Temporomandibular Disorders
Over the past several decades, the science of restorative/reconstructive dentistry and orthodontics has evolved tremendously, following sound principles passed down from robust literature and scientific rationale. These principles have been solid and instrumental in enhancing dentistry, from a single tooth restoration to complex full-mouth rehabilitations. However, it must be noted that some of the principles and philosophies followed over these decades have been questioned based on the advances in science, technology, and evidence-based medicine. The scenario became complex when clinicians were faced with the question of ...
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Authors: Davis C. Thomas, David Briss, Paul Emile Rossouw, Shankar Iyer Source Type: research
Temporomandibular Disorders: Surgical Implications and Management
Temporomandibular disorders are a group of conditions that interfere with the daily lives of patients. Pain and limited function are primary concerns, and general dentists are usually the primary clinicians to be made aware of this issue. Evaluation and diagnosis is the key to determining a management plan. Minimally invasive surgical treatment includes arthrocentesis and arthroscopy, which can reduce inflammatory mediators, thereby reducing pain and increasing joint function. Open joint surgery for internal derangements focuses on instrumentation to remove and reshape the diseased condyle and disc as arthroplasty. Patient...
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Authors: Peter Henein, Vincent B. Ziccardi Source Type: research
Preface
Temporomandibular joint disorders (TMDs) encompass a broad spectrum of clinical entities that manifest with pain and/or dysfunction of the temporomandibular joints and associated structures. Since the last issue on this topic that was presented as a special issue in Dental Clinics of North America (January 2007), there have been substantial advances and updates in the diagnosis, classification, and management of these conditions. The robust nature of the scientific TMD literature in the last two decades demonstrates a consistent and deepening interest in this field by dental clinicians. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Authors: Davis C. Thomas, Steven R. Singer Source Type: research
Copyright
ELSEVIER (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Source Type: research
Contributors
DAVIS C. THOMAS, BDS, DDS, MSD, MSc Med, MSc (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Source Type: research
Contents
Tributexv (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Source Type: research
Forthcoming Issues
Clinical Decisions in Medically Complex Dental Patients, Part I (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Source Type: research
Temporomandibular Disorders: The Current Perspective
DENTAL CLINICS OF NORTH AMERICA (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Authors: Davis C. Thomas, Steven R. Singer Source Type: research
Tribute
In a student ’s life, there are some good teachers, and then there are mentors. Dr Henry A. Gremillion was an exceptional mentor. When Dental Clinics of North America asked us to serve as guest editors of a special Dental Clinics of North America issue on temporomandibular disorders (TMDs), we thought of makin g it exceptionally special by dedicating this entire issue as a humble tribute to one of the finest mentors we have ever come across in dentistry. My first interaction with Henry was sometime in 2005, when I was a student in his TMJ Orofacial Pain course at the University of Florida in Gainesville. (Source: Dental ...
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Authors: Davis C. Thomas, Steven R. Singer Source Type: research
Erratum
Discussion with the Masters,” pages 489-501, an author’s name was mistakenly transposed. The author should be listed as “Dimitris N. Tatakis, DDS, PhD.” (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Source Type: research
A Patient with Active Hepatitis B Presents for Dental Extraction
Goals of the dental management of patients with active hepatitis B is to stabilize the patient until the active liver infection subsides and to defer all dental treatments until recovery. If treatment cannot be deferred during the active stage of the disease, consultation with the patient ’s physician is necessary to obtain information to avoid excessive bleeding, infection, or adverse drug reactions. Dental treatments of such patients should be carried out in an isolated operation room with adherence to the standard precautions to prevent cross-infection. An effective vaccine agai nst hepatitis B is available; all healt...
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Authors: Fatmah Alhendi Source Type: research
A Patient with Alcoholic Liver Disease Reports for Treatment of Dentoalveolar Abscess in Relation to Maxillary Left Molar
Dental management of patients with alcoholic liver disease (ALD) depends on the understanding of the systemic effects of liver disease on the body ’s various systems. ALD can affect normal hemostatic functions by affecting platelets and coagulation factors resulting in prolonged postoperative bleeding. Given these facts, a complete blood count, liver function test, and coagulation profile should be requested before oral surgical procedures. Because the liver is an organ for drug metabolism and detoxification, liver disease may cause increased or decreased drug metabolism and hence alteration of drugs effectiveness and/or...
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Authors: Fatmah Alhendi Source Type: research
Patient with End-Stage Liver Disease and Prolonged Prothrombin Time Presents for Placement of a New Dental Implant
Dentists should consult with the patient ’s hepatologist to obtain the most recent medical records with liver function tests and a coagulation panel. In the absence of severe liver dysfunction and with good medical management, dentists may proceed with treatment. Isolated prolongation of prothrombin time does not reflect a risk of bleedi ng and other coagulation parameters should be assessed. Amide local anesthesia can be safely administered and bleeding is controlled by local hemostatic measures and minimizing trauma. Other aspects of dental treatment that may require modification include the adjustment of doses of cert...
Source: Dental Clinics of North America - March 24, 2023 Category: Dentistry Authors: Anwar A. AlMuzaini Source Type: research
Periodontal Maintenance in a Patient with a Lung Transplantation post-COVID-19 Infection
Early dental screening and treatment before and after solid organ transplantation are recommended infection prophylaxis measures. Dental treatment after transplantation should only be rendered after a discussion with the patient ’s healthcare provider and/or transplant surgeon to determine the patient’s stability for dental care. Potential sources of acute or chronic oral infections should be evaluated at every visit. Periodontal evaluation and through dental prophylaxis should be performed. Oral hygiene instruction inc luding the importance of maintaining excellent oral health post-transplant should be reviewed. (Sour...
Source: Dental Clinics of North America - February 28, 2023 Category: Dentistry Authors: Miriam R. Robbins, Kimberly A. Strauch Source Type: research
Pathogenesis and Differential Diagnosis of Temporomandibular Joint Disorders
Temporomandibular disorders (TMDs) are an umbrella term including disorders of the temporomandibular joint and muscles of the masticatory system. They are the most common nonodontogenic cause of pain in the orofacial region. A clear understanding of various conditions, underlying mechanisms, clinical presentation, and examination skills is required to effectively diagnose and manage these patients. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - February 1, 2023 Category: Dentistry Authors: Junad Khan, Steven R. Singer, Andrew Young, Naruthorn Tanaiutchawoot, Mythili Kallada, Mel Mupparapu Source Type: research
