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1

Rivera-Morales, Warren C., Barry M. Goldman, and Richard S. Jackson. "Simplified technique to measure mandibular range of motion." Journal of Prosthetic Dentistry 75, no. 1 (January 1996): 56–59. http://dx.doi.org/10.1016/s0022-3913(96)90418-7.

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2

Manstein, Carl H. "Mandibular range of motion with rigid nonrigid fixation." Plastic and Reconstructive Surgery 81, no. 4 (April 1988): 646. http://dx.doi.org/10.1097/00006534-198804000-00049.

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3

Aragon, Steven B., and Joseph E. Van Sickels. "Mandibular range of motion with rigid/nonrigid fixation." Oral Surgery, Oral Medicine, Oral Pathology 63, no. 4 (April 1987): 408–11. http://dx.doi.org/10.1016/0030-4220(87)90249-0.

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4

Packer, Amanda Carine, Almir Vieira Dibai-Filho, Ana Cláudia de Souza Costa, Kelly Cristina dos Santos Berni, and Delaine Rodrigues-Bigaton. "Relationship between neck disability and mandibular range of motion." Journal of Back and Musculoskeletal Rehabilitation 27, no. 4 (November 5, 2014): 493–98. http://dx.doi.org/10.3233/bmr-140471.

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5

Dijkstra, TH J. B. Kropmans, Stegenga, and De Bont. "Ratio between vertical and horizontal mandibular range of motion." Journal of Oral Rehabilitation 25, no. 5 (May 1998): 353–57. http://dx.doi.org/10.1046/j.1365-2842.1998.00256.x.

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6

Aragon, Steven B., Joseph E. Van Sickels, M. Franklin Dolwick, and Carolyn M. Flanary. "The effects of orthognathic surgery on mandibular range of motion." Journal of Oral and Maxillofacial Surgery 43, no. 12 (December 1985): 938–43. http://dx.doi.org/10.1016/0278-2391(85)90006-0.

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7

Hoffman, David C., and Luis Cubillos. "The Effect of Arthroscopic Surgery on Mandibular Range of Motion." CRANIO® 12, no. 1 (January 1994): 11–18. http://dx.doi.org/10.1080/08869634.1994.11677987.

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8

Sassi, Fernanda Chiarion, Laura Davison Mangilli, Michele Conceição Poluca, Ricardo Ferreira Bento, and Claudia Regina Furquim de Andrade. "Mandibular range of motion in patients with idiopathic peripheral facial palsy." Brazilian Journal of Otorhinolaryngology 77, no. 2 (April 2011): 237–44. http://dx.doi.org/10.1590/s1808-86942011000200014.

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9

Roberts, C. A. "Mandibular range of motion versus arthrographic diagnosis of the temporomandibular joint." Plastic and Reconstructive Surgery 78, no. 4 (October 1986): 546. http://dx.doi.org/10.1097/00006534-198610000-00041.

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10

van Bruggen, H. W., L. Van Den Engel-Hoek, M. H. Steenks, E. M. Bronkhorst, N. H. J. Creugers, I. J. M. de Groot, and S. I. Kalaykova. "Reduced mandibular range of motion in Duchenne Muscular Dystrophy: predictive factors." Journal of Oral Rehabilitation 42, no. 6 (January 20, 2015): 430–38. http://dx.doi.org/10.1111/joor.12274.

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11

Gomes, Cid André Fidelis de Paula, Almir Vieira Dibai-Filho, Janaina Rodrigues da Silva, Patricia Mattos de Oliveira, Fabiano Politti, and Daniela Aparecida Biasotto-Gonzalez. "Correlation between severity of temporomandibular disorder and mandibular range of motion." Journal of Bodywork and Movement Therapies 18, no. 2 (April 2014): 306–10. http://dx.doi.org/10.1016/j.jbmt.2013.08.001.

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12

Roberts, Christopher A., Ross H. Tallents, Mark A. Espeland, Stanley L. Handelman, and Richard W. Katzberg. "Mandibular range of motion versus arthrographic diagnosis of the temporomandibular joint." Oral Surgery, Oral Medicine, Oral Pathology 60, no. 3 (September 1985): 244–51. http://dx.doi.org/10.1016/0030-4220(85)90305-6.

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13

Ellenberger, Sarah, and Christopher Snyder. "Bilateral Extracapsular Soft-Tissue Ossification Affecting Range of TMJ Motion in an Airedale Terrier." Journal of the American Animal Hospital Association 49, no. 2 (March 1, 2013): 115–21. http://dx.doi.org/10.5326/jaaha-ms-5782.

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A 3 mo old female Airedale terrier presented with decreased range of motion of the temporomandibular joint (TMJ), which was first recognized at weaning. Computed tomography (CT) revealed abnormal, bilateral ossification of the soft tissues extending from the region of the tympanic bullae to the medial aspect of the angular process of each mandible. Those ossified structures most closely approximated the location of the lateral pterygoid muscles. The ossified structures were present at presentation and initially manifested as complete ossification on the right side. The condition progressed to complete bilateral ossification by 3 yr of age. The mandibular condyles associated with the temporomandibular joints were malformed. The patient had severe mandibular distoclusion with deviation of the mandible to the left. The left mandibular cheek teeth were positioned in a caudal cross bite. A single treatment of manual stretching and breakdown of the ossified muscle of mastication by placement of tongue depressors within the oral cavity resulted in no increase in TMJ range of motion as measured by the incisal opening. This is the first reported case of spontaneous false ankylosis of the TMJ in an Airedale terrier.
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14

Crandall, Jeffrey A. "Evaluation of Mandibular Movement and Range of Motion in the Diagnosis of Craniomandibular Disorders." CRANIO® 4, no. 3 (July 1986): 234–45. http://dx.doi.org/10.1080/08869634.1986.11678150.

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15

Helal, Mohamed Ahmed, Shoroog Hassan Agou, Amr Bayoumi, Ahmed Imam, and Ali Habiballah Hassan. "Management of Internal Derangement of Temporomandibular Joint Disc Displacement with Reduction Using Two Different Lines of Treatment." Brazilian Dental Science 24, no. 2 (March 31, 2021): 8. http://dx.doi.org/10.14295/bds.2021.v24i2.2080.

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Objetive: This study was to compare the effectiveness of arthrocentesis versus the insertion of anterior repositioning splint (ARS) in improving the mandibular range of motion (MRM) for patients with the temporomandibular joint (TMJ) anterior disc displacement with reduction (ADDwR). Methods: 36 patients diagnosed as ADDwR were recruited and divided randomly into two groups. The first group (G1) was treated by arthrocentesis, and the second (G2) was treated using ARS. All patients were reexamined after six months. Results: Except that for protrusive movement, there were significant differences between the two groups for the percentage changes of the MRM as measured by the amount of pain free opening, unassisted opening, maximum assisted opening, right lateral and left lateral movements (p < 0.05). Conclusion: Within the context of the current study, the non-invasive, lower cost ARS, provided better results in improving the MRM when managing ADDwR cases. Keywords Arthrocentesis; Anterior repositioning splint; TMD; Internal derangement; Anterior disc displacement; Mandibular range of motion.
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16

van Bruggen, H. Willemijn, Lenie van den Engel-Hoek, W. Ludo van der Pol, Anton de Wijer, Imelda J. M. de Groot, and Michel H. Steenks. "Impaired Mandibular Function in Spinal Muscular Atrophy Type II." Journal of Child Neurology 26, no. 11 (May 18, 2011): 1392–96. http://dx.doi.org/10.1177/0883073811407696.

