Influence of defective complete dentures renewal on <scp>TMD</scp>; an <scp>MRI</scp> and clinical controlled prospective study

Abdelnabi, Mohamed H.; Swelem, Amal A.

doi:10.1111/ger.12102

Cited by 12 publications

(15 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, one can hypothesise that prosthetic problems, such as the use of unbalanced and poorly fitted prostheses, negatively influence MP in subjects with RA, with no significant effect of the systemic disease itself. The restoration of balance in the stomatognathic system with the installation of the new prostheses allows adjustment in mandibular posture and increases mastication ability and comfort, explaining this finding. Balanced occlusion provided by the new prostheses is also important to reduce overload in the TMJ, allowing more stable biomechanical movements.…”

Section: Discussionmentioning

confidence: 91%

Influence of removable prostheses on mastication in elderly subjects with rheumatoid arthritis

Andrade

Alfenas

Garcia

2018

J of Oral Rehabilitation

View full text Add to dashboard Cite

Rheumatoid arthritis (RA) is a prevalent disease in the elderly population, and it may affect the temporomandibular joint (TMJ) and the stomatognathic system. This study evaluated masticatory function in elderly patients with RA before and after oral rehabilitation with removable prostheses. Forty-five elders with partial or total edentulism who were using unsatisfactory removable prostheses were selected and assigned to 3 groups: RA with TMJ involvement, RA without TMJ involvement and healthy controls. Masticatory function was assessed in terms of masticatory performance (MP) and maximum bite force (MBF). The former was determined by the sieving method, and the latter was measured by pressure sensors placed in the bilateral molar regions. The variables were first evaluated in elderly subjects wearing unsatisfactory prostheses and re-assessed after participants had received new removable prostheses. Comparisons between groups and among time points were performed with analysis of variance for repeated measures and the Tukey-Kramer test (P < .05). Comparison among groups showed decreased MP in elders with RA before new prosthesis insertion (P < .05). Irrespective of TMJ involvement, MP improved after treatment in subjects with RA. Rheumatoid arthritis groups also showed decreased MBF (P < .05), which improved after new prosthesis insertion. Rheumatoid arthritis might impair masticatory function, and well-fitted removable prosthesis insertion might be very beneficial in elders with RA.

show abstract

Section: Discussionmentioning

confidence: 91%

Influence of removable prostheses on mastication in elderly subjects with rheumatoid arthritis

Andrade

Alfenas

Garcia

2018

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Convencionalmente, pensava-se que a DTM era causada pela perda de suporte oclusal e aumento na carga da articulação, o que levaria à predisposição ao deslocamento do disco articular e doenças degenerativas da articulação (Carlsson, 2010;Dhanda, et al, 2011;Abdelnabi & Swelem, 2015;de S Leão et al, 2017). Entretanto, estudos atuais sugerem que a DTM pode causar todos esses transtornos e ser originada por múltiplos fatores, como traumatismos (macro ou microtraumas), doenças sistêmicas, fatores psicológicos, ansiedade, genética, entre outros, seguindo o modelo biopsicossocial (Abudet al, 2011;Badel et al, 2012;Papagianni, et al, 2013;Campos et al, 2014;Ribeiro et al, 2014;Katyayan et al, 2016;com Para o diagnóstico correto de DTM, é de suma importância a execução de boa anamnese, investigando-se o histórico e escala da dor do paciente, aplicação de questionário específico, como o DC/TMD (Schiffman et al, 2014); sendo fundamental executar um criterioso exame físico, por meio da palpação dos músculos mastigatórios, dos músculos cervicais, da ATM, orientar o paciente a realizar movimentos funcionais (de abertura, protusão, lateralidade), mensurar a abertura bucal máxima e, caso seja necessário, solicitar exames de imagem (ressonância magnética, tomografia computadorizada, artrografia) (Ferreira, et al, 2016).…”

