The prevalence of temporomandibular joint dysfunction among patients wearing complete dentures

Zissis, A; Karkazis, Hercules C.; Polyzois, Gregory

doi:10.1111/j.1834-7819.1988.tb04181.x

Cited by 18 publications

(25 citation statements)

References 11 publications

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“…Alguns estudos -Bontempo, Zavanelli 5 , Raustia et al 16 , Zissis et al 17 e Mesko et al 18 -concordam com os resultados atuais e afirmam que os pacientes que usavam as mesmas próteses totais havia mais tempo (anos), assim como aqueles que não trocaram suas próteses totais periodicamente, apresentaram mais sinais de DTM do que os pacientes que as trocaram com maior frequência.…”

Section: Discussionunclassified

Prevalência de desordens temporomandibulares em indivíduos desdentados reabilitados com próteses totais convencionais

Souza

Cavacalnti

Oliveira

et al. 2014

Rev. odontol. UNESP

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ResumoIntrodução: Apesar do desenvolvimento da Odontologia Preventiva durante as últimas décadas e do advento dos implantes osseointegrados, ainda é possível encontrar indivíduos que necessitam de reabilitação com prótese total convencional. Independentemente da causa do edentulismo, desordens temporomandibulares (DTMs) podem acometer pacientes desdentados totais, portadores ou não de próteses. As Desordens Temporomandibulares podem ser definidas como um conjunto de condições dolorosas e/ou disfuncionais, que envolvem os músculos da mastigação e/ou as articulações temporomandibulares (ATMs). Objetivo: Avaliar e investigar a prevalência de DTM em indivíduos desdentados totais, de acordo com as variáveis clínicas propostas pelo método utilizado. Metodologia: A amostra da pesquisa foi constituída por 25 indivíduos desdentados totais, que foram submetidos a tratamento reabilitador com prótese total convencional dupla na Disciplina de Prótese Total. O exame seguiu o Research Diagnostic Criteria (RDC), utilizado para diagnóstico de DTM. Resultado: Dos 25 pacientes examinados, apenas um (4%) apresentou diagnóstico referente à dor miofacial. Em relação ao deslocamento de disco, o tempo de edentulismo (p=0,077) e o tempo de uso da prótese atual (p=0,077) apresentaram significância estatística, ambos apresentando cinco indivíduos com deslocamento de disco. Quanto às alterações degenerativas e/ou álgicas da ATM, o tempo de edentulismo (p=0,012) e o tempo de uso da prótese atual (p=0,012) também apresentaram resultados significativos. Conclusão: Quanto ao deslocamento de disco e às alterações degenerativas das ATMs, apenas o tempo de edentulismo e o tempo de uso das próteses atuais foram variáveis clínicas estatisticamente significativas.Descritores: Articulação temporomandibular; prótese total; arcada edentada. AbstractIntrodution: Even with the development of preventive dentistry during the last decades and the advent of dental implants, it is still possible to find patients who need rehabilitation with conventional full denture. Whatever the cause of edentulism, TMD can affect edentulous patients, with and without prostheses. The Temporomandibular Disorders can be defined as a set of painful and/or dysfunctional involving the masticatory muscles and/or temporomandibular joints. Objective: The aim of this study is to evaluate and investigate the prevalence of temporomandibular disorders in edentulous subjects, and correlate them with the clinical findings. Methodology: The research sample consisted of 25 edentulous subjects, who underwent rehabilitation treatment with conventional full denture dual discipline Prosthesis Total. The examination followed the RDC (Research Diagnostic Criteria), used for diagnosis of TMD. Result: Of the 25 patients examined, only 1 (4%) had a diagnosis related to myofascial pain. Regarding disc displacement, time of edentulism (p=0,077) and time of use of the prothesis current (p=0,077) were statistically significant, both with 5 subjects with disc displacement. As for degenerative changes and...

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Section: Discussionunclassified

Prevalência de desordens temporomandibulares em indivíduos desdentados reabilitados com próteses totais convencionais

Souza

Cavacalnti

Oliveira

et al. 2014

Rev. odontol. UNESP

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“…Studies have reported that loss of teeth, unilateral chewing patterns, and bruxism were associated with nonphysiological overloading of the remaining structures and that this excessive loading aggravated existing temporomandibular joint arthritis and increased the risk of arthrosis beyond what was expected with normal aging (Mongini, 1972;Budtz-Jorgensen et al, 1985;Christensen and Ziebert, 1986;Agerberg, 1988;Zissis et al, 1988;Mercado and Faulkner, 1991). Correlations have also been found between degree of joint dysfunction and loss of natural posterior supporting teeth (Choy and Smith, 1980;Budtzlorgensen et al, 1985;.…”