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The aim of the study is to assess mandibular function in young patients with spinal muscular atrophy type II. A total of 12 children and young adults with spinal muscular atrophy type II and 12 healthy matched controls participated. The mandibular function impairment was moderate to severe in 50% of patients. A limited mouth opening (≤30 mm) was observed in 75% of the patients. In patients with a severe reduction of the mandibular range of motion the temporomandibular joint mainly rotated during mouth opening instead of the usual combination of rotation and sliding. The severity of the limited active mouth opening correlated with the severity of the disease (motor function measure scores). This study shows that mandibular dysfunction is common among young patients with spinal muscular atrophy type II. Early recognition of mandibular dysfunction may help to prevent complications such as aspiration as a result of chewing problems.
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17

Hatch, John P., Joseph E. Van Sickels, John D. Rugh, Calogero Dolce, Robert A. Bays, and Shiro Sakai. "Mandibular range of motion after bilateral sagittal split ramus osteotomy with wire osteosynthesis or rigid fixation." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 91, no. 3 (March 2001): 274–80. http://dx.doi.org/10.1067/moe.2001.112685.

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18

Beltran-Alacreu, Hector, Ibai López-de-Uralde-Villanueva, Alba Paris-Alemany, Santiago Angulo-Díaz-Parreño, and Roy La Touche. "Intra-rater and Inter-rater Reliability of Mandibular Range of Motion Measures Considering a Neutral Craniocervical Position." Journal of Physical Therapy Science 26, no. 6 (2014): 915–20. http://dx.doi.org/10.1589/jpts.26.915.

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19

Delgado de la Serna, Pablo, Gustavo Plaza-Manzano, Joshua Cleland, César Fernández-de-las-Peñas, Patricia Martín-Casas, and María José Díaz-Arribas. "Effects of Cervico-Mandibular Manual Therapy in Patients with Temporomandibular Pain Disorders and Associated Somatic Tinnitus: A Randomized Clinical Trial." Pain Medicine 21, no. 3 (October 29, 2019): 613–24. http://dx.doi.org/10.1093/pm/pnz278.

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Abstract Objective This randomized clinical trial investigated the effects of adding cervico-mandibular manual therapies into an exercise and educational program on clinical outcomes in individuals with tinnitus associated with temporomandibular disorders (TMDs). Methods Sixty-one patients with tinnitus attributed to TMD were randomized into the physiotherapy and manual therapy group or physiotherapy alone group. All patients received six sessions of physiotherapy treatment including cranio-cervical and temporomandibular joint (TMJ) exercises, self-massage, and patient education for a period of one month. Patients allocated to the manual therapy group also received cervico-mandibular manual therapies targeting the TMJ and cervical and masticatory muscles. Primary outcomes included TMD pain intensity and tinnitus severity. Secondary outcomes included tinnitus-related handicap (Tinnitus Handicap Inventory [THI]), TMD-related disability (Craniofacial Pain and Disability Inventory [CF-PDI]), self-rated quality of life (12-item Short Form Health Survey [SF-12]), depressive symptoms (Beck Depression Inventory [BDI-II]), pressure pain thresholds (PPTs), and mandibular range of motion. Patients were assessed at baseline, one week, three months, and six months after intervention by a blinded assessor. Results The adjusted analyses showed better outcomes (all, P &lt; 0.001) in the exercise/education plus manual therapy group (large effect sizes) for TMD pain (η 2 P = 0.153), tinnitus severity (η 2 P = 0.233), THI (η 2 P = 0.501), CF-PDI (η 2 P = 0.395), BDI-II (η 2 P = 0.194), PPTs (0.363 &lt; η 2 P &lt; 0.415), and range of motion (η 2 P = 0.350), but similar changes for the SF-12 (P = 0.622, η 2 P = 0.01) as the exercise/education alone group. Conclusions This clinical trial found that application of cervico-mandibular manual therapies in combination with exercise and education resulted in better outcomes than application of exercise/education alone in individuals with tinnitus attributed to TMD.
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20

Memon, Zunair, Samreen Naz, Abdul Ghani Shaikh, Zahid Hussain Siyal, and Salman Shams. "Treatment of mandibular condyle fracture - a comparison of two protocols." Professional Medical Journal 27, no. 10 (October 10, 2020): 2176–81. http://dx.doi.org/10.29309/tpmj/2020.27.10.4310.

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Objectives: To compare the outcome of two protocols (open reduction and closed reduction) in the treatment of mandibular condyle fracture. Study Design: Comparative study. Setting: Department of Oral & Maxillofacial Surgery, Institute of Dentistry, Liaquat University of Medical and Health Sciences Jamshoro. Period: January 2016 to September 2016. Material & Methods: After selection of patient into either group, for closed reduction technique, maxillomandibular fixation was applied for 4-6 weeks. For open reduction, a preauricular incision was given and fracture was reduced and fixed with miniplates after achieving the normal occlusion. Post operatively, patients of both the group were recalled after one, two and three months for the assessment of the functional effects such as occlusion and range of motion in both groups. Results: Mean age of the patients was29.80+4.42 years in group 1 (open reduction group), while mean age of the group 2 (closed reduction group) was 23.95+6.63 years. Male were in the majority in both groups 17 in group 1 and 16 in group 2. Out of 20 patients in group 1, 11 patients had condylar neck fracture and 9 had subcondyle fracture. While in group 2, 13 patients had subcondyle fracture and 7 had condylar neck fracture. In both groups again no significant difference was found according to location of the fracture (p-value 0.20). Group 1 (open reduction) had better functional results in terms of occlusion and range of motion after 3 months as compared to the group 2 (closed reduction). P-value 0.19. Conclusion: In dealing with mandibular condyle fractures it was concluded that open reduction and internal fixation is a better technique as compared to the closed reduction with maxillomandibular fixation.
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21

Sousa, Letícia Mêlo de, Harumi Martins Nagamine, Thaís Cristina Chaves, Débora Bevilaqua Grossi, Simone Cecílio Hallak Regalo, and Anamaria Siriani de Oliveira. "Evaluation of mandibular range of motion in Brazilian children and its correlation to age, height, weight, and gender." Brazilian Oral Research 22, no. 1 (March 2008): 61–66. http://dx.doi.org/10.1590/s1806-83242008000100011.

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22

Duman, Fatma, Aynur Emine Çiçekçibaşı, Nesrin Atçı, Fatma Öztürk, Bircan Yücekaya, Esra Doğru Hüzmeli, and İbrahim Damlar. "Morphological changes in temporomandibular joint dysfunction and effectiveness of different treatment methods." Anatomy 14, no. 2 (August 31, 2020): 102–10. http://dx.doi.org/10.2399/ana.20.037.

