Database : MEDLINE
Search on : temporomandibular and joint [Words]
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[PMID]: 29522661
[Au] Autor:Ey-Chmielewska H; Chrusciel-Nogalska M; Sobolewska E; Kulikowski M
[Ti] Title:A rare case of unilateral fibrous dysplasia of the condyle of the mandible. Diagnosis and therapy using an axiographic technique and digital X-ray ­ a case report.
[So] Source:Pomeranian J Life Sci;61(4):397-402, 2015.
[Is] ISSN:2450-4637
[Cp] Country of publication:Poland
[La] Language:eng
[Ab] Abstract:Introduction: The aim of the paper is to present the diagnostic procedure and treatment of a female patient with dysfunction of the right temporomandibular joint, caused by fibrous dysplasia of the head of the right mandibular condyle. Material and methods: In the diagnostic process of bony structures digital radiography (Digora) was used. To examine the mobility of the mandible axiographic measurements were performed using the Cadiax (Gamma Diagnostic) device. Conclusions: These methods allowed the confirmation of the diagnosis and the determination of a treatment plan which included the use of a therapeutic appliance. The performed procedures had a positive therapeutic effect.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Process

  2 / 24528 MEDLINE  
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[PMID]: 29505535
[Au] Autor:Yokoyama Y; Kakudate N; Sumida F; Matsumoto Y; Gordan VV; Gilbert GH
[Ad] Address:Graduate School of Media and Governance, Keio University, Fujisawa City, Kanagawa.
[Ti] Title:Dentist's distress in the management of chronic pain control: The example of TMD pain in a dental practice-based research network.
[So] Source:Medicine (Baltimore);97(1):e9553, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:We aimed to obtain greater understanding of dentists' distress when they diagnose and treat patients with temporomandibular disorders (TMD), and to explore ways in which TMD can be better treated.We conducted a cross-sectional study based on a questionnaire survey of dentists (n = 148). Dentists were queried using an open-ended questionnaire about distress they experienced when treating patients with TMD. Survey responses were analyzed using mixed methods. Associations between specific dentist and patient characteristics and types of distress were analyzed by one way analysis of variance and residual analysis.One hundred thirteen clinicians responded to the questionnaire, giving a 76% response rate. Thematic analysis identified 6 major themes: difficulty in predicting therapeutic effect and prognosis; difficulty in diagnosis; difficulty in the decision about whether to do occlusal adjustment; difficulty in specifying a cause; difficulty in communicating with patients and mental factors; and health insurance system barriers. Clinicians who reported difficulty in deciding whether to do occlusal adjustment saw significantly more patients who experienced shoulder stiffness and headache (P = .008 and P = .022, respectively). Dentists' knowledge of TMD guidelines was associated with a lower percentage of difficulty in predicting therapeutic effect and prognosis (residual analysis; P = .010).These findings provide important insights into clinician's perception of difficulties with patients experiencing TMD-related pain. Knowledge of the existence of TMD clinical practice guidelines may lower dentist distress, particularly with regard to prognosis. Further studies are needed to decrease dentist's distress and to overcome the evidence-practice gap in TMD treatment.
[Mh] MeSH terms primary: Dentists/psychology
Pain Management/psychology
Temporomandibular Joint Disorders
[Mh] MeSH terms secundary: Adult
Chronic Pain/etiology
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Surveys and Questionnaires
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:180306
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009553

