scholarly journals Importance of Bone Markers and Radiological Status on Clinical Signs of Temporomandibular Joint Disorders

Author(s):  
Oksana Ivask ◽  
Ülle Voog-Oras ◽  
Edvitar Leibur
2018 ◽  
Vol 12 (1) ◽  
pp. 770-781
Author(s):  
Deepak Gupta ◽  
Soheyl Sheikh ◽  
Shambulingappa Pallagatti ◽  
Ravinder Singh ◽  
Amit Aggarwal

Objective(s):The objective of this study was to determine the frequency of “subluxation” and presence of clinical signs of Temporomandibular Joint Disorder (TMD) in asymptomatic individuals and its distribution according to age and sex.Materials and Methods:The material investigated comprised of 200 asymptomatic subjects with 400 joints. The subjects were divided into two groups of 18-25 years and 50-60 years of age consisting of equal number of males and females. Clinical examination involved measurement of maximal inter-incisal distance, joint sounds and deviation. For radiological examination, Temporomandibular Joint (TMJ) open mouth close mouth view option (TMJ1/2) was used on a Digital Panoramic Machine. All the radiographs were traced to assess subluxation and anterior translation of the condyle. The statistical analysis was carried out using Statistical Package for Social Sciences (SPSSInc., Chicago, IL, version 15.0 for Windows).Results:The prevalence of the signs of TMDs in the asymptomatic population was found to be very high and more predominant in females as compared to males. Furthermore, the older age group had comparatively less signs of TMDs. It was of interest that the subjects presenting with clinical signs of TMD were significantly less as compared to the subjects presenting with subluxation. The value of anterior translation was found to be more in females in the younger age group as compared to the males. Similarly, it was more in males as compared to females in older age group. But the mean anterior translation difference in females in 18-25 years and 50-60 years showed a statistically significant difference withP-value 0.017.Conclusion:Subluxation is a very common feature found in almost all the subjects in this study with a high prevalence. Hence, we may assume that the increased incidence of TMDs could be a direct result of the phenomena of subluxation. The decrease in mandibular length could be the cause of decreased mouth opening and increased subluxation.


2013 ◽  
Vol 2 (2) ◽  
pp. 76-81
Author(s):  
Sultan Mohammed Kaleem ◽  
Asif Sheik ◽  
Muhammad Ajmal ◽  
Muhammad Shahul Hameed ◽  
Master Luqman

ABSTRACT Objective The objective of the study is to evaluate temporomandibular joint (TMJ) disorders in young Saudi patients in Southern Aseer Region of the province and to find out the diagnostic efficacy of conventional radiography as basic diagnostic tool. Materials and methods A random sample of 200 patient radiographic data was collected in which 60 radiographs showing osseous changes are taken as study group. The patients in this study group are then recalled for clinical correlation of the radiographic findings along with the assessment of clinical signs and symptoms, sticking on to the research diagnostic criteria. Results There was no statistical difference in age groups and gender of the population and 14 patients (21.87%) showed clinical symptoms like clicking and pain in the preauricular region, correlating to the radiographic findings. mostly young female patients reported to have TMJ related symptoms (29.68%) whose radiographic findings correlate with that of clinical symptoms. Conclusion According to our knowledge, highest prevalence rate of TMDs is found in young Saudi females and is around 43% and 35% in young Saudi males. The sensitivity of conventional radiographs in diagnosing TMDs is 78.12% and specificity is 21.8%. How to cite this article Kaleem SM, Sheik A, Ajmal M, Hameed MS, Luqman M. Conventional Radiographic Assessment of Temporomandibular Joint Disorders in Young Saudi Patients: A Retrospective and Prospective Radiographic Study. Int J Experiment Dent Sci 2013;2(2):76-81.


Author(s):  
Bilal Ege ◽  
Zozan Erdogmus ◽  
Esra Bozgeyik ◽  
Mahmut Koparal ◽  
Muhammed Yusuf Kurt ◽  
...  

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Kaoutar Cherrabi ◽  
Hind Cherrabi

Abstract Background Otomastoiditis is a very frequent affection and a current complication of mal-treated benign ear infections in children. However, this a very rare case of the association of two rare complications of otomastoiditis in a newborn. On the one hand, septic arthritis of the temporomandibular joint which is a very rare condition that is difficult to diagnose, and when unrecognized or not treated accordingly, it can resolve in serious infectious complication and or definitive injury to the temporomandibular joint. On the other hand, osteomyelitis of the clavicle is also very rare, and only a few cases have been cited in the literature concerning infants. Case presentation This 46-day-old infant was brought to pediatric emergency consultation for 2 swelling inflammatory bulges, one in the right mastoid and pre-auricular regions, and another in the right basi-cervical area. The infant was hypertrophic febrile, hypotonic, and pale. He had preserved archaic reflexes. Besides, blood test showed an inflammatory syndrome, inflammatory anemia, and no other abnormalities. Upon supplementary computed tomodensitometry exam, the diagnosis of a combination of septic arthritis of the right temporomandibular joint and sub-periosteal abscess of the ipsilateral clavicle in a context of hypotrophy and malnutrition was suspected. A pus sample was obtained for bacteriological evaluation, after which the infant had a course of intravenous associated antibiotics, along with nutritional assessment and management. Surgical drainage of both collections was performed. The 6-month follow-up was satisfactory, without clinical signs of functional impact on temporomandibular joint, or acromioclavicular joint. Conclusion This work stresses the necessity of thorough clinical examination of infants even in cases of benign ear infections, as well as the importance of adapted treatment and follow-up, which could allow early diagnosis, appropriate treatment, or even prevention of severe complications that can be associated with such benign conditions.


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