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Objectives: Temporomandibular joint dysfunction (TMD) results in changes in anatomical structures. The aim of this study was to examine the morphological changes using magnetic resonance imaging (MRI) and evaluate the effectiveness of different treatment methods in patients with TMD. Methods: 34 TMD patients (18–62 years of age) were randomly divided into two treatment groups. Group A (n=18) was subjected to dry needling (DN) and mobilization for 10 sessions, Group B (n=16) was instructed to use occlusal splint with home exercises for one month. The control group included MRIs of 17 healthy adults that were randomly selected from the archives of Radiology Department of Mustafa Kemal University. The length and width of the masseter, lateral and medial pterygoid muscles and the depth of the mandibular fossa were measured and mandibular condyle types were recorded. Range of motion of each temporomandibular joint was evaluated in pre- and post-treatment periods to test the effectiveness of the treatment methods. Results: The size of the masticatory muscles in TMD group was significantly smaller than the control group (p<0.05). The depth of the mandibular fossa was significantly shallower in the TMD group (p<0.05). The most commonly encountered condylar shape was convex in the TMD group (63.6%), but flat (58.8%) in the control group. No statistically significant relationship was observed between condyle type and fossa depth (p>0.05). However, the fossa depth showed a significant correlation with muscle size (p<0.05) and this correlation decreased with dysfunction. Dry needling and mobilization significantly decreased pain and increased mandibular movements (p<0.05); however, there was no significant change for Group B. Conclusion: The anatomical structures associated with the temporomandibular joint seems to be affected in patients with TMD. We suggest that the limited movement of the temporomandibular joint may cause atrophy of the masticatory muscles, affecting the range of motion of the joint. Dry needling and mobilization techniques might be a more effective alternative than occlusal splint in the treatment of TMD.
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23

Pedreira, Rachel, Brian Cho, Angela Geer, and Ramon DeJesus. "Use of a Multivector Mandibular Distractor for Treatment of Pediatric Proximal Interphalangeal Joint Pilon Fractures: A Case-Based Review." Journal of Hand and Microsurgery 10, no. 01 (December 8, 2017): 006–11. http://dx.doi.org/10.1055/s-0037-1608743.

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Abstract Background The difficulties in surgical treatment of pilon fractures of the finger include fragment reconstitution and posthealing stiffness. In adults, external fixation with traction and early active range of motion (AROM)/passive range of motion (PROM) during healing is considered necessary for avoiding joint stiffness and attaining realignment. The authors present a unique approach to pediatric pilon fractures that uses open reduction and multivector external fixation with delayed AROM/PROM. Initial immobilization and significant traction allowed for joint realignment and prevented noncompliance with staged distraction. The authors believe this immobilization leads to a superior outcome because, unlike adults, children tend to avoid stiffness and a larger distraction force allowed for sufficient joint realignment to regain range of motion (ROM). Methods A right-handed 13-year-old boy sustained a right ring finger fracture and presented 12 days later. Radiographs revealed a comminuted Salter-Harris 4 fracture of the middle phalanx. The patient underwent open reduction and placement of multivector external fixation using a pediatric mandibular distractor/fixator. Significant traction was applied to distract the finger to length. Results Hardware was removed 6 weeks postoperatively and AROM was initiated after splinting. The patient started PROM 8 weeks postoperatively. Strengthening was initiated 2 weeks later. ROM improved and rehabilitation was continued. The patient exhibited nearly equal grip strength 12 weeks postoperatively. At 14 months follow-up, radiographs showed complete healing and joint realignment. There was no deformity or pain and finger length was restored. Conclusion Management of pediatric pilon fractures is rarely described and presents unique considerations. Early-stage traction and immobilization using a multivector mandibular fixator/distractor is suitable in a child because noncompliance is avoided and there is a decreased risk for stiffness. Combining early immobilization with subsequent-staged AROM, PROM, and strengthening resulted in no loss of ROM and maintained articular symmetry.
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Fonseca, Roberta Maria Drumond Furtado Bossi, Eduardo Januzzi, Luciano Ambrosio Ferreira, Eduardo Grossmann, Antonio Carlos Pires Carvalho, Pedro Gonçalves de Oliveira, Érica Leandro Marciano Vieira, Antônio Lúcio Teixeira, and Camila Megale Almeida-Leite. "Effectiveness of Sequential Viscosupplementation in Temporomandibular Joint Internal Derangements and Symptomatology: A Case Series." Pain Research and Management 2018 (July 31, 2018): 1–9. http://dx.doi.org/10.1155/2018/5392538.

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Viscosupplementation is a minimally invasive technique that replaces synovial fluid by intra-articular injection of hyaluronic acid (HA). Although effective in some joints, there is not conclusive evidence regarding temporomandibular disorders. This case series described the efficacy of a viscosupplementation protocol in intra-articular temporomandibular disorders. Ten patients with a diagnosis of disc displacement and/or osteoarthritis by Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were submitted to four monthly injections of low or medium molecular weight HA. Pain, mandibular function, image analysis by tomography and magnetic resonance, and quality of life were assessed at baseline and follow-ups (1 and 6 months). Pain, jaw range-of-motion, mandibular function, and quality of life improved at follow-up evaluations. Osteoarthritis changes decreased, and 20% of patients improved mandibular head excursion after treatment. Resolution of effusion and improvement in disc morphology were observed for most patients. This viscosupplementation protocol reduced pain and symptoms associated with internal derangement of temporomandibular joint, improved quality of life, and showed benefits from both low and medium molecular weight HA in alternate cycles.
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Baldini, Alberto, Alessandro Nota, Simona Tecco, Fabiana Ballanti, and Paola Cozza. "Influence of the mandibular position on the active cervical range of motion of healthy subjects analyzed using an accelerometer." CRANIO® 36, no. 1 (October 27, 2016): 29–34. http://dx.doi.org/10.1080/08869634.2016.1249994.

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26

de Amorim, C. Santos Miotto, G. Fioranelli Vieira, E. Ferreira Osses Firsoff, J. Rosana Costa, and A. Pasqual Marques. "Effectiveness of two physical therapy interventions in masticatory muscular pain, mandibular range of motion and stress in individuals with bruxism." Physiotherapy 101 (May 2015): e1336-e1337. http://dx.doi.org/10.1016/j.physio.2015.03.1266.

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27

Almas, Khalid, Joseph Hobeiche, and Esam Tashkandi. "Arthroscopy vs. Open-joint Surgery for the Management of Internal Derangement of the Temporomandibular Joint: A Retrospective Study Comparing Female Subjects from Two Centers." Journal of Contemporary Dental Practice 9, no. 3 (2008): 48–55. http://dx.doi.org/10.5005/jcdp-9-3-48.

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Abstract Aim The aim of this retrospective study was to assess the treatment outcome of arthroscopy and open-joint surgery in the management of internal derangement of the temporomandibular joint (TMJ). Background Apart from pain being the major complaint in patients with temporomandibular joint disorders (TMDs), a variety of function-related symptoms are reported including joint noises, locking, limited movement, and alterations in occlusion. Surgical management procedures of internal derangement of the TMJ vary widely at present. The criteria for the assessment of successful outcome of the treatment are also variable. Methods and Materials The retrospective study was carried out at two centers in Paris and Beirut. Sixty-two female patients with an age range of 35.1 years (28 had arthroscopy and 34 had open surgery) were included in the study. The patients were followed-up for 12 months. A standardized questionnaire and visual analogue scale (VAS) was developed and used for the assessment of pain and mandibular range of motion. A chi-square test was used to observe the significance of difference among both groups. Conclusion Within the limitations of this study, it was concluded arthroscopic surgery appeared to be safe with pain reduction and increased mandibular range of motion for 80% of the patients. Further research is needed on a larger prospective sample to assess the comparison of both techniques in terms of enhanced quality of life among the study population. Clinical significance Arthroscopic surgery appears to be a safe, minimally invasive, and effective method for treating internal derangements of the TMJ. Citation Hobeiche J, Salameh Z, Tashkandi E, Almas K. Arthroscopy vs. Open-joint Surgery for the Management of Internal Derangement of the Temporomandibular Joint: A Retrospective Study Comparing Female Subjects from Two Centers. J Contemp Dent Pract 2008 March; (9)3:048-055.
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Ayupova, F. S., R. A. Khotko, E. L. Vinichenko, and V. N. Lovlin. "Results of orthodontic treatment of a child with asymmetrical micrognathia and the congenital mandibular condylar hyperplasia." Kazan medical journal 102, no. 1 (February 10, 2021): 92–99. http://dx.doi.org/10.17816/kmj2021-92.

