• Title/Summary/Keyword: Temporomandibular disorders

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Considerations in the Diagnosis and Treatment of Temporomandibular Disorders in Children and Adolescents: A Review

  • Ji-Won Ryu
    • Journal of Oral Medicine and Pain
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    • v.48 no.3
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    • pp.75-80
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    • 2023
  • Temporomandibular disorders (TMDs) are a group of musculoskeletal disorders that encompass symptoms caused by abnormalities of the craniofacial structures of the temporomandibular joint (TMJ), muscles involved in the masticatory system, and other related tissues or structures. Although TMDs can occur at any age, research on the prevalence, epidemiology, and treatment strategies of TMDs has been conducted in all age groups, but primarily in adults. Unlike adults, children and adolescents are in a period of cognitive and physical development. Because of this growth potential, children respond better to TMD treatment than adults do. However, clinicians must remember that chronic pain and growth abnormalities can occur if the patient's symptoms and signs are not accurately diagnosed and treated. This article reviews the growth and development of the craniofacial region, including the TMJ, and discusses considerations when diagnosing and treating TMDs in children and adolescents.

Non-invasive different modalities of treatment for temporomandibular disorders: review of literature

  • Abouelhuda, Amira Mokhtar;khalifa, Ahmad Khalifa;Kim, Young-Kyun;Hegazy, Salah Abdelftah
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.2
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    • pp.43-51
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    • 2018
  • Temporomandibular disorders (TMDs) are diseases that affect the temporomandibular joint and supporting structures. The goal of treatment for TMDs is elimination or reduction of pain and return to normal temporomandibular joint function. Initial treatment for TMDs is non-invasive and conservative, not surgical. Oral and maxillofacial surgeons should fully understand and actively care about non-invasive treatments for TMDs. The purpose of this study is to review the validity and outcomes of non-invasive and surgical treatment modalities for TMDs.

The Study for Treatment of Temporo-mandibular Joint Pain (악관절의 통증에 관한 연구)

  • Choe, Joong-Rieb;Song, Chan-Woo
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.86-92
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    • 1995
  • Temporomandibular disorders typically present findings of limited or asymmetric patterns of jaw opening and joint sounds usually described as clicking, popping, grating, or crepitus. Recently, patients with temporomandibular disorders have received an increasingly aggressive treatment with a greater emphasis on surgical and dental reconstruction. Scientific studies have not clearly identified the specific causes of the temporomandibular disorders and therefore some of the treatments are empiric, without a firm scientific foundation. We carried out a study on the patients of pain clinic OPD and concluded that the causes of the temporomandibular joint(TMJ) pain are the prolonged contraction of the muscles of mastication, especially the masseter muscle. Therefore, the spasmolytic treatment of masseter muscle would be a better treatment for TMJ syndrome rather than the surgical and dental reconstruction.

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The role of patient education and self-management method in the treatment of temporomandibular disorder (측두하악장애 치료에서 환자교육 및 자가 요법의 방법과 그 역할에 대한 고찰)

  • Choi, Young-Yuhn
    • Journal of Korean Dental Hygiene Science
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    • v.1 no.1
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    • pp.65-71
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    • 2018
  • In the treatment of temporomandibular disorders, patient education and self-management method are necessary in addition to other specialized treatments to prevent recurrence of symptoms or development of chronic pain. The causes of temporomandibular disorders are very diverse, but in many cases the patients continue to suffer or experience recurrence because of the repeated exposure to micro traumas such as oral parafunctions, bad habits, and harmful eating habits. Much better prognosis is expected if a dental hygienist who is teamed up with a specialist in the dental clinic can perform patient education and management based on the understanding of temporomandibular disorder.

Temporomandibular Joint Disorder and Occlusal Changes: Case Reports

  • Kim, Young-Kyun
    • Journal of Korean Dental Science
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    • v.11 no.1
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    • pp.21-31
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    • 2018
  • Occlusion may change spontaneously but dental treatment or trauma in the patients with temporomandibular disorders (TMDs) may also alter occlusion. This report presents three cases displaying occlusal changes. Review of literature emphasizes the significance of TMD treatment. Conservative treatment modalities such as counseling, medication, physical therapy and splint therapy may be selected as initial treatment options. Irreversible or invasive treatment, such as orthodontic, prosthodontic, and occlusal adjustment should not be attempted early. In case there is no response to conservative treatment, joint injection, muscle injection, arthrocentesis or arthroscopic surgery might be performed.

The Factors Affecting the Perceived Symptoms of Temporomandibular Disorders in Academic High School Students (일부 인문계 고등학생들의 측두하악장애 자각증상 관련 영향요인)

  • Ji, Min-Gyeong
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.215-222
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    • 2021
  • The purpose of this study was to analyze the factors affecting the awareness of temporomandibular disorders in high school students and to provide basic data for the development of easy-to-access program to help the management of temporomandibular disorders. For data collection, convenience sampling was performed among academic high school students in Daejeon and North Jeolla Province to complete a self-administered questionnaire from December 1 to 30, 2019. The statistical analysis was conducted by t-test, one-way ANOVA, and Pearson correlation. Stepwise multiple regression analysis was conducted. Oral parafunctional habits were positively correlated with trait anxiety and both of them were positively correlated with the perceived symptoms of temporomandibular disorders. The most influential factors on the awareness symptoms of temporomandibular disorders in high school students were oral parafunctional habits, health habits, and trait anxiety. It is necessary to make positive communication and intervention, which meets high school age, in coping well with anxiety and managing oral parafunctional habits and apply an oral health promotion program that involves socio-psychological efforts to prevent them.

