Nonsurgical management of temporomandibular joint autoimmune disorders

Shoohanizad, Ehsan; Garajei, Ata; Enamzadeh, Aida; Yari, Amir

doi:10.3934/publichealth.2019.4.554

Cited by 14 publications

(20 citation statements)

References 59 publications

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“…This study included participants with TMD diagnosed by any pre-defined or specified diagnostic criteria, which fulfilled the Diagnostic Criteria/TMD Axis 1 (physical symptoms), regardless of age, race and gender 6 . Our study excluded patients with TMDs found to be caused by psychogenic or autoimmune inflammatory causes, which multidisciplinary care had been the core disease management 54 , 55 .…”

Section: Methodsmentioning

confidence: 99%

Efficacy of hypertonic dextrose injection (prolotherapy) in temporomandibular joint dysfunction: a systematic review and meta-analysis

Sit

Reeves²,

Zhong

et al. 2021

Sci Rep

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Hypertonic dextrose prolotherapy (DPT) has been reported to be effective for temporomandibular disorders (TMDs) in clinical trials but its overall efficacy is uncertain. To conduct a systematic review with meta-analysis of randomized controlled trials (RCTs) to synthesize evidence on the effectiveness of DPT for TMDs. Eleven electronic databases were searched from their inception to October, 2020. The primary outcome of interest was pain intensity. Secondary outcomes included maximum inter-incisal mouth opening (MIO) and disability score. Studies were graded by “Cochrane risk of bias 2” tool; if data could be pooled, a meta-analysis was performed. Ten RCTs (n = 336) with some to high risk of bias were included. In a meta-analysis of 5 RCTs, DPT was significantly superior to placebo injections in reducing TMJ pain at 12 weeks, with moderate effect size and low heterogeneity (Standardized Mean Difference: − 0.76; 95% CI − 1.19 to − 0.32, I2 = 0%). No statistically significant differences were detected for changes in MIO and functional scores. In this systematic review and meta-analysis, evidence from low to moderate quality studies show that DPT conferred a large positive effect which met criteria for clinical relevance in the treatment of TMJ pain, compared with placebo injections.Protocol registration at PROSPERO: CRD42020214305.

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Section: Methodsmentioning

confidence: 99%

Efficacy of hypertonic dextrose injection (prolotherapy) in temporomandibular joint dysfunction: a systematic review and meta-analysis

Sit

Reeves²,

Zhong

et al. 2021

Sci Rep

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“…Pathophysiology factors that can affect TMDs include skeletal and connective tissue diseases, hormonal differences and peripheral and central nervous system sensitivity. Autoimmune diseases (eg rheumatism, osteoarthritis (OA), lupus erythematosus, rheumatoid arthritis (RA) and systemic sclerosis) can involve tissues and organs including red blood cells, blood vessels, the thyroid gland, pancreas, muscles, joints and skin 50‐52 . For example, RA results in redness, warmth, pain and rigidity in the joints, and OA was found in 85% of patients over the age of 70 53…”

Section: Discussionmentioning

confidence: 99%

Mapping research trends of temporomandibular disorders from 2010 to 2019: A bibliometric analysis

Bai

Wang

2021

J of Oral Rehabilitation

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Background Because of various clinical manifestations and complicated courses, temporomandibular disorders (TMDs) are difficult to treat. Current knowledge about this disease remains insufficient for precise treatment after diagnosis. Objectives The objective of this study is to obtain and map the overall literature trends and most cited keywords in TMDs research. Methods Many indicators, including annual number of publications, country distribution, global cooperations, author contributions, original journals, cited references and keywords, were calculated and evaluated using VOSviewer v.1.6.13, which visualised many results, from the WoSCC database. Results A total of 3121 papers on TMDs research were retrieved from 2010 to 2019. The United States produced the most articles published, but the most productive institution was the University of Sao Paulo (Brazil). Researchers and institutions conducting TMDs research have shown a very widespread and close connection. TMDs have been studied worldwide by many research centres. Professor Svensson P was the most published researcher in TMDs research and the Journal of Oral Rehabilitation published the most TMDs research articles. The top cited references mainly presented diagnostic criteria of TMDs. The most cited keywords formed clusters: (a) Anatomical factor of TMDs, (b) Symptoms of TMDs and (c) RDC/TMD, the risk factors, biopsychosocial factors and epidemiology of TMDs. Conclusions The research results provide very valuable data for a thorough understanding of the research status of TMDs and demonstrated international cooperation.

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“…Shoohanizad et al [19] stated that TMD occurs in auto immune diseases such as RA, systemic sclerosis and lupus erythematosus. The analysis of articles se lected by the authors indicates that the early diagno sis of problems in the TMJs slows down the progression of degenerative changes in these joints.…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular joint problems in patients with rheumatoid arthritis

Sadura-Sieklucka¹,

Gębicki²,

Sokołowska³

et al. 2021

Reumatologia

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Objectives: The aim of this study is to draw the attention of patients, doctors and therapists to the importance of temporomandibular joint (TMJ) problems in rheumatoid arthritis (RA). Material and methods: The research was conducted at the National Institute of Geriatrics Rheu matology and Rehabilitation in Warsaw. The study involved 60 subjects. The test group consists of 30 patients with diagnosed RA. The control group (n = 30) consisted of healthy participants of simi lar age. The study analyzed the occurrence of problems in TMJ joints, acoustic phenomena and the level of pain. Masseter muscle development, range of abduction motion and pain during palpation of soft tissues were assessed on the basis of the joint pain map of Prof. Mariano Rocabado. Results: In the RA group, more than half (56.7%) had problems with the TMJ, 70% of them had masseter hypertrophy and clicks in the TMJ, and 46.7% had tinnitus (in the control group: 10%, 30%, and 30%, respectively). Patients also had a limited range of abduction movement in the TMJ (38.0 ±6.1 mm). Analysis of the pain map of Prof. Mariano Rocabado in RA patients indicates a sig nificantly greater number of pain structures. In the control group no pain was observed in structures such as the posterosuperior synovial and bilaminar zone, posterior ligament, or retrodiscal area. Conclusions: Temporomandibular joint problems in RA patients were more serious than in the con trol group and these differences were statistically significant for most tests. The awareness of the problem with the TMJ in RA patients is very low; participants of our study were 100% unaware that the function of the TMJ could be improved. Additionally, there are no guidelines for the treatment and rehabilitation of these joints.

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Nonsurgical management of temporomandibular joint autoimmune disorders

Cited by 14 publications

References 59 publications

Efficacy of hypertonic dextrose injection (prolotherapy) in temporomandibular joint dysfunction: a systematic review and meta-analysis

Efficacy of hypertonic dextrose injection (prolotherapy) in temporomandibular joint dysfunction: a systematic review and meta-analysis

Mapping research trends of temporomandibular disorders from 2010 to 2019: A bibliometric analysis

Temporomandibular joint problems in patients with rheumatoid arthritis

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