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Temporomandibular Joint Disorders (temporomandibular + joint_disorders)
Selected AbstractsTemporomandibular joint disorders in patients referred for third molar extractionAUSTRALIAN DENTAL JOURNAL, Issue 4 2009AF DeAngelis Abstract Background:, Third molar removal has been implicated as a precipitating event for temporomandibular joint disorders. The aim of this study was to determine what proportion of patients had pre-existing pain and dysfunction that could be attributed to the temporomandibular joints. Methods:, Sixty patients referred for third molar removal were clinically examined and a history of their presenting complaint recorded at the initial consultation visit. Patients were then diagnosed and categorized. Results:, Of the total number of patients examined, 13.3 per cent showed signs and symptoms of temporomandibular joint pain and dysfunction while a further 23.3 per cent also had symptomatic third molar teeth. Conclusions:, The results of this study suggest that the signs of temporomandibular joint disorders are common in patients referred for third molar extractions. [source] Association between condylar position, joint morphology and craniofacial morphology in orthodontic patients without temporomandibular joint disordersJOURNAL OF ORAL REHABILITATION, Issue 11 2003K. Kikuchi summary, The present study investigated condylar position and joint morphology in adolescent patients and elucidated the possible association between the joint structure and condylar position, and craniofacial morphology. Sixty-five adolescent patients were selected as subjects and their tomograms and lateral cephalograms were analysed. No significant differences in joint spaces were found between the right and left temporomandibular joints. Both the condyles in this population were located slight anteriorly in the glenoid fossa. With respect to the association between condylar position, joint morphology and craniofacial morphology, the ramus plane angle also exhibited significant negative correlations with posterior, lateral and medial joint spaces. Furthermore, there was a significant negative correlation between the gonial angle and the anterior joint space. These findings imply that the condyle was likely to show more posterior position in the glenoid fossa when the mandible exhibited clockwise rotation. In conclusion, the condyle in the adolescent subjects showed a symmetrical anterior position relative to the glenoid fossa. In addition, the joint spaces and it ratios were significantly related to the craniofacial morphology associated with vertical dimension. It is suggested that the condylar position may be affected by craniofacial growth pattern. [source] Amitriptyline treatment of chronic pain in patients with temporomandibular disordersJOURNAL OF ORAL REHABILITATION, Issue 10 2000O. Plesh Randomized clinical trials of amitriptyline will require data from pilot studies to be used for sample size estimates, but such data are lacking. This study investigated the 6-week and 1-year effectiveness of low dose amitriptyline (10,30 mg) for the treatment of patients with chronic temporomandibular disorder (TMD) pain. Based on clinical examination, patients were divided into two groups: myofascial and mixed (myofascial and temporomandibular joint disorders). Baseline pain was assessed by a Visual Analogue Scale (VAS) for pain intensity and by the McGill Pain Questionnaire (MPQ). Depression was assessed by the Beck Depression Inventory (BDI) short form. Patient assessment of global treatment effectiveness was obtained after 6 weeks and 1 year of treatment by using a five-point ordinal scale: (1) worse, (2) unchanged, (3) minimally improved, (4) moderately improved, (5) markedly improved. The results showed a significant reduction for all pain scores after 6 weeks and 1 year post-treatment. The depression scores changed in depressed but not in non-depressed patients. Global treatment effectiveness showed significant improvement 6 weeks and 1 year post-treatment. However, pain and global treatment effectiveness were less improved at 1 year than at 6 weeks. [source] Temporomandibular joint disorders in patients referred for third molar extractionAUSTRALIAN DENTAL JOURNAL, Issue 4 2009AF DeAngelis Abstract Background:, Third molar removal has been implicated as a precipitating event for temporomandibular joint disorders. The aim of this study was to determine what proportion of patients had pre-existing pain and dysfunction that could be attributed to the temporomandibular joints. Methods:, Sixty patients referred for third molar removal were clinically examined and a history of their presenting complaint recorded at the initial consultation visit. Patients were then diagnosed and categorized. Results:, Of the total number of patients examined, 13.3 per cent showed signs and symptoms of temporomandibular joint pain and dysfunction while a further 23.3 per cent also had symptomatic third molar teeth. Conclusions:, The results of this study suggest that the signs of temporomandibular joint disorders are common in patients referred for third molar extractions. [source] | ||||||||||