Osteopathic Manipulative Treatment for Temporomandibular Disorders.
Osteopathic Manipulative Treatment for Temporomandibular Disorders. J Am Osteopath Assoc. 2019 Jun 01;119(6):e29-e30 Authors: Easterbrook S, Keys J, Talsma J, Pierce-Talsma S PMID: 31135870 [PubMed - in process]
Conclusion: Medication-related osteonecrosis of the temporal bone is not a well-known entity among otolaryngologists and could therefore be misclassified as another diagnosis. In patients with othorrea and earache following sorafenib treatment, temporal bone osteonecrosis should be suspected.
Traditionally, surgical splints have been used to reposition the jaw.1 Poor stability and adaptation of the splint for various reasons has meant that proper intraoperative positioning has been a challenge to even the most experienced maxillofacial surgeon. Most orthognathic procedures involving the maxilla and mandible require occlusal splints to facilitate efficiency, accuracy, and stability of the jaws.2 The complications of improper fixation have far-reaching and deleterious effects on the temporomandibular joint, and are not always immediately apparent.
ConclusionsFrom the short-term perspective, there is a high level of evidence that early treatment reduces overjet and improves the anterior-posterior skeletal relationship. There is insufficient evidence about whether early treatment can reduce the incidence of trauma, is cost-effective, provides improved soft tissue profile, improves oral health–related quality of life, or possesses a risk of developing TMD.
AbstractSynovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is a disorder characterized by pustular skin lesions and osteoarticular lesions. Mandibular involvement occurs in approximately 10% of the cases, and is often seen as recurrent mandibular osteitis with bone sclerosis, mainly involving the body of the mandible in the head and neck region. Middle cranial base with temporomandibular joint (TMJ) involvement in SAPHO syndrome can be diagnostically challenging because of its rarity. Herein, we present a case of a 37-year-old man who suffered from trismus and dull pain in the left TMJ region. The ini...
ConclusionsThese three cases lend support to the hypothesis that chronic insomnia and obstructive sleep apnea share a pathophysiology of chronic stress. Among patients with obstructive sleep apnea, the stress response is directed at inspiratory airflow limitation during sleep (hypopnea, snoring, and inaudible fluttering of the throat). Therefore, when chronic insomnia and obstructive sleep apnea occur in one individual, aggressive treatment of obstructive sleep apnea may lead to a reduction in chronic stress that causes the patient ’s chronic insomnia to remit.
Conclusion: MIO gradually increased with age in both the genders, and a strong positive correlation of MIO with height and weight was observed.
Alloplastic reconstruction of the temporomandibular joint, commonly referred to as total joint replacement, is used to treat end stage joint disease in a cohort of patients who present with a range of condylar pathology. In considering its role in the management of the orthognathic patient, it is helpful to categorize patients into those with primary pathology of the mandibular condyle or those with primary dentofacial deformity. The success of total joint replacement is predicated by the predictably stable results that are achieved when used in carefully selected clinical scenarios.
ConclusionsCurrently existing evidence from controlled clinical studies on humans indicates that functional appliance treatment is associated with positional and skeletal alterations of the temporomandibular joint in the short term compared to untreated controls. However, the clinical relevance of these changes remains unclear, while the quality of existing evidence is low due to methodological issues of existing studies.Review registrationPROSPERO,CRD42018109271
Publication date: Available online 9 August 2019Source: The Journal of Prosthetic DentistryAuthor(s): David R. Cagna, Terence E. Donovan, James R. McKee, Frederick Eichmiller, James E. Metz, Jean-Pierre Albouy, Riccardo Marzola, Kevin R. Murphy, Matthias TroeltzschAbstractThis comprehensive review of the 2018 dental literature is provided to inform busy dentists about progress in the profession. Developed by the Committee on Scientific Investigation of the American Academy of Restorative Dentistry, each author brings discipline-specific expertise to one of the 8 sections of the report including (1) prosthodontics...
This study established an experimental model that evaluate the effect of type 1 diabetes on nociceptive challenges in the temporomandibular joint (TMJ). Streptozotocin-induced type 1 (STZ 75 mg/Kg) diabetes inhibit the responsiveness of C-fibers nociceptors located in the TMJ of Wistar rats since 7th day after the disease induction. Diabetes-induced hyporesponsiveness of C-fibers nociceptors was associated with significantly reduction of protein level of neuropeptides Substance P and Calcitonin Gene Related Peptide. Diabetic animals pre-treated with Protein Kinase C (PKC)-α and -β inhibitor (GO6976) or PKC- &b...