Management of Temporomandibular Joint Dysfunction Syndrome: An Overview (original) (raw)
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Temporomandibular Joint Disorders- An Overview of Diagnosis and Treatment Options
Acta Scientific Dental Scienecs, 2021
Temporomandibular Joint (TMJ) Disorders is a lifestyle modulating disorder. Patients having this disorder go through a lot of pain, discomfort and restriction in the joint movement in day to day life. There are times when the patient is aware of the pain and discomfort but the diagnosis is not made on time, sometimes if the diagnosis is made the appropriate treatment is not started on time. These patients are passed on from doctors to doctors in search of an appropriate treatment. This article emphasizes on the need for the Dentist and Physician joining practice to understand the disorder along with the planning for the treatment. As TMJ disorders is a complex disorder requires right intervention in the right stage of the disorder. This article focuses on the various treatment options available till date for the management of TMJ disorders.
Temporomandibular joint dysfunction syndrome – a therapeutic approach
Balneo and PRM Research Journal, 2023
- Background: Temporomandibular joint (TMJ) is responsible for vital functions like mastication, swallowing, and suction reflex and other relational functions, like talking and phonation. The etiology of temporomandibular joint disorders is multifactorial and involves subjective and objective clinical symptomatology. (2) Methods: The therapy is complex and encompasses a series of methods that interconnects various medical specialties. Bad habits and parafunction are risk factors that may initiate and exacerbate a temporomandibular joint pathology. This prospective study aimed to show the positive impact of correct multidisciplinary therapy on the complex of TMJ disorders-pain and bad oral behaviors. The therapy methods used in this study were: medical, prosthetic, orthodontic, surgical, and physiotherapy (PKT). (3) Results: The data obtained showed good results if the oral habits and TMJ disorders are treated correctly and simultaneously. (4) Conclusions: All therapeutical approaches addressed in this study had beneficial effects on the recovery of the temporomandibular joint.
Temporomandibular joint dysfunction: a dental overview
Canadian family physician Médecin de famille canadien, 1985
Temporomandibular joint dysfunction is common and often acutely painful. Because of the large and diverse symptom complex created by this disorder, patients frequently first seek relief from their physician rather than their dentist. In this article temporomandibular joint (TMJ) dysfunction is defined and the presenting signs and symptoms are discussed. Their etiology is described in relation to the anatomy of the temporomandibular joint. Examination techniques can help in the differential diagnosis. Current treatment ranges from heat, local anesthesia and ultrasound to anxiolytics, transcutaneous nerve stimulation and nutritional supplementation.
Journal of Evolution of Medical and Dental Sciences
BACKGROUND Temporomandibular joint (TMJ) is mostly prone to various dysfunctions or abnormalities, even with a slight alteration in its normal function. Dental treatments in particular are known to cause stresses on this joint causing complications such as pain, tenderness, restricted movement, clicking sound etc. It can become severe with time and interfere in the daily living activities and affect the quality of life (QOL). Hence, this study was done to focus on a few common dental conditions to determine their effects on TMJ. The objective of this study was to evaluate the prevalence of TMJ dysfunction in dental patients with varying treatment durations. METHODS A total of 130 male and female dental patients who underwent /were undergoing various dental treatments were included, on the basis of age (18 - 45). The total number of samples were collected from 6 categories i.e., endodontic, orthodontic, cleaning / scaling, tooth extraction, filling, multiple treatments. FONSECA’S que...
Prevalence of temporomandibular joint disorders in patients: An institutional-based study
SRM Journal of Research in Dental Sciences, 2020
Temporomandibular disorders (TMDs) represent a class of conditions influencing the temporomandibular joint (TMJ), the muscles of mastication, and/or related structures. Muscles associated with and incorporating the jaw joint control its position and movement. The TMJ associates the mandible to the temporal bone. TMDs is an aggregate term that depicts a subgathering of painful orofacial disorders, including grievances of agony on the TMJ region and exhaustion of the cranio-cervico-facial muscles, especially of masticatory muscles, impediment of mandibular movement, and the presence of articular clicking. TMJ dysfunction is a cryptic issue even today because of its multifactorial etiology. However, it is generally assumed that TMDs would mainly affect adult patients; nevertheless, children have also shown a similar incidence. The aim of the study was to assess the prevalence of TMJ disorders among patient visiting the outpatient department (OPD) of a private dental college situated in Haryana.
Clinical view of the temporomandibular joint disorder
Acta clinica Croatica
Temporomandibular pain has a musculoskeletal origin because it occurs as a consequence of masticatory muscle function disorder and temporomandibular joint disorder. Most common diagnoses of disorders are disc displacement and osteoarthritis, but their comorbidity can also occur. Pain is the most common symptom, where chronic temporomandibular pain may con- tribute to the occurrence of psychological disorders in the patient population. Splint is the most widespread dental method of treatment but other, noninvasive methods of musculoskeletal pain treatment are also recommended. Electronic axiography is used for visualization of mandibular movements, in particular pathologic sounds in the joints. Mental health, although not so obvious in dental practice, can influence the need of a multidisciplinary approach to the patient with disorder of the temporomandibular joint.