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Aim. To analyze the results of orthodontic treatment of a child with asymmetrical micrognathia and mandiblar condylar hyperplasia. Methods. The configuration of a face in the photos was evaluated and diagnostic models of the jaws were analyzed by using the Ponts and Korkhaus methods in treatment dynamics. The physiological status of bone tissue, temporomandibular joints and teeth was studied by using orthopantomography and computed tomography. Functional disorders were detected by using special tests, including EschlerBittner's test and Ilyina-Markosyans test. Orthodontic treatment and stimulation of mandibular growth in the mixed dentition stage were undertaken with the single jaw removable appliances and the appliance improved by us for correction of the distal occlusion. The Damon Q bracket system with archwires was used in permanent dentition period. Results. The child's convex facial profile was typical for distal occlusion and micrognathia. The facial asymmetry, increasing with mouth opening, and a decrease in mandibular range of motion indicated lesion of the right temporomandibular joint. The right condyle was enlarged on the orthopantomogram. The computed tomography showed that it was asymmetrically enlarged and had a cellular structure. There was detected asymmetric micrognathia. The comprehensive rehabilitation plan included orthodontic treatment, myotherapy, speech therapy, mechanotherapy. The use of removable orthodontic appliances led to the normal size of the dentition and their relation, significantly reduced functional disorders and improved facial aesthetics. Five years after completion of orthodontic treatment, the physiological occlusion and amplitude of the mandibular movements remained, but the right mandibular angle was flattened. Conclusion. The comprehensive rehabilitation of a child with asymmetrical micrognathia and mandibular condylar hyperplasia started in mixed dentition stage provided conditions for the formation of normal permanent dentition and the improvement of functional disorders and facial aesthetics; our results allow us to suggest the positive effect of our tactics for treatment of the patient.
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Silva, Maria do Socorro Medeiros da, Júlio Leite de Araújo-Júnior, Nathalia Matos de Santana, Rômulo Bezerra de Oliveira, Vitor Engrácia Valenti, Eduardo Dias-Ribeiro, Marco Antônio Farias de Paiva, and Andrey Alves Porto. "Oscillatory joint mobilization as a physiotherapeutic treatment of temporomandibular dysfunction: a case report." Revista de Odontologia da Universidade Cidade de São Paulo 31, no. 1 (August 19, 2019): 88. http://dx.doi.org/10.26843/ro_unicidv3112019p88-94.

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Introduction: The temporomandibular joint (TMJ) acts during chew, swallowing, yawning, conversation and in activities involving jaw movements. Temporomandibular Dysfunction (TMD) is a set of disorders involving the masticatory muscles in the TMJ and associated structures. Joint mobilization aims to relief pain and restoring the function of the compromised body segment, increasing its degree of mobility. Objective: We aimed to evaluate the influence of oscillatory joint mobilization on TMD. Method: A descriptive case study with a patient who presented a clinical diagnosis of TMD in the Clinical School of Physiotherapy of the Leão Sampaio School, Juazeiro do Norte, CE, Brazil, from September 3 to October 6 of 2014, twice a week, lasting 40 minutes, a total of 10 visits. Results: The patient presented a gain in the range of motion of the mouth opening (from 17 mm to 46 mm), pain relief (from grade 6 to grade 0 on the Visual Analogue Scale) and improvement in muscle function. Conclusion: Oscillatory joint mobilization in TMD may be effective in increasing mandibular range of motion and opening of the mouth, as well as in reducing TMJ pain and masticatory musculature.
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Gomes, Cid André Fidelis de Paula, Fabiano Politti, Daniel Ventura Andrade, Dowglas Fernando Magalhães de Sousa, Carolina Marciela Herpich, Almir Vieira Dibai-Filho, Tabajara de Oliveira Gonzalez, and Daniela Aparecida Biasotto-Gonzalez. "Effects of Massage Therapy and Occlusal Splint Therapy on Mandibular Range of Motion in Individuals With Temporomandibular Disorder: A Randomized Clinical Trial." Journal of Manipulative and Physiological Therapeutics 37, no. 3 (March 2014): 164–69. http://dx.doi.org/10.1016/j.jmpt.2013.12.007.

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31

Muñoz-García, Daniel, Alfonso Gil-Martínez, Almudena López-López, Ibai Lopez-de-Uralde-Villanueva, Roy La Touche, and Josué Fernández-Carnero. "Chronic Neck Pain and Cervico-Craniofacial Pain Patients Express Similar Levels of Neck Pain-Related Disability, Pain Catastrophizing, and Cervical Range of Motion." Pain Research and Treatment 2016 (March 29, 2016): 1–8. http://dx.doi.org/10.1155/2016/7296032.

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Background. Neck pain (NP) is strongly associated with cervico-craniofacial pain (CCFP). The primary aim of the present study was to compare the neck pain-related disability, pain catastrophizing, and cervical and mandibular ROM between patients with chronic mechanical NP and patients with CCFP, as well as asymptomatic subjects. Methods. A total of 64 participants formed three groups. All participants underwent a clinical examination evaluating the cervical range of motion and maximum mouth opening, neck disability index (NDI), and psychological factor of Pain Catastrophizing Scale (PCS). Results. There were no statistically significant differences between patients with NP and CCFP for NDI and PCS (P>0.05). One- way ANOVA revealed significant differences for all ROM measurements. The post hoc analysis showed no statistically significant differences in cervical extension and rotation between the two patient groups (P>0.05). The Pearson correlation analysis shows a moderate positive association between NDI and the PCS for the group of patients with NP and CCFP. Conclusion. The CCFP and NP patient groups have similar neck disability levels and limitation in cervical ROM in extension and rotation. Both groups had positively correlated the NDI with the PCS.
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Anbinder, Ana Lia, Barbara Maria Corrêa Geraldo, Rubens Guimarães Filho, Débora Lima Pereira, Oslei Paes de Almeida, and Yasmin Rodarte Carvalho. "Chondroid Tenosynovial Giant Cell Tumor of the Temporomandibular Joint: A Rare Case Report." Brazilian Dental Journal 28, no. 5 (September 2017): 647–52. http://dx.doi.org/10.1590/0103-6440201701371.

