An adult case of temporomandibular joint osteoarthritis treated with splint therapy and the subsequent orthodontic occlusal reconstruction

Kurt, Hanefı; Öztaş, Evren; Gençel, Burç; Taşan, Demet Ataman; Oztaş, Derya

doi:10.4103/0976-237x.91805

“…Patients with TMJ osteoarthritis generally reports TMJ and muscle pain, aggravated by jaw movement, and joint crepitation 12 , 18 , confirmed by clinical palpation and inspection.…”

Section: Occlusal Changes Secondary To Temporomandibular Disordersmentioning

confidence: 99%

Occlusal changes secondary to temporomandibular joint conditions: a critical review and implications for clinical practice

Caldas

¹

,

Conti

²

,

Janson

³

et al. 2016

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The relationship between Temporomandibular Disorders (TMD) and malocclusion is an extremely critical issue in dentistry. Contrary to the old concept that malocclusion causes TMD, occlusal changes, especially those observed as sudden, may be secondary and reflect joint or muscle disorders due to the obvious connection between these structures and the dental occlusion. ObjectivesThe aim of this article is to present the most commonly occlusal changes secondary to TMD.MethodsThe clinical presentation of these conditions is discussed. Details regarding diagnosis, treatment, and follow-up of patients presenting TMD prior or during treatment are also presented.ConclusionsAll plans for irreversible therapy should be preceded by a meticulous analysis of TMD signs and symptoms in such a way that patients are not submitted to irreversible treatment, based on an untrue occlusal relationship, secondary to articular and/or muscular disorders. When present, TMD symptoms must always be controlled to reestablish a “normal” occlusion and allow proper treatment strategy.

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“…El clínico, debe tener un tenaz conocimiento de las condiciones de dolor que surgen de estas estructuras para el diagnóstico adecuado y se recomienda un enfoque multidisciplinario (11).…”

Section: Introductionunclassified

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

Mendiburu

¹

,

Peñalosa

²

,

Mendiburu

³

et al. 2016

Odovtos - Int J Dent Sc

0

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The temporomandibular joint (TMJ) may be affected in patients with rheumatoid arthritis and osteoarthritis, especially in elderly and senile adult patients. The objective of this study was to evaluate the signs and / or symptoms of TMJ in elderly subjects retired from a medical institution in Merida, Yucatan, Mexico, previously diagnosed with arthritis, the onset of physical therapy and one month after applying it. July-August 2015. A longitudinal, comparative and analytical study was conducted in 25 subjects ages 60 and older, both sex: men and women. The subjects who agreed to participated signed voluntary consent letter. Also, a medical research card was made, which consisted of: 1) demographic and medical data; 2) a directed interview based on Rodriguez-Osores and modified by Mendiburu-Zavala in 2015 that included 33 dichotomous questions related to signs and / or symptoms of TMJ disorders; 3) the clinical examination was carried out carefully; 4) Finally, a manual prepared by Mendiburu-Zavala exercise based on Rocabado-Seaton and Lawson´s manual. The exercises for relaxation of the jaw and face, posture and managing TMJ noises were taught and explained individually, offering to teach them the times they needed to exercise at home. The questionnaire and clinical examination was applied a month later. The McNemar test was used. It was considered significant if P <0.05. A 28 % of the studied subject were men and 72 % women, with an average age of 65.4 ± 4.8, with a 44 % with osteoarthritis and a 56 % with rheumatoid arthritis. The effect of physiotherapy per month being applied, had a significantly favorable responses of " NO" for variables : blocked, jammed or dislocated jaw (P = 0.0156); Crackles ( P = 0.0195 ) and Snap ( P = 0.0001 ). The application of physiotherapy in this age group with arthritis was favorable.

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“…Puesto que, los trastornos de dolor orofacial son condiciones altamente prevalentes y debilitantes que afectan la cabeza, la cara y el cuello, representan un desafío para el clínico ya que la región orofacial es compleja y por lo tanto, el dolor puede surgir de muchas fuentes. El clínico, debe tener un tenaz conocimiento de las condiciones de dolor que surgen de estas estructuras para el diagnóstico adecuado y se recomienda un enfoque multidisciplinario (11).…”

Section: Introductionunclassified

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

Dds

¹

,

Peñalosa

²

,

Mendiburu

³

et al. 2016

Odovtos - Int J Dent Sc

0

View full text Add to dashboard Cite

The temporomandibular joint (TMJ) may be affected in patients with rheumatoid arthritis and osteoarthritis, especially in elderly and senile adult patients. The objective of this study was to evaluate the signs and / or symptoms of TMJ in elderly subjects retired from a medical institution in Merida, Yucatan, Mexico, previously diagnosed with arthritis, the onset of physical therapy and one month after applying it. July-August 2015. A longitudinal, comparative and analytical study was conducted in 25 subjects ages 60 and older, both sex: men and women. The subjects who agreed to participated signed voluntary consent letter. Also, a medical research card was made, which consisted of: 1) demographic and medical data; 2) a directed interview based on Rodriguez-Osores and modified by Mendiburu-Zavala in 2015 that included 33 dichotomous questions related to signs and / or symptoms of TMJ disorders; 3) the clinical examination was carried out carefully; 4) Finally, a manual prepared by Mendiburu-Zavala exercise based on Rocabado-Seaton and Lawson´s manual. The exercises for relaxation of the jaw and face, posture and managing TMJ noises were taught and explained individually, offering to teach them the times they needed to exercise at home. The questionnaire and clinical examination was applied a month later. The McNemar test was used. It was considered significant if P <0.05. A 28 % of the studied subject were men and 72 % women, with an average age of 65.4 ± 4.8, with a 44 % with osteoarthritis and a 56 % with rheumatoid arthritis. The effect of physiotherapy per month being applied, had a significantly favorable responses of " NO" for variables : blocked, jammed or dislocated jaw (P = 0.0156); Crackles ( P = 0.0195 ) and Snap ( P = 0.0001 ). The application of physiotherapy in this age group with arthritis was favorable.

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An adult case of temporomandibular joint osteoarthritis treated with splint therapy and the subsequent orthodontic occlusal reconstruction

Cited by 6 publications

References 7 publications

Occlusal changes secondary to temporomandibular joint conditions: a critical review and implications for clinical practice

Occlusal changes secondary to temporomandibular joint conditions: a critical review and implications for clinical practice

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

Signs and Symptoms in the Temporomandibular Joint of Geriatric Patients with Arthritis, Before and After Physiotherapy

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