scholarly journals Evaluating the Effect of Complete Dentures on Signs and Symptoms of Temporomandibular Disorders Analyzed by Craniomandibular Index in Completely Edentulous Patients: A Study Protocol (Preprint)

10.2196/22335 ◽  
2020 ◽  
Author(s):  
Sharayu Vinod Nmonkar ◽  
Surekha Godbole ◽  
Vikram Murlidhar Belkhode ◽  
Pranali Nimonkar ◽  
Pranali Nimonkar
Keyword(s):  
Study Protocol ◽  
Temporomandibular Disorders ◽  
Signs And Symptoms ◽  
Complete Dentures ◽  
Edentulous Patients

scholarly journals Evaluating the Effect of Complete Dentures on Signs and Symptoms of Temporomandibular Disorders Analyzed by Craniomandibular Index in Completely Edentulous Patients: A Study Protocol (Preprint)

2020 ◽  
Author(s):  
Sharayu Vinod Nmonkar ◽  
Surekha Godbole ◽  
Vikram Murlidhar Belkhode ◽  
Pranali Nimonkar ◽  
Pranali Nimonkar
Keyword(s):  
Temporomandibular Disorders ◽  
Statistical Significance ◽  
Signs And Symptoms ◽  
Complete Dentures ◽  
Before And After ◽  
Group A ◽  
Extraction Period ◽  
Edentulous Patients ◽  
Group B ◽  
Study Participants

BACKGROUND Temporo-mandibular disorder (TMD) is a collective term for conditions that involve pain and/or dysfunction of the TMJ and the related structures. Tooth loss is a major cause of developing TMD. The prevalence of signs and symptoms of TMD in completely edentulous patients has been reported to be as high as in dentulous patients. OBJECTIVE To evaluate the effect of complete dentures on signs and symptoms of temporomandibular disorders with Craniomandibular Index in completely edentulous patients. METHODS A prospective interventional study will be conducted for two year. The subjects, who are non-denture wearer and completely edentulous for a post-extraction period of 6 months to 5 years without any complaint of TMD will be screened for signs and symptoms of TMD with the help of anamnestic component of the Helkimos Index. 110, such patients with mild to severe signs and symptoms of TMD will be involved in the study as study participants after informed consent. They will be grouped into Group A (subjects with mild symptoms, n=55) and Group B (subjects with severe symptoms, n=55). The craniomandibular index will be used to score the intensity of signs and symptoms of TMD in these subjects before starting the clinical steps in fabrication of complete denture and three months after the denture insertion. RESULTS Descriptive and analytical statistics will be done. SPSS (Statistical Package for Social Sciences) Version 20.1 will be used as statistical software. The statistical significance between the two groups before and after three months will be evaluated at P<.05. CONCLUSIONS We expect improvement or drop in the severity of the signs and symptoms of TMD in completely edentulous subjects after intervention with complete dentures. If this Hypothesis fails, then the prevalences of TMD in completely edentulous patients should be correlated with other factors such as anatomic or pathologic changes in TMJ and not with the loss of teeth or vertical dimensions.

scholarly journals Evaluating the Effect of Complete Dentures on Signs and Symptoms of Temporomandibular Disorders Analyzed by Craniomandibular Index in Completely Edentulous Patients- A Study Protocol

2021 ◽  
pp. 242-250
Author(s):  
Sharayu Nimonkar ◽  
Surekha Godbole ◽  
Vikram Belkhode ◽  
Pranali Nimonkar
Keyword(s):  
Temporomandibular Disorders ◽  
Signs And Symptoms ◽  
Complete Dentures ◽  
Statistical Relevance ◽  
Study Results ◽  
High Prevalence ◽  
Group A ◽  
Edentulous Patients ◽  
Group B ◽  
Study Participants

