Natural course of disc displacement with reduction of the temporomandibular joint: Changes in clinical signs and symptoms

2003 ◽  
Vol 61 (1) ◽  
pp. 32-34 ◽  
Author(s):  
Shuichi Sato ◽  
Satoshi Goto ◽  
Fumiko Nasu ◽  
Katsutoshi Motegi
Keyword(s):  
Temporomandibular Joint ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Natural Course ◽  
Disc Displacement ◽  
Clinical Signs And Symptoms ◽  
Disc Displacement With Reduction

scholarly journals 10-Year natural course of early hip osteoarthritis in middle-aged persons with hip pain: a CHECK study

2021 ◽  
pp. annrheumdis-2020-218625
Author(s):  
Annemaria C. van Berkel ◽  
Dieuwke Schiphof ◽  
Jan H. Waarsing ◽  
Jos Runhaar ◽  
John M. van Ochten ◽  
...  
Keyword(s):  
Physical Functioning ◽  
Clinical Signs ◽  
Hip Osteoarthritis ◽  
Signs And Symptoms ◽  
Natural Course ◽  
Radiographic Osteoarthritis ◽  
American College Of Rheumatology ◽  
Clinical Signs And Symptoms ◽  
First Time

ObjectiveTo explore the natural course of hip osteoarthritis (OA) in a population of first-time presenters with hip complaints.MethodsData were collected at baseline and after 2, 5, 8 and 10 years on participants from the Cohort Hip and Cohort Knee study with early symptomatic hip OA. Descriptive statistics were used to analyse the natural course of the hip complaints with respect to clinical signs and symptoms, physical functioning and radiographic osteoarthritis (ROA) features.ResultsIn total, 588 participants were included with hip complaints and 86% completed the 10-year follow-up. The 10-year follow-up showed that 12% (69 participants) underwent hip replacement (HR), an increase of ROA of the hip (Kellgren and Lawrence score≥2) from 19% to 49%, and an increase in clinical hip OA according to the American College of Rheumatology criteria from 27% to 43%. All Western Ontario and McMaster Osteoarthritis Index subscales and physical activity remained on average constant during the 10-year follow-up for those who did not undergo an HR. The use of pain medication increased from 43% at baseline to 50% after 10 years.ConclusionOne out of nine participants with early hip problems received an HR during the 10-year follow-up. Prevalence of clinical hip OA and hip ROA increased steadily during the 10-year follow-up. Overall, we observed more hip OA, but fewer or stable complaints with respect to clinical signs and symptoms, and physical functioning. So it could be cautiously concluded that after 10 years, first-time presenters with hip complaints either received an HR or their symptoms remained stable.

scholarly journals Temporomandibular Joint Monoarthritis in Rheumatoid Arthritis - A Rare Case Report

2021 ◽  
Vol 48 (3) ◽  
pp. 43-45
Author(s):  
Md Abu Shahin ◽  
Sudhir Karmacharya ◽  
Md Ariful Islam ◽  
Mamun Khan ◽  
Abdulla Al Morshed ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Temporomandibular Joint ◽  
High Titer ◽  
Clinical Signs ◽  
Joint Stiffness ◽  
Signs And Symptoms ◽  
Joint Inflammation ◽  
Joint Involvement ◽  
Inflammatory Disorder ◽  
Clinical Signs And Symptoms

Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune inflammatory disorder that is characterized by joint inflammation, erosive properties and symmetric multiple joint involvement. Temporomandibular joint (TMJ) is very rare to be affected in the early phase of the disease, thus posing diagnostic challenges for the rheumatologist. TMJ complaints are present in about more than 50% of patients of RA. TMJ is usually among the last joint to be involved and is associated with many clinical signs and symptoms of which pain is a major problem leading to inflammation, limited movements, swelling, joint stiffness, and muscle spasm. Here reported case is 64 years old male, ex-smoker, diagnosed case of diabetes mellitus for 7 years, hypertension for 2 years, came to hospital with the complains of pain in left jaw for 1 year. He had no history of other joint pain, morning stiffness or any deformities. The patient was diagnosed as a case of rheumatoid arthritis on the basis of inflammatory monoarthritis with high titer positive RA factor and anti CCP. The patient gradually improved after treatment with methotrexate. Inflammatory markers like ESR dropped down with the clinical improvement. TMJ is seldom joint to be affected first in the disease course. Bangladesh Med J. 2019 Sep; 48 (3): 43-45

scholarly journals Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in brazilian dental undergraduates