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Abstract Tenosynovial giant cell tumor of diffuse type (TGCT-d) or pigmented villonodular synovitis (PVNS) is a locally aggressive lesion that mostly affects the joints of long bones. Chondroid tenosynovial giant cell tumor (CTGCT) or PVNS with chondroid metaplasia is a rare distinct subset of synovial tumors that has a predilection for the TMJ. We report a rare case of CTGCT in the TMJ, initially misdiagnosed as temporomandibular disorder (TMD). A 51-year-old woman was referred to the surgeon with the chief complaint of TMJ pain for 5 years and a past history of an unsuccessful TMD treatment. Extraoral examination revealed discrete preauricular swelling and restricted mandibular range of motion. Panoramic radiograph and computerized tomography showed destruction of the mandibular fossa and condyle. Histologically, the tumor was composed by large mononuclear cells with prominent eosinophilic cytoplasm and grooved nuclei, small histiocytoid cells, osteoclast-like multinucleated cells, brown pigmentation and areas of chondroid metaplasia. Morphological and immunohistochemical characteristics lead to the final diagnosis of CTGCT. The rarity of CTGCT could be attributed to the lack of recognition of this lesion, with cases diagnosed as chondroblastomas, synovial chodromatosis and chondrosarcoma. The patient received immediate reconstruction and recurrence was found 22 months after initial intervention. TGCT-d and CTGCT of the TMJ can present similar symptoms to TMD, but clinicians must distinguish both lesions by complete examination, imaging and, when necessary, histopathologic evaluation.
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Ahmed, Shaheen, Reema Usmani, Abdul Hafeez Shaikh, Usman Ashraf, Syeda Noureen Iqbal, Abdullah Salman, and Anwar Ali. "The retromandibular transparotid approach vs. retromandibular retroparotid approach for the mandibular condyle." Brazilian Journal of Oral Sciences 20 (February 8, 2021): e211443. http://dx.doi.org/10.20396/bjos.v20i00.8661443.

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Aim: The mandible is regarded as a frequently fractured bone in patients who present with maxillofacial trauma accounting for almost 15.5% to 59% of all facial fractures. Managing condylar trauma has remained to be a point of contention amongst experts, regardless of the advances in surgical modalities and methodologies, and the treatment plan is often determined by the preference and the experience of the surgeon. There exist various approaches in the literature, each with its own specific benefits and drawbacks. With this study, we aimed to evaluate the prevalence of post-operative complications in patients who experienced ORIF by means of the retromandibular approach, by comparing the outcomes of one group having undergone transparotid surgery, with another that underwent retroparotid surgery. Methods: An experimental trial was undertaken. Convenience sampling was done from among the cases of condylar neck and base fracture visiting the department of OMFS, Dow University of Health Sciences from January 2017 to December 2019. An overall 26 patients were divided into 2 groups of 13 members each; one was managed using Open Reduction Internal Fixation (ORIF) by means of a retromandibular transparotid approach while the other group was treated with ORIF by means of a retromandibular retroparotid approach. A 6 month follow-up was done to assess range of active motion, occlusion, and complications such as deviation/deflection, neural injury, infections, sialocele, salivary fistulae and Frey’s syndrome in both groups. Results: There was no statistically significant difference between the two groups in terms of inter-incisal opening, right and left lateral movements, or protrusion. One patient in the retroparotid group had deviation on mouth opening (7.69%), while one in the transparotid group reported with infection (7.69%), and 2 developed post operative seromas (15.38%). None had persisting facial nerve palsy at 6 months. Conclusion: We find no significant disparity between the 2 approaches at a follow-up of 6 months; therefore, the primary determining factor for selection of either technique is surgeon preference and appropriate case selection.
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Sidorenko, A. N. "Clinical signs, diagnosis and complex treatment of temporomandibular joint osteoarthritis." Kazan medical journal 93, no. 5 (October 15, 2012): 753–57. http://dx.doi.org/10.17816/kmj1703.

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Aim. To improve complex treatment of temporomandibular joint osteoarthritis. Methods. 45 patients with temporomandibular joint osteoarthritis aged 18-75 years were examined. The main group consisted of 25 patients who were treated using transcranial electric stimulation. Comparison group consisted of 20 patients in whom standard treatment was applied. Control group consisted of 10 healthy volunteers and was used to compare blood cytokine and β-endorphin levels. Clinical examination, computed tomography, immunological blood analysis were performed in all patients. Results. After the complex treatment all the symptoms resolved, and the position of mandibular condyles in mandibular fossae of the temporal bone and results of immunological blood analysis normalized. The baseline level of β-endorphin of patients with temporomandibular joint osteoarthritis did not differ from control group. After transcranial electric stimulation β-endorphin serum levels were significantly raised at day 6 and especially at day 9, while in patients with standard treatment the β-endorphin serum levels were only slightly higher compared to baseline levels. Decrease of interleukin-6 serum levels was more significant in the transcranial electric stimulation group. Transcranial electric stimulation has also leaded to elevation of interleukin-10 serum levels up to normal ranges at day 9, compared to low level (5 times below normal range) at all times in the standard treatment group. After 2 years of treatment there was no symptoms of the disease, normal ranges of motion in temporomandibular joints and no relapses registered in 24 out of 25 patients from transcranial electric stimulation group compared to 11 out of 20 patients from standard treatment group. In 1 patient from transcranial electric stimulation group and 9 patients from standard treatment group clicking on the involved side was still present, those patients were re-treated. Conclusion. Usage of transcranial electric stimulation as a component of complex treatment of patients with temporomandibular joint osteoarthritis increases the effectiveness of their treatment.
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Piancino, Maria Grazia, Maria Cordero-Ricardo, Rosangela Cannavale, Teresa Vallelonga, Umberto Garagiola, and Andrea Merlo. "Improvement of masticatory kinematic parameters after correction of unilateral posterior crossbite: Reasons for functional retention." Angle Orthodontist 87, no. 6 (August 3, 2017): 871–77. http://dx.doi.org/10.2319/020917-98.1.

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ABSTRACT Objective: To evaluate reverse-sequencing chewing cycles (RSCC) and their kinematic parameters on both sides before and after correction with the Function Generating Bite (FGB) appliance. Materials and Methods: Forty-seven patients, 8.3 ± 1.1 (mean ± SD) years of age, with unilateral posterior crossbite (35 on the right side, 12 on the left side) and 18 age-matched controls (9.1 ± 0.8 years) were selected for the study from the orthodontic division of the University of Turin, Italy. The crossbite was corrected in all patients using FGB, and mandibular motion was recorded with a kinesiograph K-7 (Myotronics, Tukwila, Wash), during chewing on both sides of a soft and a hard bolus before and after correction. Results: After correction, the percentage of RSCC significantly decreased for soft and hard (P &lt; .001) boluses and fell within the normal range for 75% of the patients. The indices of the chewing pattern (closure angle, axis, maximum lateral excursion) significantly improved (P &lt; .001), becoming symmetric between sides. Conclusions: The results of this study showed that the functional appliance, FGB, was able to lower the percentage of RSCC significantly, bringing them back to the normal range in 75% of cases, and to improve the kinematic parameters that become symmetric between sides.
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Malik, Shaima, Shilpa Singh, Robby T. George, Mayank Kakkar, and Nikhilesh R. Vaid. "Optimal Use of a Panoramic Radiograph as a Screening Tool for Condylar Resorption in Patients Undergoing Active Orthodontic Treatment: A Case Series." Journal of Clinical Imaging Science 10 (October 22, 2020): 65. http://dx.doi.org/10.25259/jcis_143_2020.

