22,975 results match your criteria: "Temporomandibular Disorders"

: Hemimandibular hyperplasia (HH) associated with osteochondroma presents complex challenges in maxillofacial surgery, including facial asymmetry, occlusal instability, and temporomandibular joint (TMJ) dysfunction. Surgical interventions vary widely in approach and outcomes, underscoring the need for a systematic evaluation of effectiveness. This systematic review assesses the effectiveness of surgical approaches for managing HH associated with osteochondroma, focusing on techniques including condylectomy, orthognathic surgery, distraction osteogenesis, total joint replacement (TJR), and genioplasty.

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Background And Purpose: The COVID-19 pandemic exacerbated pain and joint mobility outcomes in patients with temporomandibular disorders (TMD), being that effective treatments are of clinical interest. We aimed to evaluate the effects of manual therapy (MT) and dry needling (DN), compared to cognitive-behavioral therapy/control (CO), on pain, articular mobility, and fear of COVID-19 in patients with TMD.

Materials And Methods: Sixty participants with myofascial TMD were randomly assigned to three groups: MT, DN, and CO.

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Aims: To compare the effectiveness of a combined treatment involving manual therapy and postural exercises in wind musicians with temporomandibular dysfunction (TMD).

Methods: A randomized controlled clinical trial was conducted among a sample of TMD-affected wind-instrument musician students (NCT05893251), who were assigned to an experimental group (EG) or a control group (CG). Both groups underwent an active cervical postural treatment for 4 weeks, with the experimental group (EG) additionally receiving a cervical therapy protocol.

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Background: In the realm of research, the single case study has been recognized as a valuable tool for sharing insights, demonstrating new concepts, discovering novel phenomena, consolidating hypotheses, and sparking original ideas. In this physician-guided narrative, phenomena previously unreported in the clinical context are explored. These case studies aim to offer insights that may inform an existing theoretical model that encapsulates a distinct therapeutic intervention.

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Pain, dynamic postural control, mental health and impact of oral health in individuals with temporomandibular disorder: A cross-sectional study.

J Bodyw Mov Ther

October 2024

Posture and Balance Laboratory (Lapeq), Health and Sport Sciences Center, Santa Catarina State University, Florianopolis, Santa Catarina, Brazil; Graduate Program in Physiotherapy, Santa Catarina State University, Brazil; Physiotherapy Department, Santa Catarina State University, Brazil. Electronic address:

Introduction: Some studies claim that functional changes in TMD affect the stomatognathic system (SS) and could contribute to the emergence of pain and changes in postural control.

Purpose: To characterize and to compare pain, dynamic postural control (DPC), mental health and impact of oral health (QoL) in different types of temporomandibular disorders (TMD).

Method: Cross-sectional study with 116 participants evaluated by a validated TMD protocol and divided into three groups, muscle TMD (TMD-M, n = 32), joint TMD (TMD-J, n = 30) and muscle-joint TMD (TMD-MJ, n = 54).

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The temporomandibular joint (TMJ) is a key component of the stomatognathic system, playing a major role in maintaining mandibular stability and function. Temporomandibular disorders (TMDs) are a prevalent disease in the world, with surgical treatment being reserved for complex cases or end-stage TMJ disease. A narrative review was conducted to describe the quantitative and qualitative factors that affect TMJ prosthesis stability.

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The Temporomandibular Joint and the Human Body: A New Perspective on Cross Talk.

Dent J (Basel)

November 2024

Stem Cells and Tissue Engineering Research Group, Faculty of Dentistry, Cairo University, Cairo 11435, Egypt.

As a unique joint that facilitates the articulation of the upper and lower jaws, the temporomandibular joint (TMJ) is concerned with several critical functions, such as speech and mastication. Pain that can become incapacitating is a result of temporomandibular disorders (TMDs), which are complex disorders affecting the masticatory muscles and the TMJ. Several anomalies and TMDs have an interdisciplinary relationship.

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Manual therapy (MT) and occlusal splint therapy (OST) are the most conservative therapies applied on patients with temporomandibular disorders (TMDs). The aim was to compare the efficacy of MT vs. OST in improving pain, maximal mouth opening (MMO), disability, and health related-quality of life (hr-QoL) in these patients.

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Evaluation of temporomandibular joint involvement in juvenile idiopathic arthritis patients.

Pediatr Rheumatol Online J

November 2024

School of Medicine, Division of Pediatric Allergy and Immunology, Recep Tayyip Erdogan University, Rize, Türkiye.