2007 ◽  
Vol 18 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Kariny Nomura ◽  
Mathias Vitti ◽  
Anamaria Siriani de Oliveira ◽  
Thaís Cristina Chaves ◽  
Marisa Semprini ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Neck Pain ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Public University ◽  
Men Students ◽  
Young Population ◽  
Clinical Signs And Symptoms

This study to assessed the prevalence of signs and symptoms of temporomandibular disorders (TMD) by means of the frequency distribution of data for 218 dentistry students from a Brazilian public university using the Fonseca's questionnaire. The group consisted of 96 men and 122 women, with an average age of 20 years. Of the students, 53.21% showed some level of TMD: 35.78% mild TMD 11.93% moderate and 5.5% severe. Women were the most affected group, with 63.11% showing some level of TMD, against 40.62% of men. When considering only severe TMD, women are approximately 9 times more affected than men. Students with any level of TMD showed marked characteristics: 76.72% considered themselves tense people; 71.55% reported to clench or grind their teeth; 65.52% reported clicking of the temporomandibular joint; 64.66% reported frequent headache and 61.21% neck pain. In conclusion, clinical signs and symptoms of TMD can occur in young population and this information is of great importance for the early diagnosis of the dysfunction.

scholarly journals Correlation Between Clinical Findings of Temporomandibular Disorders and MRI Characteristics of Disc Displacement

2015 ◽  
Vol 9 (1) ◽  
pp. 273-281 ◽  
Author(s):  
Raman Kumar ◽  
Shambulingappa Pallagatti ◽  
Soheyl Sheikh ◽  
Amit Mittal ◽  
Deepak Gupta ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Temporomandibular Disorders ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
Disc Displacement ◽  
Disk Displacement ◽  
Anterior Disc Displacement ◽  
Group 2 ◽  
Clinical Signs And Symptoms

Objectives: Temporomandibular joint (TMJ) dysfunction is a common condition that is best evaluated with magnetic resonance (MR) imaging. The first step in MR imaging of the TMJ is to evaluate the articular disk, or meniscus, in terms of its morphologic features and its location relative to the condyle in both closed- and open-mouth positions. Disk location is of prime importance because the presence of a displaced disk is a critical sign of TMJ dysfunction. However, disk displacement is also frequently seen in asymptomatic volunteers. It is important for the maxillofacial radiologist to detect early MR imaging signs of dysfunction, thereby avoiding the evolution of this condition to its advanced and irreversible phase which is characterized by osteoarthritic changes such as condylar flattening or osteophytes. Further the MR imaging techniques will allow a better understanding of the sources of TMJ pain and of any discrepancy between imaging findings and patient symptoms. Henceforth, the aim of the study was to evaluate whether MRI findings of various degrees of disk displacement could be correlated with the presence or absence of clinical signs and symptoms of temporomandibular disorders in symptomatic and asymptomatic subjects.Materials and Methods:In this clinical study, 44 patients (88 TMJs) were examined clinically and divided into two groups. Group 1 consisted of 22 patients with clinical signs and symptoms of TMDs either unilaterally or bilaterally and considered as study group. Group 2 consisted of 22 patients with no signs and symptoms of TMDs and considered as control group. MRI was done for both the TMJs of each patient. Displacement of the posterior band of articular disc in relation to the condyle was quantified as anterior disc displacement with reduction (ADDR), anterior disc displacement without reduction (ADDWR), posterior disc displacement (PDD).Results:Disk displacement was found in 18 (81.8%) patients of 22 symptomatic subjects in Group 1 on MRI and 4 (18.1%) were diagnosed normal with no disc displacement. In Group 2, 2 (9.1%) of 22 asymptomatic patients were diagnosed with disc displacement while 20 (90.1%) were normal. Sensitivity and Specificity tests were applied in both the groups to correlate clinical findings of TMD and MRI characterstics of disc displacement and results showed Sensitivity of 90% and Specificity of 83.3%.Conclusion:Disk displacement on MRI correlated well with presence or absence of clinical signs and symptoms of temporomandibular disorders with high Sensitivity and Specificity of 90% and 83.3% respectively.

scholarly journals Management of a temporomandibular joint synovial cyst in a case complicated by severe trigeminocardiac reflex

