Arthroscopy for the Treatment of Temporomandibular Disorders DOI Open Access
Seyed Ali Mosaddad

The Journal of Contemporary Dental Practice, Journal Year: 2024, Volume and Issue: 25(3), P. 197 - 198

Published: April 19, 2024

Temporomandibular disorders (TMD) encompass a range of conditions affecting the temporomandibular joint (TMJ) and surrounding structures, leading to pain, dysfunction, impaired quality life for affected individuals. 1,2Arthroscopy has emerged as minimally invasive effective therapeutic option diagnosis treatment TMD.Temporomandibular represent multifactorial group TMJ, encompassing structural functional abnormalities.Traditional approaches have included conservative measures such physiotherapy, medications, occlusal splints.However, cases, refractory management, surgical interventions may be considered.[5][6][7][8][9][10] Arthroscopy is typically indicated patients with TMD who not responded therapies or specific intraarticular pathology.Common indications include disc displacement without reduction, adhesions, synovitis, osteoarthritis.][13][14][15][16][17] involves insertion small, flexible arthroscope into TMJ visualize joint's internal structures.The procedure can performed under local general anesthesia, portals are established instrument insertion.Arthroscopic techniques lavage debridement, lysis repositioning, synovectomy.The choice technique depends on pathology identified during arthroscopic examination. 18umerous studies reported favorable outcomes following TMD.Improved pain relief, increased mouth opening, enhanced jaw function commonly observed.However, it essential recognize potential complications, infection, bleeding, injury structures.][21] Advancements in technology, including highdefinition imaging instrumentation, continue enhance precision efficacy procedure.Ongoing research focused refining patient selection criteria, identifying predictors success, exploring role emerging platelet-rich plasma stem cell injections.Long-term follow-up needed assess durability outcomes.Arthroscopy valuable tool comprehensive management TMD, offering approach select patients. 22,23Continued technological advancements expected further refine interventions, providing additional options individuals TMD.As field evolves, collaboration between clinicians researchers will optimize establish arthroscopy standard modality TMD.

Language: Английский

Prevalence of temporomandibular disorders in subjects affected by Parkinson disease: A systematic review and metanalysis DOI Creative Commons
Giuseppe Minervini, Rocco Franco, Maria Maddalena Marrapodi

et al.

Journal of Oral Rehabilitation, Journal Year: 2023, Volume and Issue: 50(9), P. 877 - 885

Published: May 15, 2023

While Temporomandibular disorders (TMDs) are not typically considered a primary symptom of Parkinson disease (PD), recent studies have documented correlation between ageing and TMDs, cluster conditions affecting the temporomandibular joint surrounding musculature, thereby underscoring potential for an increased frequency TMDs in PD population.The purpose this review is to systematically evaluate existing literature on topic provide comprehensive overview prevalence patients with PD.To determine eligibility, we utilised Population (human subjects), Exposure Comparator (PD vs non-PD Outcomes (TMD) (PECO) model. To conduct systematic review, searched articles published PubMed, Web Science Lilacs from beginning until April 15, 2023.Three were selected. All together they comprised total 55 828 subjects, out which 12 629 affected by or Parkinsonism, remaining 43 199 subjects matched age sex. The study aimed PD. results showed that 193/12629 (1.53%) individuals presented TMD symptoms diagnosed TMD, while 260/43199 (0.6%) same. meta-analysis there was higher compared (RR 1.57; 95% CI: 1.30-1.89).The reviewed suggest possible association Further research needed clarify relationship identify mechanisms treatment strategies.

Language: Английский

Citations

100

Correlation between Temporomandibular Disorders (TMD) and Posture Evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): A Systematic Review with Meta-Analysis DOI Open Access
Giuseppe Minervini, Rocco Franco,

Maria Maddalena Marrapodi

et al.

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(7), P. 2652 - 2652

Published: April 2, 2023

Background: Temporomandibular disorders (TMDs) are a series of that affect the muscles and joint. Symptoms include joint pain, muscle limitation mouth opening. One several multifactorial diseases, temporomandibular dysfunction has mostly been linked to five etiological factors: occlusion, trauma, severe pain stimuli, parafunctional activities, psychological elements, including stress, anxiety, depression. The position human body as it is displayed in space referred posture. Several nerve pathways regulate posture, through ligaments, TMD posture each other. purpose this study evaluate possible correlation between meta-analysis literature; Methods: A literature search was performed on PubMed, Lilacs, Web science, articles published from 2000 31 December 2022 were considered, according keywords entered. term “temporomandibular disorders” combined with “posture”, using Boolean connector AND; Results: At end research, 896 studies identified conducted 3 engines. Only three chosen draw up present systematic summarizing article’s main findings. showed forest plot analysis Conclusions: This TMD. Nerve probably both mandibular Further clinical will be needed confirm hypothesis indicate conclusions or interpretations.

