Longitudinal Changes in Temporomandibular Disorders in Young Adults: Indication for Systematic Temporomandibular Joint Screening

Jensen, Ute; Ruf, Sabine

doi:10.1007/s00056-007-0720-3

Cited by 6 publications

(7 citation statements)

References 23 publications

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“…Therefore, the early stages of a disorder may go undiagnosed and remain untreated. According to Jensen & Ruf studies 2 almost every third subjects with subclinical TMD developed clinical TMD over a 2.4- year period. They also emphasize that it would be deliberate to carry out systematic TMJ-screening in all adult patients prior to orthodontic treatment, in order to identify patients at risk.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Temporomandibular Joint Function in Young Adults without Complaints from the Masticatory System

Kondrat¹,

Sierpińska²,

Radke

2018

Int. J. Med. Sci.

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Objective of the study was to evaluate the clinical status of the masticatory system in young adults with full permanent dentition and no stomatognathic system complaints. The study involved 186 randomly selected people with full dental arches with normal occlusal conditions corresponding to Angle's Class I aged 18 - 21 years with an average age of 19 years. Subjects were clinically examined and temporomandibular joint (TMJ) vibrations were recorded during open-wide and close movements using BioJVA. Then, patients were categorized into groups according to Piper's classification system. The TMJs of the subjects were categorized according to the values of the vibration energy and the Piper protocol. This detected 33.4% of the joints with loosened ligaments, subluxation in 8.28%, initial signs of disc dysfunction in 5.08% and disc displacement without locking in 1.6 %. Median frequency differed significantly (p < 0.05) between the group of subjects with initial signs of TMJ dysfunction and other groups. Peak Frequency differed significantly (p < 0.05) between the healthy joints and those with TMJ subluxation. In this group of young healthy people, the majority of study joints generated small vibrations. However, a subset of people manifested higher vibrations that may indicate an early stage of TMJ dysfunction. Median Frequency was an important parameter for detecting initial symptoms of TMJ dysfunction. Peak Frequency was an important characteristic parameter for detecting TMJ subluxation.

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Section: Introductionmentioning

confidence: 99%

Assessment of the Temporomandibular Joint Function in Young Adults without Complaints from the Masticatory System

Kondrat¹,

Sierpińska²,

Radke

2018

Int. J. Med. Sci.

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“…Clinical awareness of a multidimensional association between CeH and TMD could influence future treatment . Detecting signs of a preclinical TMD is crucial to identify patients at risk for a clinically manifest TMD . In such a situation, TMD can exacerbate already existing headache via an overlap of innervation involving the trigeminal nerve .…”

Section: Discussionmentioning

confidence: 99%

Preclinical Signs of a Temporomandibular Disorder in Female Patients With Episodic Cervicogenic Headache Versus Asymptomatic Controls: A Cross‐Sectional Study

Mingels

Dankaerts

Granitzer

2019

PM&R

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Background: The International Classification of Headache Disorders, 3rd Edition, accepted "headache attributed to temporomandibular disorders" as a valid headache. The neurophysiologic interplay between cervical structures and the temporomandibular joint, however, might also suggest that a temporomandibular disorder could develop in patients with cervicogenic headache. Objective: To compare the presence of preclinical temporomandibular signs between female patients with episodic cervicogenic headache and a control group. Design: Case-controlled cross-sectional design. Setting: Institutional setting: Hasselt University. Participants: Twenty-two women (mean age AE SD: 20.7 AE 2.5 years) with episodic cervicogenic headache, without temporomandibular signs and 22 matched (gender, age, level of education, occupation) asymptomatic controls (21 AE 2.3 years). Methods: (Un)assisted temporomandibular range of motion, pressure pain thresholds, painful palpations were examined and the level of perceived stress was measured. Main Outcome Measurements: Temporomandibular range of motion (mm), pressure pain thresholds (kPa/cm²), painful palpations (yes/no), and level of perceived stress (Perceived Stress Scale). Results: Maximal mouth-opening was significantly smaller in the headache group (P <.05; effect size [ES] −0.45). Palpation of the masseter resulted in significantly more positive pain responses in the headache group at the left (P = .009; ES ∞) and right (P = .002;ES 17.5) origin, left (P = .004; ES 14.54) and right (P = .03; ES 5.71) body and left (P < .001; ES 12) insertion. Significantly lower pressure pain thresholds on the left and right anterior (P = .03; ES −0.33 resp. P = .02; ES −0.35), central (P = .003; ES 1.02 resp. P = .02; ES 0.79) and right posterior (P = .03; ES 0.62) temporalis and right tibialis anterior (P = .03; ES −0.33) were measured in the headache group. The level of perceived stress was significantly higher (P = .02) in the headache group. Conclusions: Patients with episodic cervicogenic headache present with signs of a preclinical temporomandibular disorder and sensitization. The smaller range of motion, lower pressure pain thresholds, and higher levels of stress accentuate the multidimensionality of the problem.

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“…This stresses the need for thorough analysis of TMJ on three representative layers in an oblique sagittal line in order to avoid doubts about the usefulness of MRI findings (Bumann & Lotzmann, 2002), which still poses a problem of how to interpret the disc image with respect to its physiological position or anterior displacement (Petersson, 2010). Jensen & Ruf (2007) followed subclinical and clinical symptoms of TMD which were detected and managed by MFA in a group of students. In a period of 2.4 years on average, an increase of those with clinical signs of TMD occurred.…”

Section: Epidemiology Of Tmd and The Use Of Mrimentioning

confidence: 99%

“…The need for pre-treatment diagnostics and treatment planning was stressed which leads to a successful outcome of fixed orthodontic treatment as well as to the avoidance of complications related to possible exacerbation of TMD symptoms. Jensen & Ruf (2007) showed that during a long-term orthodontic treatment, significant development of TMD is not to be expected. Likewise, the transformation of subclinical signs into clinical signs of TMD can be expected, which should not be associated with the course of possible orthodontic treatment.…”

Section: Implications Of Orthodontic Treatment On Tmdmentioning

confidence: 99%

Temporomandibular Disorders and Orthodontic Treatment – A Review with a Reported Clinical Case

Badel¹,

Marotti²,

Pavičin³

2012

Orthodontics - Basic Aspects and Clinical Considerations

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Longitudinal Changes in Temporomandibular Disorders in Young Adults: Indication for Systematic Temporomandibular Joint Screening

Cited by 6 publications

References 23 publications

Assessment of the Temporomandibular Joint Function in Young Adults without Complaints from the Masticatory System

Assessment of the Temporomandibular Joint Function in Young Adults without Complaints from the Masticatory System

Preclinical Signs of a Temporomandibular Disorder in Female Patients With Episodic Cervicogenic Headache Versus Asymptomatic Controls: A Cross‐Sectional Study

Temporomandibular Disorders and Orthodontic Treatment – A Review with a Reported Clinical Case

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