Interdisciplinary Approach to the Temporomandibular Joint Osteoarthritis—Review of the Literature

Derwich, Marcin; Mituś-Kenig, Maria; Pawłowska, Elżbieta

doi:10.3390/medicina56050225

Cited by 75 publications

(79 citation statements)

References 96 publications

(142 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies have assessed the prevalence of bone changes in the TMJ by using several parameters: different CBCT devices, application or not of image filters, voxels of different sizes, different image re-construction software, and different image assessment methods (Al-Ekrish et al, 2017;Choudhary et al, 2020;Derwich, Mitus-Kenig & Pawlowska, 2020;Hou et al, 2020;Miller et al, 2018;Oliveira et al, 2020;Sun et al, 2018;Urtane et al, 2018). Even so, it is possible to state that the majority of these studies found that faceting was the most prevalent change.…”

Section: Discussionmentioning

confidence: 99%

Digital image filters are not necessarily related to improvement in diagnostic of degenerative bone changes in the temporomandibular joint on cone beam computed tomography

Marques

Costa

Baeder

et al. 2021

RSD

View full text Add to dashboard Cite

This study assessed whether the use of digital image filters influences the detection of temporomandibular joint (TMJ) bone changes on cone beam computed tomography (CBCT). Two radiologists evaluated the TMJ images of CBCT scans to verify the presence of osteophytes, erosions, pseudocysts, bone sclerosis and flattening, using the software XoranCAT®; each image of the TMJ was assessed with and without the use of the following filters: Angio Sharpen 3x3 and Angio Sharpen 5x5. Kruskal-Wallis’ test was used to assess whether the application of filters influenced the scores assigned to the degenerative bone changes in the condyle. Flattening was present in 15 cases (51.72%), followed by osteophytes in six cases (20.69%), sclerosis in three cases (10.34%), and erosion in three cases (10.34%), with pseudocyst found in two cases (6.90%). No statistically significant difference was found in the scores (P = 0.786) regarding the original images and those treated with both filters. Digital image filters used in our study did not influence the diagnosis of degenerative bone changes in the TMJ on CBCT images.

show abstract

Section: Discussionmentioning

confidence: 99%

Digital image filters are not necessarily related to improvement in diagnostic of degenerative bone changes in the temporomandibular joint on cone beam computed tomography

Marques

Costa

Baeder

et al. 2021

RSD

View full text Add to dashboard Cite

show abstract

“…Patients diagnosed with TMJ reciprocal clicking require an interdisciplinary approach to the treatment, including physiotherapy and occlusal splint therapy, and could be offered innovative strategies in the field of conservative dentistry [ 42 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study

Derwich¹,

Mituś-Kenig

Pawłowska

2021

IJERPH

Self Cite

View full text Add to dashboard Cite

The number of patients diagnosed with temporomandibular joint (TMJ) internal derangements, who are seeking orthodontic treatment, is increasing. The aim of the study was to assess the relationship between the presence of TMJ reciprocal clicking and the morphology and position of the mandible, and position of lower incisors, examined on the lateral cephalograms. Fifty patients diagnosed with reciprocal clicking in at least one of the TMJs and 55 patients with no symptoms of TMJ dysfunction were included in the study. Cephalometric analysis was used for the assessment of: skeletal class, sagittal and vertical position of the mandible, angle of the mandible, inclination of the mandibular ramus and the mandibular corpus, as well as for the assessment of the position of the mandibular incisors. The statistical significance level was set at p = 0.05. There were no statistically significant differences between the examined groups regarding the sagittal and vertical position of the mandible, as well as regarding the sagittal position of the mandibular incisors. Presence of TMJ reciprocal clicking is not associated with the position and the morphology of the mandible, as well as with the sagittal position of the mandibular incisors. Patients with early stages of TMJ internal derangements do not present any significant changes in Cephalometrics. Patients diagnosed with TMJ internal derangements before orthodontic treatment require an interdisciplinary approach to the treatment, including physiotherapy.

show abstract

“…Treatment of TMJ OA requires an interdisciplinary approach [ 11 , 12 ]. There are three major aims of TMJ OA treatment: symptom relief including pain control, inactivation of the disease and finally retrieval of normal joint function [ 3 ].…”

Section: Treatment Of Tmj Oamentioning

confidence: 99%

“…There are three major aims of TMJ OA treatment: symptom relief including pain control, inactivation of the disease and finally retrieval of normal joint function [ 3 ]. Different methods of TMJ OA treatment have been grouped into several categories from the least to the most invasive procedures [ 11 , 13 ]. The abovementioned categories include: conservative treatment, including physiotherapy, occlusal splint therapy and pharmacotherapy; less invasive surgical procedures, including injections into the joint and arthrocentesis; and finally, invasive surgical procedures (arthroscopy and open joint surgery) [ 11 , 13 ].…”

Section: Treatment Of Tmj Oamentioning

confidence: 99%

See 1 more Smart Citation

Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review

Derwich¹,

Mituś-Kenig

Pawłowska

2021

Pharmaceuticals

Self Cite

View full text Add to dashboard Cite

Background: Temporomandibular joint osteoarthritis (TMJ OA) is a degenerative joint disease. The aim of this review was to present the general characteristics of orally administered nonsteroidal anti-inflammatory drugs (NSAIDs) and to present the efficacy of NSAIDs in the treatment of TMJ OA. Methods: PubMed database was analyzed with the keywords: “(temporomandibular joint) AND ((disorders) OR (osteoarthritis) AND (treatment)) AND (nonsteroidal anti-inflammatory drug)”. After screening of 180 results, 6 studies have been included in this narrative review. Results and Conclusions: Nonsteroidal anti-inflammatory drugs are one of the most commonly used drugs for alleviation of pain localized in the orofacial area. The majority of articles predominantly examined and described diclofenac sodium in the treatment of pain in the course of TMJ OA. Because of the limited number of randomized studies evaluating the efficacy of NSAIDs in the treatment of TMJ OA, as well as high heterogeneity of published researches, it seems impossible to draw up unequivocal recommendations for the usage of NSAIDs in the treatment of TMJ OA. However, it is highly recommended to use the lowest effective dose of NSAIDs for the shortest possible time. Moreover, in patients with increased risk of gastrointestinal complications, supplementary gastroprotective agents should be prescribed.

show abstract

Interdisciplinary Approach to the Temporomandibular Joint Osteoarthritis—Review of the Literature

Cited by 75 publications

References 96 publications

Digital image filters are not necessarily related to improvement in diagnostic of degenerative bone changes in the temporomandibular joint on cone beam computed tomography

Digital image filters are not necessarily related to improvement in diagnostic of degenerative bone changes in the temporomandibular joint on cone beam computed tomography

Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study

Orally Administered NSAIDs—General Characteristics and Usage in the Treatment of Temporomandibular Joint Osteoarthritis—A Narrative Review

Contact Info

Product

Resources

About