Section: (2) Loss Of Posterior Teethmentioning

confidence: 99%

“…Approximately 15 to 20% of complete denture wearers have symptoms consistent with degenerative joint disease, including joint sounds, restricted movement, and reduced bite force (Choy and Smith, 1980;Magnusson, 1982;Agerberg, 1988;Tervonen and Knuuttila, 1988;Zissis et al, 1988). Edentulous individuals who do not wear dentures have an extremely low incidence (approximately 5%) of joint disorders (Wilding and Owen, 1987).…”

Section: (3) Edentulism and Denture Wearingmentioning

confidence: 99%

Pathogenesis of Degenerative Joint Disease in the Human Temporomandibular Joint

Haskin

Milam²,

Cameron

1995

Critical Reviews in Oral Biology & Medicine

136

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ABSTRACT:The wide range of disease prevalences reported in epidemiological studies of temporomandibular degenerative joint disease reflects the fact that diagnoses are frequently guided by the presence or absence of non-specific signs and symptoms. Treatment is aimed at alleviating the disease symptoms rather than being guided by an understanding of the underlying disease processes. Much of our current understanding of disease processes in the temporomandibular joint is based on the study of other articular joints. Although it is likely that the molecular basis of pathogenesis is similar to that of other joints, additional study of the temporomandibular joint is required due to its unique structure and function. This review summarizes the unique structural and molecular features of the temporomandibular joint and the epidemiology of degenerative temporomandibular joint disease. As is discussed in this review, recent research has provided a better understanding of the molecular basis of degenerative joint disease processes, including insights into: the regulation of cytokine expression and activation, arachidonic acid metabolism, neural contributions to inflammation, mechanisms of extracellular matrix degradation, modulation of cell adhesion in inflammatory states, and the roles of free radicals and heat shock proteins in degenerative joint disease. Finally, the multiple cellular and molecular mechanisms involved in disease initiation and progression, along with factors that may modify the adaptive capacity of the joint, are presented as the basis for the rational design of new and more effective therapy.

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“…Gynther to be almost as prevalent in CD wearers as in individuals with natural dentition, 16,17 while others found CD with an increased joint dysfunction symptoms in patients wearing CD than the individuals with natural dentition. 18 Some researchers have also found lesser prevalence of TMJ dysfunction in CD wearers and contributed this finding to the fact that such individuals have reduced maximum opening levels and five to six times lesser bite force than in dentate patients, so from time to time, they surpass their tissue resilience and flexibility leading to lesser prevalence of TMD.…”

Section: 11mentioning

confidence: 98%

Intricate Estimation and Evaluation of Mandibular Movements in Geriatric Patients Suffering from Rheumatoid Arthritis

Dev

Perti

Garhnayak

et al. 2017

The Journal of Contemporary Dental Practice

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Background: Rheumatoid arthritis (RA) is an autoimmune disorder that usually affects joints and making them warm, painful, and swollen. The chief purpose of this study was to evaluate movements of mandible in geriatric patients suffering from RA with or without temporomandibular joint dysfunction. Materials and methods:A total of 45 people were included in this study with age of 60 years and above. Partially or completely edentulous patients were divided into experimental and control group. Experimental group consists of 20 people suffering from arthritis and control group consists of 25 people without arthritis. Movements were recorded with or without prosthesis while mastication in both experimental and control group.Results: Statistical evaluation of two studied groups showed decrease opening angle (p < 0.05) during mastication; however, insertion of new prosthesis showd a significant increase in values in both groups, with an increase in opening and closing angles. Conclusion:Positive correlation was found between arthritis and movements of the mandible in older people suffering from RA.Clinical significance: Patients suffering from RA are having restricted mandibular movements thus imposing an overall negative impact however; presence of prosthesis has been shown to enforce a positive effect on mandibular movement.

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The prevalence of temporomandibular joint dysfunction among patients wearing complete dentures

Abstract: This study investigates the prevalence of temporomandibular joint dysfunction among complete denture wearers and relates the incidence ta various features.

Cited by 18 publications

References 11 publications

Prevalência de desordens temporomandibulares em indivíduos desdentados reabilitados com próteses totais convencionais

Prevalência de desordens temporomandibulares em indivíduos desdentados reabilitados com próteses totais convencionais

Pathogenesis of Degenerative Joint Disease in the Human Temporomandibular Joint

Intricate Estimation and Evaluation of Mandibular Movements in Geriatric Patients Suffering from Rheumatoid Arthritis

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