Botulinum toxin injection for management of temporomandibular joint clicking

Emara, Aalaa; Faramawey, M.I.; Hassaan, Mohamed A.; Hakam, Maha

doi:10.1016/j.ijom.2013.02.009

Cited by 26 publications

(50 citation statements)

References 29 publications

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“…Arthritis of TMJ (K07.6) Original (2003) Hilbert et al [ 46 ] 6. Injuries of TMJ (S03.0-dislocation; S01.4-open wound; S02.6-fracture) Review (2007) Smith [ 44 ] Original (1996) Schiffman et al [ 63 ] Review (2010) Cairns [ 65 ] Original (2007) Gunson et al [ 67 ] Original (2013) Emara et al [ 70 ] Original (2014) Vos et al [ 87 ] Original (2013) Sidebottom et al [ 93 ] Bruxism: 1. Psychogenic (F45.8) Counselling; Psychotherapy; Occlusal splint therapy; Massage; Other physiotherapeutic techniques; Oral and injectable drug therapy Review (1994) Ramfjord et al [ 34 ] Original (2004) Magnusson et al [ 35 ] 2.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical investigations by Bakke et al [ 69 ] and Emara et al [ 70 ] confirm the possibility of applying botulinum toxin type A (BTX-A) for the treatment of disc displacements using injections in the lateral pterygoid muscles. BTX-A decreases myofascial pain and symptoms in the bruxers by reducing muscle tension [ 71 ].…”

Section: Pharmacotherapy and Minimally Invasive And Invasive Procedurmentioning

confidence: 99%

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Reported concepts for the treatment modalities and pain management of temporomandibular disorders

et al. 2015

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BackgroundPain related to temporomandibular disorders (TMD) is a common problem in modern societies. The aim of the article is to present the concepts of TMD pain clinical management.MethodsA survey was performed using the PubMed, SCOPUS and CINAHL databases for documents published between 1994 and 2014. The following search keywords were selected using MeSH terms of the National Library of Medicine in combination: TMD pain, TMD, TMJ, TMJ disorders, occlusal splint, TMD physiotherapy, TMJ rheumatoid disorders and TMJ surgery. Original articles and review papers which presented the clinical relevance and practical validity regarding the possibility of application in TMD management have been included. Authors have excluded articles without outstanding practical aspect and evidence-based background. A first selection was carried out by reviewing titles and abstracts of all articles found according to the criteria. After that the full texts of potentially suitable articles were assessed. In line with these criteria, among 11467 results the writers have included 66 papers.ResultsThe most commonly reported conservative treatments are massage therapy and individually fabricated occlusal splints. In addition to massage, other popular methods include manual therapy and taping, warming/cooling of aching joints, and light and laser therapy. Drugs are also commonly used. In the most severe cases of the temporomandibular joint degeneration, surgical restoration of the joint is sometimes applied.ConclusionsThe authors concluded that conservative treatment including counselling, exercises, occlusal splint therapy, massage, manual therapy and others should be considered as a first choice therapy for TMD pain because of their low risk of side effects. In the case of severe acute pain or chronic pain resulting from serious disorders, inflammation and/or degeneration pharmacotherapy, minimally invasive and invasive procedures should be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Pharmacotherapy and Minimally Invasive And Invasive Procedurmentioning

confidence: 99%

Reported concepts for the treatment modalities and pain management of temporomandibular disorders

et al. 2015

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“…The local paralysis is reversible; neuron regrowth occurs after 2 to 4 months 47 48 . In experimental studies 49 50 , a dose of 12.5 to 200 units per muscle was used. In three experimental studies 49 50 51 , a single injection was administered; in another study 52 , 17% of patients received a second injection.…”

Section: Muscle Injection With Btxmentioning

confidence: 99%

Non-invasive different modalities of treatment for temporomandibular disorders: review of literature

Abouelhuda

khalifa

Kim

et al. 2018

J Korean Assoc Oral Maxillofac Surg

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Temporomandibular disorders (TMDs) are diseases that affect the temporomandibular joint and supporting structures. The goal of treatment for TMDs is elimination or reduction of pain and return to normal temporomandibular joint function. Initial treatment for TMDs is non-invasive and conservative, not surgical. Oral and maxillofacial surgeons should fully understand and actively care about non-invasive treatments for TMDs. The purpose of this study is to review the validity and outcomes of non-invasive and surgical treatment modalities for TMDs.

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“…Botulinum toxin injections to the LPM proved to be successful in treating disc displacement. The studies carried out by Emara et al 28 and Bakke et al 29 showed the disappearance of the click in all joints with anterior disc displacement after botulinum toxin injection into the LPM. These results were validated by pre-and post-operative MR images.…”

Section: Discussionmentioning

confidence: 92%

Correlation between the lateral pterygoid muscle attachment type and temporomandibular joint disc position in magnetic resonance imaging

Litko¹,

Szkutnik²,

Berger³

et al. 2016

Dentomaxillofacial Radiology

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Objectives: The aim of this study was to investigate the correlation between the lateral pterygoid muscle (LPM) attachment type and temporomandibular joint (TMJ) disc position on sagittal and coronal MR scans. Methods: 191 patients (148 females, 43 males), aged 14-60 years, underwent MR investigations of the TMJs in the intercuspal position (IP) and open-mouth position (OMP). The disc position was evaluated on oblique sagittal and coronal images in the IP and OMP on many MRI sections showing all portions of the joint. Relationships between the LPM attachment patterns and articular disc positions were evaluated by z and x 2 tests. Results: Three types of the LPM attachment were found. There was a statistically significant correlation between the LPM attachment type and the disc position in IP (x 2 5 24.29; p , 0.01). The type of muscle attachment did not determine the prevalence of normal, lateral and medial disc positions. There were differences between the muscle attachment types in the anterior, anteromedial and anterolateral disc positions. There was a statistically significant association between TMJ disc position in OMP and particular attachment types in the sagittal plane (x 2 5 9.702; p , 0.01). Conclusions: Certain types of the LPM insertion are correlated with TMJ disc position.

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Botulinum toxin injection for management of temporomandibular joint clicking

Cited by 26 publications

References 29 publications

Reported concepts for the treatment modalities and pain management of temporomandibular disorders

Reported concepts for the treatment modalities and pain management of temporomandibular disorders

Non-invasive different modalities of treatment for temporomandibular disorders: review of literature

Correlation between the lateral pterygoid muscle attachment type and temporomandibular joint disc position in magnetic resonance imaging

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