The Prevalence and Treatment Needs of Subjects with Temporomandibular Disorders

Schiffman, Eric L; Fricton, James R.; Haley, Dennis; Shapiro, Burton L.

doi:10.14219/jada.archive.1990.0059

Cited by 251 publications

(135 citation statements)

References 28 publications

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“…These conditions are frequently related to other structures of the body, complicating their classification, diagnosis, and treatment 1,2,3 . The prevalence of TMD symptoms ranges from 16% to 59% in studies of non-patient populations 4,5 . On the other hand, clinical studies have reported higher prevalences (45% to 50%) and are more likely to identify severely affected patients 6,7,8 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of temporomandibular disorders in postmenopausal women and relationship with pain and HRT

et al. 2016

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The prevalence of temporomandibular disorders (TMD) is higher in females, reaching their high peak during reproductive years, probably because of the action of some female hormones, which alter pain threshold. This study aimed to investigate the prevalence of TMD in postmenopausal women and its relationship with pain and hormone replacement therapy (HRT). In total, 284 patients were evaluated and classified using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Pain was measured using the Visual Analogue Scale (VAS), and patients were also asked about the use of HRT. All data was analyzed using analysis of variance (ANOVA) and chi-square test. In total, 155 subjects did not have TMD and 129 had TMD; TMD group patients were classified according to RDC/TMD axis I classification as follows: muscle disorder group (1.6%), disk displacement group (72.87%), and arthralgia, osteoarthritis, and osteoarthrosis group (37.98%). Pain was registered in 35 patients who belonged to the TMD group, while 48 patients reported the use of HRT. There was a similar percentage of TMD and non TMD patients; moreover, the use of exogenous hormones was no associated with TMD, suggesting that there is no influence on the pain threshold.

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Section: Introductionmentioning

confidence: 99%

Prevalence of temporomandibular disorders in postmenopausal women and relationship with pain and HRT

et al. 2016

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“…Elevated levels of CGRP have been reported to correlate with pain severity during migraine attacks (Buzzi and Moskowitz, 1992;Edvinsson and Goadsby, 1994) and TMJD (Holmlund et al, 1991;Appelgren et al, 1993). TMJD is a clinical term used to describe the number of related disorders affecting the jaw joint, masticatory muscle and associated structures (Schiffman et al, 1990). About 60-70% of the general population has at least one symptom of TMJD, defined as pain or limited joint opening (Dimitroulis, 1998).…”

Section: Introductionmentioning

confidence: 99%

Repression of calcitonin gene-related peptide expression in trigeminal neurons by a Theobroma cacao extract

Abbey

Patil

Vause

et al. 2008

Journal of Ethnopharmacology

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Ethnopharmacological relevance-Cocoa bean preparations were first used by the ancient Maya and Aztec civilizations of South America to treat a variety of medical ailments involving the cardiovascular, gastrointestinal, and nervous systems. Diets rich in foods containing abundant polyphenols, as found in cocoa, underlie the protective effects reported in chronic inflammatory diseases. Release of calcitonin gene-related peptide (CGRP) from trigeminal nerves promotes inflammation in peripheral tissues and nociception.Aim of the study-To determine whether a methanol extract of Theobroma cacao L. (Sterculiaceae) beans enriched for polyphenols could inhibit CGRP expression, both an in vitro and an in vivo approach was taken.Results-Treatment of rat trigeminal ganglia cultures with depolarizing stimuli caused a significant increase in CGRP release that was repressed by pretreatment with Theobroma cacao extract. Pretreatment with Theobroma cacao was also shown to block the KCl-and capsaicin-stimulated increases in intracellular calcium. Next, the effects of Theobroma cacao on CGRP levels were determined using an in vivo model of temporomandibular joint (TMJ) inflammation. Capsaicin injection into the TMJ capsule caused an ipsilateral decrease in CGRP levels. Theobroma cacao extract injected into the TMJ capsule 24 h prior to capsaicin treatment repressed the stimulatory effects of capsaicin.Conclusions-Our results demonstrate that Theobroma cacao extract can repress stimulated CGRP release by a mechanism that likely involves blockage of calcium channel activity. Furthermore, our findings suggest that the beneficial effects of diets rich in cocoa may include suppression of sensory trigeminal nerve activation.

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“…Temporomandibular disorder is often characterized by orofacial pain, limited or deviated range-of-motion, joint clicking, and headaches. 6,33 The etiology of TMD has been attributed to a number of factors, including bruxism, 3 trauma, and occupational stressors. 12 Although it is speculated that approximately 70% of the general population will exhibit signs of temporomandibular disorder, only 5% will seek medical or dental treatment.…”

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confidence: 99%

Effectiveness of Manual Physical Therapy, Therapeutic Exercise, and Patient Education on Bilateral Disc Displacement Without Reduction of the Temporomandibular Joint: A Single-Case Design

Cleland¹,

Palmer²

2004

J Orthop Sports Phys Ther

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Study Design: Single-case A1-B-A2 design. Objective: To determine if manual physical therapy, therapeutic exercise, and patient education would be an effective management strategy for a patient with a disc displacement without reduction of both temporomandibular joints. Background: A number of conservative management strategies have been proposed for the treatment of temporomandibular disorders. However, little evidence exists to indicate the effectiveness of physical therapy interventions in patients with bilateral disc displacement without reduction. Methods and Measures: Phase A1 of the study consisted of a baseline condition in which no intervention was initiated. Phase B included manual physical therapy, therapeutic exercise, and patient education focusing on the temporomandibular joint and cervical spine. Phase A2 consisted of withdrawal of the intervention. The Steigerwald/Maher disability questionnaire was used to collect data relative to function. A visual analog scale was used to collect pain data and maximal mouth opening measurements were obtained as an indicator of range of motion. Visual analysis and the 2 standard deviation band method of statistical analysis were used to compare data. Results: Following the implementation of the intervention phase, the patient demonstrated significant reductions in pain and improvements in maximal mouth opening and function as measured by the Steigerwald/Maher disability questionnaire. These observed improvements were maintained at the time of a 3-month follow-up. Conclusions:The results of our study suggest that manual physical therapy, therapeutic exercise, and patient education may have been an effective management strategy for a patient with bilateral disc displacement without reduction of the temporomandibular joints. Further outcome studies in the form of randomized controlled trials are needed to determine the clinical utility of this treatment approach in a larger population.

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The Prevalence and Treatment Needs of Subjects with Temporomandibular Disorders

Cited by 251 publications

References 28 publications

Prevalence of temporomandibular disorders in postmenopausal women and relationship with pain and HRT

Prevalence of temporomandibular disorders in postmenopausal women and relationship with pain and HRT

Repression of calcitonin gene-related peptide expression in trigeminal neurons by a Theobroma cacao extract

Effectiveness of Manual Physical Therapy, Therapeutic Exercise, and Patient Education on Bilateral Disc Displacement Without Reduction of the Temporomandibular Joint: A Single-Case Design

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