Craniomandibular disorders and general joint mobility

Westling, L

doi:10.3109/00016358909007715

Cited by 26 publications

(9 citation statements)

References 22 publications

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“…This suggestion is supported by the positive correlation found between hypermobility of the TM joint, scored using double‐contrast arthrotomograms, and disc displacements . Although not undisputed , a number of studies have also reported that generalised joint hypermobility, graded by means of the hypermobility score of Beighton , is a risk factor for symptoms of TMD (muscle and joint pain and TM‐joint clicking sounds) . However, when the focus was not on the association with clicking sounds but on that with disc displacements, studies came to contradictory results.…”

Section: Resultsmentioning

confidence: 99%

Disc displacement within the human temporomandibular joint: a systematic review of a ‘noisy annoyance’

Naeije

Veldhuis

et al. 2012

J of Oral Rehabilitation

109

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To describe the scientific literature about the diagnosis, prevalence, aetiology, natural course and possible treatment modalities of disc displacements within the temporomandibular (TM) joint. PubMed was searched for specific indexing terms. The search yielded 1211 papers. After screening according to title and abstract, 695 papers were excluded, and after full-text reading, 107 papers remained. Hand-searching of the reference lists resulted in an extra 47 papers. Thirteen studies, published since the literature search was carried out, were also included, resulting in 167 papers for this review. A disc displacement is a highly prevalent derangement within the TM joint, with reported prevalence ranging from 18% to 35% in the general population. A disc displacement with reduction is mostly a stable, pain-free and lifelong condition of the joint. In only a small minority of patients, the disc loses its capacity to reduce on opening. Surprisingly, only in rare cases, the loss of disc reduction is accompanied by signs and symptoms of a closed lock (viz. a painful and limited mouth opening). These signs and symptoms have a tendency to reduce and in many cases to resolve within months. The favourable natural course of disc displacements only warrants active treatment for symptomatic disc displacements without reduction. The primary treatment option is a conservative, non-surgical treatment focusing at speeding up the natural process of alleviation of pain and of improvement in mouth opening. For most patients, a disc displacement is just a pain-free, lifelong lasting, 'noisy annoyance' from their TM joint.

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Section: Resultsmentioning

confidence: 99%

Disc displacement within the human temporomandibular joint: a systematic review of a ‘noisy annoyance’

Naeije

Veldhuis

et al. 2012

J of Oral Rehabilitation

109

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“…Despite this, it is difficult to compare the findings with previously reported figures on sex and age distribution because the ethnic differences may be considerable. Only one Scandinavian investigation of a non-patient group is available (17). In that investigation of 73 women between 17 and 35 yr of age, 30% had a score of > 3 and 12% had a score of >4.…”

Section: Discussionmentioning

confidence: 99%

“…There are certainly also other factors that induce headache in CMD patients. One such factor may be impaired TMJ function which mainly occurred in individuals with lax joints (17).…”

Section: Discussionmentioning

confidence: 99%

Background factors in craniomandibular disorders: reported symptoms in adolescents with special reference to joint hypermobility and oral parafunctions

Westling

Mattiasson

1991

European J Oral Sciences

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Abstract— Correlations between craniomandibular disorders (CMD) symptoms and an inherited factor (general joint hypermobility) were studied in 193 adolescents (96 girls and 97 boys). They answered a questionnaire concerning CMD symptoms, oral parafunctions, head and jaw trauma and symptoms from other joints. Joint mobility was assessed by determining the Beighton score (0‐9). Twenty‐eight percent of the girls and 21% of the boys could perform four or more of the maneuvres. Twenty‐two percent of the girls and 3% of the boys were extremely hypermobile (score ≥5). Eighty‐nine percent were aware of some oral parafunction and the prevalences of oral habits were about the same in the two groups. Girls reported significantly more dysfunction symptoms than boys. No indication was found that oral parafunctions generally produced CMD but a systemic factor (joint hypermobility) seemed to play an important role when the masticatory system was exposed to local forces as in oral parafunction. This may be one explanation for the predominance of females among CMD patients.

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“…The questions about occurrence of headache once or more a week and occurrence of trauma to the head and jaws had to be answered by 'yes' or 'no'. 7 All adolescents were clinically examined by examiner A before any information about their history was obtained. No radiographic investigation of the TMJ was performed.…”

Section: Subjectsmentioning

confidence: 99%

General joint hypermobility and temporomandibular joint derangement in adolescents.

Westling

Mattiasson

1992

Annals of the Rheumatic Diseases

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Joint mobility was assessed in each member of an epidemiological sample of 96 girls and 97 boys, 17 years old, and graded by means of the hypermobility score of Beighton et al. Twenty two per cent of the girls and 3% of the boys could perform five or more of the nine manoeuvres. The prevalence of symptoms and signs of internal derangement in the temporomandibular joint was higher in adolescents with hypermobility of joints (score 35/9). In subjects with a high mobility score oral parafunctions (overuse) correlated more strongly with several signs and symptoms of craniomandibular disorder than in those with a low score.

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Craniomandibular disorders and general joint mobility

Cited by 26 publications

References 22 publications

Disc displacement within the human temporomandibular joint: a systematic review of a ‘noisy annoyance’

Disc displacement within the human temporomandibular joint: a systematic review of a ‘noisy annoyance’

Background factors in craniomandibular disorders: reported symptoms in adolescents with special reference to joint hypermobility and oral parafunctions

General joint hypermobility and temporomandibular joint derangement in adolescents.

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