Journal articles: 'Temporomandibular joint dysfunction syndrome - Diagnosis'

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Umanskaya, Yu N. "Temporomandibular joint dysfunction due to benign joint hypermobility syndrome." Kazan medical journal 94, no. 6 (December 15, 2013): 843–46. http://dx.doi.org/10.17816/kmj1802.

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Aim. To mark out the main features of temporomandibular joint dysfunction in patients with benign joint hypermobility syndrome. Methods. 90 patients with temporomandibular joint dysfunction were examined. The first group included 53 (58.89%) patients with benign joint hypermobility syndrome, the second group - 37 patients with temporomandibular joint dysfunction without any signs of benign joint hypermobility syndrome. Functional joint examination including clinical examination, examination of jaw diagnostic models in articulators, X-ray and magnetic resonance imaging, was performed. The diagnosis of benign joint hypermobility syndrome was set up by clinical findings according to national recommendations of Russian Society of Cardiology. Results. Two main trends were found in patients with benign joint hypermobility syndrome. Joint hypermobility was present in 27 (50.94%) out of 53 patients aged 30 years and older. Temporomandibular joint dysfunction in those patients was quite severe, associated with pain and limited range of mandibular movement. In 49.06% of cases in patients with benign joint hypermobility syndrome aged younger than 30 years, bone symptoms were present. Those patients were complaining of joint noises. In 38.46% of cases, gothic palate or frontal teeth crowding were observed. According to magnetic resonance imaging, there was a condylar processes asymmetry at occlusion in 41 (77.36%) patients with benign joint hypermobility syndrome. Conclusion. Clinical and morphologic signs of temporomandibular joint dysfunction in patients with benign joint hypermobility syndrome are associated with predisposed changes in temporomandibular joint capsule and ligaments. Temporomandibular joint dysfunction is a typical and regular feature of benign joint hypermobility syndrome.

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Melnyk, V. L., V. K. Shevchenko, and Yu I. Sylenko. "POSITION OF THE TEMPOROMANDIBULAR JOINT DYSFUNCTION SYNDROME AMONG FACIAL PAIN SYNDROMES." Ukrainian Dental Almanac, no. 1 (March 21, 2018): 79–82. http://dx.doi.org/10.31718/2409-0255.1.2018.19.

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At the present time, the actual problem of dentistry is the study of the issues of the syndrome of pain dysfunction (SPD) of the temporomandibular joint (TMJ), which is found in 14-20% of teenagers and significantly increases with age (Siemkin V.A, Rabukhina N.A., 2000 ; Khavatova VA, 2005). The pathology of TMJ dysfunction was detected in 80% of the examined patients (Bezrukov V.M, 2002). Separately allocated dysfunction of TMJ in dysplastic-dependent form of joint pathology, thereby emphasizing that dysfunction is a characteristic manifestation of dysplasia of connective tissue in the maxillofacial area (Statovskaia Ye.Ye, 2005; Kozlov D.L., Viazmin A.Y., 2007). According to observations of A.I Mirza, I.V. Mikheieva, V.M. Novikov and according to our data, in more than 90% of people, pathological phenomena in the area of the temporomandibular joint have nothing to do with the inflammatory processes of this combination. At the same time, various dysfunctions and pain spasm of separate areas of chewing muscles occupy the main place. The aim of the work was to analyze the causes and clinical symptoms of patients with SPD. In this regard, as it turned out from the anamnesis, many patients had been undergoing inappropriate treatment for a long time. The cavity of the temporomandibular joint was repeatedly injected emulsion hydrocortisone acetate, antibiotics and other medications, which do not work in case of SPD of the temporomandibular joint. In some cases, after such therapy, dysfunction of the mandible occurred, leading to an even greater disruption of the joint function and increased pain. A number of patients with SPD of the temporomandibular joint due to a false diagnosis for a long time received treatment for neuralgia of the trigeminal nerve by drugs, Novocain blockade or alcoholization of sensitive branches of the trigeminal nerve. These patients often had neuritis, which greatly worsened the patient’s condition and the prognosis of the disease. The clinical picture of the SPD of the temporomandibular joint and a number of such diseases (syndromes of Slider, Sikara, etc.) is often so obscure and confusing that a large clinical experience is needed to evaluate individual symptoms. In addition, it should be noted that dysfunction of the mandible occurs with lesions of any part of the temporomandibular complex. Thus, limitation of the mobility of the mandible usually develops with arthritis of the temporomandibular joint, abscesses and phlegmons of the parotideomasseterica, temporal regions, pterygomandibulare, parapharingenal space, jaw-tongue groove and osteomyelitis of the branches of the mandible. Diagnostic difficulties often increase due to the fact that it is not always possible to find out the atypical etiological origin of the SPD of the temporomandibular joint. Against the background of the listed objective adverse factors, the presence of diagnostic errors largely contributes to insufficient knowledge of dentists who have clinical questions and questions on treatment of the SPD TMJ due to the difficulty in differential diagnosis, which is not fully covered in textbooks on dentistry. Control of correctness of the established diagnosis is the blockade of the motor branches of the trigeminal nerve subcutaneously using the Yehorov's method, which results in the removal of muscle spasm, stops pain and improves the mobility of the mandible. Conducting additional paraclinical examination methods such as dynamic MRT, 3-D MRT, CT and electromyography should be done.

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Gafforov Sunnatullo Amrulloevich and Astanov Otabek Mirjonovich. ""Differential diagnosis of patients with temporomandibular joint pain dysfunction syndromes"." International Journal on Integrated Education 3, no. 9 (September 26, 2020): 229–34. http://dx.doi.org/10.31149/ijie.v3i9.634.

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The article presents the results of a study of a specially developed map proposed by the authors in 84 patients with TMJ DM aged from 20 to 60 years, and 36 patients without TMJ dysfunction were selected as a control. According to the results of the study, the authors found that the main number of patients accounted for 59.6% after 40 years and among women - 61.9% of cases; also found in patients 46.42% occlusive-articulatory syndrome, 33.33% neuromuscular syndrome and 20.23% dislocation of the intra-articular disc; that the relationship between the amplitude of the vertical movement of the lower jaw, changes in the bioelectric potential of the masticatory muscle and the occurrence of these pathologies

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Konnov, V. V., T. S. Kochkonyan, D. A. Domenyuk, E. N. Pichugina, S. V. Konnov, A. S. Khodorich, A. A. Bizyaev, and A. R. Arushanyan. "Differentiated approach to the development of methods of pathogenetic therapy of pain dysfunction of the temporomandinary joint." Medical alphabet, no. 2 (March 30, 2021): 38–46. http://dx.doi.org/10.33667/2078-5631-2021-2-38-46.

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The issues of structural organization, function and diagnosis of diseases of the temporomandibular joint have long attracted the attention of not only morphologists, dentists, maxillofacial surgeons, but also doctors of related specialties. Temporomandibular disorders are among the most common non-odontogenic pain syndromes in the maxillofacial region and are considered a variant of musculoskeletal pain syndrome. Based on the analysis of the results of clinical and functional studies, an algorithm for the management of patients with terminal dentition defects complicated by signs of painful dysfunction of the temporomandibular joint was proposed. Therapeutic measures, depending on the degree of painful dysfunction of the temporomandibular joint, included the following stages: occlusive splint therapy; physiotherapy treatment with dynamic electroneurostimulation; prosthetic treatment of end defects of the dentition; stabilization of the spatial relationship of the jaws. Complex therapeutic measures are aimed at normalizing the functional activity of the dentoalveolar apparatus by restoring the uniform distribution of the occlusal load.