Language: Английский

Citations

93

Impact of temporomandibular disorders on oral health‐related quality of life: A systematic review and meta‐analysis DOI Creative Commons
Zeeshan Qamar,

Ahmed Mohammed Saad Alghamdi,

Naji Khaled Bin Haydarah

et al.

Journal of Oral Rehabilitation, Journal Year: 2023, Volume and Issue: 50(8), P. 706 - 714

Published: April 20, 2023

The management of temporomandibular disorders (TMDs) requires a comprehensive approach that considers multiple factors, including the impact oral health-related quality life (OHRQoL). Through this investigation we aim to assess OHRQoL played in TMD-afflicted individual.Using keywords relevant our research, such as "Oral health related life," hygiene," "Temporomandibular joint" and disorders," search across online databases was carried out, yielding total 632 studies at preliminary stage review. Modified New Castle Ottawa scale used included.Eight were included review, out which six eligible for further meta-analysis. review employed various measures, Oral Health Impact Profile-14 (OHIP-14), Short-Form 36 Survey (SF-36) OHIP- 49. All demonstrated significant effect TMDs on target population under study.The TMD deemed be significant. should consider condition individual's daily incorporate interventions address both physical psychological aspects condition. By improving OqL, individuals with can experience improved overall well-being life.

Language: Английский

Citations

82

Prevalence of temporomandibular disorders in children and adolescents evaluated with Diagnostic Criteria for Temporomandibular Disorders: A systematic review with meta‐analysis DOI Creative Commons
Giuseppe Minervini, Rocco Franco, Maria Maddalena Marrapodi

et al.

Journal of Oral Rehabilitation, Journal Year: 2023, Volume and Issue: 50(6), P. 522 - 530

Published: March 13, 2023

The prevalence of temporomandibular disorders (TMDs) in children and adolescents is not well-known. This partly because TMD often diagnosed there no agreed-upon definition TMD. There a growing body evidence to suggest that are gender differences the presentation adult. aim was assess TMDs subjects aged 8-19 evaluated with Diagnostic Criteria for (DC/TMD) differences.PubMed, Web Science Lilacs were systematically searched until 30 November 2022, identify studies presenting patients affected by TMDs.Out 40 papers, three included. included this review 1914 (1093 female 821 male). Seven hundred thirty-six on (38.4%) presented Among 1093 female, 489 (44.7%) TMD, while 247/821 male (30%) experienced Meta-analysis revealed had higher than (RR 2.10; 95% CI: 1.21-3.65).TMD adolescence varies between 20% 60%. Female compared male.

Language: Английский

Citations

78

The Association between COVID-19 Related Anxiety, Stress, Depression, Temporomandibular Disorders, and Headaches from Childhood to Adulthood: A Systematic Review DOI Creative Commons
Giuseppe Minervini, Rocco Franco,

Maria Maddalena Marrapodi

et al.

Brain Sciences, Journal Year: 2023, Volume and Issue: 13(3), P. 481 - 481

Published: March 12, 2023

Objective: The coronavirus belongs to the family of Coronaviridae, which are not branched single-stranded RNA viruses. COVID-19 creates respiratory problems and infections ranging from mild severe. virus features mechanisms that serve delay cellular immune response. host’s response is responsible for pathological process leads tissue destruction. Temporomandibular disorders manifested by painful jaw musculature joint areas, clicks, or creaks when opening closing mouth. All these symptoms can be disabling occur during chewing patient yawns even speaks. pandemic situation has exacerbated anxieties amplified vulnerability individuals. Therefore, this mechanism, how may have increased incidence temporomandibular perceived. purpose review evaluate whether COVID-19-related anxiety caused an increase in dysfunction adults children. Methods: PubMed, Web Science, Lilacs, Scopus were systematically searched, until 30 July 2022, identify studies presenting: connection between with disorders. Results: From 198 papers, 4 included. Literature shown state uncertainty led type disorder, although all agree. Seventy-three identified after viewing four search engines; at end screening phase, only considered met PECO, planned inclusion, exclusion criteria. showed a statistically significant correlation p < 0.05. Conclusions: agreed there association

Language: Английский

Citations

66

Clinical Trial to Assess Physiology and Activity of Masticatory Muscles of Complete Denture Wearer Following Vitamin D Intervention DOI Creative Commons
Shraddha Rathi, Saurabh Chaturvedi,

Sabzar Abdullah

et al.

