viral/epidemiología , Trastornos de la Articulación Temporomandibular/terapia , Adulto , Anciano de 80 o más Años , Betacoronavirus , China , Brotes de Enfermedades , Humanos , Masculino , Pandemias , Posición Supina , Articulación Temporomandibular/fisiopatología
3.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 55(10): 794-798, 2020 Oct 09.
Artículo en Chino | MEDLINE | ID: mdl-33045794

RESUMEN

Temporomandibular disorders (TMD) is one of the most common diseases in the orofacial region. The occurrence, development and outcome of TMD are affected by many factors. Among various risk factors, the psychological factors, especially anxiety, depression and somatic symptoms, are getting more and more attention in the etiology, diagnosis and treatment of TMD. Psychological factors are associated with the occurrence of TMD, and the accurate diagnostic criteria is conducive to the assessment of the patient's psychological state. If necessary, an appropriate psychological treatment according to a patient's psychological status can effectively improve the effect of clinical treatment. This article, based on domestic and international literatures, reviews the research progress of the correlation between the psychological factors and the etiology, diagnosis and treatment of TMD, in order to provide new ideas for clinicians to diagnose and treat TMD.


Asunto(s)
Trastornos de la Articulación Temporomandibular , Ansiedad , Humanos , Factores de Riesgo , Trastornos de la Articulación Temporomandibular/diagnóstico , Trastornos de la Articulación Temporomandibular/terapia
4.
PLoS One ; 15(9): e0238494, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32886686

RESUMEN

The purposes of this study were to investigate the influence of the orthodontics-first approach (OFA) and surgery-first approach (SFA) on changes in the signs and symptoms of temporomandibular joint disorders (TMDs) and to compare pre- and postoperative orthodontic treatment duration and total treatment duration between the two approaches. This retrospective study recruited 182 adult patients with malocclusions treated with OFA and SFA and recorded variables such as age, gender, skeletal classification, and signs and symptoms of TMD (clicking and pain disorders) before the start of the surgical-orthodontic treatment and after surgery. Changes in the signs and symptoms of TMD and treatment duration were evaluated within each approach and compared between two approaches. A binary logistic regression was performed to assess the influence of the variables on the postoperative signs and symptoms of TMD. There were no significant postoperative changes in temporomandibular joint (TMJ) pain for OFA and SFA, whereas a significant reduction was found in TMJ clicking after surgery for both approaches. According to binary logistic regression, the type of surgical-orthodontic treatment (OFA or SFA) was not a significant risk factor for postoperative TMJ clicking and pain, and the risk of postoperative TMJ clicking and pain was significant only when TMJ clicking (OR = 10.774, p < 0.001) and pain (OR = 26.876, p = 0.008) existed before the start of the entire treatment, respectively. With regard to the treatment duration, SFA (21.1 ± 10.3 months) exhibited significantly shorter total treatment duration than OFA (34.4 ± 11.9 months) (p < 0.001). The results of this study suggest that surgical-orthodontic treatment using SFA can be a feasible option of treatment for dentofacial deformities based on the equivalent effect on TMD and shorter overall treatment period compared to conventional surgical-orthodontic treatment using OFA.


Asunto(s)
Procedimientos Quirúrgicos Ortognáticos/efectos adversos , Procedimientos Quirúrgicos Ortognáticos/métodos , Articulación Temporomandibular/cirugía , Adulto , Huesos Faciales , Femenino , Humanos , Masculino , Ortodoncia , Cirugía Ortognática , Dolor/complicaciones , Estudios Retrospectivos , Trastornos Somatomorfos/complicaciones , Trastornos de la Articulación Temporomandibular/terapia
6.
Arch Ital Biol ; 158(1): 17-23, 2020 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-32575144

RESUMEN

There is evidence showing that increasing the vertical dimension of occlusion, or interocclusal distance, reduces pain symptoms in patients with temporomandibular disorders (TMD) and bruxism. The mechanism underlying the analgesic effect is still under investigation. Some researchers propose either a gate mechanism or the activation of the trigemino-cardiac reflex. In this study, sensory and pain thresholds changes in the mandibular district have been evaluated in twenty healthy subjects immediately after 5 minutes of mandibular stretching at maximum opening of the jaw. Results showed a 60% increment in sensory threshold and a 70% increment in pain threshold (p<0.001) compared with the baseline values. The magnitude of the analgesic effect seems proportional to the extent of mandibular opening. These and similar results are discussed as for the implication in the treatment of TMD related symptoms.