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Arora, Pooja, Roma Goswami, Shrimant Raman, and Pulkit Jain. "The Enigma of Myofascial Pain Dysfunction Syndrome." International Journal of Advances in Scientific Research 1, no. 1 (February 28, 2015): 01. http://dx.doi.org/10.7439/ijasr.v1i1.1553.

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Introduction:Myofascial Pain Dysfunction Syndrome (MPDS) is one of the most common and important cause of the orofacial pain.Patients with temporomandibular joint and muscle pain gradually learn to live with the symptoms although they have been exposed to a variety of treatments. In some instances the symptoms have been aggravated by the treatment, while other patients have recovered without treatment.Masticatory muscle fatigue and spasm are responsible for the cardinal symptoms of pain, tenderness, clicking, and limited function that characterize the MPD Syndrome.The symptoms of a typical temporomandibular joint dysfunction is classified as (a) pain and its sequelae, (2) clicking and crepitus, and (3) irregularities of mandibular movement.The pain can be unilateral or bilateral with varying degree of pain.Mandibular deviation is a third characteristic often evident in temporomandibularjoint patients. Mandibular deviation, in this instance, refers to the deviation from rest position to mouth wide open is a result of joint malfunction and muscle pain. Various non- surgical and surgical methods are used for the treatment of myofascial pain dysfunction syndrome.Conclusion: Since MPDS consists of variable symptoms, it might be very difficult to provide any definite diagnosis and treatment. Therefore the more the specialists extend their knowledge and information about this disorder, the more they will make the best decision in this regard.

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Rihani, Awni. "Maxillary sinusitis as a differential diagnosis in temporomandibular joint pain-dysfunction syndrome." Journal of Prosthetic Dentistry 53, no. 1 (January 1985): 97–100. http://dx.doi.org/10.1016/0022-3913(85)90075-7.

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Makeev, V. F., U. D. Telyshevska, O. D. Telyshevska, and M. Yu Mykhailevych. "THE ROLE AND SIGNIFICANCE OF COSTEN’S SYNDROME IN DYSFUNCTIONAL CONDITIONS OF THE TEMPOROMANDIBULAR JOINTS." Ukrainian Dental Almanac, no. 3 (September 23, 2020): 34–39. http://dx.doi.org/10.31718/2409-0255.3.2020.06.

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Temporomandibular joint disease (TMJ) is one of the most pressing problems of modern dentistry, on the one hand, the frequency of pathology of the temporomandibular joint, and on the other hand - the complexity of diagnosis. In the medical specialty "dentistry" there is no section where there would be as many debatable and unresolved issues as in the diagnosis and treatment of diseases of the temporomandibular joints. Aim of the research. Based on the analysis of sources of scientific and medical information to determine the role and place of "Costen's syndrome" in the pathology of the temporomandibular joints. Results and discussion The term TMJ dysfunction has up to 20 synonyms: dysfunction, muscle imbalance, myofascial pain syndrome, musculoskeletal dysfunction, occlusal-articulation syndrome, cranio-mandibular TMJ dysfunction, neuromuscular and articular dysfunction. Finally, in the International Classification of Diseases (ICD-10), pain dysfunction of the temporomandibular joint has taken its place under the code K0760 with the additional name "Costen's syndrome", which is given in parentheses under the same code. Thus, such a diagnosis as "Costen's syndrome" is not excluded in the International Classification of Diseases. The first clinical symptoms and signs of TMJ were systematized in 1934 by the American otorhinolaryngologist J. Costen and included in the special literature called "Costen's syndrome". This syndrome includes: pain in the joint, which often radiates to the neck, ear, temple, nape; clicking, crunching, squeaking sound during movements of the lower jaw; trismus; hearing loss; dull pain inside and outside the ears, noise, congestion in the ears; pain and burning of the tongue; dizziness, headache on the side of the affected joint, facial pain on the type of trigeminal neuralgia. The author emphasized the great importance of pain and even singled out "mandibular neuralgia." The criteria proposed by McNeill (McNeill C.) in 1997 are somewhat different from those described in ICD-10: pain in the masticatory muscles, TMJ, or in the ear area, which is aggravated by chewing; asymmetric movements of the lower jaw; pain that does not subside for at least 3 months. The definition of the International Headache Society is similar in content. Anatomical and topographic study of the corpse material suggested the presence of a structural connection between the TMJ and the middle ear. According to some data, in 68% of cases the wedge-shaped mandibular ligament reaches the scaly-tympanic fissure and the middle ear, and in 8% of cases it is attached to the hammer. In addition, several ways of spreading inflammatory mediators from the affected TMJ to the middle and inner ear, which causes otological symptoms, have been described. It should be noted that there are certain prerequisites for the mutual influence of the structures of the cervical apparatus, middle and inner ear and upper cervical region at different levels: embryological, anatomical and physiological. At the embryological level. It is confirmed that from the first gill arch develops the upper jaw, hammer and anvil, Meckel's cartilage of the lower jaw, masticatory muscles, the muscle that tenses the eardrum, the muscle that tenses the soft palate, the anterior abdomen of the digastric muscle, glands, as well as the maxillary artery and trigeminal nerve, the branches of which innervate most of these structures. At the anatomical level. Nerve, muscle, joint and soft tissue structures of this region are located close enough and have a direct impact on each other. The location of the stony-tympanic cleft in the medial parts of the temporomandibular fossa is important for the development of pain dysfunction. At the physiological level. A child who begins to hold the head, the functional activity of the extensors and flexors of the neck gradually increases synchronously with the muscles of the floor of the mouth and masticatory muscles, combining their activity around the virtual axis of the paired temporomandibular joint. In addition, the location of the caudal spinal nucleus of the trigeminal nerve, which is involved in the innervation of the structures of the ear, temporomandibular joint and masticatory muscles at the level of the cervical segments C1-C3 creates the possibility of switching afferent impulses from the trigeminal nerve to the upper cervical system. Innervate the outer ear, neck muscles and skin of the neck and head. Also important are the internuclear connections in the brainstem, which switch signals between the vestibular and trigeminal nuclei. That is why the approach to the treatment of this pathology should be only comprehensive, including clinical assessment of the disease not only by a dentist or maxillofacial surgeon, but also a neurologist, otorhinolaryngologist, chiropractor, psychotherapist with appropriate diagnostic methods and joint management of the patient.

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Sidorenko, A. N. "Diagnosis and perfection of the complex treatment of patients with neuromuscular dysfunction syndrome of the temporomandibular joints." Kazan medical journal 93, no. 4 (August 15, 2012): 627–31. http://dx.doi.org/10.17816/kmj1557.