Section: Discussionunclassified

Prevalência de sintomas de Disfunção Temporomandibular em pacientes com necessidades reabilitadoras do HUB/Ebserh, no período de 2016 a 2021

Mesquita

Fernándes²,

Kogawa³

et al. 2022

RSD

View full text Add to dashboard Cite

Objetivo. Avaliar a prevalência dos sintomas das Disfunções Temporomandibulares (DTM) em pacientes com necessidades reabilitadoras, por meio da avaliação de prontuários de pacientes atendidos nas clínicas de graduação de Prótese Total Removível (PTR) e Prótese Parcial Removível (PPR) e no Centro de Especialidades Odontológicas (CEO) do Hospital Universitário de Brasília (HUB/Ebserh), no período de 2016 a 2021. Metodologia. Foi realizado levantamento de prontuários, analisando os seguintes itens: queixa principal e relatos de dores de cabeça, obtidos na anamnese e avaliação da articulação temporomandibular no exame físico. Após levantamento dos prontuários, os dados coletados foram tabelados e analisados quantitativamente.Resultados. Foram analisados 124 prontuários impressos, entre estes, 24 eram de usuários de PTR, 46 de PPR e 54 de PTR e PPR associadas. A prevalência de sintomas de DTM foi de 11,29% (n=14) em usuários de PTR, 19,35% (n=24) em usuários de PPR e 16,93% (n=21) em pacientes com PTR/PPR associadas, resultando em 47,58% (n=59) da totalidade dos prontuários avaliados. Dessa porcentagem, 38,70% (n=48) eram do gênero feminino, na faixa etária de 39 aos 79 anos.Conclusão. De acordo com os resultados obtidos, a prevalência de sintomas de DTM em pacientes com necessidades reabilitadoras por próteses dentárias removíveis totais e/ou parciais foi de 47,58%, acometendo mais as mulheres (38,70%), de 39 a 79 anos.

show abstract

“…The etiology of these problems may vary. In this context, trauma (also in childhood) [74][75][76], including the genetic predisposition for pain and/or reduced collagen repair [77][78][79] and/or fibromyalgia [80], is likely.…”

Section: Clinical Symptoms and Imaging Findingsmentioning

confidence: 99%

Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System

Tegnander¹,

Chladek

Hovland

et al. 2021

JCM

View full text Add to dashboard Cite

Clinical problems of the temporomandibular joint (TMJ) and the masticatory musculature are both included in the term temporomandibular disorder (TMD). The purpose of the present study was to examine the pathology of the joints of patients diagnosed with TMD utilizing the dedicated Piper MRI-based classification, and to link these pathologies with various symptoms while considering their severity. In total, 64 patients with clinical TMD were examined. Symptoms were recorded using a questionnaire. The clinical examination included diagnosing the occlusion in centric relation, which was followed by a standardized MRI. It was confirmed that, although they occurred in a high percentage in all classes, muscle pain and occlusal interference are not indicators of TMJ damage. The results indicate that the progressive degradation of the TMJ, represented by qualification to the higher Piper classes, is associated with an increase in TMJ pain only up to a certain stage. For the highest Piper classes, the joint pain occurs in a smaller percentage of patients, but sounds are more frequent.

show abstract

Influence of defective complete dentures renewal on TMD; an MRI and clinical controlled prospective study

Abstract: New complete dentures had a positive impact on TMD signs and symptoms, disc position and joint effusion but not on disc morphology.

Cited by 12 publications

References 49 publications

Influence of removable prostheses on mastication in elderly subjects with rheumatoid arthritis

Influence of removable prostheses on mastication in elderly subjects with rheumatoid arthritis

Prevalência de sintomas de Disfunção Temporomandibular em pacientes com necessidades reabilitadoras do HUB/Ebserh, no período de 2016 a 2021

Relationship between Clinical Symptoms and Magnetic Resonance Imaging in Temporomandibular Disorder (TMD) Patients Utilizing the Piper MRI Diagnostic System

Contact Info

Product

Resources

About