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Condylar resorption of temporomandibular joint findings in the panoramic radiographs is an indication of bone resorption suggesting possible degenerative joint disease that warrants early screen and subsequent referral to a dedicated specialist. This case series reports three patients that underwent the active orthodontic treatment for the duration of approximately 24–36 months. The patients were asymptomatic at the initial examination. The clinical examination was negative for clicking; the range of motion on opening, lateral excursion, and protrusion was normal. Neither of these patients had a history of rheumatic disease or bruxism. During the later stages of orthodontic treatment, two of the three patients reported mild pain and clicking during mastication, which was also confirmed chairside on clinical evaluation. Patients were referred to the orofacial pain specialist, were they were prescribed specific medication for the symptoms, along with cognitive behavioral therapy, and were further evaluated for splint therapy. Panoramic radiographs taken before the start of the treatment, during the treatment and at the completion of the orthodontic treatments indicate the progression in the resorption of mandibular condyle in all three patients suggesting possible degeneration that warrants further investigation and therapy.
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Cuenca-Martínez, Ferran, Aida Herranz-Gómez, Beatriz Madroñero-Miguel, Álvaro Reina-Varona, Roy La Touche, Santiago Angulo-Díaz-Parreño, Joaquín Pardo-Montero, Tamara del Corral, and Ibai López-de-Uralde-Villanueva. "Craniocervical and Cervical Spine Features of Patients with Temporomandibular Disorders: A Systematic Review and Meta-Analysis of Observational Studies." Journal of Clinical Medicine 9, no. 9 (August 30, 2020): 2806. http://dx.doi.org/10.3390/jcm9092806.

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To assess neck disability with respect to jaw disability, craniocervical position, cervical alignment, and sensorimotor impairments in patients with temporomandibular disorders (TMD), a systematic review and meta-analysis of observational studies trials were conducted. The meta-analysis showed statistically significant differences in the association between neck disability and jaw disability (standardized mean difference (SMD), 0.72 (0.56–0.82)). However, results showed no significant differences for cervical alignment (SMD, 0.02 (−0.31–0.36)) or for the craniocervical position (SMD, −0.09 (−0.27–0.09)). There was moderate evidence for lower pressure pain thresholds (PPT) and for limited cervical range of motion (ROM). There was limited evidence for equal values for maximal strength between the patients with TMD and controls. There was also limited evidence for reduced cervical endurance and conflicting evidence for abnormal electromyographic (EMG) activity and motor control in TMD patients. Results showed a clinically relevant association between cervical and mandibular disability in patients with TMD. Regarding sensory-motor alterations, the most conclusive findings were observed in the reduction of PPT and cervical ROM, with moderate evidence of their presence in the patients with TMD. Lastly, the evidence on impaired motor control and cervical EMG activity in patients with TMD was conflicting.
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Cortelazzi, Roberto, Mario Altacera, Monica Turco, Viviana Antonicelli, and Michele De Benedittis. "Development and Clinical Evaluation of MatrixMANDIBLE Subcondylar Plates System (Synthes)." Craniomaxillofacial Trauma & Reconstruction 8, no. 2 (June 2015): 94–99. http://dx.doi.org/10.1055/s-0034-1395382.

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In this article, authors report the different steps of development and clinical validation of MatrixMANDIBLE Subcondylar Plates (Synthes, Soletta, Switzerland), a specialized osteosynthesis system developed by Synthes during the past 4 years. Between 2009 and 2013, a total of 62 patients were treated for subcondylar and condylar neck fractures via a preauricular or retromandibular/transparotid approach. The MatrixMANDIBLE Subcondylar Plates System consists of a Trapezoidal Plate, a three-dimensional (3D) 4-hole 1.0-mm plate for smaller fracture areas, the Lambda Plate, a 7-hole 1.0-mm linear plate which mimics the two miniplates technique, and the Strut Plate, a 3D 1.0-mm plate with great versatility of employment. All devices satisfy the principles of a functionally stable osteosynthesis as stated by Champy et al. None of the plates broke and no macroscopic condylar displacement was noted on radiological follow-up. Clinical and functional parameters assessed at 6 months postoperative (mandibular range of motion, pain, dental occlusion) were almost restored. MatrixMANDIBLE Subcondylar Plates System (Synthes) has proved to provide sufficient mechanical stiffness and anatomically accurate fracture reduction to avoid major postoperative drawbacks of subcondylar and condylar neck fractures.
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Castejon-Gonzalez, Ana C., Maria Soltero-Rivera, Dorothy C. Brown, and Alexander M. Reiter. "Treatment Outcome of 22 Dogs With Masticatory Muscle Myositis (1999-2015)." Journal of Veterinary Dentistry 35, no. 4 (December 2018): 281–89. http://dx.doi.org/10.1177/0898756418813536.

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Medical records of dogs diagnosed with masticatory muscle myositis (MMM) at Ryan Veterinary Hospital of the University of Pennsylvania during a period of 17 years (from 1999 to 2015) were reviewed. Twenty-two dogs were included in this retrospective case series study. Immunosuppressive doses of prednisone were prescribed to all dogs. Twenty dogs had full recovery of masticatory function. The mean (SD) improvement in the vertical mandibular range of motion (vmROM) was 5.3 (3.1) cm during the first 4 weeks of treatment (weeks 1-4) and 2.8 (2.2) cm during the subsequent 8 weeks (weeks 5-12). The vmROM continued to improve for several more months. Six dogs had a relapse, but the clinical signs were more severe in dogs when no longer receiving prednisone compared to dogs still on prednisone at the time of relapse. When diagnosed and treated appropriately, MMM has a good prognosis with relatively quick return to masticatory function. Early discontinuation of prednisone therapy should be avoided. Approximately 1 year of therapy is recommended prior to discontinuing the medication. Educating the client about how to perform muscle palpation, determine vmROM at home, recognize signs of pain, and notice behavioral changes may help in the early detection of relapses.
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Beirne, O. Ross. "Using the Gap Arthroplasty to Treat Temporomandibular Joint Ankylosis may Result in Greater Mandibular Range of Motion Than Treating the Ankylosis Using Ankylosis Resection and Ramus–Condyle Reconstruction With Costochondral Grafting." Journal of Evidence Based Dental Practice 12, no. 4 (December 2012): 190–92. http://dx.doi.org/10.1016/j.jebdp.2012.09.008.

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41

Costa, Davidson Ribeiro, David Ribeiro Costa, Diego Rodrigues Pessoa, Leandro Júnio Masulo, Emília Ângela Lo Schiavo Arisawa, and Renata Amadei Nicolau. "Efeito da terapia LED na disfunção temporomandibular: estudo de caso." Scientia Medica 27, no. 2 (May 6, 2017): 25872. http://dx.doi.org/10.15448/1980-6108.2017.2.25872.