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Aim. To improve the complex treatment of patients with neuromuscular dysfunction syndrome of the temporomandibular joints. Methods. Clinical examination, electromyography of masticatory muscles, computed tomography in 24 patients (main group) with a neuromuscular dysfunction syndrome of the temporomandibular joints. The control group included 10 healthy individuals aged 18 to 32 years with intact tooth rows, orthognatic bite, and without pathology of the temporomandibular joints. In cases of deviation of the mandible at the time of opening the mouth in 7 (29.2%) patients the complex of therapeutic measures included a myo-gymnastic exercise, which consisted of shifting the mandible with the palm of the hand towards the opposite side of the deviation. During zigzag movements of the mandible in 12 (50%) patients assigned was myo-gymnastic exercise, aimed at keeping the lower jaw with the palms of both hands in the sagittal plane during a vertical opening of the mouth. In 5 (20.8%) patients with a small limitation of mouth opening and lateral displacement of the mandible myo-gymnastics were used that included exercises designed to stretch and cause reflex relaxation of the masticatory muscles, as well as the displacement of the mandible in the palm of the hand to the side opposite to its deviation. All patients from the start of treatment were prescribed a course (10 sessions) of therapeutic massage of the masticatory muscles and 10 sessions of transcranial electrostimulation in 8 (33.3%) patients to relax the chewing muscles in its hypertonicity, to relieve spasm of the lateral pterygoid muscle, and removal the significant pain syndrome. Results. By the 5-6th session of transcranial electrostimulation the pain and tension in the masticatory muscles on the affected side with neuromuscular dysfunction disappeared, the range of motion of the mandible was restored, atypical movement of the mandible stopped. Examination of 24 patients at 2 years after treatment showed that 22 patients had a sustained, positive result, no complaints or recurrences were observed. In 2 patients after treatment noted was significant tension in the masticatory muscles, they were re-appointed for transcranial electrostimulation. Conclusion. Developed and proposed was an improved method of complex treatment of patients with neuromuscular dysfunction syndrome of the temporomandibular joints without the use of drugs, which has shown high effectiveness.

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Khaybullina, R. R., L. P. Gerasimova, and N. S. Kuznetsova. "DIAGNOSIS AND TREATMENT OF PATIENTS WITH CHRONIC GENERALIZED PERIODONTITIS AND MUSCULAR-ARTICULAR DYSFUNCTION OF THE TEMPOROMANDIBULAR JOINT PAIN SYNDROME." Russian Journal of Dentistry 21, no. 4 (August 15, 2017): 200–203. http://dx.doi.org/10.18821/1728-2802-2017-21-4-200-203.

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The article is devoted to the diagnosis and treatment of patients with musculo-articular dysfunction (MSD) of the temporomandibular joint (TMJ) pain syndrome in combination with amplipulsetherapy, fluctuating and orthopedic methods. The purpose of the study - to improve the diagnosis and treatment of patients with chronic generalized periodontitis (present study included) of the DPA and TMJ, with pain, with the help of complex methods of therapy. Made clinical examinations of 98 patients of 35-45 years with MSD and TMJ pain. Identified groups of patients with present study included and MSD with displacement and without displacement of the mandible. Defined electromyographic parameters of bioelectric activity of masticatory and temporal muscles in patients with present study included and MSD. For pain syndrome all patients appointed fluctuating in the area of TMJ. Determined the effectiveness of the treatment, studied diagnostic models in articulator PROTAR (Germany), conducted an electromyography. To eliminate occlusive barriers used mouthguard during sleep. Studies have shown that the use of clear aligners in combination with orthopedic and physiotherapeutic methods is an effective method in the treatment of patients with MDS present study included pain. Okklyuzionny tires change the nature of closing the teeth, affect the periodontium, masticatory muscles and TMJ. Without dental intervention on the occlusal surface they help to diagnose and troubleshoot the DPA in the TMJ due to occlusions violations.

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Redinov, I. S., Ye A. Pylaeva, O. O. Strakh, and B. A. Lysenko. "Signs of temporomandibular joint dysfunction in individuals with different dentition defects and unequal preservation of antagonist pairs of teeth." Stomatology for All / International Dental review, no. 2021 2 95 (June 2021): 52–58. http://dx.doi.org/10.35556/idr-2021-2(95)52-58.

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As a result of examination and questionnaire of 143 patients who applied for orthopedic treatment of defects of teeth and dental rows, it was found that signs of dysfunction of temporomandibular joint with preserved dental rows are diagnosed in 36—55% cases, and with defects of dental rows — in 45—90% cases. The absence of eighth teeth in the dental row does not significantly change the functional state of the dental-jaw system. A statistically significant frequency of signs of EHS dysfunction has been identified among individuals having terminal dentition defects.In patients with terminal dentition defects, each 3rd patient is diagnosed with cochleovestibular syndrome, and in each 2nd, sounds are determined in the area of VNHS when the lower jaw moves. It has been found that if 15—13 and 12—11 pairs of antagonist teeth are preserved, the signs of dysfunction are determined in 55—45% cases, if the number of teeth having antagonists is reduced to 10—5 (in 90.0% these are patients with preserved 7—8 pairs of antagonist teeth), then the frequency of dysfunction signs increases to 75.0% (t1-3=1.33; t2-3=2.00), in such patients significantly more often — in 75.0% of cases, mandibular deviation is diagnosed when opening and closing the mouth than in persons with a large number of preserved antagonist teeth, respectively 55.0% (t=2.66) and 45.0% (t=3.93) in 1 and 2 groups. Thus, the identification of such signs as crunching, clicking in the joints, hearing loss or tinnitus, suggests the presence of intra-articular disorders in such patients. The deviation of the jaw from its main trajectory when opening the mouth indicates the possible involvement of the masticators muscles in the pathological process. All this requires the dentist to carry out early diagnosis and timely orthopedic treatment.

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Pihut, M., M. Szuta, E. Ferendiuk, and D. Zeńczak-Więckiewicz. "Differential Diagnostics of Pain in the Course of Trigeminal Neuralgia and Temporomandibular Joint Dysfunction." BioMed Research International 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/563786.

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Chronic oral and facial pain syndromes are an indication for intervention of physicians of numerous medical specialties, while the complex nature of these complaints warrants interdisciplinary diagnostic and therapeutic approach. Oftentimes, lack of proper differentiation of pain associated with pathological changes of the surrounding tissues, neurogenic pain, vascular pain, or radiating pain from idiopathic facial pain leads to improper treatment.The objective of the paperis to provide detailed characterization of pain developing in the natural history of trigeminal neuralgia and temporomandibular joint dysfunction, with particular focus on similarities accounting for the difficulties in diagnosis and treatment as well as on differences between both types of pain. It might seem that trigeminal neuralgia can be easily differentiated from temporomandibular joint dysfunction due to the acute, piercing, and stabbing nature of neuralgic pain occurring at a single facial location to spread along the course of the nerve on one side, sometimes a dozen or so times a day, without forewarning periods. Both forms differ significantly in the character and intensity of pain. The exact analysis of the nature, intensity, and duration of pain may be crucial for the differential diagnostics of the disorders of our interest.

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Moraes, Alberto da Rocha, Monique Lalue Sanches, Eduardo Cotecchia Ribeiro, and Antonio Sérgio Guimarães. "Therapeutic exercises for the control of temporomandibular disorders." Dental Press Journal of Orthodontics 18, no. 5 (October 2013): 134–39. http://dx.doi.org/10.1590/s2176-94512013000500022.

