Craniomandibular (TMJ) disorders—The state of the art

McNeill, Charles; W, Danzig; Farrar, William B.; Gelb, Harold; Lerman, Martin D.; Moffett, Benjamin C.; Pertes, Richard A.; Solberg, William K.; Weinberg, Lawrence A.

doi:10.1016/0022-3913(80)90104-3

Cited by 111 publications

(31 citation statements)

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“…At the follow-up evaluation, 21 patients showed an improvement of pain symptoms and 25 patients of mouth opening and even the two patients without therapy were free of symptoms after a period of about 12 months. These results were consistent with those reported by other authors [23, 31]. …”

Section: Discussionsupporting

confidence: 94%

“…In the present study, 25 patients (76 %) were treated with splint- and physiotherapy, four patients (12 %) received only physiotherapy, two patients (6 %) were treated with splint therapy only, and two patients (6 %) were given no therapy at all. The fact that some patients do not require any additional therapy following detailed information is consistent with the results of Orthlieb and McNeill who postulated that rapid pain relief using medication, appropriate information on behavioral measures may be sufficient in some patients to achieve appropriate pain elimination and, thus, adequate treatment success [22, 23]. Our patients were also adequately instructed during the baseline evaluation to employ appropriate measures in the case of obvious parafunctional activity and to avoid any hard or chewy food until appropriate improvement of symptoms.…”

Section: Discussionsupporting

confidence: 71%

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Magnetic resonance imaging of temporomandibular joint with anterior disk dislocation without reposition - long-term results

et al. 2016

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ObjectivesAnterior disk dislocation (ADD) without reposition in the temporomandibular joint (TMJ) may be associated with morphological changes in the retrodiscal region of the bilaminar zone presenting as pseudo-disk (PD). The present study was initiated to investigate the development of retrodiscal fibrosis in a period of 4–8 years and to assess if patients with a PD show differences in the clinical and radiologic findings versus patients without a PD.Materials and MethodsIn a retrospective follow-up study of 33 consecutive patients with ADD without reposition in one or both TMJs, a clinical and MRI-supported evaluation was conducted 4 to 8 years after baseline diagnosis.ResultsIn 45 % of the TMJs with ADD without reposition, a PD could be identified. Twenty-one of 31 patients who showed pain at the baseline examination (VAS mean 56 ± 38) were pain free. The mouth opening capacity (MO) of the mandible could be increased in 80 %. There were no statistical significant differences between patients with or without PD in these clinical features. The MRI parameters effusion and translation showed a statistical tendency for more improvement in the group with PD (p = 0.061, 0.064).ConclusionIn about half of the patients, a structure corresponding to a pseudo-disk developed during follow-up. Pain and the mouth opening capacity improved in all patients independent of the development of a PD.Clinical RelevanceDetection of a PD during follow-up of patients with ADD without spontaneous reposition does neither predict favorable nor worse therapy response and clinical course.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 71%

Magnetic resonance imaging of temporomandibular joint with anterior disk dislocation without reposition - long-term results

et al. 2016

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“…2 for dental wear frequency distribution per population). In order to evaluate dentoalveolar structures and structural changes due to pathology we established a dentognathic pathology classification protocol, which is based on existing clinical classifications (Le Fort 1901;Bjork A et al 1964;Baume LJ et al 1973;McNeill et al 1980;Clarkson and O'Mullane 1989;Varrela and Paunio 1994;Ramachandran Nair et al 1996;Armitage 1999;Floyd et al 1999;Lieverse 1999;Huumonen and Ørstavik 2002;Bakland and Andreasen 2004;Nair 2004;Schulze et al 2006;Hassan R. and Rahimmah 2007;Ismail et al 2007;Selwitz et al 2007;Buitrago-Téllez et al 2008;Ogden 2008;Pinheiro et al 2008;Rosenberg et al 2010). We grouped DP features into 9 classes, and scored each feature according to location, and according to presence/absence or level of expression.…”