  3 / 24528 MEDLINE  
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[PMID]: 29522121
[Au] Autor:Levesque A; Riant T; Ploteau S; Rigaud J; Labat JJ; for Convergences PP Netwok
[Ad] Address:Federative Pelvic Pain Center, Department of Urology.
[Ti] Title:Clinical Criteria of Central Sensitization in Chronic Pelvic and Perineal Pain (Convergences PP Criteria): Elaboration of a Clinical Evaluation Tool Based on Formal Expert Consensus.
[So] Source:Pain Med;, 2018 Mar 07.
[Is] ISSN:1526-4637
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Background: The evaluation of chronic pelvic and perineal pain (CPP) is often complex. The patient's description of the pain often appears to be disproportionate to the limited findings on physical examination and/or complementary investigations. The concept of central sensitization may allow better understanding and management of patients with CPP. Objective: The aim of this study was to elaborate a clinical evaluation tool designed to simply identify sensitization in pelvic pain. Methods: A list of 63 items was submitted to 22 international CPP experts according to the Delphi method. Results: Ten clinical criteria were adopted for the creation of a clinical evaluation tool: 1) pain influenced by bladder filling and/or urination, 2) pain influenced by rectal distension and/or defecation, 3) pain during sexual activity, 4) perineal and/or vulvar pain in response to normally nonpainful stimulation, 5) pelvic trigger points (e.g., in the piriformis, obturator internus, and/or levator ani muscles), 6) pain after urination, 7) pain after defecation, 8) pain after sexual activity, 9) variable (fluctuating) pain intensity and/or variable pain distribution, 10) migraine or tension headaches and/or fibromyalgia and/or chronic fatigue syndrome and/or post-traumatic stress disorder and/or restless legs syndrome and/or temporomandibular joint dysfunction and/or multiple chemical sensitivity. Conclusions: This process resulted in the elaboration of a clinical evaluation tool designed to identify and appropriately manage patients with CPP comprising a sensitization component.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:Publisher
[do] DOI:10.1093/pm/pny030

  4 / 24528 MEDLINE  
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[PMID]: 29519746
[Au] Autor:Pires PF; de Castro EM; Pelai EB; de Arruda ABC; Rodrigues-Bigaton D
[Ad] Address:Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil.
[Ti] Title:Analysis of the accuracy and reliability of the Short-Form Fonseca Anamnestic Index in the diagnosis of myogenous temporomandibular disorder in women.
[So] Source:Braz J Phys Ther;, 2018 Feb 21.
[Is] ISSN:1809-9246
[Cp] Country of publication:Brazil
[La] Language:eng
[Ab] Abstract:BACKGROUND: The Fonseca Anamnestic Index is a questionnaire used to classify individuals with temporomandibular disorders. Previous studies have shown that the Fonseca Anamnestic Index provides a multidimensional measurement of the temporomandibular disorders construct and that the main dimension presents a good fit to the model according to the item response theory. OBJECTIVE: To evaluate the between-day reliability, accuracy, and best cut-off score of the Short-Form Fonseca Anamnestic Index for the diagnosis of myogenous temporomandibular disorders. METHODS: The sample consisted of 123 women (57 with myogenous temporomandibular disorders and 66 asymptomatic), evaluated by the Research Diagnostic Criteria for Temporomandibular Disorders. The participants answered the Short-Form Fonseca Anamnestic Index on two occasions with a seven-day interval between tests. For the analysis of between-day reliability, the intraclass correlation coefficient, the standard error of measurement and the minimum detectable change were used. The Receiver Operating Characteristic curve was used to determine the diagnostic accuracy and the best cut-off point. RESULTS: The Short-Form Fonseca Anamnestic Index demonstrated excellent reliability (intraclass correlation coefficient≥0.95) for all items and for the total Short-Form Fonseca Anamnestic Index score (intraclass correlation coefficient=0.98; standard error of measurement=3.28; minimum detectable change=9.09). The level of accuracy of the Short-Form Fonseca Anamnestic Index for the diagnosis of myogenous temporomandibular disorders was high (area under the curve of 0.97), with a better cut-off score of 17.5 points. CONCLUSION: The Fonseca Anamnestic Index should be used in its short form to classify the absence of myogenous temporomandibular disorders (scores between 0 and 15 points) or presence of myogenous temporomandibular disorders (scores between 20 and 50 points) in women.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:Publisher

