2018
DOI: 10.3390/dj6030041
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Wind Instrumentalists and Temporomandibular Disorder: From Diagnosis to Treatment

Abstract: Introduction: Temporomandibular disorders (TMD) involve the presence of pain or dysfunction on certain areas of the Cranio-Cervico-Mandibular Complex (CCMC), such as the masticatory muscles, the temporomandibular joint (TMJ) and associated structures like the postural muscles of the cervical region, can be considered as a sub-group of musculoskeletal disorders. Wind instrument players, as a consequence of their musical performance and its relation with the CCMC, can develop a TMD associated to muscle hyperacti… Show more

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Cited by 20 publications
(25 citation statements)
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“…When the muscles were compared in the same period of treatment, there was no significant difference among them which shows that the use of occlusal splint promoted a significant increase in the muscles temperature and that there was symmetry in the temperature of muscles on the right and left sides both before and after the treatment. e authors concluded that the results of the research are useful from the clinical point of view, and they show that thermographic visualization is beneficial not only in determining both activity and progress of the disease, which is a very similar conclusion as in previously mentioned articles [53,54], but also in monitoring the progress of the treatment [31]. Barão VA et al tested patients being treated for TMD by occlusal splints.…”
Section: Ermovision As a Diagnostic Tool In Tmdsupporting
confidence: 53%
See 1 more Smart Citation
“…When the muscles were compared in the same period of treatment, there was no significant difference among them which shows that the use of occlusal splint promoted a significant increase in the muscles temperature and that there was symmetry in the temperature of muscles on the right and left sides both before and after the treatment. e authors concluded that the results of the research are useful from the clinical point of view, and they show that thermographic visualization is beneficial not only in determining both activity and progress of the disease, which is a very similar conclusion as in previously mentioned articles [53,54], but also in monitoring the progress of the treatment [31]. Barão VA et al tested patients being treated for TMD by occlusal splints.…”
Section: Ermovision As a Diagnostic Tool In Tmdsupporting
confidence: 53%
“…e thermal imaging camera was also used to visualize TMD in two professional musicians-a violinist and a clarinettist-in whom it was possible to assess temperature changes in various parts of temporomandibular joint-associated muscles, under the influence of occlusal splint therapy [53,54]. A clinical trial showed internal disorders of both joints, osteoarthritis with prior displacement of the articular disc.…”
Section: Ermovision As a Diagnostic Tool In Tmdmentioning
confidence: 99%
“…Theoretically, both upper central incisors should stabilize the mouthpiece equally during the performance of saxophonist and clarinetist together with the keratinized (exterior) part of the lower lip. However, some participants, showed that there is usually a “predominant” tooth where greater pressure will be applied during the embouchure mechanism (Clemente et al, ). A recent systematic review of van der Weijden et al () concluded that tooth position may influence musical performance and embouchure comfort of wind instrumentalists and that an extreme malocclusion could interfere with the wind instrumentalists' performance (van der Weijden et al, ).…”
Section: Discussionmentioning
confidence: 99%
“…This muscle group may, in turn, perform an isometric contraction during the stabilization of the mouthpiece in the oral cavity, something that may not be equivalent in terms of pressures and forces exerted causes an increase to 63% of individuals with an asymmetry of more than 0.3 °C. There have been previous studies that describe the usefulness of the application of infrared thermography in the diagnosis and evaluation of the treatment plan of a temporomandibular disorder in a clarinet player [28].…”
Section: Discussionmentioning
confidence: 99%