Asunto(s)
Bruxismo , Umbral del Dolor , Trastornos de la Articulación Temporomandibular , Voluntarios Sanos , Humanos , Boca , Trastornos de la Articulación Temporomandibular/terapia
7.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 37(3): 512-518, 2020 Jun 25.
Artículo en Chino | MEDLINE | ID: mdl-32597094

RESUMEN

Masticatory robots have a broad application prospect in the field of denture material tests and mandible rehabilitation. Mechanism type of temporomandibular joint structure is an important factor influencing the performance of the masticatory robot. In view of the wide application of elastic components in the field of the biomimetic robot, an elastic component was adopted to simulate the buffering characteristics of the temporomandibular joint disc and formed the elastic temporomandibular joint structure on the basis of point-contact high pair. Secondly, the influences of the elastic temporomandibular joint structure (on mechanism degree, kinematics, dynamics, etc.) were discussed. The position and velocity of the temporomandibular joint were analyzed based on geometric constraints of the joint surface, and the dynamic analysis based on the Lagrange equation was carried out. Finally, the influence of the preload and stiffness of the elastic component was analyzed by the response surface method. The results showed that the elastic temporomandibular joint structure could effectively guarantee the flexible movement and stable force of the joint. The elastic joint structure proposed in this paper further improves the biomimetic behavior of masticatory robots. It provides new ideas for the biomimetic design of viscoelastic joint discs.


Asunto(s)
Biomimética , Robótica , Trastornos de la Articulación Temporomandibular , Humanos , Articulación Temporomandibular , Disco de la Articulación Temporomandibular , Trastornos de la Articulación Temporomandibular/terapia
8.
J Oral Pathol Med ; 49(6): 514-521, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32531825

RESUMEN

BACKGROUND: The risk factors neck muscle tension, prolonged jaw opening, and female gender are associated with developing temporomandibular disorders (TMD), which are characterized by persistent sensitization of trigeminal neurons and enhanced pain signaling. Dietary supplementation with a grape seed extract (GSE) can modulate expression of proteins that decrease neuronal excitability and trigeminal sensitization. METHODS: Mechanical nocifensive thresholds over the masseter were determined using von Frey filaments in male and female adult Sprague Dawley rats. To promote trigeminal sensitization, animals were injected with complete Freund's adjuvant in the upper trapezius. After 8 days, animals were subjected to near maximal jaw opening and head withdrawal responses were determined for 28 days. Some animals received continuous supplementation with 0.5% GSE in their drinking water two weeks prior to trapezius injections. RESULTS: Prolonged jaw opening increased the average number of nocifensive responses to mechanical stimuli for 14 days in males and females. However, trapezius inflammation prior to jaw opening promoted persistent mechanical sensitivity up to 28 days post-jaw opening in females, while in males nociceptive levels were still elevated at day 21. Supplementation with GSE, which is enriched in polyphenols and exhibits antioxidant and COX-2 activity, inhibited trigeminal nociception in response to jaw opening in both male and female sensitized animals. CONCLUSIONS: Our findings provide evidence that multiple risk factors contribute to the development of a prolonged state of trigeminal sensitization that is more severe in females and provide preclinical evidence that supplementation with GSE could be beneficial in the management of TMD.