  5 / 24528 MEDLINE  
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[PMID]: 29519583
[Au] Autor:Davies ID; Woods M; Muir-Nelson I; Messiha A
[Ad] Address:Oral and Maxillofacial Surgery Department, St George's University Hospital, London, UK. Electronic address: ioan.davies@nhs.net.
[Ti] Title:Customized headgear for the management of recurrent temporomandibular joint dislocations.
[So] Source:Int J Oral Maxillofac Surg;, 2018 Mar 05.
[Is] ISSN:1399-0020
[Cp] Country of publication:Denmark
[La] Language:eng
[Ab] Abstract:Chronic recurrent temporomandibular joint (TMJ) dislocation is both an uncommon and debilitating condition of the facial skeleton. Various conservative management strategies have been tried, but these have often been associated with poor and transient outcomes. The use of a simple, innovative, and non-invasive solution is presented herein. A co-ordinated multidisciplinary approach was used in which the oral and maxillofacial laboratory technicians produced a customized headgear appliance that utilizes a 'seat belt'-like technology. This headgear was used successfully to manage the condition.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:Publisher

  6 / 24528 MEDLINE  
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[PMID]: 29464288
[Au] Autor:Kinzinger GSM; Hourfar J; Kober C; Lisson JA
[Ad] Address:Department of Orthodontics, Saarland University, Universitätskliniken 56, 66424, Homburg/Saar, Germany.
[Ti] Title:Morphologie der Fossa mandibularis im Behandlungsverlauf mit einer festsitzenden, funktionskieferorthopädischen Apparatur : Eine magnetresonanztomographische Studie. Mandibular fossa morphology during therapy with a fixed functional orthodontic appliance : A magnetic resonance imaging study.
[So] Source:J Orofac Orthop;79(2):116-132, 2018 Mar.
[Is] ISSN:1615-6714
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:OBJECTIVE: During therapy of distoclusion entailing a rigid, fixed orthodontic appliance, the mandibular fossa and condyle are ideally remodeled, while dentoalveolar effects occur through adaptive mechanisms. Adaptive processes, especially in the fossa region, have not been adequately investigated. Our magnetic resonance imaging (MRI) investigation aimed to assess the effects of therapy with a functional mandibular advancer (FMA) on mandibular fossa morphology. PATIENTS AND METHODS: We monitored via MRI the therapeutic course of 25 patients at three time points. Visual findings and metric assessments were carried out in the sagittal plane. Three-dimensional (3D) reconstructions of the joint structure of two exemplary patients were also made. RESULTS: Visual examinations of the MRI slices at the three time points revealed no changes in fossa shape in any of the 50 temporomandibular joints. Lateral comparisons showed that the morphology of the fossae of all 25 patients was identical. Metric analysis demonstrated no significant alterations in width, depth, or in their ratio, not even laterally. Nine measurements of the distances between the porion, mandibular fossa, and articular eminence revealed no significant changes in total or on the left and right sides, or intralaterally. CONCLUSION: The visual findings and metric analyses of parasagittal MRI slices did not indicate any morphological changes in the mandibular fossa or articular eminence in patients with distoclusion treated via a rigid, fixed orthodontic appliance. However, special reworking of the MRI data facilitated reconstruction of the surfaces of joint structures in 3D. This new method makes it possible to depict more accurately and noninvasively the adaptive mechanisms not ascertainable via metric methods and to assess them as 3D structures.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Process
[do] DOI:10.1007/s00056-018-0124-6