Current Concepts About Temporomandibular joint disorders: A Review Article
Journal of Research in Medical and Dental Science, 2020
Temporomandibular joint is formed by the mandibular condyle inserting into the mandibular fossa of temporal bone. It’s considered as ginglymoarthroidal joint which mean that is capable of both hinge type and gliding movements. TMD affects up to 15% of adults, with a peak incidence at 20 to 40 years of age. However, it can be classified as intra-articular or extra- articular. The incidence varies from 21.5% to 50.5%. The prevalence of TMD is about 3.7-12% greater in women than men. There are two types of treatment: conservative and surgical. We all believe that the valid diagnosis is the key to successful treatment on account of TMD multifactorial nature and often of patients suffering from other disorder simultaneously that can make the correct diagnosis difficult. Manual TMJ inspection was and remain self-evident manner used to detect joint dysfunction related to clinical findings. The primary study should be plain radiography (transcranial, trans maxillary views) or panoramic radi...
Comprehensive treatment of temporomandibular joint disorders
CRANIO®, 2014
Aims: Changing lifestyles, decreasing physical activity, which is increasing the number of degenerative joint diseases of various etiology, and certain dental procedures are increasing the number of patients complaining of pain in their temporomandibular joints. The aim of the study was to assess the benefits of comprehensive physiotherapy sessions in order to decrease the number of temporomandibular joint problems, thereby improving the patient's quality of life. Methodology: An examination by a dentist determined each patient's treatment plan, which consisted of a medical exam, physical therapy and education. Each form of treatment was applied 10 times at intervals of 7-14 days. The main goal of the therapeutic physical education was to redress the muscle imbalance in the mandibular joint. This was achieved by restoring balance between the masticatory muscles, along with releasing the spastic shrouds found in the masticatory muscles. The aim of education was to teach the patient exercises focused on the temporomandibular joint and masticatory muscles. The intensity of the exercises and their composition were individually adjusted and adapted to their current state. Physical therapy consisted of the application of pulsed magnetic therapy, laser therapy, and non-invasive positive thermotherapy. Results: The above procedure was conducted on a therapeutic group of 24 patients (3 men and 20 women). In the course of therapy, there were no complications, and all patients adhered to the prescribed regime. None reported any side effects. The mean treatment duration was 123666 days. The outcome of the therapy was evaluated as described in the methodology, the degree of pain affecting the joint, and the opening ability of the mouth. In both parameters, there was a significant decline in patient pain. Conclusions: In a study devoted to tactics of rehabilitation treatment for temporomandibular joint disorders, the need for comprehensive long-term therapy, involving education, and learning proper chewing habits was made apparent for recovery and pain reduction. A priority in physical therapy, and combinations of pulsed magnetic therapy and hyperthermia-positive peloids, are also beneficial.
International Bulletin of Otorhinolaryngology, 2020
Introduction: The mandibular articulation is a complex system involving muscles, tendons, ligaments and innervation and it can cause pain or discomfort that should not be overlooked. Pathological changes in the joint can reduce the patient's quality of life by affecting his ability to eat and speak. Objectives: The aim of this study is to show that the collaboration between dentists and otorhinolaryngologists is the basis for good treatment of temporomandibular joint malfunctions. Materials and methods: A retrospective cross-sectional study was performed in patients with signs and symptoms of temporomandibular joint pain syndrome from 2018 to 2021 year. A total of 23 patients with clinical features consistent with TMS were enrolled. Patients were referred to dentists by otorhinolaryngologists. Results: The age range of patients was 23-67 years, mean of 45.30 ± 18.9 years. We found that 12 of them had bruxism, 6 abrasion due to stress and squeezing and 5 were with tooth damage. Almost 87% of them (20 of 23) had pain in the joint and masticatory muscles, 6clicking sounds, 3-pain when opening mouth and chewing. Mouth opening was normal in 20 patients and 3 had impaired movement of the jaws. All patients were treated conservatively-soft foods, antiinflammatory drugs, 13,1%-occlusal spints, 21.7%-selective filing of the contact interferences, 65,2%-height adjustment with nonremovable structures. Along with the height adjustment we applied botulinum toxin injections and for pain-NSAIDs. Conclusion: Good collaboration is crucial for the diagnosis, quality and competent treatment of temporomandibular disorders, especially in patients with overlapping signs and symptoms.
Temporomandibular joint (TMJ) disorders have multifactorial aetiology and manifests as a painful condition in the orofacial region and have a high prevalence rate among different populations. The aim of the study was to assess the prevalence of TMJ disorders among patient visiting the outpatient department (OPD) of a dental college situated in Jharkhand.A total of 8,000 people visiting the OPD of Dental College in Jharkhand were screened for a period of 6 months, and out of them, 100 patients were having temporomandibular disorders (TMDs). Five parameters were evaluated, and positive as well as negative findings were recorded. Females were found to be more affected with TMDs than males in the 19-29 years age group. Clicking was the most common symptom among the parameters that were analyzed. Dental professionals need to educate and motivate the patients to take up preventive measures and early treatment to maintain and prevent TMJ manifestation.