Asunto(s)
Suplementos Dietéticos , Extracto de Semillas de Uva , Manejo del Dolor , Trastornos de la Articulación Temporomandibular , Animales , Femenino , Extracto de Semillas de Uva/farmacología , Masculino , Dolor , Ratas , Ratas Sprague-Dawley , Trastornos de la Articulación Temporomandibular/terapia , Ganglio del Trigémino
9.
J Oral Pathol Med ; 49(6): 470-475, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32531839

RESUMEN

BACKGROUND: Temporomandibular disorders (TMD) are recognised as the most common chronic orofacial pain condition, with prevalence figures ranging from 3% to 12%. Patients referred to tertiary orofacial pain clinics for the management of TMD often experience delays in receiving treatment. The objective of the present study was to assess a group treatment programme to deliver effective earlier intervention for patients with chronic TMD. METHODS: Forty-two patients with TMD seen at the Oral Medicine Clinic, Royal Dental Hospital of Melbourne, were administered baseline validated pain questionnaires: the Graded Chronic Pain Scale and Pain Catastrophising Scale. Twenty patients subsequently received education about basic neurophysiology of pain, TMD and relaxation techniques in either a group setting or in a one-on-one session and were followed longitudinally. Administration of pain questionnaires was repeated at 4-6 weeks post-intervention. RESULTS: No evidence of difference in levels of anxiety, somatic symptoms or catastrophising was found between patients who received either group or individual intervention. Both were effective at reducing pain intensity and levels of disability. Individual intervention resulted in a greater reduction in rumination. CONCLUSION: Patients with TMD can receive effective reduction of TMD-related pain and catastrophising from either group or individual education regarding neurophysiology of pain, TMD and relaxation techniques. Group education should accelerate time to commencement of care in large referral-based settings.


Asunto(s)
Dolor Crónico , Educación del Paciente como Asunto , Trastornos de la Articulación Temporomandibular , Enfermedad Crónica , Dolor Crónico/terapia , Dolor Facial/terapia , Humanos , Dimensión del Dolor , Trastornos de la Articulación Temporomandibular/terapia
10.
J Oral Pathol Med ; 49(6): 454-460, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32558995

RESUMEN

The International Association for the Study of Pain has released a new classification scheme for chronic pain. This classification scheme describes chronic pain as either a symptom of a disease (chronic secondary pain) or the disease itself (chronic primary pain). Chronic temporomandibular disorders have many similarities to other proposed chronic overlapping pain disorders, but are classified and managed by dental practitioners as a localized pain condition of the orofacial region. We review the literature to describe the similarities between chronic temporomandibular disorders and chronic overlapping pain disorders, and discuss how this evolving concept may affect the way that dentists approach the diagnosis and management of chronic temporomandibular disorders.


Asunto(s)
Dolor Crónico , Dolor Facial , Trastornos de la Articulación Temporomandibular , Enfermedad Crónica , Dolor Crónico/complicaciones , Dolor Crónico/diagnóstico , Dolor Crónico/terapia , Odontólogos , Dolor Facial/complicaciones , Dolor Facial/diagnóstico , Dolor Facial/terapia , Humanos , Rol Profesional , Trastornos de la Articulación Temporomandibular/complicaciones , Trastornos de la Articulación Temporomandibular/diagnóstico , Trastornos de la Articulación Temporomandibular/terapia
11.
J Oral Pathol Med ; 49(6): 461-469, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32585044

RESUMEN

After over 80 years of much obsession as well as avoidance of the subject of temporomandibular disorders (TMDs), the dental profession is still divided over what they are and how to deal with them. Over this period, nearly every discipline in dentistry has played some role in the development of this field. Unfortunately, a significant amount of this information has been based on personal opinion, experience-based philosophies, or poorly conducted research. Furthermore, each dental specialty has been responsible for contributing to the concepts of the etiology and management of TMDs with their own professional bias; for example, orthodontists describe these problems in orthodontic terms and offer orthodontic treatments or solutions for their patients. As various treatment approaches were found to be effective at least some of the time, this has further led to misinformation and confusion within the profession. Advances in research from diverse fields, including neurophysiology, pain pathophysiology, genetics, endocrinology, behavioral sciences, and psychology, have significantly altered our understanding of TMDs and how they should be managed. The rigid mechanical and dental-based model of the past has been gradually replaced by a biopsychosocial medical model for the diagnosis and treatment of TMDs as well as other acute and chronic pain disorders. This paper discusses the evolution of our understanding of TMDs since they were first described 85 years ago. Contemporary scientific findings and their implications are presented in some detail for clinicians who wish to provide the appropriate management for their orofacial pain patients.


