Orofacial Manifestations and Temporomandibular Disorders of Sjögren Syndrome: An Observational Study

Crincoli, Vito; Comite, Mariasevera Di; Guerrieri, Mariateresa; Rotolo, Rossana Patricia; Limongelli, Luisa; Tempesta, Angela; Iannone, Florenzo; Rinaldi, A.; Lapadula, Giovanni; Favia, Gianfranco

doi:10.7150/ijms.23044

Cited by 28 publications

(19 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ese results are consistent with accumulating evidence that indicates that subjects suffering from TMD exhibit dysregulation of the systems that control the response of the autonomous and somatomotor systems to sensory stimuli [36]. Furthermore, it has been hypothesized that this dysregulation in TMD patients represents a form of CS [37][38][39][40][41]. In fact, our CSI data indicate that TMD subjects receive high scores, and this is consistent with a role for central involvement that is not observed in control subjects.…”

Section: Discussionsupporting

confidence: 91%

Standard Correction of Vision Worsens EMG Activity of Pericranial Muscles in Chronic TMD Subjects

Monaco

Ortu

Giannoni

et al. 2020

Pain Research and Management

View full text Add to dashboard Cite

Recent studies showed an evident correlation between the stomatognathic system and the visual system. These results suggest that subjects who are affected by both temporomandibular (TMD) disorders and refractive disorders present with altered control of pericranial musculature tone and higher open-eye electromyographic (EMG) values. The objective of this work was to evaluate the effects of standard vision correction on EMG in subjects suffering from TMD compared with application of the same vision treatments to non-TMD subjects. 40 subjects were enrolled in this study. The test group included 20 myopic subjects and also included patients with TMD. The control group included 20 healthy myopic subjects. All of the participants underwent a complete ocular examination and a sEMG analysis. The results showed that TMD subjects with vision disorders that are corrected with standard glasses present EMG values that are significantly higher than those presented by non-TMD subjects with vision disorders and standard glasses. Infact, in TMD subjects, eye correction did not have a positive effect on the stomatognathic or pericranial musculature.

show abstract

Section: Discussionsupporting

confidence: 91%

Standard Correction of Vision Worsens EMG Activity of Pericranial Muscles in Chronic TMD Subjects

Monaco

Ortu

Giannoni

et al. 2020

Pain Research and Management

View full text Add to dashboard Cite

show abstract

“…However, this hypothesis was not validated in this study, and the distribution of the diagnoses of TMD was quite similar in both primary and secondary SS. Crincoli et al (23) also found that signs and symptoms related to TMD were very frequent in a sample composed predominantly of patients with the primary form of the disease.…”

Section: Discussionmentioning

confidence: 95%

“…However, OMD has rarely been described (12), and the signs and symptoms of TMD are not entirely understood in patients with SS (20)(21)(22)(23). Prior studies revealed distinct aspects of primary SS and SS associated with rheumatoid arthritis (RA), and this last group (i.e., secondary SS) is more likely to mimic the classic forms of TMD (20,21).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Orofacial Motor Functions and Temporomandibular Disorders in Patients With Sjögren's Syndrome

Zanin

Garcia

Rocha

et al. 2020

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. Sjögren's syndrome (SS) induces difficulty in chewing and swallowing due to low salivary flow. However, these symptoms may be associated with other factors, such as orofacial myofunctional disorders and temporomandibular disorder (TMD), which have not been comprehensively assessed in this population. The aims of this study were to investigate orofacial muscles and functions as well as the presence of TMD in patients with SS compared with a group without SS and to analyze whether the patients' experience of limitations in orofacial functioning is associated with the orofacial functional status and muscle pain related to TMD.Methods. Women with SS based on the 2002 American-European Consensus Group criteria and volunteers paired by age and sex were compared. The examinations included the orofacial myofunctional evaluation with scores (OMES) protocol, tongue and lip strength measures, and electromyography of the masticatory muscles. TMD investigations included clinical examination, self-report of symptoms, and assessment according to the Jaw Functional Limitation Scale.Results. Patients with SS present with impaired muscle and orofacial functions based on lower scores of all categories of OMES (P < 0.0001), tongue strength (P = 0.0003-0.0004), and masticatory muscle activity (P = 0.0002-0.007), as well as worse TMD signs and symptoms (P < 0.05) and jaw functional limitation (P < 0.0001-0.0003).Conclusion. Patients' experiences with limitation in mastication and swallowing were associated with orofacial myofunctional status and muscle pain related to TMD. Those disorders should be monitored along with disease control and must be addressed in the clinical evaluation to prevent nutritional and metabolic comorbidities in patients with SS.

show abstract

“…This suggests that the duration and amount of muscle activity are better predictors of a SB diagnosis than the number of events, and should therefore be used instead of the diagnosis cut-off points used in this study [46]. In addition, subjects were selected based on the criterion "in need of a molar crown", irrespective of their TMD and bruxism status or a TMD-relevant medical history, for example, Sjögren-syndrome [47]. None of the TMD-subjects in this study had relevant diseases in their medical history; nevertheless, it should be kept in mind that the number of participants with an RDC/TMD diagnosis was small, and the results should therefore be interpreted with appropriate caution.…”

Section: Discussionmentioning

confidence: 99%

Correlations between Sleep Bruxism and Temporomandibular Disorders

Ohlmann

Waldecker

Leckel

et al. 2020

JCM

View full text Add to dashboard Cite

The aim of this study was to identify correlations between sleep bruxism (SB) and temporomandibular disorders (TMD) as diagnosed by means of the research diagnostic criteria for temporomandibular disorders (RDC/TMD). Sleep bruxism was diagnosed on the basis of I) validated questionnaires, II) clinical symptoms, and III) electromyographic/electrocardiographic data. A total of 110 subjects were included in the study. Fifty-eight patients were identified as bruxers and 52 as nonbruxers. A psychosocial assessment was also performed. An RDC/TMD group-I diagnosis (myofascial pain) was made for 10 out of 58 bruxers, whereas none of the nonbruxers received a diagnosis of this type. No significant differences were found between bruxers and nonbruxers with regard to RDC/TMD group-II (disc displacement) and group-III (arthralgia, arthritis, arthrosis) diagnoses. Somatization was significantly more common among bruxers than nonbruxers. Multivariate logistic regression analysis revealed that somatization was the only factor significantly correlated with the diagnosis of myofascial pain. The results of this study indicate a correlation between myofascial pain, as diagnosed using the RDC/TMD, and somatization. It seems that somatization is a stronger predictor of an RDC/TMD diagnosis of myofascial pain than sleep bruxism is.

show abstract

Orofacial Manifestations and Temporomandibular Disorders of Sjögren Syndrome: An Observational Study

Cited by 28 publications

References 44 publications

Standard Correction of Vision Worsens EMG Activity of Pericranial Muscles in Chronic TMD Subjects

Standard Correction of Vision Worsens EMG Activity of Pericranial Muscles in Chronic TMD Subjects

Orofacial Motor Functions and Temporomandibular Disorders in Patients With Sjögren's Syndrome

Correlations between Sleep Bruxism and Temporomandibular Disorders

Contact Info

Product

Resources

About