Objective: Juvenile idiopathic arthritis (JIA) is a common, chronic and inflammatory rheumatological disease of childhood. The disease can affect all synovial joints in the body. Temporomandibular joints (TMJs) are important areas of involvement in JIA, which are frequently involved but often not noticed because the involvement is usually asymptomatic.

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Article Synopsis
  • A clinical trial was conducted to evaluate the effectiveness of 0.2% chlorhexidine digluconate (CHX) and 8.7% choline salicylate (CHS) in healing oral mucosa lesions in patients receiving new partial removable dentures (PRDs) compared to a control group with no treatment.
  • Twenty-seven healthy patients participated, and the healing progress was monitored through measurable wound surface area (WSA) over 14 days using intraoral images.
  • Results showed that CHX led to the quickest reduction in WSA after 7 days (85.1%), followed by CHS after 10 days (70.1%) and the control group after 14 days (59.
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Jaw exercise in head and neck cancer patients for prevention of temporomandibular disorders: a randomized controlled trial.

J Cancer Surviv

November 2024

Department of Otorhinolaryngology, Head and Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.

Purpose: To prospectively evaluate the effect of a preventive jaw-training intervention program on the development of temporomandibular disorders (TMD) in patients treated for head and neck cancer (HNC).

Methods: We randomized 58 consecutive patients with squamous cell carcinoma in the head and neck area into two groups before initiation of a curatively intended oncologic treatment: training with a jaw mobilizer once a day or a control group without active exercise. A comprehensive examination according to diagnostic criteria for temporomandibular disorders (DC/TMD) was conducted at baseline (before oncologic treatment) 6 and 12 months after completed radiation therapy (RT).

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Assessing the Causal Relationship Between Immune Cells and Temporomandibular Related Pain by Bi‑Directional Mendelian Randomization Analysis.

J Pain Res

November 2024

Department of Stomatology, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong Province, People's Republic of China.

Introduction: Even with significant progress has been made in elucidating the pathogenesis of temporomandibular disorders (TMD), the pathophysiology of temporomandibular joint (TMJ) pain is still obscure. Our study aimed to explore whether there is a causal link between immune cells and TMD-related pain.

Materials And Methods: Based on the TMD-related pain data obtained from the FinnGen Research Consortium and the 731 immune traits extracted from the GWAS Catalog and utilized a two sample Mendelian Randomization (MR) method, with immune cell as the exposure and TMD-related pain as the outcome.

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Orofacial pain (OFP) is an ache in the front part of the head and typically has musculoskeletal, dental, neural, or sinogenic origin. Dry needling (DN) is the insertion of a solid sterile fine needle through the skin aimed at deactivating the myofascial trigger points has extensively been studied in randomized clinical trials (RCTs). This systematic review was aimed at evaluating the evidence base for the effectiveness of DN for OFP.

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This retrospective study aimed to kinematically classify mandibular movements collected during Temporomandibular Disorders (TMD) treatment, employing Fourier transformation (FT), Principal Component Analysis (PCA), and K-means clustering (k-means), and to investigate their correlation with symptoms of pain-related TMD. The study included five TMD participants diagnosed with myalgia (age: 39-86 years, with an SD of 18.96) and three healthy participants (age: 32-42 years, with an SD of 5.

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Objectives: This study aimed to investigate the prevalence and the possible association of the different types of temporomandibular disorders among young adult patients with anterior and/or posterior crossbites.

Methods: This cross-sectional study included 584 individuals (259 male participants and 325 female participants) aged 18-29. The temporomandibular joint examination was conducted according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I tests.

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This study aimed to examine the relationship between computed tomography (CT) values of the condylar surface in the coronal plane, condylar morphology and the disc positions in the temporomandibular joint (TMJs) in patients with deformities before and after orthognathic surgery.  MATERIALS AND METHODS: The maximum CT values (pixel values) on the condylar surface, condylar thickness, condylar width, condylar angle, condylar height, and joint space were measured. TMJ disc position was classified into five types (anterior type, fully covered type, posterior type, anterior disc displacement with [AW] and without reduction [AWO]), using magnetic resonance imaging (MRI), before and 1 year after surgery.

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Enhancing Temporomandibular Disorders Education for Initial Care Clinicians Through Interprofessional Education.

MedEdPORTAL

November 2024

Chair, Department of Health Professions Education, Uniformed Services University of the Health Sciences; Vice Chair, Department of Medicine, Uniformed Services University of the Health Sciences.