Background: A Temporo-mandibular disorder (TMD) itself is a cumulative terminology used to indicate the situations which entails the pain alone or in association with dysfunction of the Temporomandibular joint (TMJ) with or without involving the associated structures. One of the main cause of developing TMD is the loss of tooth. The completely edentulous patients also have reported high prevalence of TMD as in dentulous patients.  Methods: It is a prospective interventional study that will be carried out in three years. The sample size will be those completely edentulous subjects, who has not used dentures for a duration of  six  months to five years  of tooth extraction. Such subjects will then be subjected to anamnestic component of Helkimos Index for screening purpose.110 subjects exhibiting mild to severe signs and symptoms of Temporomandibular disorders will be considered as the study participants for the study. Study participants will be categorized as Group A (study participants having mild symptoms of TMD, n=55) and the second will be Group B (study participaants having severe symptoms of TMD, n=55). The Craniomandibular Index will be used to score the severity of the TMD before denture insertion. The initial recorded score will be then correlated with the score obtained after 3 months of delivery of denture. Descriptive as well as analytical statistics will be performed. The statistical relevance among the Group A and Group B before intervention and after 3months of intervention will be assessed at p<0.05.  Discussion: Through the study results we anticipate a fall in CMI score i.e improvement by lowering the intensity of TMD due to intervention by complete dentures in completely edentulous subjects. In case the above Hypothesis is not proved, then prevalence of TMD among patients who are completely edentulous needs to be anticipated with the factors such as anatomical or pathological diversities in TMJ and not to be associated with changes in vertical dimensions because of teeth loss.

Association between Tooth Loss and Degree of Temporomandibular Disorders: A Comparative Study

2016 ◽  
Vol 17 (3) ◽  
pp. 235-239 ◽  
Author(s):  
Mateus Rodrigues Tonetto ◽  
Matheus Coelho Bandéca ◽  
Adriana Santos Malheiros ◽  
Etevaldo Matos Maia Filho ◽  
Letícia Machado Gonçalves ◽  
...  
Keyword(s):  
Comparative Study ◽  
Temporomandibular Disorders ◽  
Tooth Loss ◽  
Signs And Symptoms ◽  
Study Groups ◽  
Analysis Of Covariance ◽  
Significance Level ◽  
The Difference ◽  
Edentulous Patients ◽  
Post Hoc

ABSTRACT Objective The aim of this study was to evaluate the association between tooth loss and the signs and symptoms of temporomandibular disorders (TMDs). Materials and methods One hundred fifty patients with an average age of 49.2 (±14.06) years were divided into three groups (n = 50/group) according to the degree of tooth loss: GI (dentate – control), GII (edentulous), GIII (partially dentate). After performing anamnesis and clinical examination, a questionnaire was used, so that the patients could fill in information on signs and symptoms of TMD. After analyzing this information, it was possible to classify the degree of severity of TMD. As age is a confounding variable to the level of TMD, an analysis of covariance (ANCOVA) was used to check for differences in the degree of TMD between groups (covariate = age). A post hoc test (Bonferroni) was performed to compare the groups two by two (5% significance level). Results The mean level of TMD according to the groups was GI – 1.95; GII – 2.15; GIII – 2.55. There were significant differences between the study groups (p > 0.05). A post hoc test (Bonferroni) confirmed the difference between edentulous patients and the other groups. Conclusion The tooth loss is directly related to the signs and symptoms of TMD. The degree of TMD was significantly higher in edentulous patients. How to cite this article Malheiros AS, Carvalhal ST, Pereira TL, Filho EMM, Tonetto MR, Gonçalves LM, Bandeca MC, De Jesus Tavarez RR. Association between Tooth Loss and Degree of Temporomandibular Disorders: A Comparative Study. J Contemp Dent Pract 2016;17(3):235-239.

Electromyographic evaluation of masseter and anterior temporalis muscles in rest position of edentulous patients with temporomandibular disorders, before and after using complete dentures with sliding plates

Gerodontology ◽  
2007 ◽  
Vol 24 (2) ◽  
pp. 105-110 ◽  
Author(s):  
Maria Cristina Candelas Zuccolotto ◽  
Mathias Vitti ◽  
Krunislave Antônio Nóbilo ◽  
Simone Cecílio Hallak Regalo ◽  
Selma Siéssere ◽  
...  
Keyword(s):  
Temporomandibular Disorders ◽  
Complete Dentures ◽  
Rest Position ◽  
Before And After ◽  
Edentulous Patients ◽  
Anterior Temporalis

scholarly journals Effect of mandibular complete dentures relining on occlusal force distribution using T-scan system