2018 ◽  
Vol 100 (7) ◽  
pp. e174-e175 ◽  
Author(s):  
S El-Habbash ◽  
P Padaki ◽  
S Bayoumi ◽  
P Ross
Keyword(s):  
Temporomandibular Joint ◽  
Maxillofacial Surgery ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Synovial Cyst ◽  
Trigeminocardiac Reflex ◽  
Cardiac Dysrhythmias ◽  
First Case ◽  
Ectopic Beats ◽  
Clinical Signs And Symptoms

The trigeminocardiac reflex is a rare occurrence in patients undergoing maxillofacial surgery, with a reported incidence of 1–2%. Clinical signs and symptoms include bradycardia, nausea, with further stimulation potentially leading to cardiac dysrhythmias, ectopic beats, atrioventricular blocks and asystole. Most maxillofacial procedures, including temporomandibular joint procedures, are considered low risk. We report the first case of a tender temporomandibular joint synovial cyst whose management was complicated by severe trigeminocardiac reflex resulting in asystole. We suggest that in such cases communication between surgeons and the anaesthesia team is of paramount importance and informing the anaesthetist intraoperatively prior to the manipulation of the capsule or temporomandibular joint meniscus is recommended in the prevention or successful treatment of this condition.

scholarly journals Pain Management Associated with Posttraumatic Unilateral Temporomandibular Joint Anterior Disc Displacement: A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Arturo Garrocho-Rangel ◽  
Andrea Gómez-González ◽  
Adriana Torre-Delgadillo ◽  
Socorro Ruiz-Rodríguez ◽  
Amaury Pozos-Guillén
Keyword(s):  
Temporomandibular Joint ◽  
Cervical Vertebrae ◽  
Signs And Symptoms ◽  
Temporomandibular Joint Disorders ◽  
Diagnostic Process ◽  
Disc Displacement ◽  
Occlusal Splints ◽  
Anterior Disc Displacement ◽  
Pediatric Dentists ◽  
Disc Displacement With Reduction

The aim of the present article is to review the etiological risk factors and the general and oral management of anterior disc displacement with reduction caused by a chin trauma, and to describe the diagnostic process and the treatment provided to an affected 7-year-old girl. The patient also experienced frequent and severe cephaleas, which may be related to cervical vertebrae deviation. The patient was successfully treated with an intraoral occlusal splint and analgesics. Pediatric dentists must always be aware of the early signs and symptoms of temporomandibular joint disorders in their patients, especially in cases of orofacial trauma history, with the aim of providing an opportune resolution and preventing its progression later in life. Occlusal splints are strongly recommended for the treatment of anterior disc displacement with reduction in children and adolescents.

scholarly journals Disc stability after condylar discopexy with open surgery technique. A case report.

2019 ◽  
Vol 6 (3) ◽  
pp. 92-95
Author(s):  
Angélica Valenzuela ◽  
Jorge Beltrán
Keyword(s):  
Joint Pain ◽  
Open Surgery ◽  
Functional Limitation ◽  
Clinical Signs ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Disc Displacement ◽  
Imaging Evaluation ◽  
Lateral Dislocation ◽  
Clinical Signs And Symptoms

Of the temporomandibular joint (TMJ) pathologies, temporomandibular disorders (TMD) of disc displacement present several clinical signs and symptoms, the main ones being joint pain measured with the visual analogue scale (VAS) reporting on average VAS>6, and functional incapacity measured in mm of mouth opening, reporting on average <30mm in cases of TMD. The present case corresponds to a patient with limitation of mouth opening <15mm, joint pain VAS= 8, and functional limitation. The subject’s condition was diagnosed clinically and by magnetic resonance imaging (MRI). The patient presented a Wilkes VI lateral dislocation of the left condyle disc without reduction, treated with open surgery discopexy, with disc fixation by monocryl suture and retrodiscal thermocoagulation. The patient showed a significant improvement in the removal of pain and in joint function. In clinical checkups at 1 month, 3 months, 6 months and 1 year, the patient showed decrease of pain levels, from VAS= 8 to VAS= 0, and mouth opening of <15mm to 36mm in the last checkup. Clinical and imaging evaluation at 4 years shows disc stability, with maximum mouth opening of 36 mm, with no disc displacement and clinically asymptomatic VAS = 0. In this case, discopexy with open surgery achieved improvements in functional capacity and removal of pain at short term. Long-term stability was associated with anatomical functions without alteration and without relapse of the symptomatology.

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