The Effects of Spiral Taping Treatment on Temporomandibular Disorder (악관절장애(顎關節障碍)의 개구장애(開口障碍)와 통증(痛症)에 대한 첩대요법(貼帶療法)의 효과(效果))

  • Choi, Bo-Hee;Hwang, Jae-Ok;Seo, Jung-Chul
    • Journal of Pharmacopuncture
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    • v.9 no.1
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    • pp.69-73
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    • 2006
  • Objective : The purpose of this study is to estimate the effects of spiral taping treatment on temporomandibular disorder. Methods : 22 temporomandibular disorder patients were treated with spiral taping, and no other treatments such as herbal medicine, acupuncture, herbal acupuncture, and chiropractic therapy were added. We evaluated the improvement by temporomandibular pain and mouth opening range. Results : 11 patients felt no pain or inconvenience of daily life and 4 patients showed improvement of pain or symptom after 1 month of spiral taping theraphy. 3 patients had normal opening size of mouth and convenience of daily life, and 2 patient showed improvement of opening size of mouth as 35mm-40mm after 1 month of spiral taping theraphy. Conclusion : These results suggest spiral taping treatments contribute to the improvement of temporomandibular disorders. Further study is needed for the confirmation of this effect of spiral taping treatments on temporomandibular disorders.

The Association between Temporomandibular Joint Disorders and Lumbar Diseases in Adults (성인의 악관절 증상과 요추질환의 관련성)

  • Hwang, Su-hyun;Yu, Ji-Su
    • Journal of dental hygiene science
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    • v.18 no.2
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    • pp.124-129
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    • 2018
  • The purpose of this study was to examine the association between the symptoms of temporomandibular joint disorders and lumbar diseases in adults when the prevalence rate of osteoarthritis is increasing and to help develop health policies that can improve oral health and health in general. The study used representative data from the 5th Korea National Health and Nutrition Examination Survey phase 3 (2012). In total, we analyzed the data of 3,017 individuals aged over 50 years who participated in the health-related survey and underwent radiography of the lumbar joints. PASW statistics ver. 18.0 was used for analysis. This study revealed the following results: 16.1% experienced at least one symptom of temporomandibular joint disorders within the recent single year, 20.6% experienced lower back pain in the recent three months, and 30.6% had lumbar osteoarthritis revealed using radiography of the lumbar joints. Symptoms of temporomandibular joint disorders, lower back pain, and lumbar osteoarthritis were correlated with each other; the respondents who experienced symptoms of temporomandibular joint disorders had 1.70 times (95% confidence interval [CI], 1.30~2.22) higher prevalence of lower back pain and 1.20 times (95% CI, 0.86~1.68) higher prevalence of lumbar osteoarthritis than in those with no such difficulties. The results of this study confirmed that the symptoms of temporomandibular joint disorders affected lumbar diseases in adulthood. Therefore, adequate treatment and prevention of the symptoms of temporomandibular joint disorders in adults is expected to make crucial contributions to decreases in the prevalence rate of lumbar diseases and an improvement in the quality of life.

A case report of Placental Extract Herbal Acupuncture and Laser Theraphy for Patient with Temporomandibular Joint Disorder (자하거(紫何車) 가수분해물 약침과 레이저 치료를 병행한 턱관절 장애 치험 1례)

  • Kim, Min-Hee;Cho, Seong-Hyung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.1
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    • pp.63-68
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    • 2022
  • Objectives : To get to know the effects of placental extract and laser theraphy for Temporomandibular Joint Disorder, we have tried a injection of placental extract and laser theraphy into 聽宮(SI19), 聽會(GB02) for patient with Temporomandibular Joint Disorder. Methods : In this case clinical assessment of temporomandibular joint dysfunction is assessed by the VAS score and the Korean Version of Research Diagnostic Criteria for Temporomandibular Disorders(RDC/TMD). Results : The VAS score was significantly decreased after Placental extract herbal acupuncture and laser theraphy Conclusion : Placental extract herbal acupuncture and laser theraphy effectively resolved pain for Temporomandibular Disorders.

Management of Chronic Pain in Temporomandibular Disorders

  • Kyung-Hee Kim;Hye-Min Ju;Sung-Hee Jeong;Yong-Woo Ahn;Hye-Mi Jeon;Soo-Min Ok
    • Journal of Oral Medicine and Pain
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    • v.47 no.4
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    • pp.174-182
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    • 2022
  • In chronic temporomandibular disorders (TMDs), constituent tissues such as muscles are sensitive to pain and psychological stress, which negatively affect the quality of life. In addition, since chronic TMDs is often accompanied by diseases such as psychological disorders and other chronic pain disorders, the diagnosis of those diseases and patient referrals are mandatory. The management of chronic pain in TMDs requires a multidisciplinary and holistic approach. Pharmacological therapy using cyclobenzaprine, serotonin and norepinephrine reuptake inhibitors, tricyclic antidepressants, progressive relaxation, and psychological approaches using cognitive behavioral therapy such as shifting negative thoughts about pain are all valid treatment options.