Asunto(s)
Trastornos de la Articulación Temporomandibular , Dolor Facial/diagnóstico , Dolor Facial/etiología , Dolor Facial/terapia , Humanos , Trastornos de la Articulación Temporomandibular/diagnóstico , Trastornos de la Articulación Temporomandibular/terapia
12.
Pain Res Manag ; 2020: 6195601, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32454921

RESUMEN

In recent years, the number of patients applying for prosthetic treatment due to temporomandibular joint disorders (TMD) has been increasing. The main methods for treating disorders are the use of occlusal splints and physiotherapeutic rehabilitation as supportive treatment. Radio waves are electromagnetic waves with radiation frequency between 3 Hz and 3 THz, used for physiotherapeutic treatment of skeletal muscle relaxation in the range of 3 to 6 MHz. The rehabilitation effect of these waves is based on diathermy by means of high-voltage quick alternating current. Aim. The aim of the study was to evaluate the influence of radiofrequency waves on the pain of the masticatory muscles in the course of TMD and the usefulness of these procedures in the supporting treatment of these disorders. Materials and Methods. Patients aged 19 to 45 years, of both sexes, reported to the Consulting Room of TMD at the Institute of Dentistry in Krakow to undertake prosthetic treatment of TMD (I a-according to RDC/TMD). Study group (SG) consists of 20 patients who had 10 supportive treatments with radiofrequency currents. In the case of application of radiation to the muscle area, the energy was 20 J to the area of the masticatory muscles, the frequency was 3 MHz, bipolar technique, the duration of the procedure was 10 minutes, and the coupling substance was a gel for ultrasound examinations. The control group (CG) consisted of 20 patients who had 10 supportive treatments with sonophoresis procedures. For the area of masticatory muscles, 0.9 W/cm2 treatments were applied, the duty factor was 80%, the treatment time was 10 minutes, and the medical substance was 25% Voltaren gel. Results. Analysis of the results of the first clinical examinations (axis I) conducted in both groups shows a homogeneous clinical material and similar results. The second clinical examination revealed improved clinical parameters, but it showed a greater improvement in the SG. In the SG, the mean level of VAS was 6.25, and the extreme values were 5.9-0.14, the median was 2.15, and the standard deviation was 1.54. In the CG, the average value of VAS was 6.20 (peak of 5.2-0.7), the median was 2.4, and the standard deviation was 1.87. Summary. The search for new methods of supportive treatment of TMD is an important research direction due to the complex etiology of this disease and the lack of an explicit treatment algorithm. Conclusion. The results of our own research clearly indicate that the use of the radiofrequency waves brings pain relief and improvement of clinical parameters to a greater extent than in sonophoresis. It can be a very important new method in supportive treatment of TMD. Research needs to be continued.


Asunto(s)
Terapia por Radiofrecuencia/métodos , Trastornos de la Articulación Temporomandibular/terapia , Adulto , Femenino , Humanos , Masculino , Músculos Masticadores/efectos de la radiación , Persona de Mediana Edad , Ferulas Oclusales , Adulto Joven
13.
Bratisl Lek Listy ; 121(5): 352-357, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32356432

