An Overview of Anterior Repositioning Splint Therapy for Disc Displacement-related Temporomandibular Disorders

Guo, Yan-Ning; Cui, Shengjie; Zhou, Yanheng; Wang, Xuedong

doi:10.1007/s11596-021-2381-7

Cited by 27 publications

(28 citation statements)

References 44 publications

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“…As a consequence, symptoms such as: bruxism, pain in the temporomandibular joints (TMJs), and headaches may appear. Long-term symptoms of SSDs may contribute to irreversible changes in this system, resulting in impaired chewing, swallowing, speech, and breathing functions [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Additionally, long-term reports about TMJ internal derangements were released [21][22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

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The Influence of the COVID-19 Pandemic on the Stress Levels and Occurrence of Stomatoghnatic System Disorders (SSDs) among Physiotherapy Students in Poland

Gębska

Kołodziej

Dalewski

et al. 2021

JCM

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Background: This study is a quantitative analysis examining the impact of the COVID-19 pandemic on the occurrence of stress and stomatognathic system disorders (SSDs) among students of physiotherapy. Objective: To assess stress severity, strategies of coping with stress and the presence of type D personality among physiotherapy students including those with symptoms of stomatognathic system disorders. Material and Methods: The research was conducted from October to December 2020 on a sample of 188 students of physiotherapy. The data were collected using a survey form related to the occurrence of SS disorders symptoms and standardized psychological questionnaires, such as the Perceived Stress Scale (PSS)- 10, Mini-Cope, and the type-D Scale (DS14), developed for the purpose of this study. Results: Women experiencing at least one of the SS disorder-related symptoms were characterized by a significantly higher level of stress and a type D personality (p < 0.05). Among men, these differences were not statistically significant (p > 0.05). On the basis of the strategies of coping with stress, i.e., positive self-reevaluation, discharging and blaming oneself, and taking psychoactive substances, it is possible to predict the intensity of stress during the pandemic in the group of the examined students. Among the reported symptoms of SS, headache was a significant predictor of stress, which was accompanied by an increase in the intensity of stress by nearly 0.2 measurement points. Students with higher levels of stress showed more symptoms of type D personality, and those with more severe symptoms of SS showed higher levels of stress. Conclusions: People prone to stress and having type D personality traits should be assessed for the presence of SS disorders.

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Section: Introductionmentioning

confidence: 99%

“…In medical terms, it is defined as a disorder of the body's homeostasis caused by physical or psychological elements [6][7][8]. It can be caused by mental, physiological, anatomical [7,8], or physical factors [9][10][11]14]. Stressful situations lead to increased muscle tension, which is the body's natural response to threat.…”

Section: Introductionmentioning

confidence: 99%

The Influence of the COVID-19 Pandemic on the Stress Levels and Occurrence of Stomatoghnatic System Disorders (SSDs) among Physiotherapy Students in Poland

Gębska

Kołodziej

Dalewski

et al. 2021

JCM

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“…Guo et al [23] reviewed the ARS therapy for TMD, and agreed the mechanism of ARS therapy is mainly attributed to internal derangement correction, improvement of stress distribution and recently reported joint remodeling. There are few studies on the changes of condylar position in different age by ARS.…”

Section: Discussionmentioning

confidence: 94%

“…The mechanism of ARS therapy is mainly attributed to internal derangement correction, improvement of stress distribution and recently reported joint remodeling [12,13]. In the actual treatment of clinicians, the thickness and wearing time of occlusal plate are inconsistent [13,14].…”

Section: Introductionmentioning

confidence: 99%

Clinical and cone-beam CT analysis of the effectiveness of anterior repositioning splint therapy in the management of temporomandibular joint click in different age groups

