The importance of using a specific diagnosis in evaluating and treating TMD

Cohen, Joseph R.

doi:10.1080/08869634.2019.1641909

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…The imaging examination must be capable of providing the desired information of the internal anatomy or physiology of the joints and be a valuable addition to a clinical trial in TMD. It is characterized by high accuracy, because it enables the detection of changes in organs with small dimensions (from 0.1 mm) and the assessment of the functioning of soft tissue structures during movements in the joints [27][28][29][30][31]. It should be emphasized that nowadays ultrasound examination of temporomandibular joints is more accessible to patients compared to examination with the use of magnetic resonance imaging [32][33][34][35].…”

Section: Discussionmentioning

confidence: 99%

“…In addition can be used in pregnant women and is much less burdensome for patients with claustrophobia, sensitive to noise and having a pacemaker [20][21][22][23][24][25]. The results of ultrasound examinations of the joints are very important and helpful for dentist in diagnosis and planning the stages of treatment accurate and detailed [26][27][28][29]. They include changes in the temporomandibular joints and masticatory muscles such as pathology of the articular surfaces, heterogeneity of the contour of the articulation surface, defective changes in the chondral surface, productive changes in the edge and articular surfaces, osteophytic production changes, abnormalities of the position of the articular disc -in occlusion and jaw opening.…”

Section: Introductionmentioning

confidence: 99%

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Temporomandibular disorders and their impact on the development of the overloading changes within temporomandibular joints

2023

Folia Medica Cracoviensia

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TMD is a disease within the masticatory system that increases its reach among the society every year in the third and fourth decade of life. The etiology of TMD is complex and it is often difficult to establish the cause in a specific case. The a i m of the study was to determine the impact of TMD on pathomorphological changes within the temporomandibular joints, evaluated in USG examinations and evaluation the assessment of differences in the number of pathological changes between various forms of TMD. M a t e r i a l a n d M e t h o d s: The study material included a group of 386 patients, both sexes, aged 20 to 46 years, who came for prosthetic treatment due to symptoms of TMD. Ultrasound examination of the temporomandibular joints supplemented the clinical diagnosis of TMD in all the subjects. Axis I of the DC/TMD were used. R e s u l t s: Group I included 116 women and 89 men, group II consisted of 102 women and 79 men. Pathological morphological changes in the temporomandibular joints were found in all the examined patients. The changes in soft tissue structures were significantly increased in group II, but numerous pathomorphological changes were also present in the group of patients with the muscle form of TMD. C o n c l u s i o n: The results of the conducted studies with the use of USG temporomandibular joints revealed numerous pathomorphological changes within the temporomandibular joints. This indicates the usefulness of the USG examination in additional diagnostic tests in the group of patients with TMD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Temporomandibular disorders and their impact on the development of the overloading changes within temporomandibular joints

2023

Folia Medica Cracoviensia

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“…The management of temporomandibular disorders can range from simple non-surgical interventions to total prosthetic joint replacement. Surgeons need to be aware that most patients can be treated non-surgically 12 . Some authors have evaluated the knowledge about temporomandibular disorders and factors that may influence the diagnosis and proposed treatment, such as years of training, type of specialization and place of graduation 13.14 .…”

Section: Discussionmentioning

confidence: 99%

Related factors for indication of temporomandibular joint surgery in a supplementary health operator: retrospective and cross-sectional study

Giorgetto,

Rodrigues,

Valadas

et al. 2022

BRJP

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BACKGROUND AND OBJECTIVES:The number of temporomandibular joint (TMJ) surgeries has been growing in recent years. The objective of this study was to evaluate the factors measured for the indication of TMJ surgery. METHODS: This is an observational, quantitative, retrospective, cross-sectional study. A total of 99 surgical requests for TMJ surgery, assigned to a supplementary health operator, were analyzed. Information regarding age, gender, the patients' main complaint, movement alteration, magnetic resonance results, diagnostic tests used, and previous therapy performed were collected. The T-test and the Chi-squared test were used (α=5%). RESULTS: 85% of patients were female, and the mean age among women (27.07±6.33) was lower when compared to men (31.98±9.55) (p=0.03). Almost half of patients did not receive any therapeutic approach prior to the surgery indication. Less than 10% of the requests described the Wilkes classification. Among the symptoms considered for the indication of surgery. pain report in the TMJ region (63.64%) stands out. The clicking and mouth opening limitation were among the highest prevalence as 52.5% and 67.7%. respectively.

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“…The treatment goals for TMD focus on relieving pain, restoring normal masticatory and jaw function, and improvement in quality of life [21]. Treatment for TMD traditionally has included self-management instructions, physical therapy, pharmacotherapy, physiotherapy, occlusal appliance therapy, and trigger-point injection [21][22][23]. Despite improvements in diagnostic techniques and treatment advances in the long-term management of TMDs, clinical tools to assess the degree of improvement in TMD patients are still lacking.…”

Section: Introductionmentioning

confidence: 99%

Measuring Changes in Jaw Opening Forces to Assess the Degree of Improvement in Patients with Temporomandibular Disorders

et al. 2022

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Background: Currently, the degree of improvement in patients with TMDs is measured through subjective questionnaires and clinical examination This study aimed to investigate the properties of an objective quantitative measure of jaw-opening forces to assess clinical improvement in temporomandibular disorder (TMD) patients following treatment. Methods: Baseline jaw-opening forces were recorded for TMD-patients (n = 62) and a comparison group of TMD-free participants (n = 56), using a jaw-opening forces measuring device. TMD patients were divided into three subcategories (myofascial pain, disc-displacement, and myofascial pain and disc-displacement combined) and received a combination of treatment for six months; meanwhile, TMD-free participants did not receive treatment. Jaw-opening forces for each participant in both groups were measured at their six-month review appointment. Results: Jaw-opening forces were reliable at baseline (single measure ICC 0.98, 95% CI 0.97–0.98, ICC ≥ 0.94 for all groups and subcategories). Jaw-opening forces increased in the TMD group following treatment at six-months (18.6 N at baseline and 32.4 N at six-months, p < 0.001) and did not change significantly in the TMD-free group (49 N at baseline and 48.3 N at six-months). There was a small improvement in the disc displacement group (27.8% higher forces, p = 0.002). However, the myofascial-pain and myofascial-pain-and-disc-displacement groups showed significant improvement following treatment (93.5% higher forces, p < 0.001; 91.1% higher forces, p < 0.001; respectively). Conclusion: This study demonstrated that the measurement of jaw-opening forces could potentially be used to assess the clinical improvement in TMD patients following diagnosis and treatment.

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The importance of using a specific diagnosis in evaluating and treating TMD

Cited by 4 publications

References 8 publications

Temporomandibular disorders and their impact on the development of the overloading changes within temporomandibular joints

Temporomandibular disorders and their impact on the development of the overloading changes within temporomandibular joints

Related factors for indication of temporomandibular joint surgery in a supplementary health operator: retrospective and cross-sectional study

Measuring Changes in Jaw Opening Forces to Assess the Degree of Improvement in Patients with Temporomandibular Disorders

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