A clinical approach to temporomandibular disorders. 3. Examination of the articulatory system: the muscles

Gray, Robin J.M.; Davies, Stephen; Quayle, A. A.

doi:10.1038/sj.bdj.4808493

Cited by 20 publications

(11 citation statements)

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“…Gray et al [7] showed that there is strong correlation of bruxism with attrition, tooth sensitivity, tooth or restoration fracture, ridging of buccal mucosa and scalloping of tongue. In this study it was found that there was no correlation of attrition with scalloping of tongue and tooth or restoration fracture.…”

Section: Discussionmentioning

confidence: 98%

A Study on Prevalence of Dental Attrition and its Relation to Factors of Age, Gender and to the Signs of TMJ Dysfunction

Yadav

2011

J Indian Prosthodont Soc

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A study was planned to determine the severity of dental attrition in adults of both sexes in different age groups and its possible relationship to temporomandibular disorders. 500 subjects comprising of 260 females and 240 males in the age group of 18-55 years were clinically examined for bruxism, attrition, and signs of temporomandibular disorders. Tooth sensitivity, tooth or restoration fracture, scalloping of tongue, ridging of buccal mucosa, TMJ sounds, muscle tenderness, TMJ tenderness, referred pain, pain on mouth opening and limitation of mouth opening were recorded along with attrition score in a proforma. The basic data was then analysed to arrive at certain conclusions. A high prevalence of attrition (88.0%) with increase in age (P < 0.00) and was seen more in males as compared to females (P < 0.01). On comparing attrition with some of the signs of bruxism it was shown that tooth or restoration fracture and scalloping of tongue had no relation to the severity of attrition score. Whereas a significant relation was seen between attrition and tooth sensitivity (P < 0.00), and ridging of buccal mucosa (P < 0.05). Muscle tenderness (P < 0.00), pain on mouth opening (P < 0.05) and deviation of mandible on mouth opening (P < 0.00) had significant relation to attrition. Other signs of temporomandibular disorders such as joint tenderness, referred pain, joint sounds and limitation of mouth opening had no relation to attrition score. This study showed a limited association between the severity of attrition and TMJ dysfunction.

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Section: Discussionmentioning

confidence: 98%

A Study on Prevalence of Dental Attrition and its Relation to Factors of Age, Gender and to the Signs of TMJ Dysfunction

Yadav

2011

J Indian Prosthodont Soc

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“…15 However, Piquero et al 16 conducted a study in which it was suggested that buccal mucosa ridging and tongue indentation are not significantly related to clenching. Moreover, Takagi et al 17 reported that there is no relationship between bruxism and buccal mucosa ridging.…”

Section: Discussionmentioning

confidence: 99%

Effects of Abdominal Breathing on the Occurrence of Non-Sleep Bruxism

Ando

Sakurai

2006

Prosthodont Res. Pract.

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This study was conducted to test our hypothesis that, within the realm of behavior management techniques, abdominal breathing can reduce or completely relieve non-sleep bruxism behavior. AbstractPurpose: The aim of this study was to clarity the effectiveness of abdominal breathing in reducing or inhibiting non-sleep bruxism.Methods: Twenty-five subjects (18 men and 7 women) were asked to perform maximal voluntary clenching 3 times, silent reading for 10 min in a relaxed state, and silent reading for 10 min after performing abdominal breathing. Simultaneously, the masseter muscle activity was measured by means of electromyography (EMG), and the blood flow at the fingertip was recorded by means of a laser flowmeter device to indicate sympathetic activity. Results:Ten subjects exhibited non-sleep bruxism; bruxism events disappeared in 8 of them, and their frequency decreased in the remaining 2 subjects during silent reading after performing the abdominal breathing. Measurements of the blood flow revealed a significant difference between the existing state before the abdominal breathing procedure compared to that after the procedure (P<0.01). Conclusion:During the 10 min of silent reading following the abdominal breathing disappearance or reduction of bruxism events was observed; thus, we suggest that the abdominal breathing can influence the occurrence of non-sleep bruxism. Moreover, after the abdominal breathing, increased blood flow at the fingertip was observed indicating a reduction in the sympathetic activity.Key words: non-sleep bruxism, EMG of the masseter muscle, abdominal breathing, blood flow of the fingertip

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“…The usually examined muscles are the masseter, temporalis, lateral pterygoid and digastric. 10 These are small muscles and are generally tender where they are attached to bone. The medial pterygoid is not accessible to digital palpation.…”

Section: Q What About Muscle Examination; What Should Be Done? a Thmentioning

confidence: 99%

Conservative temporomandibular disorder management: what DO i do? – frequently asked questions

Gray

Al-Ani²

2013

Dent Update

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It is important that all treatments delivered to a TMD patient should be evidenced-based and should always be in the patient's best interests. Many treatment modalities are proposed that do not fulfil these parameters and can lead to confusion in management. A reference and reading list will be given which will direct the reader to an evidence-based approach to treatment. Some treatment suggestions are founded on the extensive clinical experience of the authors. There will not always be evidence from a randomized, controlled clinical trial to substantiate support for a specific treatment, but the reader should be directed by what the majority of clinicians would undertake as a responsible approach.

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A clinical approach to temporomandibular disorders. 3. Examination of the articulatory system: the muscles

Cited by 20 publications

References 0 publications

A Study on Prevalence of Dental Attrition and its Relation to Factors of Age, Gender and to the Signs of TMJ Dysfunction

A Study on Prevalence of Dental Attrition and its Relation to Factors of Age, Gender and to the Signs of TMJ Dysfunction

Effects of Abdominal Breathing on the Occurrence of Non-Sleep Bruxism

Conservative temporomandibular disorder management: what DO i do? – frequently asked questions

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