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INTRODUCTION: Temporomandibular disorder (TMD) is a multifactorial disease. For this reason, it is difficult to obtain an accurate and correct diagnosis. In this context, conservative treatments, including therapeutic exercises classified as stretching, relaxation, coordination, strengthening and endurance, are oftentimes prescribed. OBJECTIVE: Thus, the aim of the present article was to conduct a literature review concerning the types of exercises available and the efficacy for the treatment of muscular TMD. METHODS: The review included researches carried out between 2000 and 2010, indexed on Web of Science, PubMed, LILACS and BBO. Moreover, the following keywords were used: Exercise, physical therapy, facial pain, myofascial pain syndrome, and temporomandibular joint dysfunction syndrome. Studies that did not consider the subject "TMD and exercises", used post-surgery exercises and did not use validated criteria for the diagnosis of TMD (RDC/TMD) were not included. RESULTS: The results comprised seven articles which proved therapeutic exercises to be effective for the treatment of muscular TMD. However, these studies are seen as limited, since therapeutic exercises were not applied alone, but in association with other conservative procedures. In addition, they present some drawbacks such as: Small samples, lack of control group and no detailed exercise description which should have included intensity, repetition, frequency and duration. CONCLUSION: Although therapeutic exercises are considered effective in the management of muscular TMD, the development of randomized clinical trials is necessary, since many existing studies are still based on the clinical experience of professionals.

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Тардов, M. Tardov, Болдин, A. Boldin, Кунельская, and N. Kunelskaya. "Myofascial syndrome: from etiology to therapy (literature review)." Journal of New Medical Technologies. eJournal 9, no. 1 (April 17, 2015): 0. http://dx.doi.org/10.12737/10417.

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Myofascial pain syndromes are rightly to enduring health problems. The authors emphasize that the etiology and pathogenesis of these conditions are reviewed with the "enviable" frequency. It is natural, it affects on the common principles of treatment and rehabilitation of this population. In this regard, the present review discuss current views on the pathogenesis, clinical manifestations and common principles of treatment of myofascial pain syndromes, mechanisms of action and features of the drug and non-drug methods used in the clinic vertebral neurology. The authors describe the principles of modern trends of manual therapy and reflexology. The review presents EMG and ultrasound methods for diagnosis of trigger points, the characteristics of local muscle hypertones: painful and not painful. Special attention is paid to such phenomena as dysfunctions of the temporomandibular joint and laryngeal-pharyngeal block, viscero-motor reflexes and posthistory syndrome.

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Myagkova, Natalia, and Nikolay Styazhkin. "RESULTS OF THE USE OF OCCLUSAL SPLINTS IN PATIENTS WITH TMJ PAIN DYSFUNCTION SYNDROME ACCORDING TO KINESIOGRAPHY DATA." Actual problems in dentistry 16, no. 1 (May 14, 2020): 114–20. http://dx.doi.org/10.18481/2077-7566-20-16-1-114-120.

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Subject. Syndrome of pain dysfunction of the temporomandibular joint is one of the common pathologies of TMJ. Patients with this diagnosis complain of a violation of the movements of the lower jaw, discomfort and pain in the joint. The writings of many authors contain a deep and comprehensive discussion of various aspects of this problem, and scientific justification is given that TMJ dysfunction is almost always accompanied by muscle symptoms. One method of treatment is the use of occlusal splints. In this regard, the task of determining the effectiveness of eliminating muscular-articular dysfunction using individual occlusal splints is relevant. The aim of the study was to determine the effectiveness of treatment of TMJ dysfunction with occlusal splints according to kinesiography. Methodology. The kinesiographic study on the Myotronics K7 apparatus consisted of sequentially performing functional tests (opening and closing the mouth, lower jaw movements to the side) and using the method of percutaneous electroneurostimulation. In the treatment of all patients, an occlusal positioner splint was used, which was made individually in an articulator using an interocclusal register in the neuromuscular position of the lower jaw. The average treatment period was 4.5 months with monthly adjustments to the occlusal splint. Results. As a result of treatment with the use of the occlusal splint, disturbances in the trajectory in the transverse (in 70 % of cases) and sagittal (in 65 % of cases) planes were eliminated, the position of the lower jaw in the neuromuscular position (in 100 % of cases) was normalized. Conclusions. Treatment of patients with TMJ dysfunction using individual occlusal splints is one of the most effective ways to treat this pathology.

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Kostiuk, Tatуana, and Oleksandr Kaniura. "EARLY DIAGNOSIS OF MUSCULAR-JOINT DYSFUNCTION OF THE TMJ WITH THE HELP OF A COMPUTER ADDITIONAL PROGRAM." Ukrainian Scientific Medical Youth Journal 112, no. 4 (December 27, 2019): 6–12. http://dx.doi.org/10.32345/usmyj.4(112).2019.6-12.

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A topical issue of modern dentistry is the timely diagnosis and treatment of musculoskeletal syndrome of the temporomandibular joint (TMJ). A large number of publications in domestic and foreign literature is devoted to the study of this problem, but there is no single approach to diagnosis and a clear method of examination of the patient to establish a diagnosis. The purpose of our study was to implement a comprehensive methodology for early diagnosis of dysfunction by applying an analysis of a computer expert application we created. Based on the conducted research, in order to synchronize the data, simplify the work and deepen the analysis of diagnostics, an expert computer system for the diagnosis of dysfunction of the TMJ "PR" was developed. The program is applied and has 486 qualitative and quantitative components of the analysis criteria in its analytical base. The necessary parameters of the analysis include: frequency and intensity of headache, unilateral tinnitus, feeling of fatigue of chewing muscles during chewing solid food, degree of mouth opening, nature of movement of the mandible when opening the mouth, results of physical examination methods, the presence of clicks in the TMJ with taking into account the phase of mouth opening etc. s well as quantitative parameters of these additional methods of investigation of infrared thermography of the chewing muscles and area of the TMJ, EMG of chewing and mimic muscles, axiography, MRI, CT, ultrasound, digital analysis of occlusal ratios. The expert system program developed took into account all the maximum possible values of each parameter. The diagnosis was based on a combination of parameter values. The use of the multi-link expert computer system "PR" made it possible to take into account all the parameters of the patient examination and to obtain the most reliable diagnosis, which is necessary both at the initial stage of the patient's treatment, and for correlation and correction of medical measures in such patients.

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Todorovic, Ljubomir. "Patient with Chronic Orofacial Pain in a Private Dental Office - Diagnostic Dilemmas." Balkan Journal of Dental Medicine 20, no. 2 (July 1, 2016): 78–82. http://dx.doi.org/10.1515/bjdm-2016-0012.