Introduction: Temporomandibular disorders (TMDs) are common musculoskeletal pain conditions that can significantly impact daily activities such as eating, talking, breathing, intimacy, and expressing emotion. TMDs are often complex and multifactorial, and many patients experience overlapping pain conditions, sleep difficulties, and mental health challenges. The National Academies of Sciences, Engineering and Medicine (NASEM) has called for improved TMD education and training for health professionals, as current training opportunities are limited.

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Introduction: Temporomandibular disorders (TMD) have a high prevalence and complex etiology. The purpose of this study was to apply a machine learning (ML) approach to identify risk factors for the occurrence of TMD in adults and to develop and validate an interpretable predictive model for the risk of TMD in adults.

Methods: A total of 949 adults who underwent oral examinations were enrolled in our study.

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Article Synopsis
  • The study reviews how effective artificial intelligence algorithms are in assessing the temporomandibular joint (TMJ) disc and diagnosing internal derangements using MRI images.
  • A total of 13 studies were analyzed, with most focusing on disc position and high variability in patient selection; CNN-based AI models showed accuracy between 70% and 99% when compared to human assessments.
  • The findings suggest that AI, especially deep learning, could be a valuable tool in TMJ diagnostics, but more diverse and multicenter studies are necessary for broader application in clinical settings.
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Objectives: Advancements in artificial intelligence (AI)-driven predictive modeling in dentistry are outpacing the clinical translation of research findings. Predictive modeling uses statistical methods to anticipate norms related to TMJ dynamics, complementing imaging modalities like cone beam computed tomography (CBCT) and magnetic resonance imaging (MRI). Deep learning, a subset of AI, helps quantify and analyze complex hierarchical relationships in occlusion and TMJ function.

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Association between estrogen receptors polymorphisms and temporomandibular joint disorders: A systematic review.

Arch Oral Biol

November 2024

Section of Human Anatomy, Department of Biomedical and Biotechnology Sciences, University of Catania, Catania, Italy. Electronic address:

Objectives: This systematic review aimed to investigate the association between genetic polymorphisms in estrogen receptor alpha (ERα) and beta (ERβ) and the presence and severity of temporomandibular disorders (TMDs).

Materials And Methods: A comprehensive search was conducted in PubMed, Scopus and Web of Science on October 19, 2024, without language or time restrictions. Studies were included if they were cross-sectional, case-control, or cohort designs and reported data on ER-polymorphisms and TMDs, diagnosed using validated criteria.

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Objectives: To analyse temporomandibular disorders (TMD), bruxism and well-being in patients with fibromyalgia and compare these outcomes with a control group.

Method: Diagnostic criteria for the assessment of TMD, bruxism and well-being were used in a clinic context including patients with fibromyalgia (n = 71) and a control group of healthy subjects (n = 151). Participants completed an online questionnaire measuring temporomandibular pain, headache attributed to TMD, jaw locking, joint sounds, headache to bruxism, potential sleep bruxism, potential awake bruxism, jaw functional limitation scale 8 (JFLS-8), generalised anxiety disorder scale 7, oral health impact profile scale 14, World Health Organization well-being index (WHO-5) and Pittsburgh sleep quality index (PSQI).

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Effect of yoga-based exercise program in female patients with myofacial pain of temporomandibular disorders.

Clin Oral Investig

November 2024

Institute of Health Sciences, Physiotherapy and Rehabilitation, Istanbul Medipol University, Istanbul, Türkiye.

Objectives: The study was conducted to investigate the effect of Yoga-based exercise program on pain, range of motion (ROM), quality of sleep, depression and quality of life in female patients with myofacial pain of temporomandibular disorders (TMD).

Materials And Methods: 39 Female patients with myofacial pain of TMD were included in the study. Yoga based exercise program was performed to the first group and second group was control group.

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Objective: To evaluate the effect of conservative therapeutic interventions in adult patients with temporomandibular disorders (TMD) and associated otologic symptoms.

Methods: An electronic search across six databases and grey literature was conducted. Studies were assessed for risk of bias, a random-effects meta-analysis, and the certainty of the evidence was evaluated using the GRADE tool.

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Clinical indications for the diagnosis and treatment of functional posterior crossbite in pediatric population: a narrative review with clinical description.

J Clin Pediatr Dent

November 2024

Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, Unit of Orthodontics, University of Catania, 95123 Catania, Italy.

The present manuscript aims to provide an updated overview of the clinical management of functional posterior crossbite (FPXB) in growing subjects which can be helpful for orthodontists and pediatric dentists in daily practice. Database searches were performed until December 2023 to evaluate the published literature on the topic. The most pertinent articles were chosen for the review from the retrieved articles.

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