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*** Effect of LED therapy on temporomandibular disorder: a case study ***AIMS: To evaluate the effect of light emitting diode (LED) therapy on temporomandibular disorder.CASE DESCRIPTION: A woman diagnosed with temporomandibular disorder was subjected to four LED therapy sessions at a seven-day interval. In the initial examination of the temporomandibular joint the patient presented a mouth opening without pain of 23 mm, a maximum opening of 25 mm and a maximum opening with the aid of 27 mm. After the treatment, there was an increase of 7 mm in the opening without pain between the first and last evaluation, while the maximum opening of the mouth and the maximum opening with aid increased 6 mm between the first and last evaluation. After 21 days of treatment, a 50% reduction in painful sites was detected on the palpation examination. After the end of the treatment, the visual analog pain scale detected a decrease in pain intensity on both sides, and there was a decrease in the total mean pain intensity. By analyzing the responses to the Medical Outcomes Study 36-item Short Form Health Survey (SF-36), of the eight quality of life domains evaluated, four showed improvement. CONCLUSIONS: In this case study, after LED therapy there was reduction in pain intensity and increase of the mandibular range of motion. The resolution of the signs and symptoms of temporomandibular disorder resulted in patient’s better quality of life.
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Guzu, Michel, Hugues A. Gaillot, Marco Rosati, Alexandra Nicolier, and Philippe R. Hennet. "Bilateral fibrodysplasia ossificans affecting the masticatory muscles and causing irreversible trismus in a domestic shorthair cat." Journal of Feline Medicine and Surgery Open Reports 5, no. 1 (January 2019): 205511691983985. http://dx.doi.org/10.1177/2055116919839857.

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Case summary An 8-year-old spayed female domestic shorthair cat was referred for trismus of progressive onset, which had started at least 1 month previously. The patient presented with weakness, anorexia, chronic bilateral purulent nasal discharge and concurrent reduced nasal airflow. Upon physical examination, painful mouth opening, bilateral swelling of the temporal areas, with an inability to open and close the mouth completely, were apparent. A vertical mandibular range of motion (vmROM) of 22 mm was noted. Complete blood count, biochemistry, electrolytes and various serology tests were unremarkable. CT revealed multiple mineralised lesions within the masticatory muscles. Histopathological features were consistent with those seen in the human disease fibrodysplasia ossificans progressiva (FOP). Supportive treatment did not improve the vmROM, eventually resulting in a 13 mm open bite, and total inability to close and open the mouth. Cardiac arrest occurred at the induction of an anaesthesia procedure aiming to perform tracheostomy and nasal lavage. Despite emergency tracheotomy and cardiac resuscitation, humane euthanasia was elected by the owners. Post-mortem molecular investigations highlighted a heterozygous deletion, compatible with a splicing site mutation in ACVR1, which is also associated with FOP in humans. Relevance and novel information This is the first report in the veterinary literature of FOP-like disease selectively affecting the masticatory muscles. This condition is associated with a poor prognosis, as no medical or surgical treatment has currently proven to be of any prophylactic or curative benefit. Although rare, FOP-like disease should be included in the differential diagnosis of trismus in the cat. Any further muscle injury should be avoided.
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Kim, Min Ji, Jong Woo Choi, Woo Shik Jeong, Soon Yuhl Nam, and Seung Ho Choi. "Dynamic Oromandibular Reconstructions Using Chimeric Fibular and Gracilis or Vastus Lateralis Free Flaps." Journal of Reconstructive Microsurgery Open 05, no. 02 (July 2020): e36-e42. http://dx.doi.org/10.1055/s-0040-1713801.

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Abstract Background Despite efforts of head and neck functional reconstruction, anatomic restoration has been used until now. This article describes our experience of using a chimeric free fibular osteocutaneous flap conjoined with a functional muscle free flap, defined as dynamic oromandibular reconstruction. Methods Through a retrospective chart review, four consecutive patients who underwent reconstruction with a total fibular free flap were included. The former two patients underwent reconstruction using a conventional osteocutaneous free fibular flap. The latter two patients had an oromandibular defect after cancer resection and underwent dynamic oromandibular reconstruction with a chimeric free fibular flap conjoined with a gracilis free flap or vastus lateralis muscle free flap. Results In the speech analysis, the dynamic group revealed a satisfactory tongue movement. Protrusion and lateralization were the most different movement changes. The tongue range of motion score was 62.5 in the dynamic group and 25.0 in the control group. On the dynamic magnetic resonance imaging, the contact of the soft palate with the tongue was excellent, and the epiglottis closure during deglutition was complete. In the three-dimensional volumetric analysis of mandibular aesthetic contouring, the dynamic group showed a much smaller difference in hemifacial volume, with a difference of 73.7 mL in the dynamic group and 101.76 mL in the control group. Conclusion This study is a preliminary trial of dynamic oromandibular reconstruction using chimeric free fibular flaps with functional muscle transfer. We demonstrated the possibility of dynamic oromandibular reconstruction, which enhanced more functional aspects in the patients in this study.
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Kulesa-Mrowiecka, Małgorzata, Joanna Piech, and Tadeusz S. Gaździk. "The Effectiveness of Physical Therapy in Patients with Generalized Joint Hypermobility and Concurrent Temporomandibular Disorders—A Cross-Sectional Study." Journal of Clinical Medicine 10, no. 17 (August 25, 2021): 3808. http://dx.doi.org/10.3390/jcm10173808.

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Temporomandibular disorders (TMD) consist of a group of symptoms such as: pain of temporomandibular joints, masticatory muscles or surrounding tissues, dysfunctions of TMJs’ mobility, and crepitation. The Hypermobility Joint Syndrome (HJS) manifests in the flaccidity of joint structures, an increase in the range of joint motion, and occurs more often in the young and women. The aim of this study was to present the occurrence of HJS among patients with myogenic TMD and disc displacement with reduction. The secondary goal was to assess the effectiveness of physiotherapy directed to TMD with coexisting HJS. The study involved 322 patients with symptoms of TMD. HJS was diagnosed using the Beighton Scale, which confirmed its occurrence in 26 cases. 79 subjects (7 males and 72 females; mean age, 33.9 ± 10.4 years) were selected and divided into two groups: HJS + TMD (n = 26; 2 males and 24 females; mean age, 27.1 ± 9.4 years) and TMD (n = 53; 5 males and 48 females; mean age, 37.4 ± 9.2 years). These patients completed 3-week physiotherapy management. Before and after physiotherapy, the myofascial pain severity on Numeric Pain Rating Scale, linear measurement of maximum mouth opening, and opening pattern, were assessed. To demonstrate differences between the results, the level of significance for statistical analysis was set at α = 0.05. A statistically significant improvement was obtained in decreasing myofascial pain in both groups. Coordination of mandibular movements was achieved in both groups. Generalized joint hypermobility occurred among patients with TMD. Physiotherapy directed to TMD was effective in reducing myofascial pain and restoring TMJ’s coordination also in patients with HJS.
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Macedo, Paulo Fernando Aragon de, and Esther Mandelbaum Gonçalves Bianchini. "Myofunctional orofacial examination: comparative analysis in young adults with and without complaints." CoDAS 26, no. 6 (December 2014): 464–70. http://dx.doi.org/10.1590/2317-1782/20142014015.