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Summary Patients with chronic orofacial pain (COP), which means pain lasting almost always more than six months and serving no obvious purpose, very often present a quite diagnostic dilemmas. In some instances, this may especially create problem in a private dental office as various variants and manifestations of COP should be treated differently. COP may have several clinical manifestations; however, it is usually classified in three basic categories: (1) neural pain, caused by functional or structural irregularities within neural components; (2) somatic pain, caused by disturbances within the muscular/skeletal system; and (3) atypical pain, mainly caused by emotional stress and consequent changes of psychological response. Diagnosis and treatment of any kind of COP should be undertaken only after thorough and meticulous diagnostic procedures, preferably done multidisciplinary in institutions particularly orientated to the treatment of COP syndromes. Choice of treatment method should be directed to control the basic cause of chronic pain, which is ascertained by detailed clinical assessment, and fully adjusted to the particular needs of each patient. That is why the treatment of most frequent chronic orofacial syndromes - paroxysmal trigeminal neuralgia, temporomandibular joint pain dysfunction syndrome, and atypical pains - after diagnosis of chronic pain made in a private dental office, should be often, and preferably, done in institutions particularly orientated to the treatment of COP syndromes.

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Kostiuk, T., A. Kaniura, and N. Lytovchenko. "Efficiency of treatment of patients with muscular and joint dysfunction of the TMJ." Bukovinian Medical Herald 24, no. 4 (96) (November 26, 2020): 41–47. http://dx.doi.org/10.24061/2413-0737.xxiv.4.96.2020.101.

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The prevalence of dysfunction of the temporomandibular joint (TMJ), especially in people aged 18-65 years, reached 95-98% among all dental applications. The course of the pathology is usually hidden, with periodic recurrences, and has a long nature, which is accompanied by a decrease in overall quality of life. Treatment of this pathology of the TMJ is a set of complex therapeutic, orthopedic and psychological measures. The literature describes many ways to treat TMJ dysfunction, and one of the modern ones is the use of occlusal splints, which enables to change the position of the mandible, diagnose and eliminate musculoskeletal dysfunction of the TMJ. The aim of the study was to determine the effectiveness of treatment of musculoskeletal dysfunction of the TMJ with occlusal splints according to axiography. Material and methods. 274 patients aged 18 to 65 years were diagnosed with temporomandibular joint (TMJ) pain syndrome before and after treatment.Results. All patients with signs of TMJ dysfunction before treatment had a violation of the trajectory of the mandible (deviation – 68.7%, dyslexia – 31.3%). When opening and closing the mouth, asymmetrical shifts of the lower jaw to the sides of more than 2 mm (deviation from the midline – more than 2 mm) were observed. After treatment with occlusal splints there was an improvement in the trajectory of opening and closing the mouth: the number of patients with a violation of the trajectory decreased by 89.1%, and the displacement of the mandible during opening and closing the mouth in 92.4% of patients decreased on average to 0, 9 mm. When analyzing the movements of the mandible in the sagittal plane in 79 % of cases, deviations of the trajectory of the mandible were detected. After treatment with occlusive muscle relaxation splints, elimination of violations of the trajectory of the mandible in the transverse plane was noted in 93.4% of cases, reduction of displacement to 0.9 mm in 78.1% of patients. Сonclusions. The trajectory of the mandible in the sagittal plane improved in 80.1% of patients, normalization of the position of the mandible relative to the neuromuscular trajectory was achieved in 93.4% of clinical cases. According to the analysis of parameters, such treatment should be considered effective.

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Trescot, Andrea. "Nerve Entrapment Headaches at the Temple: Zygomaticotemporal and/or Auriculotemporal Nerve?" Pain Physician 1, no. 22;1 (January 11, 2019): E15—E36. http://dx.doi.org/10.36076/ppj/2019.22.e15.

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Background: Temple headaches are common, yet the anatomic etiology of headaches in this region is often confusing. One possible cause of temple headaches is dysfunction of the auriculotemporal nerve (ATN), a branch of the third division of the trigeminal nerve. However, the site of pain is often anterior to the described path of the ATN, and corresponds more closely to a portion of the path of a small branch of the second division of the trigeminal nerve called the zygomaticotemporal nerve (ZTN) Objectives: We present the anatomic and clinical differences between these 2 nerves and describe treatment approaches. Diagnosis is made by physical examination of the temporal fossa and the temporomandibular joint, and injection of local anesthetic over the tenderest nerve. Results: In general, treatments of headaches that generated from the peripheral nerve attempt to neutralize the pain origin using surgical or interventional pain techniques to reduce nerve irritation and subsequently deactivate stimulated migraine centers. Conclusions: Treatment of temporal nerve entrapment includes medications, nerve injections, dental appliances, cryoneuroablation, chemical neurolysis, neuromodulation, and surgical decompression. Key Words: Headache, migraine, trigeminal nerve, Frey’s syndrome, zygomaticotemporal nerve, auriculotemporal nerve, temple pain, jaw pain, ear pain, tooth pain

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Azangoo Khiavi, Hassan, Hooman Ebrahimi, Shamsolmolouk Najafi, Maryam Nakisa, Sareh Habibzadeh, Mina Khayamzadeh, and Mohammad Javad Kharazifard. "Efficacy of Low-Level Laser, Hard Occlusal Appliance and Conventional Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome; A Preliminary Study." Journal of Lasers in Medical Sciences 11, no. 1 (January 18, 2020): 37–44. http://dx.doi.org/10.15171/jlms.2020.07.

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Introduction: Myofascial pain dysfunction syndrome (MPDS) is a common temporomandibular joint disorder. Due to its multifactorial etiology, treatment usually involves more than one modality to obtain complementary results. The purpose of this study was to compare the combined effect of a low-level laser, a hard occlusal appliance, and conventional pharmacotherapy with pharmacotherapy only in the management of patients with MPDS. Methods: In this study, 15 patients with MPDS were diagnosed and randomly assigned to 3 groups (n=5). Subjects in Group 1 were treated with pharmacotherapy (PT); Group 2 received the diode laser (940 nm gallium arsenide) every other day for a total of 10 sessions, plus pharmacotherapy (PTL) and Group 3 were given hard occlusal splint 12 h/day for 4 weeks, plus pharmacotherapy (PTO). The intensity of pain was measured using the visual analog scale (VAS) prior to the treatment, 2 and 4 weeks after the onset of treatment and 2 weeks later. The maximum painless mouth opening and pain intensity at muscle palpation were also recorded. Comparisons were made between the groups via repeated measure analysis of variance (ANOVA) (P<0.05). Results: Pain relief in the subjective VAS was observed in both laser and appliance groups in the third and fourth examination sessions (P<0.05). No statistically significant reduction in pain was noted using pharmacotherapy only. The maximum painless mouth opening and muscle tenderness were not significantly different between the 3 groups (P>0.05). Conclusion: Both the laser and the occlusal appliance combined with pharmacotherapy proved to be effective for pain reduction in patients with MPDS. All groups, however, failed to result in a significant improvement in the maximum mouth opening or tenderness in masticatory muscles.

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Passero, Peter L., Bruce S. Wyman, Jeffrey W. Bell, Sara A. Hirschey, and Wendy S. Schlosser. "Temporomandibular Joint Dysfunction Syndrome." Physical Therapy 65, no. 8 (August 1, 1985): 1203–7. http://dx.doi.org/10.1093/ptj/65.8.1203.

