Prosthodontic Treatment in Patients with Temporomandibular Disorders and Orofacial Pain and/or Bruxism: A Review of the Literature

Minervini, Giuseppe; Fiorillo, Luca; Russo, Diana; Lanza, Alessandro; D’Amico, Cesare; Cervino, Gabriele; Meto, Aida; Francesco, Fabrizio Di

doi:10.3390/prosthesis4020025

Cited by 48 publications

(34 citation statements)

References 59 publications

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“…In other situations, an acrylic splint was used by the authors to functionally realign the mandible in a case of unilateral mandibular subcondylar fracture with dislocation [46]. Moreover, it is possible to use teledentistry to supplement conventional treatment for various oral diseases and it is crucial to consider the cause-and-effect implications and treatment planning techniques [47,48]. Some authors have chosen either a complete dentition or an asymmetrical structure on the two hemiarches, i.e., missing molars on the left, molars, premolars, and canine on the right, or simply the third molar, with various procedures around it depending on the aim [40][41][42].…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Hedeșiu

Pavel

Almășan

et al. 2022

Oral

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The main objective was to examine the biomechanical behavior of the mandible under standardized trauma and to develop models of biomechanical responses when the mandible is subjected to various simulated impacts. A homogenous model based on the bone’s average mechanical properties was used. To simulate external loads on the mandible, forces on the chin, forces in an anteroposterior direction, and forces from the basilar edge were applied. To simulate mandibular biomechanics, we employed a model created in the ANSYS v19.0 software. The skull with the temporomandibular joint (TMJ) from the Grabcad website was used as the geometric mandibular model. We attempted to simulate the stresses developed in the mandible by impact forces. The amount of force (F) corresponded to the fall of a five-kilogram body (the head), from a height of two meters (F = 6666.7 N). The impact force was applied perpendicular to an arbitrary surface of an area of 10−3 m2. Impact on the chin region and lateral impact on the mandible, from the basilar edge to the gonion were examined. The investigated clinical situations were mandibular complete dentition; jaw with missing mandibular molars; missing third molar and first and second premolars; missing canine, third molar, first and second premolars, and complete edentation. In a normal bite, the highest stress was on the TMJ area. In case of impact on the chin, in complete edentation, a mandibular fracture occurred; in case of impact on the gonion, all stress values exceed the limit value above which the mandible in the condyle area may fracture.

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Section: Discussionmentioning

confidence: 99%

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Hedeșiu

Pavel

Almășan

et al. 2022

Oral

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“…In the general population, the causes of temporomandibular disorders (TMD) are various; indeed, several factors may influence the development of this alteration: traumatic or post-traumatic abnormalities, intrinsic anatomic factors, and systemic conditions [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Role of Ultrasound Evaluation of Temporomandibular Joint in Juvenile Idiopathic Arthritis: A Systematic Review

2022

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Juvenile idiopathic arthritis (JIA) is childhood’s most frequent chronic rheumatic disease. JIA is a broad term that includes all arthritides starting before 16 years, lasting at least six weeks, and of unknown cause. The temporomandibular joint (TMJ) could be involved in JIA both at onset and during the disease course. The presence of TMJ synovitis might severely impair dentofacial maturation in pediatric patients. The ultrasound (US) application to detect early signs of TMJ synovitis in children with JIA has provided contradictory results. We sought to assess the current role of TMJ US in JIA through a systematic literature review. Methods: The systematic review was conducted according to the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Results: The literature search found 345 records. After duplicates removal, 253 records were screened, 20 full-text articles were reviewed to assess their eligibility, and 7 of them were included in the qualitative analysis. Joint effusion was the most recorded parameter, followed by bony condylar abnormalities. Compared to contrast enhancement MRI, the capability to detect signs of active synovitis of TMJ by US is low, especially at the early stages. Conclusion: Understanding how US may help diagnose and manage children with JIA is advisable for several reasons. MRI cannot be frequently repeated, may need sedation, and is expensive. The constant technical improvement of US will undoubtedly allow for better evaluation of what, in the past, was not clear or not even captured by sonography. So far, the role of US in the assessment of TMJ involvement in JIA is indubitably secondary to the MRI. Even so, we think that a baseline MRI of TMJ and the repetition of the sonography over time might both help the interpretation of US images and intercept significative changes.

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Section: Introductionmentioning

confidence: 99%

“…Most clinical outcomes are stated to be dentoalveolar alterations, with 70 percent of overjet decrease attained by incisor tipping [8]. Bad oral habits such as bruxism can also be treated with these appliances in addition to some prosthodontic appliances [9]. explanation of different problems in medicine and dentistry [10][11][12] and also enables orthodontists to explain the shape, mode of action, and uses of different orthodontic appliances.…”

Section: Introductionmentioning

confidence: 99%

The Use and Preference of Functional Appliances among a Sample of Iraqi Orthodontists: A Web-Based Survey

Hussien

Altaee

Nahidh

et al. 2022

International Journal of Dentistry

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Objectives. This study evaluated the use and preference of different types of functional appliances among a sample of Iraqi orthodontists. Materials and Methods. About 200 orthodontists were invited to fill out an online Google form questionnaire with multiple-choice questions. The questions were modified from previous England and Malaysian studies. The data were tabulated as frequency tables. Results. The response rate was 61%. About 91.80% of the participants used functional appliances, with the removable type being the most used. The twin block was thought to be the best compliance one but not the most used functional appliance. About 62% depended on the clinical observations in determining the growth spurt and asked patients to wear the appliance full-time except at meal time. The majority preferred a period of retention of about 4–6 months and frequent visits for adjustments. Conclusions. Removable functional appliances are the most frequently used among the studied sample.

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Prosthodontic Treatment in Patients with Temporomandibular Disorders and Orofacial Pain and/or Bruxism: A Review of the Literature

Cited by 48 publications

References 59 publications

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Role of Ultrasound Evaluation of Temporomandibular Joint in Juvenile Idiopathic Arthritis: A Systematic Review

The Use and Preference of Functional Appliances among a Sample of Iraqi Orthodontists: A Web-Based Survey

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