RESUMEN

AIMS: The goal of this study was to compare the treatment outcome after two different treatment modalities in cases of disc displacement of the temporomandibular joint diagnosed via magnetic resonance technique, namely surgical procedure in form of arthroscopic lysis and lavage vs. hyaluronic acid superior joint space application. MATERIALS AND METHODS: Magnetic resonance imaging was performed before and one year after treatment. Simultaneously, pre- and post-treatment visual analogue scales and maximal mouth opening distance were documented. RESULTS: In our study, out of the total of 145 patients who were initially diagnosed with magnetic resonance imaging to have internal derangements and treated with arthroscopic lysis and lavage or hyaluronic acid application, we observed progression of internal derangement in 27 cases (18.6 %), improvement in 37 cases (25.5 %) and stationary state in 81 patients (55.9 %). Both treatment methods significantly improved the followed maximal mouth opening distance and visual analogue scale, as confirmed upon the 12­month follow-up examination. Maximal mouth opening was 4.7mm for hyaluronic acid application and 12.2mm for arthroscopic lysis and lavage (p<0.005). The mean visual analogue scale values decreased from 6.2 to 2.1 for hyaluronic acid application and from 6.9 to 1.2 for arthroscopic lysis and lavage (p<0.005). CONCLUSION: Our study shows that both arthroscopic lysis and lavage and hyaluronic acid injections are effective and safe in the treatment of disc displacement in the temporomandibular joint (Tab. 3, Ref. 30).


Asunto(s)
Adyuvantes Inmunológicos , Artroscopía , Ácido Hialurónico , Trastornos de la Articulación Temporomandibular , Adyuvantes Inmunológicos/uso terapéutico , Humanos , Ácido Hialurónico/uso terapéutico , Rango del Movimiento Articular , Articulación Temporomandibular , Trastornos de la Articulación Temporomandibular/terapia , Irrigación Terapéutica , Resultado del Tratamiento
14.
Acta Odontol Scand ; 78(8): 580-589, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32421379

RESUMEN

OBJECTIVE: This systematic review aimed to assess the efficacy of occlusal splints in the treatment of temporomandibular disorders (TMDs). MATERIAL AND METHODS: This systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Four databases (Medline via Pubmed, Web of Science, Embase and Scopus) were searched, the last search was conducted on April 2020. Randomised controlled trials (RCTs) employing the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) or Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) as diagnostic criteria and including occlusal splint as one of the experimental groups were included in the present study. The data from the included studies were extracted and assessed for risk of bias. RESULTS: Eleven studies were included. The sample size ranged from 12 to 96 subjects. The male to female ratio was 0 to 25%. The mean length of follow-up was 4 months. Occlusal splint had a positive effect on mandibular movements in all included studies. Seven studies showed a positive effect of occlusal splint on chronic pain reduction and pain intensity, while two others showed improvement of temporomandibular joint clicking sounds and locking of the jaws. Moreover, improvements in mouth opening, depression, and anxiety symptoms, were reported in four studies. CONCLUSIONS: An occlusal splint can be considered as a non-invasive treatment approach for patients with TMD, especially those with signs and symptoms of restriction of mandibular movement and pain. Moreover, the present findings highlighted an urgent need of a standardised consensus regarding the prognostic evaluation of TMD.


Asunto(s)
Ferulas Oclusales , Trastornos de la Articulación Temporomandibular , Femenino , Humanos , Masculino , Mandíbula , Ensayos Clínicos Controlados Aleatorios como Asunto , Trastornos de la Articulación Temporomandibular/diagnóstico , Trastornos de la Articulación Temporomandibular/terapia , Resultado del Tratamiento
15.
Av. odontoestomatol ; 36(1): 35-47, ene.-abr. 2020. tab
Artículo en Español | IBECS | ID: ibc-192998