Section: Measurementsmentioning

confidence: 99%

Comparative analysis of dentognathic pathologies in the Dmanisi mandibles

Margvelashvili

Zollikofer

Lordkipanidze

et al. 2016

American J Phys Anthropol

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Objectives: Due to the scarcity of the fossil record, in-vivo changes in the dentognathic system of early Homo are typically documented at the level of individual fossil specimens, and it remains difficult to draw population-level inferences about dietary habits, diet-related activities and lifestyle from individual patterns of dentognathic alterations. The Plio-Pleistocene hominin sample from Dmanisi (Georgia), dated to 1.77 million years ago, offers a unique opportunity to study in-vivo changes in the dentognathic system of individuals belonging to a single paleodeme of early Homo. Materials and Methods: We analyze dentognathic pathologies in the Dmanisi sample, and in comparative samples of modern Australian and Greenlander hunter-gatherer populations, applying clinical protocols of dentognathic diagnostics. Results: The Dmanisi hominins exhibit a similarly wide diversity and similar incidence of dentognathic pathologies as the modern human hunter-gatherer population samples investigated here. Dmanisi differs from the modern population samples in several respects: At young age tooth wear is already advanced, and pathologies are more prevalent. At old age, hypercementosis is substantial. Discussion: Results indicate that dentognathic pathologies and disease trajectories are largely similar in early Homo and modern humans, but that the disease load was higher in early Homo, probably as an effect of higher overall stress on the dentognathic system. Key words: aging, tooth wear, caries, periodontitisThe Plio-Pleistocene site of Dmanisi has yielded a large sample of hominin fossils associated with abundant and diverse faunal remains and Mode I stone artifacts (Gabunia et al. 2001;Ferring et al. 2011;Mgeladze et al. 2011). Occupation of the site began shortly after 1.85 Ma. The fossil hominin finds are dated to 1.77 Ma (Ferring et al. 2011). Dmanisi thus represents the earliest evidence of Homo outside of Africa. The well-preserved cranial, mandibular and postcranial remains of five individuals are unique in offering detailed insights into patterns of morphological variation within a paleodeme of early Homo, and into patterns of growth and aging Margvelashvili et al. 2013;Zollikofer et al. 2014). The craniomandibular morphology of the Dmanisi paleodeme has been described previously (Gabunia and Vekua 1995;Gabunia et al. 2000;Gabunia et al. 2001;Gabounia et al. 2002;Lordkipanidze et al. 2005;Lordkipanidze et al. 2006;Rightmire et al. 2006;Rightmire and Lordkipanidze 2010;Lordkipanidze et al. 2013;Margvelashvili et al. 2013). Cranial and mandibular morphological variation within the Dmanisi paleodeme is wide, but well within the range of variation seen in modern humans populations, and in populations of chimpanzee subspecies (Skinner et al. 2006;Lordkipanidze et al. 2013;Margvelashvili et al. 2013;Zollikofer et al. 2014). Variation in size, shape and dentognathic features among the Dmanisi mandibles has received special attention and has been studied to address questions of phylogeny, taxonomy, sexual dimorphism, die...

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“…Laskin and Block 6 suggested the term myofascial pain dysfunction syndrome (MPD). Craniomandibular disorders (CMDs) increased in popularity in the 1980s with McNeill et al 7 Today, CMD is used synonymously with TMD. The term TMD is specific for the orofacial region and refers more accurately to the joint and surrounding muscles.…”

Section: Introductionmentioning

confidence: 99%

Biofeedback, Acupuncture and Transcutaneous Electric Nerve Stimulation in the Management of Temperomandibular Disorders: A Systematic Review

Jedel¹,

Carlsson²

2003

Physical Therapy Reviews

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The aim of this systematic review was to assess the efficacy of biofeedback, acupuncture and transcutaneous electric nerve stimulation in the management of temporomandibular disorders. Articles evaluating the efficacy of biofeedback, acupuncture and transcutaneous electric nerve stimulation in temporomandibular disorders were obtained from the databases Medline, Cinahl, Embase, PsycINFO and Cochrane Controlled Trials register up to May 2002. Seven controlled clinical trials met the criteria for inclusion. The patients included in the studies ranged from 19-100. Three studies assessed the efficacy of biofeedback, three studies assessed the efficacy of acupuncture and one study assessed the efficacy of transcutaneous electric nerve stimulation. A criteria list was used to assess the internal validity of these studies. The studies were considered to be of high quality if at least five of the ten criteria were fulfilled and otherwise were considered to be low quality. The results of the studies were considered positive, negative or indifferent based on the statistical significance of between-group differences. None of the seven studies were of high quality. An analysis of the degree of evidence of the results revealed no evidence for the efficacy of biofeedback, acupuncture or transcutaneous electric nerve stimulation in the management of temporomandibular disorders.

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Craniomandibular (TMJ) disorders—The state of the art

Cited by 111 publications

References 0 publications

Magnetic resonance imaging of temporomandibular joint with anterior disk dislocation without reposition - long-term results

Magnetic resonance imaging of temporomandibular joint with anterior disk dislocation without reposition - long-term results

Comparative analysis of dentognathic pathologies in the Dmanisi mandibles

Biofeedback, Acupuncture and Transcutaneous Electric Nerve Stimulation in the Management of Temperomandibular Disorders: A Systematic Review

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