Temporomandibular Joint Disorder in Patients With Parkinson’s Disease – A Pilot Study

Baumann, Petra; Sági, Anna; Perjés, Beatrix; Prémusz, Viktória; Ács, Pongrác; Marada, Gyula; Kovács, Norbert; Radnai, Márta

doi:10.5114/hpc.2020.98470

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…It was revealed that the prevalence of TMDs was found to be 35%, exhibiting a higher occurrence among males (58%) and elderly individuals (53%) [24]. Higher occurrence of TMDs among patients diagnosed with PD was also presented in another previous crosssectional study [23]. In a previous cohort study, it was reported that a 2.11-fold increase in TMD risk exists for individuals with PD compared to healthy people [25].…”

Section: Discussionmentioning

confidence: 63%

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Evaluation of Temporomandibular Joint in Patients with Parkinson’s Disease: A Comparative Study

Akbulut,

Akca Karpuzoglu

2023

Diagnostics

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(1) The aim of this study was to perform an evaluation of the temporomandibular joint (TMJ) in patients with Parkinson’s disease (PD) and present the morphological differences of the TMJ between healthy subjects and patients with PD. (2) A total of 102 Caucasian subjects were divided equally into two groups. The study group consisted of patients with PD, while the control group comprised healthy subjects. Ten parameters, including anterior joint space (AJS), superior joint space (SJS), posterior joint space (PJS), condyle head length (CHL), condylar neck width (CNW), minor axis of the condyle (MAC), long axis of the condyle (LAC), condylar axis inclination (CI), medial joint space (MJS), and lateral joint space (LJS), were measured using magnetic resonance images. The data were statistically analyzed using paired samples t-test and Student’s t-test, with a significance level set at p < 0.05. (3) In the PD group, all TMJ parameters showed a statistically significant difference between both sides of the face (p < 0.05). However, in the control group, AJS, SJS, PJS, CHL, CNW, MAC, CI, MJS, and LJS did not show a statistically significant difference between both sides of the face (p > 0.05), except for LAC (p < 0.05). The asymmetry index values of AJS, SJS, PJS, CHL, CNW, MAC, CI, MJS, and LJS demonstrated a statistically significant difference between the study and control groups (p < 0.05), except for LAC (p > 0.05). (4) Within the limitations of this retrospective study, the findings suggest that TMJ morphology and asymmetry could be associated with PD.

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Section: Discussionmentioning

confidence: 63%

“…Previous studies have focused on the relationship between TMJ and PD [22][23][24][25][26]. However, considering the important anatomical connections of TMJ, more studies that investigate the relationship between TMJ and PD on a morphological basis are needed for better understanding.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Temporomandibular Joint in Patients with Parkinson’s Disease: A Comparative Study

Akbulut,

Akca Karpuzoglu

2023

Diagnostics

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“…In total, nine studies examined unspecified TMD (viz., no clear distinction was made between TMD pain or dysfunction) in patients with PD (Table 3 ; Bakke et al, 2011 ; Baram et al, 2020 ; Baram et al, 2021 ; Baumann et al, 2020 ; Choi et al, 2021 ; Da Costa Silva et al, 2015 ; Massimo et al, 2020 ; Silva et al, 2016 ; Tavares et al, 2021 ). The within‐group results showed prevalences that varied between 1.1 and 61.7%.…”

Section: Resultsmentioning

confidence: 99%

“…In conclusion, patients with PD have more difficulties with chewing than controls. Baram et al, 2020;Baram et al, 2021;Baumann et al, 2020;Choi et al, 2021;Da Costa Silva et al, 2015;Massimo et al, 2020;Silva et al, 2016;Tavares et al, 2021). The within-group results showed prevalences that varied between 1.1 and 61.7%.…”

Section: Chewing Difficultiesmentioning

confidence: 94%

Orofacial pain and dysfunction in patients with Parkinson's disease: A scoping review

Verhoeff

Koutris

Tambach

et al. 2022

European Journal of Pain

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Background Parkinson's disease (PD) is commonly known as a disorder that affects the smooth performance of body movements. In addition to the motor impairments, patients with PD often experience pain. Both motor impairments and pain can occur throughout the body, hence including the orofacial region. However, currently, there is a lack of knowledge on the orofacial manifestations. Since orofacial pain and dysfunction can, amongst others, reduce the quality of life of patients with PD, it is important to explore the prevalence of these symptoms in the PD population. Objective To provide a broad overview of the relevant literature on orofacial pain and dysfunction in patients with PD. Furthermore, we aim to generate hypotheses for future research on this topic. Databases and data treatment A literature search (in PubMed, http://embase.com, Web of Science [Core collection], and Cochrane Library) was performed on 20 January 2022, in collaboration with a medical librarian. In total, 7180 articles were found, of which 50 were finally included in this scoping review. Results In the included studies, pain (e.g. orofacial pain (N = 2) and temporomandibular disorder pain (N = 2)), orofacial motor dysfunction (e.g. limited jaw movements (N = 10), reduced maximum muscle output (N = 3), chewing difficulties (N = 9), unspecified TMD (N = 3), sensory disturbances (N = 1)), and bruxism (N = 3) were observed more often in patients with PD than in healthy controls. Conclusion Patients with PD experience more pain in the orofacial area and more dysfunction of the masticatory system than their healthy peers. Significance This scoping review can increase health care providers' awareness of the problems that can be encountered in the orofacial area of PD patients, especially pain syndromes also occur in the orofacial region and not only in the extremities. Besides, dysfunction of the orofacial area is elaborated in this scoping review, which helps to understand that this limits PD patients' quality of life. Further, the outcomes of this scoping review can assist in encouraging collaboration between medicine and dentistry. Finally, this scoping review suggests new research areas, based on the gaps identified in the current literature on this topic. Ultimately, this will improve individualized strategies for reducing orofacial pain and/or dysfunction in PD patients.

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Parkinson's disease and oral health: A systematic review

Verhoeff¹,

Eikenboom²,

Koutris³

et al. 2023

Archives of Oral Biology

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Temporomandibular Joint Disorder in Patients With Parkinson’s Disease – A Pilot Study

Cited by 4 publications

References 12 publications

Evaluation of Temporomandibular Joint in Patients with Parkinson’s Disease: A Comparative Study

Evaluation of Temporomandibular Joint in Patients with Parkinson’s Disease: A Comparative Study

Orofacial pain and dysfunction in patients with Parkinson's disease: A scoping review

Parkinson's disease and oral health: A systematic review

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