  7 / 24528 MEDLINE  
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[PMID]: 29464286
[Au] Autor:Chatzigianni A; Kyprianou C; Papadopoulos MA; Sidiropoulou S
[Ad] Address:Department of Orthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece. chatzigianni.athina@gmail.com.
[Ti] Title:Dentoalveloäre Merkmale bei Kindern mit juveniler idiopathischer Arthritis. Dentoalveolar characteristics in children with juvenile idiopathic arthritis.
[So] Source:J Orofac Orthop;79(2):133-139, 2018 Mar.
[Is] ISSN:1615-6714
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:PURPOSE: Juvenile idiopathic arthritis (JIA) is an autoimmune disease with multiple potential causal factors. In case of temporomandibular joint (TMJ) affection, the inflammatory reaction can result in restricted mandibular growth with implied skeletal and facial deformities. Aim of the present study was to examine dentoalveolar and occlusion characteristics in children with JIA. PATIENTS AND METHODS: The sample consisted of 66 children (27 boys, 39 girls) with JIA. Thirty-three of them showed unilateral or bilateral condylar destruction, while the other half did not manifest any TMJ involvement. Corresponding dental casts of these patients were evaluated and Angle classification, overjet, overbite, crossbite, crowding, and ectopic teeth were registered. All dental casts were subsequently scanned and digitized to analyze 26 additional variables. Subgroups according to sex and condylar affection were formed. Statistical analysis was performed using Fisher's least significant difference (LSD) post hoc test of analysis of variance (ANOVA). RESULTS: The prevalence of Class II, division 1 malocclusion in this JIA sample was high (28.8%). Compared to girls, boys had significantly greater dental arch widths and lengths. The group with bilateral condylar affection had significantly decreased lower arch length and increased irregularity index (p < 0.035) compared to the non-affected group. CONCLUSIONS: Bilateral condylar involvement in children with JIA seems to reduce the lower arch length, while increasing the irregularity index of the lower front teeth.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Process
[do] DOI:10.1007/s00056-018-0121-9

  8 / 24528 MEDLINE  
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[PMID]: 29420851
[Au] Autor:Donnarumma V; Cioffi I; Michelotti A; Cimino R; Vollaro S; Amato M
[Ad] Address:Department of Neurosciences, Reproductive Sciences and Oral Sciences, Division of Orthodontics, University of Naples 'Federico II', Naples, Italy.
[Ti] Title:Analysis of the reliability of the Italian version of the Oral Behaviours Checklist and the relationship between oral behaviours and trait anxiety in healthy individuals.
[So] Source:J Oral Rehabil;45(4):317-322, 2018 Apr.
[Is] ISSN:1365-2842
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: The Oral Behaviours Checklist (OBC) is a valid 21-item instrument quantifying the self-reported frequency of oral behaviours. An Italian version (OBC-It) has been released recently. Anxiety and oral behaviours are known to be associated in individuals with oro-facial pain due to temporomandibular disorders (TMD). However, information about this relationship in pain-free individuals is still limited. OBJECTIVES: The aim of this study was to test the reliability of the OBC-It and its reduced version (OBC-It 6), focusing on tooth clenching-related wake-time oral behaviours, and the effect of patient instructions on reliability. A second aim was to test the association between trait anxiety and oral behaviours in pain-free individuals. METHODS: Two hundred and eighty-two TMD-free students, divided into 2 groups (Group A, n = 139, mean age ± SD = 22.6 ± 5.4 years; Group B, n = 143, 23.7 ± 4.2 years), filled in the State-Trait Anxiety Inventory and the OBC-It. Group B received instructions about the OBC-It, while Group A did not. After 2 weeks, both groups filled in the OBC-It again. However, Group B was further divided into 2 subgroups, B and B . The first received the same instructions again, while B did not. RESULTS: The test-retest reliability of the OBC-It (A: ICC = .87; B : ICC = .94; B : ICC = .95) and OBC-It 6 (A: ICC = .85; B : ICC = .89; B : ICC = .93) was excellent in all groups. Trait anxiety was weakly associated with OBC-It only in women (R  = .043, P = .021). CONCLUSIONS: The OBC-It is a reliable tool but further subjects' instructions might be needed. Trait anxiety has a limited effect on oral behaviours in TMD-free subjects.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Process
[do] DOI:10.1111/joor.12614

