Diagnosis and Treatment of Temporomandibular Disorders

Dym, Harry; Israel, Howard A.

doi:10.1016/j.cden.2011.08.002

Cited by 70 publications

(65 citation statements)

References 10 publications

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“…Patients who undergo surgery often have both pain and abnormal joint functional loading (1, 2). In more severe cases, there is also degeneration of the articulating tissues, including the TMJ disc and the condylar fibrocartilage (3).…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular joint fibrocartilage degeneration from unilateral dental splints

Henderson

Lowe

Tudares

et al. 2015

Archives of Oral Biology

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Objective The objective of this study was to determine the extent to which altered loading in the temporomandibular joint (TMJ), as might be associated with a maloclussion, drives degeneration of articulating surfaces in the TMJ. We therefore sought to quantify the effects of altered joint loading on the mechanical properties and biochemical content and distribution of TMJ fibrocartilage in the rabbit. Design Altered TMJ loading was induced with a 1 mm splint placed unilaterally over the maxillary and mandibular molars for six weeks. At that time, TMJ fibrocartilage was assessed by compression testing, biochemical content (collagen, glycosaminoglycan (GAG), DNA) and distribution (histology), for both the TMJ disc and the condylar fibrocartilage. Results There were no changes in the TMJ disc for any of the parameters tested. The condylar fibrocartilage from the splinted animals was significantly stiffer and the DNA content was significantly lower than that in control animals. There was significant remodeling in the condylar fibrocartilage layers as manifested by a change in GAG and collagen II distribution and a loss of defined cell layers. Conclusions A connection between the compressive properties of TMJ condylar fibrocartilage after 6 weeks of splinting and the changes in histology was observed. These results suggest a change in joint loading, leads to condylar damage, which may contribute to pain associated with at least some forms of TMJ disease.

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Section: Introductionmentioning

confidence: 99%

Temporomandibular joint fibrocartilage degeneration from unilateral dental splints

Henderson

Lowe

Tudares

et al. 2015

Archives of Oral Biology

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“…Pain-related catastrophizing may represent another potentially powerful non-biological factor that influences symptoms and functioning among TMD patients. 13 These reactions are strongly associated with pain intensity, psychosocial adjustment, and physical functioning, 14 as well as impairment of quality of life.…”

Section: Discussionmentioning

confidence: 99%

Orofacial pain and temporomandibular disorders: the impact on oral health and quality of life

et al. 2012

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Many conditions may cause painful symptoms in orofacial structures. Among the chronic conditions that affect this area, temporomandibular disorders are the most common. Temporomandibular Disorder is a collective term that includes a number of clinical complaints involving the masticatory muscles, the Temporomandibular Joint and associated structures. In some cases, these complaints can be associated with depression, catastrophizing behavior and impact on quality of life. The present study aims to explain the relationship between Temporomandibular Disorders and pain chronification and their relation to a variety of psychosocial and behavioral comorbid conditions. The mechanisms of pain conduction and suggestions for management are also addressed.

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“…• Inyecciones de toxina botulínica A: Recientemente aprobadas para su empleo en pacientes adultos. Proporcionan una relajación muscular masticatoria; sin embargo, esta modalidad de tratamiento no ha sido aún aprobada para su uso en niños (28).…”

Section: Tratamiento De Los Ttm En Niños Y Adolescentesunclassified

Management of Temporo-Mandibular Disorders in children and adolescents: A literature review

Garrocho

Ruiz

et al. 2016

Odovtos - Int J Dent Sc

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RESUMENEl propósito de esta revisión es brindar la información fundamental para el diagnóstico temprano del trastorno temporo-mandibular (TTM) en niños y adolescentes, considerando que la tendencia general entre los Odontólogos es pensar que no existen estos trastornos en el paciente infantil, o bien, que son extremadamente raros. Sin embargo, esto no es así, por lo que es imperativo que, durante el examen clínico integral del paciente pediátrico, se incluya una revisión minuciosa de la articulación temporomandibular (ATM) en desarrollo. Se pretende que el presente reporte sirva de motivación para que los Odontólogos de práctica general se interesen en este tema, y puedan orientar o tratar a los pacientes que atiende, especialmente los niños pequeños, los cuales son muchas veces incapaces de expresar adecuadamente sus síntomas, debido a inmadurez. Por lo que solamente con un examen completo se pueden diagnosticar y tratar adecuadamente estas alteraciones articulares. PALABRAS CLAVEArticulación temporomandibular; Odontología pediátrica; Niños; Adolescentes; Síndrome de disfunción de la articulación temporomandibular; Dentición mixta. ROSALES M., GARROCHO J., RUIZ M., MÁRQUEZ R., POZOS A., 2016: Manejo de los trastornos temporo-mandibulares en niños y adolescentes: Revisión de la literatura.-ODOVTOS-Int. J. Dental Sc., 18-1 (January-April): 41-48.

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Diagnosis and Treatment of Temporomandibular Disorders

Cited by 70 publications

References 10 publications

Temporomandibular joint fibrocartilage degeneration from unilateral dental splints

Temporomandibular joint fibrocartilage degeneration from unilateral dental splints

Orofacial pain and temporomandibular disorders: the impact on oral health and quality of life

Management of Temporo-Mandibular Disorders in children and adolescents: A literature review

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