RESUMEN

Las intervenciones educativas en salud oral han cambiado a travès del tiempo, partiendo desde la simple entrega de información se ha avanzado hacia programas que utilizan estrategias psicológicas para motivar el cambio de conducta. La incorporación de internet en smartphones junto con el amplio uso de ellos entrega la oportunidad para realizar intervenciones innovadoras en salud con mHealth (salud móvil) para mejorar la salud y calidad de vida a nivel mundial. El uso de nuevas tecnologías está presente en el día a día de los niños, lo que entrega la oportunidad de promocionar la salud oral de una forma didáctica a los nativos digitales. El objetivo de la presente revisión de literatura es describir los resultados de la evidencia reciente del uso de aplicaciones móviles o Apps para mejorar la higiene oral en niños. La tecnología con smartphones ha crecido a un ritmo acelerado junto con el desarrollo de Apps, sin embargo, la investigación no ha llevado el ritmo. Se necesitan estudios estandarizados y específicos para cada población, especialmente en niños, antes de aprobar una App y dejarla disponible para descargar. De esta manera se podrán generar cambios efectivos a largo plazo respecto a los hábitos de salud oral de niños y adultos


Educational interventions in oral health have changed over time, starting from the simple delivery of information, progress has been made towards programs that use psychological strategies to motivate behavior change. The incorporation of the internet in smartphones along with the wide use of them provides the opportunity to carry out innovative health interventions with mHealth (mobile health) to improve health and quality of life worldwide. The use of new technologies is present in the daily lives of children, which gives the opportunity to promote oral health in a didactic way to digital natives. The aim of this literature review is to describe the results of recent evidence of the use of mobile applications or Apps to improve oral hygiene in children. Technology with smartphones has grown at an accelerated pace along with the development of Apps, however, research has not kept pace. Standardized and specific studies are needed for each population, especially in children, before approving an App and making it available for download. In this way, effective long-term changes can be generated regarding the oral health habits of children and adults


Asunto(s)
Humanos , Trastornos de la Articulación Temporomandibular/terapia , Ácido Hialurónico/administración & dosificación , Resultado del Tratamiento , Protocolos Clínicos , Músculos Masticadores/efectos de los fármacos , Músculos Masticadores/fisiología
16.
Arch Oral Biol ; 114: 104718, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32334135

RESUMEN

OBJECTIVES: The present study purposed to observe the response of comorbidities of temporomandibular disorders (TMD) including migraine and cervical dysfunction after painful TMD treatment. DESIGN: A total of 187 patients were included: 45 had no symptoms related to the painful TMD and migraine (Control), 52 had the painful TMD only (pTMD), 47 had the painful TMD that occurred earlier than the migraine (TMD1ST), and 43 had the migraine that occurred earlier than the painful TMD (MIG1ST). All patients were diagnosed based on the Research Diagnostic Criteria for Temporomandibular Disorders and International Classification of Headache Disorders, 3rd edition. Head and neck posture were assessed using lateral cephalogram. Myofascial trigger points were evaluated in the two masticatory and four cervical muscles. Stabilization splint therapy and physical therapy were applied to all patients for six months. RESULTS: MIG1ST showed lesser improvement of the intensity of the orofacial and neck pain and forward head posture than the pTMD and TMD1ST after 6 months TMD treatment. In addition, lesser degree of symptomatic progress of intensity, duration and frequency of the migraine in MIG1ST was detected than in TMD1ST after 6 months TMD treatment. CONCLUSION: The effects of TMD management on symptomatic changes of its comorbidities including the migraine and cervical dysfunction could be determined by onset order of comorbid conditions relative to TMD.


Asunto(s)
Trastornos Migrañosos/terapia , Dolor de Cuello/terapia , Postura , Trastornos de la Articulación Temporomandibular/terapia , Humanos , Trastornos Migrañosos/etiología , Dolor de Cuello/etiología , Estudios Retrospectivos , Trastornos de la Articulación Temporomandibular/complicaciones
17.
Sanid. mil ; 76(1): 36-38, ene.-mar. 2020. ilus
Artículo en Español | IBECS | ID: ibc-193139