  9 / 24528 MEDLINE  
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[PMID]: 29392761
[Au] Autor:Alstergren P; Pigg M; Kopp S
[Ad] Address:Scandinavian Center for Orofacial Neurosciences (SCON), Malmö, Sweden.
[Ti] Title:Clinical diagnosis of temporomandibular joint arthritis.
[So] Source:J Oral Rehabil;45(4):269-281, 2018 Apr.
[Is] ISSN:1365-2842
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Evidence-based clinical diagnostic criteria for temporomandibular joint (TMJ) arthritis are not available. To establish (i) criteria for clinical diagnosis of TMJ arthritis and (ii) clinical variables useful to determine inflammatory activity in TMJ arthritis using synovial fluid levels of inflammatory mediators as the reference standard. A calibrated examiner assessed TMJ pain, function, noise and occlusal changes in 219 TMJs (141 patients, 15 healthy individuals). TMJ synovial fluid samples were obtained with a push-pull technique using the hydroxycobalamin method and analysed for TNF, TNFsRII, IL-1ß, IL-1ra, IL-1sRII, IL-6 and serotonin. If any inflammatory mediator concentration exceeded normal, the TMJ was considered as arthritic. In the patient group, 71% of the joints were arthritic. Of those, 93% were painful. About 66% of the non-arthritic TMJs were painful to some degree. Intensity of TMJ resting pain and TMJ maximum opening pain, number of jaw movements causing TMJ pain and laterotrusive movement to the contralateral side significantly explained presence of arthritis (AUC 0.72, P < .001). Based on these findings, criteria for possible, probable and definite TMJ arthritis were determined. Arthritic TMJs with high inflammatory activity showed higher pain intensity on maximum mouth opening (P < .001) and higher number of painful mandibular movements (P = .004) than TMJs with low inflammatory activity. The combination TMJ pain on maximum mouth opening and Contralateral laterotrusion <8 mm appears to have diagnostic value for TMJ arthritis. Among arthritic TMJs, higher TMJ pain intensity on maximum mouth opening and number of mandibular movements causing TMJ pain indicates higher inflammatory activity.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Process
[do] DOI:10.1111/joor.12611

  10 / 24528 MEDLINE  
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[PMID]: 29377222
[Au] Autor:Iskanderani D; Alstergren P; Hellén-Halme K
[Ad] Address:Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden.
[Ti] Title:Assessment of a training programme on detection of temporomandibular joint osseous changes applying pre-defined 2D multiplane cone beam computed tomography reconstructions.
[So] Source:J Oral Rehabil;45(4):282-288, 2018 Apr.
[Is] ISSN:1365-2842
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:OBJECTIVES: Osseous changes in temporomandibular joint disorders (TMD) are common indications for cone beam computed tomography (CBCT). The number of such cases is increasing while a number of qualified oral radiologists is limited. This study investigated the usefulness of a training programme for general dental practitioners (GDPs) regarding temporomandibular joint (TMJ) osseous changes detection in CBCT images. METHODS: We selected CBCT images of 35 TMD cases and chose 5 of them to use in training 7 GDPs on detecting osseous changes in the TMJ. In evaluation directly following training, GDPs assessed the 30 remaining cases. Three qualified radiologists served as reference standard. A 2-month follow-up of training comprising evaluation of the same cases. The cases are assessed according to Ahmad et al (Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107, 2009, 844) protocol of TMJ osseous changes in CBCT images. RESULTS: Sensitivity and specificity of the CBCT protocol were high, except for some criteria that did not appear in the cases. Average observer sensitivity was 65% while specificity was 87%. Average correct individual response rate was 84%. Mean agreement among the GDPs was 73%. Observer performance had improved at the 2-month follow-up. CONCLUSION: The present educational programme could be a helpful material on recognising possible osseous changes of TMJ and it can be used as a part of a training programme for GDP and for specialist candidates.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Process
[do] DOI:10.1111/joor.12610


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