Zhang

2022

Preprint

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Background: Joint click is a typical symptom for TMD and can be treated by anterior repositioning splint (ARS) therapy. However, the effect of treatment in different age groups has not been evaluated. To analysis of the effectiveness of ARS therapy in the management of TMJ click in different age groups based on the results of clinical and CBCT examination. Methods: Patients with TMJ click admitted to TMJ Diagnosis and Treatment Center in 2021 were included in this study. They divided into 2 groups according to ages: ≤22Y and >22Y. Clinical features included click severity, symptom duration and CBCT imaging characteristics (condylar position and condylar ratio) were analyzed. Results: 169 patients with 338TMJs were studied in this study. The mean age of paitents was 18.78±2.8 in the ≤22Y group (78 patients) and 30.53±10.6 in the >22Y group (91 patients). Sex distribution, CSV, ratio of CSV=1, ratio of CSV=2, symptom duration showed no statistical differences between the two groups. Before ARS treatment, there was no significant difference in AJS, PJS and condylar ratio, but the proportion of posteriorly positioned condyle in ≤22Y group (72, 46.2%) was significantly smaller than that in the >22Y group (100, 54.9%). After ARS treatment, there was no statistically significant difference in AJS, PJS, condylar ratio and condylar position, but the change of condylar ratio in ≤22Y group (0.03±0.10) was significantly higher than that in >22Y group (-0.02±0.11). The positive results (39.7%) in ≤22Y group were greater than >22Y group (17.9%). The time required for CSV=0 in ≤22Y group (2.03±1.14) was significantly shorter than that in >22Y group (2.66±1.41). In the first and second months of follow-up, the ratio for CSV=0 (46.1%, 65.8%) in ≤22Y group was significantly higher than that in >22Y group (22.5%, 50.0%).Conclusions: ARS is more effective in joint clicking treatment in the group ≤22Y. Although AJS, PJS, condylar ratio and condylar position did not change significantly after ARS treatment, the rate of positive results in condylar position was higher in the ≤22Y group.Trial registration: This study was retrospectively registered On 28/03/2022 and endorsed by the Ethics committee (LCYJ2022014).

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“…Als Langzeitnebenwirkung kann es zu einer Kiefergelenksarthrose mit vorangegangener Diskusverlagerung kommen, sodass die Patienten Schmerzen im Bereich der Kiefergelenke verspüren. Eine Protrusions und Torquebewegung der Oberkieferfrontzähne mit anschließender Bisshebung und Anteriorverlagerung des Unterkiefers kann die Kiefergelenke entkoppeln und zur Verbesserung der Symptome führen 17 18 . Die interdisziplinäre therapeutische Zusammenarbeit zwischen Kieferorthopäden, Orthopäden und Osteopathen oder Physiotherapeuten kann im Kontext einer CMD wesentlich zum Erfolg der Therapie beitragen 19 20 .…”

Section: Fazitunclassified

Aspekte der kieferorthopädischen Behandlung erwachsener Patienten: Interdisziplinäre Aufgaben mit ästhetischen Apparaturen

Meyer

Jacobs

2022

Informationen aus Orthodontie & Kieferorthopädie

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ZusammenfassungDie kieferorthopädische Behandlung erwachsener Patienten nimmt stetig zu. Präprothetische Indikationsstellungen, parodontal vorgeschädigte Gebisse, aber auch Behandlungen nach Rezidiv, die beispielsweise mit dem „X-Effekt“ einhergehen, werden Teil des täglichen Patientenaufkommens der Kieferorthopädie. CMD-Problematiken mit einer langen Patientengeschichte und ausgeprägte Dysgnathien, die neben der Kieferorthopädie noch andere medizinische Fachrichtungen benötigen, um ein erfolgreiches Ergebnis zu erzielen, runden das Spektrum der Erwachsenenbehandlung ab. Aufgrund der komplexen Anamnese dieser Patientengruppe ist eine Grundkenntnis über verschiedene Fachrichtungen von Vorteil, um sich interdisziplinär austauschen zu können und einen individuellen Therapieansatz wählen zu können. Zum individuellen Therapieansatz gehören auch die modernen Apparaturen und Behandlungsmöglichkeiten, welche die Kieferorthopädie heutzutage bereichern. Konventionelle Multibracketapparaturen, Aligner und individualisierte linguale Apparaturen können je nach Anamnese gewisse Vorteile mit sich bringen, die der Kieferorthopäde kennen und anwenden sollte. Die Digitalisierung ist auch in unserem Fachgebiet soweit, dass die Vorteile immer mehr an Bedeutung gewinnen und die interdisziplinäre Zusammenarbeit immer digitaler und präziser werden kann. Dieser Artikel soll einen kleinen Einblick in die Möglichkeiten der modernen Kieferorthopädie im Rahmen der Erwachsenenbehandlung geben.

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An Overview of Anterior Repositioning Splint Therapy for Disc Displacement-related Temporomandibular Disorders

Cited by 27 publications

References 44 publications

The Influence of the COVID-19 Pandemic on the Stress Levels and Occurrence of Stomatoghnatic System Disorders (SSDs) among Physiotherapy Students in Poland

The Influence of the COVID-19 Pandemic on the Stress Levels and Occurrence of Stomatoghnatic System Disorders (SSDs) among Physiotherapy Students in Poland

Clinical and cone-beam CT analysis of the effectiveness of anterior repositioning splint therapy in the management of temporomandibular joint click in different age groups

Aspekte der kieferorthopädischen Behandlung erwachsener Patienten: Interdisziplinäre Aufgaben mit ästhetischen Apparaturen

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