RESUMEN

La luxación de la articulación temporomandibular (ATM) es un trastorno que generalmente se desconoce y que supone un reto para el personal sanitario que lo recibe. La etiología es variable. Puede producirse de manera espontánea por causas relacionadas con la apertura de la boca como el bostezo, risa, canto, entre otros. Clínicamente el paciente presenta boca abierta en forma de bostezo, estado de ansiedad y dolor. El tratamiento de elección es su reducción mediante la maniobra de Nelaton, que debe realizarse a la mayor brevedad. Se presenta un caso de un paciente con luxación anterior bilateral de la ATM al que se le realiza maniobra de Nelaton con éxito, sin la necesidad de administración de relajantes y analgésicos en el momento de su ejecución


A dislocation of the temporomandibular joint (TMJ) is an event that, despite being unusual, supposes a challenge for the health's personnel. The etiology is variable and can occur spontaneously due to causes related to the opening of the mouth such as yawning, laughing, singing... Clinically the patient has an open mouth in the form of yawning, anxiety and pain. The treatment of choice is its reduction through the Nelaton maneuver that must be carried out as soon as possible. We present a case of a patient with a bilateral anterior dislocation of the TMJ who underwent successful Nelaton maneuvers, without the need for administration of relaxants and analgesics at the time of execution


Asunto(s)
Humanos , Masculino , Adulto Joven , Trastornos de la Articulación Temporomandibular/terapia , Luxaciones Articulares/diagnóstico , Luxaciones Articulares/terapia , Sialorrea , Enfermería Militar/métodos , Examen Físico , Odontología Militar
18.
Rev. salud pública Parag ; 10(1): [P66-P73], mar. 2020.
Artículo en Español | LILACS, BDNPAR | ID: biblio-1087933

RESUMEN

Introducción: Los pacientes con trastornos mentales están sometidos a un mayor número de factores de riesgo de enfermedades bucodentales y temporomandibulares. Ello debido a los efectos secundarios de las medicaciones que consumen, la falta de autocuidado, la dificultad para acceder a atención, la actitud hacia los profesionales sanitarios y también la falta de cooperación en los tratamientos dentales. Objetivo: Determinar la frecuencia de los trastornos temporomandibulares (TTM) y el índice de dientes cariados, perdidos y obturados (CPO-D) en pacientes con discapacidad psicosocial crónica internados en el Hospital Psiquiátrico de la ciudad de Asunción, Paraguay. Material y Métodos: El estudio tuvo un diseño observacional descriptivo de corte transversal y fue aprobado por el comité de ética institucional. Participaron 139 personas con discapacidad psicosocial crónica de ambos sexos, mayores de 18 años, en el mes de mayo, 2018. Como instrumentos de medición se utilizaron: un cuestionario de 3 preguntas, el examen clínico con 5 indicadores para la variable presencia de TTM, el odontograma para el índice CPO-D y los expedientes clínicos. Resultados: Se encontró una población en su mayoría masculina, con un rango de edad entre 40-50 años, y un alto porcentaje de fumadores activos. Se observó que el 83,5 % de los examinados presentaba TTM. El índice CPO-D fue 22,8. Entre los signos de TTM, el ruido articular fue el más común. Conclusión: Se observó una elevada frecuencia de TTM en las personas con discapacidad psicosocial y un elevado índice CPO-D. Palabras Claves: Salud bucal, trastornos ATM, índice CPO, salud mental, psiquiatría, trastorno psicosocial.


Introduction: Patients with mental disorders are subject to a greater number of risk factors for oral and temporomandibular diseases. This is due to the side effects of the medication they consume, the lack of self-care, the difficulty in accessing medical help, the attitude of the patients towards health professionals and also the lack of cooperation in their dental treatments. Objective: To determined the frequency of temporomandibular disorders (TMD) and the decayed, missing and filled teeth index (DMFT) in people with chronic psychosocial disability admitted to the Psychiatric Hospital of the city of Asunción. Material and Methods: This descriptive, observational and cross-sectional study was approved by the local ethics committee. One hundred and thirty-nine people with chronic psychosocial disabilities, of both sexes, over 18 years of age participated during May, 2018. The instruments used were a 3-item questionnaire, clinical examination with 5 indicators for presence of TMD, the odontogram for the DMFT index and the clinical charts. Results:A predominantly male population, with an age range between 40-50 years, and a high percentage of active smokers was found. TMD was found in 83.5% and the DMFT index was 22.8. Among the signs of TMD, joint noise was the most common. Conclusion:A high frequency of TMD was observed in people with psychosocial disabilities and a high CPO-D index. Key words: Oral health TMJ , disorder, DMF index, mental health, psychiatry


