Comorbidity of internal derangement of the temporomandibular joint and silent dysfunction of the cervical spine

Stiesch-Scholz, M.; Fink, Matthias; Tschernitschek, Harald

doi:10.1046/j.1365-2842.2003.01034.x

Cited by 72 publications

(54 citation statements)

References 17 publications

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“…CCD was present in 100% of subjects of both groups, however, it was symptomatic in 88.24% of G1 and in 51.35% of G2. In another study, silent CCD was significantly more frequent in TMD patients, when compared to a control group (10) . The authors described the silent CCD as a group of signs of cervical disorder that do not lead to the pain triggering in the region.…”

Section: Discussionmentioning

confidence: 86%

“…A positive association between painful symptoms in the cervical region and the presence of TMD was previously described (5)(6)(7)(8)(9)10) suggesting that subjects with this disorder have twice the risk of being affected by cervical pain (2) . CCD was present in 100% of subjects of both groups, however, it was symptomatic in 88.24% of G1 and in 51.35% of G2.…”

Section: Discussionmentioning

confidence: 92%

“…In the literature, a greater prevalence of CCD has also been observed in patients with TMD, regardless the nature of the disorder (8,10) .…”

Section: Discussionmentioning

confidence: 96%

“…Patients with TMD report pain more frequently during palpation to the muscles of the upper body, especially the cervical ones (10) . In a recent study, the authors reported association between pain in the masticatory and trapezius and sternocleidomastoideus muscles in subjects with myogenic TMD (29) .…”

Section: Discussionmentioning

confidence: 99%

“…It is represented by a group of signs and symptoms that involve pain and limitation of range of the physiological movements, tenderness and/or pain on cervical muscles at palpation, besides the presence of articular noises and important craniocervical posture changes (1)(2)(3)(4) . Due to the close anatomical and functional relation that involves the craniocervicomandibular system, several studies have reported a high prevalence of signs and symptoms of CCD in subjects with temporomandibular disorder (TMD) (1,(5)(6)(7)(8)(9)(10) .…”

Section: Introductionmentioning

confidence: 99%

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Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

Weber

Corrêa

Ferreira

et al. 2012

J. Soc. Bras. Fonoaudiol.

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PURPOSE: To study the frequency of cervical spine dysfunction (CCD) signs and symptoms in subjects with and without temporomandibular disorder (TMD) and to assess the craniocervical posture influence on TMD and CCD coexistence. METHODS: Participants were 71 women (19 to 35 years), assessed about TMD presence; 34 constituted the TMD group (G1) and 37 comprised the group without TMD (G2). The CCD was evaluated through the Craniocervical Dysfunction Index and the Cervical Mobility Index. Subjects were also questioned about cervical pain. Craniocervical posture was assessed by cephalometric analysis. RESULTS: There was no difference in the craniocervical posture between groups. G2 presented more mild CCD frequency and less moderate and severe CCD frequency (p=0.01). G1 presented higher percentage of pain during movements (p=0.03) and pain during cervical muscles palpation (p=0.01) compared to G2. Most of the TMD patients (88.24%) related cervical pain with significant difference when compared to G2 (p=0.00). CONCLUSION: Craniocervical posture assessment showed no difference between groups, suggesting that postural alterations could be more related to the CCD. Presence of TMD resulted in higher frequency of cervical pain symptom. Thus the coexistence of CCD and TMD signs and symptoms appear to be more related to the common innervations of the trigeminocervical complex and hyperalgesia of the TMD patients than to craniocervical posture deviations.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 92%

“…In the literature, a greater prevalence of CCD has also been observed in patients with TMD, regardless the nature of the disorder (8,10) .…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

Weber

Corrêa

Ferreira

et al. 2012

J. Soc. Bras. Fonoaudiol.

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Objective Signs

Hartmann¹,

Cucchi²

2013

Stress and Orality

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Association between Orthopedic and Dental Findings: What Level of Evidence is Available?

2007

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Objective: The aim of this systematic review was to provide comprehensive access to and an analysis of the specialist literature published through December 2005 describing a correlation between orthopedic (leg-length inequality, pelvis obliquity, column diseases and head posture) and dental findings (occlusion, mandibular position, temporomandibular joints, masticatory muscles). Method: Four medical and dental internet sources (PubMed; Medpilot.de; databases of the Deutsche Ärzte-Verlag and Quintessenz-Verlag) were screened for relevant articles using carefully selected retrieval strategies and keywords. Bibliographies of relevant articles were examined for further pertinent publications. All relevant articles were tabulated according to their year of publication, the subject area discussed, and the levels of scientific evidence. Results: Our electronic inquiry yielded 359 relevant articles (electronic search: 195, search in bibliographies: 164), 355 of which could be analyzed. A correlation between dental findings and spinal column diseases was described in 266 articles, head posture in 216, pelvis obliquity in 53, and leg-length inequality in 35 papers. In 131 publications, conclusions were drawn from dental to orthopedic findings, whereas they were drawn from orthopedic to dental findings in 171 articles. The number of relevant articles rose significantly, particularly since the 1980's. Classification in levels of evidence reveals three publications (0.8%) with level II (randomized controlled trials), 63 (17.7%) with level III (experimental studies with no randomization, cohort studies, or casecontrol studies), 178 (50.1%) with level IV (non-experimental studies, such as cross-sectional trials, case series, case reports), and 111 (31.3%) with level V (narrative review or expert opinion without explicit critical appraisal). IntroductionSeveral publications in the German-language dental literature over the last few years have reported a functional relationship between orthopedic findings (spinal scoliosis, disturbances of the atlanto-occipital, atlanto-axial, and/or iliosacral joints, pelvis obliquity, leg-length inequality) and the masticatory system (occlusion, mandibular position, temporomandibular joints, masticatory muscles) [51,260,302,303,330]. The literature on this subject has originated in many countries (and languages) and is of variable quality, making assessment of the alleged associations difficult. We thus decided to carry out a systematic literature review. After compiling a list of relevant contributions published through December 2005, we analyzed their contents and quality.

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Comorbidity of internal derangement of the temporomandibular joint and silent dysfunction of the cervical spine

Cited by 72 publications

References 17 publications

Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

Cervical spine dysfunction signs and symptoms in individuals with temporomandibular disorder

Objective Signs

Association between Orthopedic and Dental Findings: What Level of Evidence is Available?

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