1/8. A physiotherapeutic approach to craniomandibular disorders: a case report.This is a case report of a 19-year-old female who presented with a unilateral weakness of the right masseter muscle evidenced by electromyographic examination. The presence of a mandibular deviation to the right during opening because of this weakness was treated with neuromuscular electrical stimulation (NMES). After the physiotherapeutic treatment, the electrical activity of the right masseter muscle increased during function and the mandibular deviation disappeared. electromyography (EMG) can have a useful role in the determination of the muscular profile, and for evaluating therapeutics.- - - - - - - - - - ranking = 1keywords = craniomandibular (Clic here for more details about this article) |
2/8. prevalence of structural bony change in the mandibular condyle.Estimated on data derived from a longitudinal study of 172 orthodontic subjects, structural bony change in the mandibular condyle occurs in 5% of the individuals documented from childhood to adulthood. The first appearance generally was between 12 and 16 years of age. Differential diagnosis based upon signs and symptoms of CMD registered simultaneously, as proposed in the 1990 guidelines for craniomandibular disorders appeared to be inconsistent. To illustrate how suddenly the process of bony change may proceed, a case report is presented in which a severe change transpired within a 1-year interval in a 13-year-old patient.- - - - - - - - - - ranking = 0.25keywords = craniomandibular (Clic here for more details about this article) |
3/8. Craniomandibular pain, oral parafunctions, and psychological stress in a longitudinal case study.In a single case study, the most frequently suggested contributing factors to craniomandibular pain, viz., oral parafunctions and psychological stress, were studied in more detail. During a 13-week study period, questionnaires were completed, in which, among others, jaw muscle pain, bruxism behaviour, and experienced/anticipated stress were noted. During about 40% of the nights, nocturnal masticatory muscle activity (NMMA) was recorded, using single-channel electromyography (EMG). The number of NMMA events per recorded hour was scored, using a detection threshold of 10% of the maximum voluntary contraction level. This threshold was established in a separate study, in which EMG was compared with polysomnography. Stepwise regression analyses indicated, that morning jaw muscle pain could be explained by evening jaw muscle pain for 64% and by alcohol intake for another 2%. In turn, evening jaw muscle pain was explained by daytime clenching for 56% and by vacuum sucking of the tongue for an additional 6%. Finally, daytime clenching was significantly explained by experienced stress for 30%. Data of the recorded nights showed, that variations in NMMA did not contribute to variations in morning jaw muscle pain. This case study corroborates the paradigm that experienced stress may be related to daytime clenching and, in turn, to evening and morning jaw muscle pain.- - - - - - - - - - ranking = 0.25keywords = craniomandibular (Clic here for more details about this article) |
4/8. Temporomandibular disorders due to improper surgical treatment of mandibular fracture: clinical report.A case of mandibular fracture surgically consolidated in a wrong position resulting in craniomandibular disorders is reported. The inadequate surgical alignment of the healed bony segments caused a malocclusion. This changed the original neuromuscular system such that compensatory mechanisms began to change the whole balance of the organism. The patient presented a mandibular crossbite, an asymmetry of the face, and extensive alteration of muscular, articular, and postural function. The bony malunion and malocclusion were treated using an interdisciplinary surgical-orthodontic treatment for correcting functional disorders and aesthetic deformity. electromyography and computerized mandibular scanning were used to evaluate improvement of the muscular activity, during rest and function, and of the mandibular kinesiology. Timing of surgical treatment and adequate fixation and immobilization of fracture segments are very important to avoid complications such as infection, delayed union, nonunion, malunion, skeletal discrepancies, nerve injury, and (rarely) ankylosis. The surgical approach should be based on the general criteria of traumatologic therapy, restoring the original bone shape and the right occlusal relations as soon as possible.- - - - - - - - - - ranking = 0.25keywords = craniomandibular (Clic here for more details about this article) |
5/8. iontophoresis: an effective modality for the treatment of inflammatory disorders of the temporomandibular joint and myofascial pain.The use of the iontophoresis modality for driving medications through the skin for treatment of certain TM dysfunction and myofascial pain dysfunction syndrome was first suggested by Gangarosa and Mahan in 1982. This paper introduces the iontophoresis technique for treatment of inflammatory and myofascial disorders of the craniomandibular system. The historical aspects of iontophoresis in medicine and dentistry is reviewed. As an aid to understanding the clinical applications of this method, a review of diagnostic classification of temporomandibular disorders and an in-depth review of the role of the inflammatory process are provided. The effect of inflammation on the synovial/lymphatic system is detailed. Reference is made to the advantages of iontophoresis over hypodermic injection. The basis materials and methods of use of the modality are shown along with a protocol for patient treatment. Several case studies are discussed with clinical observations given.- - - - - - - - - - ranking = 0.25keywords = craniomandibular (Clic here for more details about this article) |
6/8. temporomandibular joint osteoarthrosis and internal derangement. Part I: Clinical course and initial treatment.A certain natural sequence exists in the occurrence of the major clinical symptoms of 'craniomandibular dysfunction', usually leading to a final stage in which the disease is burned out. Most clinical symptoms can be explained by an internal derangement. As long as we do not know the real cause of, and the exact relationship between, osteoarthrosis and internal derangement, management should be primarily directed at the symptoms. In this paper, the major stages of the disorder are described and illustrated with three characteristic cases.- - - - - - - - - - ranking = 0.25keywords = craniomandibular (Clic here for more details about this article) |
7/8. Bayesean-deblurred Planar and SPECT nuclear bone imaging for the demonstration of facial anatomy and craniomandibular disorders.Ambiguities in diagnoses can often be resolved when images from different imaging modalities are compared, and when images are processed with algorithms that improve resolution and contrast. Bayesean deblurring algorithms were developed and applied to Planar and SPECT images of the maxillofacial and temporomandibular joint regions. The combined use of Planar and SPECT imaging with Bayesean deblurring were complementary and provided more diagnostic information than either modality individually. A facial imaging protocol using Planar and SPECT imaging and Bayesean deblurring is described. SPECT maxillofacial anatomy is presented, as well as the application of the imaging protocol of craniomandibular dysfunction. Although not recommended for all patients with craniomandibular disorders, combined use of Planar and SPECT images and Bayesean deblurring techniques appears to be useful in diagnostically difficult or refractory cases.- - - - - - - - - - ranking = 1.5keywords = craniomandibular (Clic here for more details about this article) |
8/8. Dental perspective on face pain.The majority of patients with chronic pain disorders involving the face and craniomandibular mechanism have so-called temporomandibular joint (TMJ) syndrome, atypical face pain, trigeminal neuralgia or neuropathy, or iatrogenic pain. The term "TMJ disorder" is often a misnomer, because the joint itself frequently is not implicated. diagnosis requires persistent multidisciplined investigation. Initial treatment is aimed at relief of pain and restoration of function. Treatment may then be directed at the source of the problem. For patients with atypical face pain, a complete and detailed history must be obtained before further examination and treatment can be pursued. trigeminal neuralgia and trigeminal neuropathy must be differentiated before treatment is initiated, because of major differences in therapy. Iatrogenic pain is most often the result of overtreatment.- - - - - - - - - - ranking = 0.25keywords = craniomandibular (Clic here for more details about this article) |