Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders.

Boever, Jan A. De; Carlsson, Gunnar; Klineberg, Iven

doi:10.1046/j.1365-2842.2000.00623.x

Cited by 93 publications

(70 citation statements)

References 77 publications

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“…For many years Dental Medicine had considered an unfavorable dental occlusion as a principal cause of the occurrence of TMD, because TMD appeared to be more frequently observed in patients with compromised or excessive vertical dimensions (De Boever et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

The association between Occlusion Time and Temporomandibular Disorders

Baldini

Nota

Cozza

2015

Journal of Electromyography and Kinesiology

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a b s t r a c tIntroduction: Recently, some published studies show there is a multifactorial origin for Temporomandibular Disorders, but the dental occlusion's contribution to the development of Temporomandibular Disorders, and how it may influence the adaptive capacity of the Stomatognathic system, it's still unclear. The aim of this study is to evaluate the correlation between the Occlusion Time and Temporomandibular Disorders. Methods: A total of 54 patients were enrolled in the study (24 males and 30 females, mean age 27.94 ± 8.21 years). The TMD group (8 males and 10 females) consisted of subjects who presented with at least 1 of the following signs of Temporomandibular Disorders: Temporomandibular Joint sounds (clicking or crepitation), Temporomandibular Joint locking episodes, limited mandibular opening, painful limitation of mandibular movements, pain to palpation of the Temporomandibular Joint or of the masticatory muscles. The control group (16 males and 20 females) presented as free from Temporomandibular Disorders. The T-Scan III computerized occlusal analysis system was to record the subjects' Occlusion. Times during eight mandibular opening-closing movements. Results: The two-ways ANOVA test analyzed the variations for group and sex, showing that the TMD group mean Occlusion Time (0.64 ± 0.21 s) was statistically significantly longer than the control group mean Occlusion Time (0.45 ± 0.17 s) (p < 0.001). Significant differences were also found for gender where the mean OT of female subjects was longer than males one with statistical significance (p-value < 0.01). Conclusions: The computerized analysis of the Occlusion Time in patients affected by TMJ problems has to be carefully considered as adjunctive instrumental device.

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Section: Introductionmentioning

confidence: 99%

The association between Occlusion Time and Temporomandibular Disorders

Baldini

Nota

Cozza

2015

Journal of Electromyography and Kinesiology

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“…According to De Boever et al, 13 the maintenance of all teeth and particularly most molars and premolars provides the advantage of maintaining proper occlusal and muscle stability, joint function, and satisfactory chewing ability. In a totally toothless individual, the absence of teeth harms the whole stomatognathic system, including the TMJ.…”

Section: Prosthetic Proceduresmentioning

confidence: 99%

Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure

Leão

Júnior

Alencar

et al. 2017

The Journal of Contemporary Dental Practice

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Aim:To report a case of association between the surgical treatment of temporomandibular dysfunction and rehabilitation with denture total prosthesis (TP) using nonanatomic teeth (cusp 0°) in patients with anterior recurrent dislocation of the temporomandibular joint (TMJ) and persistent uncontrolled mandibular movement, showing a technical adaptation and conduct.Introduction: There are several treatment approaches available for dislocation of the TMJ. The use of condylar mini-anchors for recurrent TMJ dislocation is a valid option and should be considered since it does not alter the joint anatomy. In edentulous patients undergoing TMJ surgical procedures, prosthetic rehabilitation can be seen as a means of treatment preservation. Case report:A 73-year-old female patient attended the oral and maxillofacial surgery clinic presenting with joint instability, ligament laxity, and chronic recurrent TMJ dislocations. She had already been through three previous unsuccessful surgical procedures. A treatment plan was done based on the installation of a mini-anchor in the patient's TMJ through the preauricular surgical access. Dislocations were then resolved, but the lack of mandibular control even to a lesser extent after surgery precluded the use of prosthetics even at rest. Conclusion:The use of an individual mini-anchor is simple and effective, and the use of artificial teeth is well suited to the case.Clinical significance: A multidisciplinary intervention (surgery/ prosthesis) is of utmost importance for the resolution and preservation of the treatment of these complex cases.

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“…Attritie lijkt gerelateerd aan (zelf-gerapporteerd) bruxisme, maar de relatie tussen attritie en temporomandibulaire disfunctie is niet duidelijk (Stegenga en Lobbezoo, 2000;Van 't Spijker et al, 2007;Türp et al, 2008;Türp en Schindler, 2012). Een bestaande temporomandibulaire disfunctie is een contra-indicatie of ten minste een risico voor het succesvol toepassen van kronen en bruggen (De Boever et al, 2000a). In de eerste plaats omdat de occlusale vormgeving en maxillomandibulaire relatie worden vastgelegd in metaal of porselein zonder dat er zekerheid is dat deze correct zijn.…”

Section: Risico-indicatorenunclassified

“…Dit is een vorm van schade lijke overbehandeling. In de voorbereidende behandeling voor een behandeling met kronen en bruggen komt occlusieaanpassing eventueel in aanmerking na een behandeling met reversibele middelen inclusief een harde stabilisatieopbeetplaat (De Boever et al, 2000a;Koh en Robinson, 2003;Carlsson, 2010;List en Axelsson, 2010;Ebrahim et al, 2012). Het is echter zelden gerechtvaardigd de occlusale verhoudingen van de stabilisatieopbeetplaat over te brengen naar de dentitie (Projectgroep musculoskelettale stoornissen van het kauwstelsel, 2003).…”

Section: Occlusieaanpassingunclassified