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Bauss, Oskar, Reza Sadat-Khonsari, Christian Fenske, Werner Engelke, and Rainer Schwestka-Polly. "Temporomandibular joint dysfunction in Marfan syndrome." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 97, no. 5 (May 2004): 592–98. http://dx.doi.org/10.1016/j.tripleo.2003.10.024.

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Given, Barbara K., and Brendan C. Stack. "Temporomandibular Joint Dysfunction Syndrome in Children." Journal of School Health 56, no. 3 (March 1986): 86–89. http://dx.doi.org/10.1111/j.1746-1561.1986.tb05702.x.

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Brennan, Peter A., and Vellupillai Ilankovan. "Arthrocentesis for Temporomandibular Joint Pain Dysfunction Syndrome." Journal of Oral and Maxillofacial Surgery 64, no. 6 (June 2006): 949–51. http://dx.doi.org/10.1016/j.joms.2006.02.010.

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Sadat, SM Anwar, Naim Mahmud Chowdhury, Redwan Bin Abdul Baten, ABM Farid Uddin, and Sufia Nasrin Rita. "Management of Temporomandibular Joint Dysfunction Syndrome: An Overview." Journal of Bangladesh College of Physicians and Surgeons 35, no. 3 (October 22, 2017): 133–41. http://dx.doi.org/10.3329/jbcps.v35i3.34346.

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Temporomandibular joint dysfunction is a complex and multifactorial disorder of oro-facial region. It is one of the most common disorders in maxillofacial region. The usual complain of the patients with this syndrome are pain in the area of the jaw and associated muscles, eating problem, chewing and locking of the jaw. It is more common in female than male. Its etiology is not yet well established. However its successful management depends on identification and controlling of the etiological factors.J Bangladesh Coll Phys Surg 2017; 35(3): 133-141

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Talacko, A. A., and P. C. Reade. "Hemifacial atrophy and temporomandibular joint pain-dysfunction syndrome." International Journal of Oral and Maxillofacial Surgery 17, no. 4 (August 1988): 224–26. http://dx.doi.org/10.1016/s0901-5027(88)80044-4.

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Tversky, J., J. A. Gerschman, P. C. Reade, B. J. Holwill, and J. Wright. "Depressive Illness and Temporomandibular Joint Pain Dysfunction Syndrome." Cephalalgia 9, no. 10_suppl (October 1989): 224–25. http://dx.doi.org/10.1177/0333102489009s10120.

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Jose, Anson, Shakil Ahmed Nagori, Saurabh Arya, and Ajoy Roychoudhury. "Hyoid bone syndrome masquerading as temporomandibular joint dysfunction." British Journal of Oral and Maxillofacial Surgery 57, no. 5 (June 2019): 477–78. http://dx.doi.org/10.1016/j.bjoms.2019.01.022.

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Buckingham, Robert B., Thomas Braun, David A. Harinstein, Koray Oral, Dorothy Bauman, Walter Bartynski, Paul J. Killian, and Leo P. Bidula. "Temporomandibular joint dysfunction syndrome: A close association with systemic joint laxity (the hypermobile joint syndrome)." Oral Surgery, Oral Medicine, Oral Pathology 72, no. 5 (November 1991): 514–19. http://dx.doi.org/10.1016/0030-4220(91)90485-u.

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SENDA, Masuo, Masanori HAMADA, Yoshimi KATAYAMA, and Naosi TSUKIYAMA. "Thoracic Outlet Syndrome and dysfunction of the temporomandibular joint." Journal of Japanese Society of Stomatognathic Function 10, no. 1 (2003): 68–69. http://dx.doi.org/10.7144/sgf.10.68.

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Senda, Masuo, Masanori Hamada, Yoshimi Katayama, and Naosi Tsukiyama. "Thoracic Outlet Syndrome and dysfunction of the temporomandibular joint." Journal of Japanese Society of Stomatognathic Function 10, no. 1 (2003): 7–10. http://dx.doi.org/10.7144/sgf.10.7.

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Hughes, C., and I. Hutchison. "Temporalis haemangioma presenting as temporomandibular joint pain dysfunction syndrome." British Journal of Oral and Maxillofacial Surgery 31, no. 1 (February 1993): 21–22. http://dx.doi.org/10.1016/0266-4356(93)90091-a.

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Tateno, Ken, Tsutomu Mieda, and Katsushi Doi. "Diagnosis and management of temporomandibular joint dysfunction before surgery: a case report." BMJ Case Reports 14, no. 9 (September 2021): e244635. http://dx.doi.org/10.1136/bcr-2021-244635.

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We present a case of colorectal cancer with temporomandibular joint dysfunction and discuss the management of the case. Type IIIb temporomandibular disorder involves anterior dislocation of the articular disk, trismus and difficult intubation. A 68-year-old woman was scheduled for colectomy. The day before surgery, the patient had temporomandibular pain. On examination, the mouth opening was 13 mm. We diagnosed type IIIb temporomandibular disorder. A simple splint was fabricated with gauze and she bit it. The mouth opening was 55 mm on the day of surgery. The pain disappeared, and intubation was uneventful. Temporomandibular disorders are generally treated by dentists. It is beneficial for general hospitals without a dentistry department to employ a dental anaesthesiologist to assist in potentially difficult intubations in patients with temporomandibular disorders.

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Vielsmeier, Veronika, Tobias Kleinjung, Jürgen Strutz, Ralf Bürgers, Peter Michael Kreuzer, and Berthold Langguth. "Tinnitus with Temporomandibular Joint Disorders." Otolaryngology–Head and Neck Surgery 145, no. 5 (June 25, 2011): 748–52. http://dx.doi.org/10.1177/0194599811413376.

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Objective. Tinnitus is frequently associated with temporomandibular joint (TMJ) dysfunction. However, the nature of the relationship is not fully understood. Here the authors compared 30 patients with a confirmed diagnosis of temporomandibular joint dysfunction and tinnitus to a group of 61 patients with tinnitus but without any subjective complaints of TMJ dysfunction with respect to clinical and demographic characteristics. Study Design. Case-control study. Setting. Tertiary referral center. Subjects. Tinnitus patients with and without TMJ dysfunction presenting at the Department of Prosthetic Dentistry and the Tinnitus Clinic at the University of Regensburg. Results. Tinnitus patients with TMJ disorder had better hearing function ( P < .0005), lower age ( P = .001), and lower age at tinnitus onset ( P = .002) and were more frequently female ( P = .003). Their subjectively perceived tinnitus loudness was lower ( P = .01), and more of them could modulate their tinnitus by jaw or neck movements ( P = .001). Conclusion. Classical risk factors for tinnitus (age, male gender, hearing loss) are less relevant in tinnitus patients with TMJ disorder, suggesting a causal role of TMJ pathology in the generation and maintenance of tinnitus. Based on this finding, treatment of TMJ disorder may represent a causally oriented treatment strategy for tinnitus.

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Harinstein, David, Robert B. Buckingham, Thomas Braun, K. Oral, Dorothy H. Bauman, Paul J. Killian, and Leo P. Bidula. "Systemic joint laxity (the hypermobile joint syndrome) is associated with temporomandibular joint dysfunction." Arthritis & Rheumatism 31, no. 10 (October 1988): 1259–64. http://dx.doi.org/10.1002/art.1780311007.

