Recurrent dislocation of the mandible in a patient with myotonic dystrophy

Temporomandibular dysfunction in adult patients with myotonic dystrophy (DM1)

“…TMJ clicking was frequently found, which is in line with previous findings . The presence of clicking and locking is probably a result of spasm caused by the myotonia of the disease and not by disc derangement, as often diagnosed in TMD patients .…”

“…The function and dysfunction of the temporomandibular system in patients with DM1 are sparsely investigated, and little is known about the frequency and type of dysfunction of the temporomandibular system, and the need of attention and treatment, in DM1 patients. Impaired chewing ability and recurrent dislocation of the temporomandibular joint (TMJ) have been reported ,…”

Temporomandibular dysfunction in adult patients with myotonic dystrophy (DM1)

“…TMJ clicking was frequently found, which is in line with previous findings . The presence of clicking and locking is probably a result of spasm caused by the myotonia of the disease and not by disc derangement, as often diagnosed in TMD patients .…”

“…The function and dysfunction of the temporomandibular system in patients with DM1 are sparsely investigated, and little is known about the frequency and type of dysfunction of the temporomandibular system, and the need of attention and treatment, in DM1 patients. Impaired chewing ability and recurrent dislocation of the temporomandibular joint (TMJ) have been reported ,…”

Fenómeno miotónico orofacial en pacientes con distrofia miotónica de Steiner

“…La presencia del fenómeno miotónico sugiere cambios morfológicos importantes en los músculos masticadores que implican disminución de la fuerza muscular, posiblemente asociada al reemplazo de fibras musculares y de los husos neuromusculares por tejido adiposo y el aumento del tejido conectivo entre las fibras musculares (10). La alteraciones originadas por la disminución de un importante input propioceptivo muscular pueden verse aumentadas en estos pacientes por la pérdida de piezas dentarias, generando inestabilidad mandibular y dislocación de la ATM (8,12,13).…”

Temporomandibular Joint Magnetic Resonance Imaging Analysis in Adults with Steinert's Myotonic Dystrophy

“…This finding is consistent with what was reported earlier by various authors who suggested prolonged periods of hypomobility or burdens of low-rise degenerative changes in the joint surface of the TMJ (Glineburg et al, 1982;Nitzan &Dolwick, 1989 andLydiatt &Davis, 1989). Adaptive changes associated with the articular hypofunction owing to the decrease in the strength of the bite can trigger the reorganization of the fiber of the joint, capsule and ligaments, and the joints propioceptors, allowing the patient to have greater ranges of oral openness, active and passive, which joins the decrease in the muscletendinous propioceptors, owing to the metaplasia of the muscle for fat tissue, contributing to mandibular instability and a greater tendency for dislocation of the articulation (Wilson et al, 1989). The results suggest that the changes also affect the articular disc, which are rather in its structure, preserving its relationship with the joint surface.…”

Temporomandibular dysfunction in adult patients with myotonic dystrophy (DM1)

“…TMJ clicking was frequently found, which is in line with previous findings . The presence of clicking and locking is probably a result of spasm caused by the myotonia of the disease and not by disc derangement, as often diagnosed in TMD patients .…”

“…The function and dysfunction of the temporomandibular system in patients with DM1 are sparsely investigated, and little is known about the frequency and type of dysfunction of the temporomandibular system, and the need of attention and treatment, in DM1 patients. Impaired chewing ability and recurrent dislocation of the temporomandibular joint (TMJ) have been reported ,…”

Fenómeno miotónico orofacial en pacientes con distrofia miotónica de Steiner

“…La presencia del fenómeno miotónico sugiere cambios morfológicos importantes en los músculos masticadores que implican disminución de la fuerza muscular, posiblemente asociada al reemplazo de fibras musculares y de los husos neuromusculares por tejido adiposo y el aumento del tejido conectivo entre las fibras musculares (10). La alteraciones originadas por la disminución de un importante input propioceptivo muscular pueden verse aumentadas en estos pacientes por la pérdida de piezas dentarias, generando inestabilidad mandibular y dislocación de la ATM (8,12,13).…”

Temporomandibular Joint Magnetic Resonance Imaging Analysis in Adults with Steinert's Myotonic Dystrophy

“…This finding is consistent with what was reported earlier by various authors who suggested prolonged periods of hypomobility or burdens of low-rise degenerative changes in the joint surface of the TMJ (Glineburg et al, 1982;Nitzan &Dolwick, 1989 andLydiatt &Davis, 1989). Adaptive changes associated with the articular hypofunction owing to the decrease in the strength of the bite can trigger the reorganization of the fiber of the joint, capsule and ligaments, and the joints propioceptors, allowing the patient to have greater ranges of oral openness, active and passive, which joins the decrease in the muscletendinous propioceptors, owing to the metaplasia of the muscle for fat tissue, contributing to mandibular instability and a greater tendency for dislocation of the articulation (Wilson et al, 1989). The results suggest that the changes also affect the articular disc, which are rather in its structure, preserving its relationship with the joint surface.…”

Temporomandibular dysfunction in adult patients with myotonic dystrophy (DM1)

“…TMJ clicking was frequently found, which is in line with previous findings . The presence of clicking and locking is probably a result of spasm caused by the myotonia of the disease and not by disc derangement, as often diagnosed in TMD patients .…”

“…The function and dysfunction of the temporomandibular system in patients with DM1 are sparsely investigated, and little is known about the frequency and type of dysfunction of the temporomandibular system, and the need of attention and treatment, in DM1 patients. Impaired chewing ability and recurrent dislocation of the temporomandibular joint (TMJ) have been reported ,…”

Fenómeno miotónico orofacial en pacientes con distrofia miotónica de Steiner

“…La presencia del fenómeno miotónico sugiere cambios morfológicos importantes en los músculos masticadores que implican disminución de la fuerza muscular, posiblemente asociada al reemplazo de fibras musculares y de los husos neuromusculares por tejido adiposo y el aumento del tejido conectivo entre las fibras musculares (10). La alteraciones originadas por la disminución de un importante input propioceptivo muscular pueden verse aumentadas en estos pacientes por la pérdida de piezas dentarias, generando inestabilidad mandibular y dislocación de la ATM (8,12,13).…”

Temporomandibular Joint Magnetic Resonance Imaging Analysis in Adults with Steinert's Myotonic Dystrophy

“…This finding is consistent with what was reported earlier by various authors who suggested prolonged periods of hypomobility or burdens of low-rise degenerative changes in the joint surface of the TMJ (Glineburg et al, 1982;Nitzan &Dolwick, 1989 andLydiatt &Davis, 1989). Adaptive changes associated with the articular hypofunction owing to the decrease in the strength of the bite can trigger the reorganization of the fiber of the joint, capsule and ligaments, and the joints propioceptors, allowing the patient to have greater ranges of oral openness, active and passive, which joins the decrease in the muscletendinous propioceptors, owing to the metaplasia of the muscle for fat tissue, contributing to mandibular instability and a greater tendency for dislocation of the articulation (Wilson et al, 1989). The results suggest that the changes also affect the articular disc, which are rather in its structure, preserving its relationship with the joint surface.…”