Temporomandibular Disorders

Gray, Robin J.M.; Al‐Ani, M. Ziad

doi:10.1002/9781118784938

Cited by 13 publications

(8 citation statements)

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“…The most common disc displacement is reduction of disc displacement. 11 None of the wind instrument players were diagnosed with myalgia, local myalgia, myofacial pain, referred myofacial pain, headache associated with TMD, disc dis-placement with reduction with intermittent locking, disc displacement without reduction with limited mouth opening, and disc displacement without reduction without mouth opening limitations.…”

Section: Discussionmentioning

confidence: 99%

“…In the long term, contraction of the lateral pterygoid muscle can pull on the TMJ and articular disc, causing stretching of the retrodiscal tissue, resulting in a change of the disc position towards the condyle and articular eminence. 11 In conditions where there is an anterior displacement of the disc, the process of condyles movement when opening the mouth is inhibited. In order to open the mouth wide, the condyle must pass through the back and center of the disc, producing a clicking or popping sound.…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis of temporomandibular joint disorders in wind instrument players

Rosyidah¹,

Kurnikasari²,

Rikmasari³

2020

ijp

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Introduction: Playing certain kinds of musical instruments may cause disturbances around the oral cavity. Blowing activity in wind players involves contractions of the muscles around the mouth. Continuous or repetitive muscle contraction can cause muscle fatigue that triggers the onset of symptoms of temporomandibular joint disorders (TMD). The aim of this study was to determine the description of diagnosis of TMD in wind players. Method: The research was conducted to 30 brass instrument players at Gema Wibawa Mukti Marching Band Community (22 boys, 8 girls) aged 13-27 who had been actively playing wind instruments in the last 6 months. The research method used was descriptive. Examination and diagnosis were based on physical examination category and the algorithm of DC-TMD Axis I revision of 2014. Results: The results showed that for 30 samples of wind players, the number of diagnose of Group Ie (arthralgia) was 4 players, Group IIa (disc displacement with reduction) was 8 players, and Group III (degenerative joint disease) was 4 players. Conclusion: The conclusion of this study was 43.33% of wind players at Gema Wibawa Mukti MBC suffered from temporomandibular joint disorders, in which the highest diag-nosis was disc displacement with reduction, followed by arthralgia and degenerative joint disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Diagnosis of temporomandibular joint disorders in wind instrument players

Rosyidah¹,

Kurnikasari²,

Rikmasari³

2020

ijp

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“…All patients were subjected to a medical interview and physical examination of function of the masticatory organ according to diagnostic criteria for temporomandibular disorders (DC/TMD axis I and axis II) for clinical application [1][2][3]12].…”

Section: Methodsmentioning

confidence: 99%

“…Functional disorders do not include all diseases associated with musculoskeletal organs, such as inflammatory (multiple sclerosis, tetany, and dermatomyositis), degenerative arthritis, and cancer lesions of the jaws. TMD are often the result of prolonged and excessive work of the mastication muscles and nonphysiological overloads occurring in the temporomandibular jaws and the stomatognathic system associated with excessive muscle tension that sometimes even persists for years [1][2][3][4][5]. e etiology of TMD is complex and multifactorial.…”

Section: Introductionmentioning

confidence: 99%

“…Treatment of TMD is primarily a reversible therapy with the use of occlusion devices called splints and supportive treatment in the form of physiotherapeutic rehabilitation, such as laser biostimulation, sonophoresis, and iontophoresis with the use of analgesics or hyaluronic acid, manual therapy, kinesiotherapy, magnetoledotherapy, and poisometric muscle relaxation. e main aim of this treatment is to reduce the increased tension of masticatory muscles and to eliminate pain in the muscles and joints [1,2,[10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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The Application of Radiofrequency Waves in Supportive Treatment of Temporomandibular Disorders

Pihut

Górnicki

Orczykowska

et al. 2020

Pain Research and Management

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In recent years, the number of patients applying for prosthetic treatment due to temporomandibular joint disorders (TMD) has been increasing. The main methods for treating disorders are the use of occlusal splints and physiotherapeutic rehabilitation as supportive treatment. Radio waves are electromagnetic waves with radiation frequency between 3 Hz and 3 THz, used for physiotherapeutic treatment of skeletal muscle relaxation in the range of 3 to 6 MHz. The rehabilitation effect of these waves is based on diathermy by means of high-voltage quick alternating current. Aim. The aim of the study was to evaluate the influence of radiofrequency waves on the pain of the masticatory muscles in the course of TMD and the usefulness of these procedures in the supporting treatment of these disorders. Materials and Methods. Patients aged 19 to 45 years, of both sexes, reported to the Consulting Room of TMD at the Institute of Dentistry in Krakow to undertake prosthetic treatment of TMD (I a—according to RDC/TMD). Study group (SG) consists of 20 patients who had 10 supportive treatments with radiofrequency currents. In the case of application of radiation to the muscle area, the energy was 20 J to the area of the masticatory muscles, the frequency was 3 MHz, bipolar technique, the duration of the procedure was 10 minutes, and the coupling substance was a gel for ultrasound examinations. The control group (CG) consisted of 20 patients who had 10 supportive treatments with sonophoresis procedures. For the area of masticatory muscles, 0.9 W/cm2 treatments were applied, the duty factor was 80%, the treatment time was 10 minutes, and the medical substance was 25% Voltaren gel. Results. Analysis of the results of the first clinical examinations (axis I) conducted in both groups shows a homogeneous clinical material and similar results. The second clinical examination revealed improved clinical parameters, but it showed a greater improvement in the SG. In the SG, the mean level of VAS was 6.25, and the extreme values were 5.9–0.14, the median was 2.15, and the standard deviation was 1.54. In the CG, the average value of VAS was 6.20 (peak of 5.2–0.7), the median was 2.4, and the standard deviation was 1.87. Summary. The search for new methods of supportive treatment of TMD is an important research direction due to the complex etiology of this disease and the lack of an explicit treatment algorithm. Conclusion. The results of our own research clearly indicate that the use of the radiofrequency waves brings pain relief and improvement of clinical parameters to a greater extent than in sonophoresis. It can be a very important new method in supportive treatment of TMD. Research needs to be continued.

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