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Renhe, Letícia De Souza, Jean Soares Miranda, Natália Veloso Malta, Isabel Cristina Gonçalves Leite, and Fabiola Pêssoa Pereira Leite. "Importance of stability and retention of double total prostheses: factors related to its use in the etiology of temporomandibular disorders." Brazilian Dental Science 19, no. 1 (March 7, 2016): 55. http://dx.doi.org/10.14295/bds.2016.v19i1.1153.

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Objective: Evaluate the prevalence of Temporomandibular Disorder in patients with full double prosthesis. Material and Methods: The sample was composed of 40 volunteer patients, aged between 34 and 92 years, with upper and lower dentures, assisted at the Total Prosthodontics Clinic of the School of Dentistry at the Federal University of Juiz de Fora. Patients were evaluated by a single trained examiner and the diagnosis of TMD was established from the axis I of the RDC/TMD. Results: The prevalence of TMD in the sample was 42.5%, and most patients were female. Although there was no statistical significance between the time of use of the prosthesis and the presence of TMD was found, there was a correlation between time without use of prosthesis and the presence of disc displacement. Conclusion: According to the methodology applied and the results of this study, it can be concluded that there was a considerable prevalence of TMD in patients with double dentures, but there was no correlation between the use of full and DTM prosthesis.Keywords: Facial Pain; Temporomandibular Joint Dysfunction Syndrome; Complete Denture.

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Kotsiubinskaya, J. V., V. A. Mikhailov, G. E. Mazo, and I. A. Ashnokova. "Myofascial pain syndrome in the dysfunction of the temporomandibular joint." Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 119, no. 11 (2019): 21. http://dx.doi.org/10.17116/jnevro201911911121.

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Reynolds, Michael D. "Is the Concept of Temporomandibular Joint Pain-Dysfunction Syndrome Valid?" CRANIO® 6, no. 4 (October 1988): 299–307. http://dx.doi.org/10.1080/08869634.1988.11678250.

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Ey-Chmielewska, Halina, Ewa Sobolewska, and Małgorzata Chruściel-Nogalska. "Temporomandibular joint dysfunction in a patient with Lyme disease." Pomeranian Journal of Life Sciences 66, no. 4 (February 1, 2020): 50–53. http://dx.doi.org/10.21164/pomjlifesci.748.

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Abstract Borreliosis (Lyme disease) is a chronic multisystem infectious disease transmitted by Ixodes ticks. The etiological agent of borreliosis is the spirochete Borrelia burgdorferi. The symptoms of borreliosis can vary depending on the attacked system and length of infection. Diagnosis is based mainly on clinical symptoms and immunoserological tests. The clinical symptoms of borreliosis also include dysfunction in the tissues and organs of the stomatognathic system. This paper describes a case of a female patient who had experienced a long-term dysfunction of the temporomandibular joint (TMJ). After careful analysis, the symptoms were found to be caused by a chronic form of neuroborreliosis with exacerbations. The findings in this case study show that borreliosis should be considered by doctors and dentists in the differential diagnosis of pain in the area of the TMJ.

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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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Sam, Jo Ee, Rullyandrianto Pan Nuriman Rachmat, Cri Saiful Jordan Melano, and Nasser Abdul Wahab. "Giant cell tumor of temporomandibular joint masquerading as temporomandibular joint pain dysfunction syndrome: a rare case report." Journal of the Korean Association of Oral and Maxillofacial Surgeons 43, no. 2 (2017): 134. http://dx.doi.org/10.5125/jkaoms.2017.43.2.134.

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De Mot, Bernard, Jan Casselman, and Jan DeBoever. "Pseudodynamic magnetic resonance imaging in the diagnosis of temporomandibular joint dysfunction." Journal of Prosthetic Dentistry 72, no. 3 (September 1994): 309–13. http://dx.doi.org/10.1016/0022-3913(94)90345-x.

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Sena, Marina Fernandes de, Késsia Suênia F. de Mesquita, Fernanda Regina R. Santos, Francisco Wanderley G. P. Silva, and Kranya Victoria D. Serrano. "Prevalence of temporomandibular dysfunction in children and adolescents." Revista Paulista de Pediatria 31, no. 4 (December 2013): 538–45. http://dx.doi.org/10.1590/s0103-05822013000400018.

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OBJECTIVE: To review the prevalence of temporomandibular disorders (TMD) in children and adolescents, verifying the methodological variations. DATA SOURCES: Research conducted in Medline, PubMed, Lilacs and BBO databases, including manuscripts (except reviews and case reports) published from 1990 to 2012. The descriptors were "temporomandibular joint syndrome", "temporomandibular joint dysfunction syndrome", "temporomandibular joint disorders", "prevalence studies", and "cross-sectional studies"; the words "dysfunction", "disorder", "temporomandibular", "children", "adolescents", "prevalence", "frequency", and "transversal" were used. DATA SYNTHESIS: Seventeen articles were selected, and the TMD frequency varied from 16 to 68%. Regarding the methodological criteria, only three articles (18%) reported sample size determination, three (18%) clearly described the sample selection process by stratified selection technique, and nine studies (53%) carried out the calibration of the examiners. The diagnostic criteria used in the studies were: Helkimo index (n=2; 12%), Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (n=4; 24%), the jaw index (n=1; 6%), clinical protocols (n=10; 59%), and anamnestic questionnaires (n=6; 35%). CONCLUSIONS: The TMD prevalence in children and adolescents varies in the literature. Appropriate and standardized methods are needed to identify, with greater validity, the presence of TMD in this population, allowing a better understanding of the pathological aspects in order to address more effective preventive and therapeutic procedures.

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Kosyreva, T. F., N. S. Tuturov, Imad Kadbekh, V. G. Lebedev, D. V. Donskov, and T. V. Chkhikvadze. "Diagnostics and treatment of temporomandibular joint dysfunctions using digital technologies." Stomatology for All / International Dental review, no. 2020 3 (92) (September 2020): 56–60. http://dx.doi.org/10.35556/idr-2020-3(92)56-60.

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A study of the features of diagnosis and treatment with the use of digital technologies of patients with anomalies of the dentition and dysfunction of the temporomandibular joint (TMJ) was carried out. The characteristic features of the movement of the lower jaw and dysfunction of the TMJ were revealed. The algorithm for diagnosis and treatment of this category of patients is described in detail. The advantages of using digital technologies are shown, in particular, the possibility of simultaneous correction of the state of the temporomandibular joint and the formation of occlusion.

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Volkov, Alexander Grigorievich, N. Zh Dikopova, A. V. Kislitsyna, and A. L. Shishmareva. "PHYSIOTHERAPY IN THE COMPLEX TREATMENT OF THE TEMPOROMANDIBULAR JOINT PAIN DYSFUNCTION SYNDROME IN PERSONS PROFESSIONALLY ENGAGED IN VOCAL." Russian Journal of Physiotherapy, Balneology and Rehabilitation 16, no. 6 (December 15, 2017): 304–6. http://dx.doi.org/10.18821/1681-3456-2017-16-6-304-306.

