Orthodontists are fully prepared to treat the problems of occlusion that they are called upon to deal with every day. On the other hand temporo-mandibular joint disorders present more obscure difficulties from the point of view of detection and diagnosis as well the management of their treatment. That is why a profound understanding of the anatomical and physiological functioning of the temporo-mandibular joint has become indispensable for today's orthodontists who are now asked to detect and diagnose an assortment of TMJ disturbances whose etiology may vary greatly. By performing a rigorous diagnostic procedure, based on a thorough clinical examination supported by careful axiographic and radiological studies, of temporo-mandibular malfunctioning and its underlying etiological causes, which are primarily dento-alveolar and occlusal in nature, orthodontists will be able to adopt an appropriate therapeutic approach that might be purely orthodontic or multi-disciplinary and carried out with the collaboration of specialists in occlusion, oral surgery, and even osteopathy.
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http://dx.doi.org/10.1051/orthodfr/2010008 | DOI Listing |
Br J Oral Maxillofac Surg
October 2024
Department of Oral and Maxillofacial Surgery. University of Freiburg, Germany.
Numerous anatomical and imaging studies have established a close relation between disc displacement of the temporomandibular joint (TMJ) and the medial wall of the TMJ. These studies have revealed a direct association between disc displacement without reduction (DDWoR) and the occurrence of fatty degeneration within the superior fascicle of the lateral pterygoid muscle (SPLM). While the aetiology of this phenomenon remains unclear, it has been suggested that it stems from the interaction between this muscle fascicle and the bony surface of the medial wall of the joint.
View Article and Find Full Text PDFPurpose: The study aims at evaluating the impact of a full digital workflow on the restoration of masticatory function and aesthetic features in subjects rehabilitated with fixed prosthesis.
Materials And Methods: The study involved 12 adult participants in need of complex rehabilitation due to masticatory dysfunction. They underwent a comprehensive diagnostic examination involving intraoral scan, facial 3D-photos, jaw kinematics recording, and Cone Beam Computed Tomography extended to temporo-mandibular joint.
J Oral Rehabil
January 2025
Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
Background: Within the fields of medicine and music, increasing attention is given to evidence indicating music performance being an occupational risk factor for temporo-mandibular disorders (TMD).
Objectives: Assessment of self-reported painful TMD symptoms among student and professional musicians.
Methods: Using Survey Monkey software, the German version of the 'TMD-Pain-Screener' was distributed electronically to professional and student musicians in Europe.
Acta Odontol Scand
September 2024
Oral and Maxillofacial Radiology, Department of Clinical Dentistry, University of Bergen, Bergen, Norway; Oral Health Centre of Expertise in Western Norway (TkVestland), Bergen, Norway.
Br J Oral Maxillofac Surg
November 2024
University of Milan, Department of Biomedical, Surgical and Dental Sciences, Via della Commenda 10, Milan, Italy; Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Maxillo-Facial Surgery and Dental Unit, Via Sforza 35, Milan Italy. Electronic address:
Joint visco-supplementation is an effective therapeutic approach against the degenerative signs and symptoms of osteoarthrosis/osteoarthritis of the mandibular condyle. Supplements of choice are usually delivered inside the temporomandibular joint (TMJ) by intra-articular infiltration. The present study aimed to assess the clinical effectiveness of pericapsular injection of polinucleotides (PN) and hyaluronic acid (HA).
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