Early identification of malignancy in trismus: ten-year evolution of a trismus checklist to improve patient safety

Crawford, Charles; Srinivas, Anurag; Momin, Pushpa; Watts, Jacob; Davies, Stephen; Pemberton, M. N.

doi:10.1038/s41415-022-4310-y

Cited by 1 publication

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In cases of trismus in particular, symptoms that include opening that is less than 15 mm, progressively worsening trismus, absence of history of clicking, pain of non-myofascial origin (such as neuralgia etc. ), lymphadenopathy or a suspicious intra-oral soft tissue lesion, require an urgent referral to a specialist [ 63 , 64 ].…”

Section: Clinical Assessment Of the Temporomandibular Jointmentioning

confidence: 99%

“…The initial treatment of a TMD, regardless of its underlying cause is usually conservative, including a combination of factors such as jaw rest, soft diet, topical NSAIDs or DMARDs. Adjunct measures such as targeted physiotherapy and, more importantly, a soft bite splint, that can be constructed by the patient’s dentist can also be of help [ 22 , 64 ].…”

Section: Treatment – Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Temporomandibular joint disorders in seronegative spondyloarthritis: what a rheumatologist needs to know?

Syrmou,

Grammatikopoulou,

Bogdanos

et al. 2023

Reumatologia

View full text Add to dashboard Cite

Temporomandibular joint (TMJ) can be affected in the context of spondyloarthritis (SpA) with detrimental impact on individuals’ quality of life. Intraarticular inflammation, synovitis, enthesitis, disc displacement and cervical vertebrae malalignment are some of the pathophysiological phenomena involved. Temporomandibular joint disorders (TMD) incidence appears to be higher in patients with ankylosing spondylitis and psoriatic arthritis, especially when clinical evaluation includes not only imaging but relevant history, TMJ examination and diagnostic criteria for TMD. The Visual Analogue Scale (VAS) pain score and Health Assessment Questionnaire Disability Index (HAQ) quality of life score could be useful tools. Panoramic radiographs and ultrasound can be used for screening but in symptomatic patients magnetic resonance imaging (MRI) is preferable. Conservative management and early pharmacological treatment can prevent permanent joint impairment. For refractory cases, early referral to Legislation for Oral and Maxillofacial Surgery (OMFS) specialists is indicated. The aim of this narrative review is to address the involvement of TMJ in SpA and to encourage clinicians to incorporate TMJ assessment in their physical examination and basic screening.

show abstract

Section: Clinical Assessment Of the Temporomandibular Jointmentioning

confidence: 99%

Section: Treatment – Surgerymentioning

confidence: 99%