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Trastornos de la Articulación Temporomandibular/terapia , Atención Dental para Personas con Discapacidades , Servicios de Salud Mental , Paraguay , Salud Bucal , Atención Odontológica , Impacto Psicosocial , Trastornos Mentales , Enfermedades de la Boca/tratamiento farmacológico , Enfermedades de la Boca/terapia
19.
Medicina (Kaunas) ; 56(3)2020 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-32151101

RESUMEN

BACKGROUND AND OBJECTIVES: Temporomandibular joint disorders (TMJDs) are associated with pain and reduced jaw mobility. The aim of this study was to compare the outcome of patients with TMJ arthralgia when submitted to four different treatment modalities, in some cases using intra-articular injections of substances with anti-inflammatory properties and in others, a more conservative approach consisting only of a bite splint. Materials and Methods: The sample was made up of 80 patients, randomly distributed into 4 groups of 20 patients each. Each patient was given a nocturnal bite splint. One of the groups was treated with the bite splint only, while each patient in the other 3 was injected with betamethasone, sodium hyaluronate, or platelet-rich plasma in addition to using the bite splint. Two variables were assessed, namely pain intensity between 0 to 10 according to the visual analogue scale and maximum pain-free mouth opening in mm. The patients were evaluated at four different points: at the beginning of the treatment, as well as one week, one month and six months after initiation. RESULTS: The results showed that maximum pain-free mouth opening improved in all the groups that made up the sample, with either a reduction in pain severity or with no pain. However, the group injected with platelet-rich plasma yielded the best results after six months, while patients treated with sodium hyaluronate or betamethasone obtained the best results at the end of the first week. CONCLUSIONS: We concluded that all the treatments used caused a reduction in pain and increased pain-free mouth opening. The splint combined with the platelet-rich plasma injection achieved long-term success.


Asunto(s)
Antiinflamatorios/administración & dosificación , Artralgia/terapia , Ferulas Oclusales , Plasma Rico en Plaquetas , Trastornos de la Articulación Temporomandibular/terapia , Adulto , Artralgia/tratamiento farmacológico , Betametasona/administración & dosificación , Femenino , Humanos , Ácido Hialurónico/administración & dosificación , Inyecciones Intraarticulares , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Trastornos de la Articulación Temporomandibular/tratamiento farmacológico , Resultado del Tratamiento , Adulto Joven
20.
J Biol Regul Homeost Agents ; 34(1 Suppl. 1): 151-160, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32064850

RESUMEN

Clicking may appear in the initial, middle, or final phase of mandibular opening. Magnetic Resonance Imaging (MRI) is the most appropriate diagnostic imaging for diagnosing disc position. With anterior repositioning splint (ARS), disc recapture is achieved through a change in the position of the condyle to encourage adaptation of the retrodiscal tissues. Three patients reported pain and sounds during movement and clicking in the final phases; also, the MRI confirmed anteriorized disc position and the treatments consisted of an ARS. The post-treatment examination confirmed a normal opening without deviations and deflections. After 2 years, the conditions were stable, and the MRI showed thickening of the retrodiscal tissues, including extra fibrous tissue, resulting in a pseudodisc. Treatment using ARS can stimulate tissue fibrosis and the formation of a pseudodisc. MRI is the gold standard for diagnosis and treatment planning of disc displacement cases.


Asunto(s)
Ferulas Oclusales , Trastornos de la Articulación Temporomandibular/terapia , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética , Disco de la Articulación Temporomandibular/diagnóstico por imagen
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