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PURPOSE: To verify myofunctional orofacial characteristics in young adults and to compare data on individuals with and without myofunctional complaints, aiming to identify the main myofunctional problems and differentiating them from characteristics that are common for this population, as well as to list items for myofunctional evaluation in this population. METHODS: Cross-sectional study with 85 adult participants, aged between 19 and 39 years, selected through consecutive sampling at the Department of Speech, Language and Hearing Sciences of Universidade Veiga de Almeida. The participants were divided into two groups: G1 (comprising 50 individuals referred for orofacial myofunctional disorders) and G2 (comprising 35 volunteers without complaints). Descriptive evaluation of craniofacial structures of hard and soft tissues, kinesiology and mandible range of motion and functional patterns of breathing, chewing, and swallowing was applied. Three expert Speech-Language pathologists assessed all participants. Statistical analysis was done using χ2-test, Student's t-test, or Mann-Whitney test. The reliability level was 99%. RESULTS: A predominance of Angle Class I pattern of occlusions for G2 (p<0.0001) was found. G1 showed (p<0.0001) mandible movements with deviations and joint noises, amplitude reduction in lateral and protrusive movements, unilateral chewing, nonexpected muscle contraction, temporomandibular joint noises, swallowing with excessive contraction of the orbicularis oris muscle, loud noise, and residues (p=0.006). CONCLUSION: The main myofunctional orofacial alterations in young adults with complaints refer to changes of the mandibular movements and patterns of chewing or of swallowing, reflecting the main items of the clinical evaluation. Many items of assessment and characterization do not differ between the groups, and these should be analyzed regarding their relevance.
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Ginszt, Michał, Grzegorz Zieliński, Marcin Berger, Jacek Szkutnik, Magdalena Bakalczuk, and Piotr Majcher. "Acute Effect of the Compression Technique on the Electromyographic Activity of the Masticatory Muscles and Mouth Opening in Subjects with Active Myofascial Trigger Points." Applied Sciences 10, no. 21 (November 2, 2020): 7750. http://dx.doi.org/10.3390/app10217750.

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Active myofascial trigger points (MTrPs) in masticatory muscles are associated with a reduced range of motion and muscle weakness within the stomatognathic system. However, it is hard to identify the most effective treatment technique for disorders associated with MTrPs. The objective of this study was to analyze the acute effect of the compression technique (CT) on active maximal mouth opening (MMO) and electromyographic activity of the masseter (MM) and temporalis anterior (TA) muscles in subjects with active myofascial trigger points in the MM muscles. The study group comprised 26 women (mean age 22 ± 2) with bilateral active myofascial trigger points (MTrPs) in the MM. The control group comprised 26 healthy women (mean age 22 ± 1) without the presence of MTrPs in the MM. Masticatory muscle activity was recorded in two conditions (during resting mandibular position and maximum voluntary clenching) before and after the application of the CT to the MTrPs in MM. After the CT application, a significant decrease in resting activity (3.09 μV vs. 2.37 μV, p = 0.006) and a significant increase in clenching activity (110.20 μV vs. 139.06 μV, p = 0.014) within the MM muscles were observed in the study group, which was not observed within TA muscles. Controls showed significantly higher active MMO values compared to the study group before CT (50.42 mm vs. 46.31 mm, p = 0.024). The differences between the study group after CT and controls, as well as among the study group before and after CT did not reach the assumed level of significance in terms of active MMO. The compression technique appears to be effective in the improvement of the active maximal mouth opening and gives significant acute effects on bioelectric masticatory muscle activity. Therefore, CT seems to be effective in MTrPs rehabilitation within the stomatognathic system.
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Bales, Gerald S. "Thin-plate spline analysis of shape differences between a primitive and modern rhinoceros." Paleontological Society Special Publications 6 (1992): 15. http://dx.doi.org/10.1017/s247526220000575x.

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The thin-plate spline (TPS), a new technique for comparing shapes using landmark data, has been developed by Fred Bookstein and programmed for microcomputers by F. Rohlf. TPS generates a mapping function describing the deformation necessary to superimpose one set of landmarks exactly onto a second set of homologous landmarks, after first adusting for orientation and overall size. The mapping function is then used as an interpolant to plot a grid which geometrically represents the deformation. The TPS grid is a mathematically formalized equivalent to the Cartesian transformation grid (CTG) introduced in 1917 by D'Arcy Thompson, a technique which requires construction by eye, brain, and hand.TPS is used here to “replicate” Edwin Colbert's 1935 CTG analysis of shape change from Subhyracodon occidentalis, a primitive fossil rhino, to Rhinoceros unicornis, a derived living form. Twenty-two landmarks were defined on Colbert's original line drawings and coordinate data was retrieved by digitization. TPS analysis of this data was nearly instantaneous using an 80386 20MHz PC.TPS mapping of S. occidentalis onto R. unicornis produces a transformation similar to Colbert's CTG (differing most at the mandibular angle) and reveals both global and local aspects of the shape change. The global changes are dorsoventral heightening and rostrocaudal shear. Local changes include rostrocaudal shortening in the occipital and preorbital regions and rotations of the occiput and rostrum toward each other (producing the saddle-shaped skull of R. unicornis).The functional consequences of these changes may be interrelated. For example, the upward and forward displacement of the occiput in R. unicornis suggests a change in head posture (nuchal attachment and range of motion) and a change in masticatory processing (increased vertical action of the temporalis muscle). Both functional changes may relate to dietary preference.
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García Reyes, M., P. Mayoral Sanz, J. Vila, M. Míguez Contreras, J. De La Cruz, N. Abiker, A. Bataller Torras, J. A. Cabrera Castillo, and A. Fernández Guerrero. "Determining the mandibular normal range of motions in young adults: a guide for diagnosis and treatment of patients with mandibular advance devices." Sleep Medicine 40 (December 2017): e107. http://dx.doi.org/10.1016/j.sleep.2017.11.311.

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49

Jung, Matthias K., Paul A. Grützner, Niko R. E. Schneider, Holger Keil, and Michael Kreinest. "Cervical Spine Immobilization in Patients With a Geriatric Facial Structure: The Influence of a Geriatric Mandible Structure on the Immobilization Quality Using a Cervical Collar." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932110218. http://dx.doi.org/10.1177/21514593211021824.

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Introduction: Demographic changes have resulted in an increase in injuries among geriatric patients. For these patients, a rigid cervical collar is crucial for immobilizing the cervical spine. However, evidence suggests that patients with a geriatric facial structure require a different means of immobilization than patients with an adult facial structure. This study aimed to analyze the remaining motion of the immobilized cervical spine based on facial structure. Materials and Methods: This study was performed on 8 fresh human cadavers. Facial structure was evaluated via ascertaining the mandibular angle by computer tomography. A mandibular angle below 130°, belongs to the adult facial structure group ( n = 4) and a mandibular angle above 130°, belongs to the geriatric facial structure group ( n = 4). The flexion and lateral bending of the immobilized cervical spine were analyzed in both groups using a wireless motion tracker system. Results: A flexion of up to 19.0° was measured in the adult facial structure group. The mean flexion in the adult vs. geriatric facial structure groups were 14.5° vs. 6.5° (ranges: 9.0-19.0 vs. 5.0-7.0°), respectively. Thus, cervical spine motion was ( p = 0.0286) significantly more reduced in the adult facial structure group. No ( p = 0.0571) significant difference was oberserved in the mean lateral bending of the adult facial structure group (14.5°) compared to the geriatric facial structure group (7.5°). Conclusion: Emergency medical service personnel should therefore follow current guidelines and recommendations and perform cervical spine immobilization with a cervical collar, including in patients with a geriatric facial structure.
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Mayoral Sanz, P., M. García Reyes, A. Bataller Torras, J. A. Cabrera Castillo, and A. Fernández Guerrero. "Determining the impact of vertical dimension on the mandibular range of motions in young adults: a consideration for the design and the construction of a mandibular advancement device." Sleep Medicine 40 (December 2017): e216. http://dx.doi.org/10.1016/j.sleep.2017.11.630.

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