Medicina, Journal Year: 2023, Volume and Issue: 59(2), P. 410 - 410

Published: Feb. 20, 2023

Background and Objectives: Little information is available on the role of Vitamin D as a micro-nutrient deficiency with masticatory muscle efficiency its effect function removable prosthesis. The aim this study was to evaluate vitamin activity among completely edentulous patients retention complete dentures (RCDs). Materials Methods: A non-randomized clinical control trial conducted (60.53 ± 7.01 years) in Indian population between 2017 2019. Subjects were evaluated for temporomandibular disorders according Diagnostic Criteria Temporomandibular Disorders (DC/TMD). Serum (S Vit D) levels, Ultrasonography (USG), surface Electromyography (sEMG) readings masseter recorded at enrolment (Level 0), after 3 months therapy 3), consecutive maintenance therapy, i.e., 6 from baseline 6). fabrication new RCDs done all enrolment, assessed by asking question regarding denture respondents mark their satisfaction 5-point Likert scale. Data analysed using ANOVA, Paired’-test Pearson correlation coefficients. p-value less than 0.05 indicated statistically significant association. Results: Between six-month follow-up, S levels showed an increase 16.03 5.68 ng/mL 31.35 9.28 ng/mL, showing 15.32 9.38 (95.57% rise). Statistically values observed USG sEMG. Conclusions: Results that affects improving thickness boosting tonicity. Healthy muscles assist RCDs, consequently aiding mastication, speech, phonetics, hence patient satisfaction. Clinical implication: Acknowledging fact prevalence worldwide. We suggest nutritional intervention elderly population, following dietary counselling, consider be adjunct counselling efficiency, which aids RCD stability. Consequently, oral health-related quality life individuals.

Language: Английский

Citations

65

Prevalence of temporomandibular disorders ( TMD ) in pregnancy: A systematic review with meta‐analysis DOI Creative Commons
Giuseppe Minervini, Rocco Franco, Maria Maddalena Marrapodi

et al.

Journal of Oral Rehabilitation, Journal Year: 2023, Volume and Issue: 50(7), P. 627 - 634

Published: April 6, 2023

Over the past few years, researchers have investigated whether varying menstrual statuses and oestrogen levels could affect likelihood of temporomandibular disorders (TMDs), with conflicting results. While some studies suggest a potential link between increased higher TMD risk, others found no correlation. It is worth noting that can impact structure function joint (TMJ). In light these findings, our study seeks to investigate prevalence TMDs among pregnant women.We searched in PubMed, Web Science Lilacs for articles published from inception until 20 January 2023. We applied Population, Exposure, Comparator Outcomes (PECO) model assess document eligibility: (P) Participants: female human subjects. (E) Exposure: pregnancy. (C) Comparison: women compared non-pregnant childbearing age. (O) Outcome: diagnosis. Only providing data about both group (pregnant non-pregnant) were included. set following exclusion criteria: (1) diagnosis rheumatic diseases or chronic inflammatory (e.g. rheumatoid arthritis, juvenile, idiopathic psoriatic arthritis); (2) fibromyalgia; (3) congenital abnormality neoplastic conditions TMJ region; (4) including subjects undergoing arthrocentesis intra-articular infiltrations; (5) local pressure pain assessment; (6) menopause control (7) cross-over design; (8) language different English; (9) full- text unavailability (i.e. posters conference abstracts); (10) involving animals; (11) review (topical systematic) article; (12) case reports/series; (13) evaluating not pregnant. The software Review Manager version 5.2.8 (Cochrane Collaboration) was used perform pooled analysis. measured risk ratio (RR) two groups non-pregnant).The included this 440. Among them, 244 while remaining 196 age matched women. those 102 presented sign/symptoms (41.8%) whereas 80 diagnosed (40.8%). overall effect showed there difference (RR 1.12; 95% CI: 0.65-1.93), suggesting neither factor nor protective TMD.Overall, we did find an association pregnancy, positive negative. Further on larger samples are needed clarify

Language: Английский

Citations

65

Economic inequalities and temporomandibular disorders: A systematic review with meta‐analysis DOI Creative Commons
Giuseppe Minervini, Rocco Franco, Maria Maddalena Marrapodi

et al.

