Temporomandibular dysfunction

Lomas, Johnathan; Gurgenci, Taylan; Jackson, Christopher; Campbell, Duncan J.

doi:10.31128/afp-10-17-4375

Cited by 52 publications

(63 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Surgical treatment is not offered until these conservative options have been exhausted without satisfactory improvement of pain symptoms and jaw function. This is due to the fact that many TMD symptoms do improve without any surgical treatment 4,33,34 . However, about 5-10% of patients with TMDs remain unresponsive to conservative options and require surgical treatment [35][36][37][38] .…”

Section: Discussionmentioning

confidence: 99%

Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis

Li¹,

Wong²,

Li³

et al. 2020

Preprint

View full text Add to dashboard Cite

The aim of this study was to assess the best timing to perform arthrocentesis in the management of temporomandibular disorders with regards to conservative treatment. A systematic search based on PRISMA guidelines, including a computer search with specific keywords, reference list search, and manual search was done. Relevant articles were selected after 3 search rounds for final review based on 6 predefined inclusion criteria, followed by a round of critical appraisal. Eleven publications, including 5 randomized controlled trials and 6 prospective clinical studies informed this review. The studies were divided into 3 groups based on the timing of arthrocentesis: 1). Arthrocentesis as the initial treatment, 2). Early arthrocentesis, and 3). Late arthrocentesis. Meta-analyses compared the efficacy of improvement in mouth opening and pain reduction in the 3 groups. The results were statistically significant and favoured early arthrocentesis, followed by late arthrocentesis in terms of both improvements in mouth opening and pain reduction. All 3 groups showed improvement in mouth opening and pain reduction. We conclude that early arthrocentesis may be able to produce the best clinical results, while arthrocentesis before attempting conservative treatment may produce less favourable outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis

Li¹,

Wong²,

Li³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…This may have been due to the higher rate of condyle involvement in our current study cases. The mandibular condyle articulates with the glenoid fossa of the temporal bone in the temporomandibular joint and has an essential functional role as it acts as a hinge [19,20]. A condyle metastasis can cause dislocation of the joint or movement disruption, accompanied by severe pain.…”

Section: Discussionmentioning

confidence: 99%

Radiotherapy for mandibular metastases from hepatocellular carcinoma: a single institutional experience

Park

Yoon

2019

Radiat Oncol J

View full text Add to dashboard Cite

Purpose: A mandibular metastasis is uncommon in patients with hepatocellular carcinoma (HCC). We report the clinical features of this rare lesion and evaluate the effectiveness of radiotherapy in affected patients. Materials and Methods: We retrospectively reviewed our institutional medical records for HCC patients who received radiotherapy for bone metastasis, and included cases of mandible metastasis. The clinical features of these cases, and the characteristics and outcomes of the treatments were assessed. Results: A total of 1,498 patients with a bone metastasis from HCC were treated with radiotherapy between July 1998 and April 2012 at our institution. We identified 9 patients (0.6%) in this cohort that received radiotherapy for a mandibular metastasis. The condyle was the most common location of mandibular metastasis. The median radiation dose was 40 Gy (range, 27.5 to 60 Gy), with a daily dose of 2-3 Gy. All of these 9 patients died during a median follow-up of 9 months (range, 1 to 19 months). Symptom relief was achieved in 7 of 8 patients who completed radiotherapy. Tumor size reduction was observed in 2 of 4 patients who underwent radiologic evaluation after radiotherapy. Conclusions: Metastasis to the mandible from HCC has a poor prognosis. Radiotherapy can be an effective local treatment option for symptomatic relief in these cases.

show abstract

“…Masticatory pain, related to temporomandibular joint dysfunction or other pain syndromes of the head and neck, may also result in the patient complaining of difficulty chewing. 5 In these cases, referral to a general or specialist dentist should resolve the problem.…”

Section: Tooth Loss and Chewing Problemsmentioning

confidence: 99%

“…The differential diagnosis of the numerous pathologies and dysfunctions of the orofacial region has been presented elsewhere. 5,25,26,28,30,33,36,37 Any background medical issues or issues related to treatment need to be monitored and managed where possible by the primary healthcare provider in concert with other specialties as needed. 38 Treatment for head and neck cancers produces significant morbidity in survivors irrespective of the treatment modality (ie ablative surgery, radiation therapy, chemotherapy, immunotherapy or any combination of these).…”

Section: Head and Neck Cancermentioning

confidence: 99%

Surgical solutions to orofacial problems

Sherring

2020

Aust J Gen Pract

View full text Add to dashboard Cite

Background Orofacial problems present frequently to primary care providers. Many of these problems have a surgical solution. Some may require minor procedures, while others require major maxillofacial surgery. Objective The purpose of this article is to illustrate how some common orofacial presentations can be investigated and solutions found in conjunction with oral and maxillofacial surgeons. Discussion This article outlines a method of approach for some of the issues with which patients present to their primary healthcare provider that may be resolved using skills and techniques of maxillofacial surgery. THE LITERATURE SUGGESTS that many patients will seek advice from their primary healthcare providers for non-dental orofacial symptoms rather than from a dentist. 1-3 The problems may range from 'simple' dental problems to complex issues requiring medical investigation and multidisciplinary management. Patients (or their carers) may present with a number of different problems such as: • 'I have trouble chewing food.' • 'I don't like the way my face looks.' • 'My snoring at night keeps my partner awake; I have to sleep in another room.' • 'I am having a problem with my mouth and jaws that requires an operation.' These problems require thoughtful orofacial investigation.

show abstract

Temporomandibular dysfunction

Cited by 52 publications

References 13 publications

Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis

Timing of Arthrocentesis in the Management of Temporomandibular Disorders:A Systematic Review and Meta-analysis

Radiotherapy for mandibular metastases from hepatocellular carcinoma: a single institutional experience

Surgical solutions to orofacial problems

Contact Info

Product

Resources

About