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Application in complex treatment of the temporomandibular joint pain dysfunction syndrome in vocalists infrared irradiation and ultrasonic treatment eliminates the pain and increased tone of the masticatory muscles in a short time, which increases the amplitude of movements of the mandible and the functional capabilities of the temporomandibular joint with increased professional workload. The proposed course of physiotherapy procedures allows for successful rehabilitation in a complex of therapeutic measures and to improve the effectiveness of treatment of the temporomandibular joint pain dysfunction syndrome, which is especially important for the quality of life of people involved in the vocals.

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Meldolesi, G. N., A. Picardi, E. Accivile, R. Toraldo di Francia, and M. Biondi. "Personality and Psychopathology in Patients with Temporomandibular Joint Pain-Dysfunction Syndrome." Psychotherapy and Psychosomatics 69, no. 6 (2000): 322–28. http://dx.doi.org/10.1159/000012415.

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Kotsiubinskaya, J. V. "Genetic risk factors of syndrome pain dysfunction of the temporomandibular joint." V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY, no. 4-1 (December 9, 2019): 88–90. http://dx.doi.org/10.31363/2313-7053-2019-4-1-88-90.

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Currently, the syndrome of pain dysfunction of the temporomandibular joint is not considered exclusively a local disorder, but rather is considered as a clinical outcome of the combined effect of many factors (local and systemic), which act simultaneously and determine, ultimately, the manifestation of the disease. In the framework of the biopsychosocial concept, a hypothesis has been formulated about the importance of the polymorphism of the COMT and ADRB-2 genes for the development of SDJ TMJs, which make these individuals “vulnerable” to the development of chronic pain syndromes. It was found that a decrease in COMT activity leads to an increase in the level of catecholamimes, in particular, such as adrenaline, which contribute to the formation of persistent pain states by stimulating β2-adrenergic receptors in the peripheral and central nervous system.

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Machoy, Monika, Liliana Szyszka-Sommerfeld, Mansur Rahnama, Robert Koprowski, Sławomir Wilczyński, and Krzysztof Woźniak. "Diagnosis of Temporomandibular Disorders Using Thermovision Imaging." Pain Research and Management 2020 (November 17, 2020): 1–8. http://dx.doi.org/10.1155/2020/5481365.

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Temporomandibular joint dysfunction (TMD) is a chronic disease of various etiologies. Correct TMD diagnosis enables to apply effective treatment and significantly improves the quality of patients’ lives. One of the diagnostic methods subjected to evaluation in recent years is thermography, which enables safe, noninvasive, and quick imaging of the temperature distribution of temporomandibular joint-associated tissues. This paper, based on Medline, Dentistry & Oral Sciences Source, Academic Search Ultimate, Medline Complete databases, presents basic information related to thermovision imaging and outlines the direction of research conducted in recent years which fight with difficulties in the interpretation of thermograms that require specialized, dedicated analysis and processing of the obtained images. The problem concerns also no standardized protocol for measuring masticatory muscle temperature.

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Silant’eva, E. N. "Indicators of the functional state of the autonomic nervous system in different age group patients with temporomandibular joint pain dysfunction syndrome." Kazan medical journal 93, no. 2 (April 15, 2012): 231–35. http://dx.doi.org/10.17816/kmj2296.

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Aim. To study the functional state of the autonomic nervous system and of the adaptative capabilities of the organism in patients of different age groups with temporomandibular joint pain dysfunction syndrome. Methods. The study included 234 patients with temporomandibular joint pain dysfunction syndrome (22 men and 212 women) aged 12 to 35 years, without anomalies of the dentition, who were divided into three age groups. Three control groups consisted of 30 healthy subjects (3 men and 27 women, 10 men in each age group) with intact dentition, and orthognathic bite. A clinical dental examination, and a multi-dimensional verbal-color pain test were conducted. In order to assess the functional status of the autonomic nervous system and the adaptive capacity of the organism used were the schemes of examination for detecting signs of autonomic disorders, a physicians questionnaire «Study Design for detecting signs of autonomic disorders», an autonomic test - «Questionnaire for detecting signs of autonomic changes for the patient» and a questionnaire, adapted for children and adolescents, cardiointervalography. Results. In all 234 patients with temporomandibular joint pain dysfunction syndrome revealed were the signs of autonomic dysfunction, possessing vagotonic features in 93.9% of the cases. An unbalanced condition of the autonomic nervous system in association with the temporomandibular joint pain dysfunction syndrome was registered significantly (p 0.05) more frequently in patients of the mature age group. According to cardiointervalography, in the patients revealed was a primarily vagotonic or hypersympaticotinic type of response, a significant predominance (p 0.05) of the functional stress adaptation mechanisms, mismatch of the processes that control heart rhythm until the breakdown of the adaptation mechanism. Conclusion. The revealed instability of the autonomic regulation and the features of autonomic responses in patients of different age groups with the temporomandibular joint pain dysfunction syndrome are necessary to consider when developing and selecting methods of pathogenetic therapy.

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Rahim, Ashfaq-ur, Muhammad Nauman, Sadiq Ali, Saima Ihsan, Tannaza Qayyum, and Urooj Kirmani. "Prevalence of Sign and Symptoms of Temporomandibular Joint Disorders in Pakistani Population at Sheikhupura, Lahore: A Gender comparison." Pakistan Journal of Medical and Health Sciences 15, no. 8 (August 26, 2021): 2166–68. http://dx.doi.org/10.53350/pjmhs211582166.

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Background: Temporomandibular disorders have been considered as a common orofacial pain condition. The term temporomandibular pain dysfunction (TMPD) is used synonymously with myofacial pain dysfunction disorder/syndrome, temporomandibular disorder, craniomandibular disorder and many other terms. Objective: To evaluate the prevalence of signs and symptoms of temporo-mandibular joint disorder (TMD). Study Design: Descriptive cross-sectional study Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Faryal Dental College, Sheikhupura , Lahore, Pakistan from 1st February 2019 to 31st May 2021. Methodology: One hundred adolescents aged 15 to 60 years were enrolled. A detailed history about the chief complaint was taken and clinical examination was done. Temporomandibular joint examination performed included Auscultation for temporomandibular joint sounds like clicking and crepitus and palpation of both TMJs and associated muscles for evaluation of pain. Results: The most common signs of temporomandibular joint disorders were temporomandibular joint pain 78%, temporomandibular joint clicking 53% and trismus 29%. The most prevalent predisposing factors of temporomandibular joint disorders were parafunctional habits 40%, unknown factors 23% and history of road traffic accident/history of difficult extractions 9%. Male to female ratio showed female predominance (P = 0.001). Conclusion: Signs and symptoms of temporomandibular joint disorders were prevalent in Pakistani population with a clear female predominance. Key words: Temporomandibular disorders, Temporomandibular joint, Orofacial pain, Bruxism, Headache, Pain

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Khalid Nawaz, Mohammad Khaja, GS Sivaraman, Santham Krishnamoorthy, and Selva Balaji. "Temporomandibular Joint Dysfunction Syndrome associated with Betel Nut Chewing: A Clinical Study." Journal of Orofacial Research 5 (2015): 142–45. http://dx.doi.org/10.5005/jp-journals-10026-1199.

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Journal articles on the topic 'Temporomandibular joint dysfunction syndrome - Diagnosis'

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