Journal of Oral Rehabilitation, Journal Year: 2023, Volume and Issue: 50(8), P. 715 - 723

Published: May 11, 2023

Temporomandibular disorders (TMDs) are a common and debilitating condition that affects millions of people globally. Despite extensive research on TMDs, the exact causes these conditions remain unclear. However, various factors, including genetics, injury stress, have been implicated in their development. In addition to traditional risk literature suggests socioeconomic status (SES) may also play role development progression TMDs. By synthesizing available evidence, this review will provide comprehensive understanding SES TMDs inform targeted interventions reduce burden among individuals with lower SES.We conducted systematic followed recommendations Preferred Reporting Items for Systematic reviews Meta-Analyses (PRISMA) 2020. PubMed, Scopus Lilacs were searched using terms: ((socio-economic OR economic status) AND (temporomandibular temporomandibular joint) from inception until February 10, 2023. We applied following questions: (P) Participants consisted human subjects. (E) The Exposure low stats. (C) Comparison: subjects reporting compared medium-high status. (O) Outcome diagnosis. Review Manager version 5.2.8 (Cochrane Collaboration; 2014) software was perform pooled analysis.The included 14 607. Among them, 631 reported income, 1880 4617 blue-collar workers 7478 white-collar or entrepreneurs. those income belonging 12.93% (679/5248) presented sign/symptoms TMD diagnosis whereas 10.6% (997/9358) high income/white-collar worker.We observed slightly higher prevalence Further is needed better understand relationship develop effective income.

Language: Английский

Citations

59

Conservative treatment of temporomandibular joint condylar fractures: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions DOI Creative Commons
Giuseppe Minervini, Rocco Franco, Maria Maddalena Marrapodi

et al.

Journal of Oral Rehabilitation, Journal Year: 2023, Volume and Issue: 50(9), P. 886 - 893

Published: May 16, 2023

Fractures of the mandibular condyle are most common jaw fractures. There several treatment approaches. is non-surgical and surgical approach. The purpose this systematic literature review to evaluate indications contraindications either method help clinician make best choice.Pubmed, Web Science Lilacs were systematically searched until 20 May 2023. Clinical trials selected compare two treatments for fracture contraindications.Out 2515 papers, four studies included. approach allows faster functional recovery decreases patient discomfort. study analyses under what circumstances a procedure more practical than one.There no evidence regarding reliability method. Both have superimposable results. However, age, type occlusion other factors direct towards choice.

Language: Английский

Citations

44

A Comprehensive Review of Emerging Trends and Innovative Therapies in Epilepsy Management DOI Creative Commons
Shampa Ghosh, Jitendra Kumar Sinha, Soumya K. Ghosh

et al.

Brain Sciences, Journal Year: 2023, Volume and Issue: 13(9), P. 1305 - 1305

Published: Sept. 11, 2023

Epilepsy is a complex neurological disorder affecting millions worldwide, with substantial number of patients facing drug-resistant epilepsy. This comprehensive review explores innovative therapies for epilepsy management, focusing on their principles, clinical evidence, and potential applications. Traditional antiseizure medications (ASMs) form the cornerstone treatment, but limitations necessitate alternative approaches. The delves into cutting-edge such as responsive neurostimulation (RNS), vagus nerve stimulation (VNS), deep brain (DBS), highlighting mechanisms action promising outcomes. Additionally, gene optogenetics in research discussed, revealing groundbreaking findings that shed light seizure mechanisms. Insights cannabidiol (CBD) ketogenic diet adjunctive further broaden spectrum management. Challenges achieving control traditional therapies, including treatment resistance individual variability, are addressed. importance staying updated emerging trends management emphasized, along hope improved therapeutic options. Future directions, combining AI applications, non-invasive optogenetics, hold promise personalized effective treatment. As field advances, collaboration among researchers natural synthetic biochemistry, clinicians from different streams various forms medicine, will drive progress toward better higher quality life individuals living

Language: Английский

Citations

36