Prevalence of temporomandibular disorders symptoms in patients with multiple sclerosis

Carvalho, Lucas; Matta, André; Nascimento, Osvaldo J. M.; Guimarães, Antônio Sérgio Alfredo; Rodrigues, Luciane R.

doi:10.1590/0004-282x20140059

Cited by 7 publications

(12 citation statements)

References 15 publications

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“…Disorders of the TMJ were reported in seven studies, three of which used the RDC/TMD criteria, one study performed a clinical examination and another used radiographic images (CT scans) to assess the TMJ. Only two (of the seven) studies used both the EACD questionnaire and RDC/TMD criteria for temporomandibular assessment . Focusing firstly on the four studies that included a control group, all studies reported a significantly higher prevalence of TMD symptoms in people with multiple sclerosis.…”

Section: Resultsmentioning

confidence: 99%

“…For the nine studies that included control groups, these were generally well matched to the multiple sclerosis groups with regards to demographic characteristics, where these details were reported. [18][19][20][21][22][23][24]38,39…”

Section: Study and Participant Characteristicsmentioning

confidence: 99%

“…Nine studies 19,[22][23][24]38,39,[42][43][44] used objective oral assessments, four used self-report measures only, 20,30,40,41 and three used both objective and self-report measures. 18,21,25 Assessments of temporomandibular joints (TMJ) were the most commonly reported, appearing in seven of the 17 studies.…”

Section: Assessment Of Oral Healthmentioning

confidence: 99%

“…17 Consistent with the possibility that multiple sclerosis may be associated with poorer oral health outcomes, a number of empirical studies have identified a higher prevalence of dental caries, 18 periodontal disease 19,20 and increased temporomandibular joint (TMJ) disorders. [21][22][23][24] Others have identified an increased prevalence of oro-facial pathology in people with multiple sclerosis, such as trigeminal neuralgia (TN), facial numbness and facial palsy (FP). [25][26][27] It has also been well documented that these oro-facial manifestations contribute to reduced functionality and quality of life in people with multiple sclerosis.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of oral health in people with multiple sclerosis

Manchery

Nangle

2019

Comm Dent Oral Epid

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Objectives Despite more than 25 years of research focused on this topic, it remains unclear whether people with multiple sclerosis are more likely to present with oral health problems. The aim of this study was to provide the first systematic review of this literature. Methods A literature search for studies focused on oral health and multiple sclerosis was conducted using PRISMA guidelines. Electronic databases (PubMed, Scopus, Web of Science, MEDLINE and CINAHL) were searched up until February 2019. Two independent coders extracted data, and study quality graded using the Newcastle‐Ottawa Scale (NOS). Results From 1281 articles identified, 17 met all the eligibility criteria. Of the seventeen studies, more than half included a nonclinical control group, and the majority were observational studies. The included studies were of poor to moderate quality. Taken together, the results provided only very limited evidence that people with multiple sclerosis are more likely to present with dental caries and gingival disease. There was suggestive evidence that people with multiple sclerosis may be at higher risk of periodontal disease and present with poorer oral hygiene, and moderate evidence for an association between multiple sclerosis and temporomandibular disorders. Conclusions This systematic review provides evidence of an association between multiple sclerosis and at least some oral health problems. When temporomandibular disorders and periodontal status specifically have been assessed, most studies provide evidence of an association with multiple sclerosis. However, this review also clearly highlights the need for further, high‐quality studies in this area.

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Section: Resultsmentioning

confidence: 99%

Section: Study and Participant Characteristicsmentioning

confidence: 99%

Section: Assessment Of Oral Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A systematic review of oral health in people with multiple sclerosis

Manchery

Nangle

2019

Comm Dent Oral Epid

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“…In this case, the cause of trismus would be due to adhesion of articular disc, which was returned easily to the presurgical state after the initial surgery. This severe condition was not specific to MS, but among patients presenting TMD symptoms, the prevalence of the patients with MS was reported to be significantly higher than the control group, irrespective to the severity of MS. 11 We referred to the difficult airway management algorithm, and planned the intubation accordingly.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management of a Patient With Multiple Sclerosis

Ohshita

Gamoh

Kanazumi

et al. 2017

Anesthesia Progress

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A 54-year-old woman diagnosed with multiple sclerosis (MS) at the age of 19 years was scheduled to undergo temporomandibular joint mobilization. She was currently in a remission phase from her MS but with persistent sequelae, including impaired eyesight and muscle weakness of the limbs. In addition, the blood vessels in her upper limbs were compromised by the formation of internal shunts secondary to vascular prosthesis replacements for plasma exchange therapy in MS. After a previous joint mobilization surgery, her temporomandibular joint developed adhesions with resultant trismus. One of the adverse effects of general anesthesia can be exacerbations of MS symptoms. Minimizing mental and physical stress caused by surgical and anesthetic procedures and maintenance of stable body temperature are important considerations. Awake intubation was performed under sedation with midazolam and fentanyl. After intubation, anesthesia was induced with propofol, remifentanil, and rocuronium. Maintenance of anesthesia was achieved with oxygen-N 2 O-sevoflurane, remifentanil, fentanyl, and rocuronium. In this case, no adverse events occurred intraoperatively. However, the patient experienced lingering weakness of the limbs in the postoperative period, and activities of daily living of the patient were affected.Key Words: Multiple sclerosis; Demyelinating encephalomyelitis; Trismus.M ultiple sclerosis (MS) is a demyelinating disease of the central nervous system characterized by varying initial symptoms such as visual impairment, bowel/bladder dysfunction, trigeminal neuralgia, cognitive problems, gait disorder, and motor paralysis. We report a case of a patient with MS who underwent temporomandibular joint (TMJ) mobilization under general anesthesia. CASE REPORTA 54-year-old woman (height, 155 cm; weight, 45 kg) with MS was scheduled for TMJ mobilization under general anesthesia. The patient was diagnosed with MS at the age of 19 years, and reportedly was in remission since the age of 35 years, after multiple episodes of remissions and exacerbations. The MS was treated mainly with steroidpulse, immunoglobulin, and plasma exchange therapy. Although the MS was in a remission phase, she had persisting after-effects, including impaired eyesight due to steroid-induced glaucoma and cataract, and muscle weakness of limbs. She used to walk with the help of a cane, but her activities of daily living had since decreased. In addition, the blood vessels of both upper extremities and the left lower extremity were compromised as a result of formation of internal shunts secondary to vascular prosthesis replacement for plasma exchange therapy and steroid pulse therapy. Her arms and legs appeared edematous. Other medical history included gastroesophageal reflux and history of hypotension. The gastroesophageal reflux was treated with sulpiride (a dopamine antagonist antipsychotic), lansoprazole (a proton pump inhibitor), mosapride citrate (a 5-HT 4 gastroprokinetic), and polaprezinc (a mucosal protective agent), and hypotension was treated with a...

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