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Eman M. Ibraheem ◽  
Hisham S. ElGabry
Keyword(s):  
Trial Registration ◽  
Force Distribution ◽  
Complete Dentures ◽  
Clinical Trial Registration ◽  
Occlusal Force ◽  
Left Posterior ◽  
Before And After ◽  
Soft Denture Liner ◽  
Edentulous Patients ◽  
Posterior Area

Abstract Background This study aimed to evaluate the effect of mandibular complete dentures relining using soft relining material on the distribution of various occlusal forces using T-Scan system. Fifty completely edentulous patients having their conventional complete dentures earlier fabricated and utilized were selected for this study. Patients were controlled diabetics, characterized by having their residual alveolar ridges moderately developed and lined with firm mucoperiosteum. Mandibular complete dentures were relined with soft denture liner and T-Scan device was used for occlusal force distribution measurement prior to denture relining and three months thereafter the relinning procedure. Results Comparison between occlusal forces percentages before and after denture relining revealed that occlusal forces percentages was significantly lower after denture relining in anterior area, significantly higher after denture relining in right posterior area, where it was insignificantly higher after relining in left posterior area. Conclusions Our findings revealed that the use of soft denture liner for mandibular complete denture relining significantly improved the occlusal load distribution. Clinical trial registration Trial registration NCT, NCT04701970. Registered 23/11/2020—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04701970

scholarly journals Digital Workflow to Fabricate Complete Dentures for Edentulous Patients Using a Reversing and Superimposing Technique

2021 ◽  
Vol 11 (13) ◽  
pp. 5786
Author(s):  
Hwa-Jung Lee ◽  
Jeongho Jeon ◽  
Hong Seok Moon ◽  
Kyung Chul Oh
Keyword(s):  
Additive Manufacturing ◽  
Computer Aided Design ◽  
Digital Data ◽  
Complete Dentures ◽  
Intraoral Scanner ◽  
Digital Workflow ◽  
Denture Base ◽  
Scan Data ◽  
Edentulous Patients ◽  
Aided Design

This technical procedure demonstrates a 4-step completely digital workflow for the fabrication of complete dentures in edentulous patients. The digital scan data of the edentulous arches were obtained using an intraoral scanner, followed by the fabrication of modeless trial denture bases using additive manufacturing. Using the trial denture base and a wax rim assembly, the interarch relationship was recorded. This record was digitized using an intraoral scanner and reversed for each maxillary and mandibular section individually. The digital scan data directly obtained using the intraoral scanner were superimposed over the reversed data, establishing a proper interarch relationship. The artificial teeth were arranged virtually and try-in dentures were additively manufactured. Subsequently, the gingival and tooth sections were additively manufactured individually and characterized. Thus, fabrication of digital complete dentures can be accomplished using digital data characteristics. The workflow includes data acquisition using an intraoral scanner, data processing using reverse engineering and computer-aided design software programs, and additive manufacturing.

scholarly journals Occlusal stabilization appliance: evaluation of its efficacy in the treatment of temporomandibular disorders

2004 ◽  
Vol 12 (3) ◽  
pp. 238-243 ◽  
Author(s):  
Elisa Emi Tanaka ◽  
Emiko Saito Arita ◽  
Bunji Shibayama
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Imaging Modality ◽  
Clinical Status ◽  
Signs And Symptoms ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Evaluation

Occlusal stabilization appliances or splints are the most widely employed method for treatment of temporomandibular disorders (TMD). Magnetic Resonance Imaging (MRI) is the most indicated imaging modality to evaluate the components of the temporomandibular joint (TMJ). Forty patients with signs and symptoms of temporomandibular disorders were treated with splints for a mean period of 12 months, comprising regular semimonthly follow-ups. After stabilization of the clinical status, occlusal adjustments and MRI evaluation were performed. It was concluded that the success of this kind of treatment are related to the total (70%) or partial improvement (22.5%) of painful symptomatology and to the functional reestablishment of the craniomandibular complex. The MRI allowed evaluation and also the conclusion that the splints provide conditions for the organism to develop means to resist to the temporomandibular disorders by means of elimination of several etiologic factors. Moreover, after treatment the patients are able to cope with disc displacements with larger or smaller tolerance.

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