Showing 8 results for Joint
L. Eslamian ,
Volume 15, Issue 4 (1-2003)
Abstract
According to researches, premolar extraction and anterior teeth retraction result in temporomandibular joint disorder due to posterior position of mandible. The aim of this study was to evaluate the effect of premolar extraction on TMJ disorder. In this interventiond study, 4 groups (10 patients for each group) were treated.They were classified as 1- non extraction, 2- extraction of two upper first premolars, 3- extraction of four first premolars, 4- combined extraction groups. Helkimo scores were evaluated before treatment, after treatment, one and two years after treatment. The results were analyzed with ANOVA and paired t-test. At the end of the treatment and two years after treatment in comparison with before treatment, Helkimo score had Significant differentce in all groups (PO.001). In the second year after debanding in comparison with the first year after debanding, no significant differences were seen in each group. No significant difference was seen between the four groups in the final appraisal of TMD. It seems that extraction had no adverse effect on TMD.
M. Sahebi, P. Bostani Amlashi,
Volume 23, Issue 3 (12-2010)
Abstract
Background and Aims: Selecting an appropriate treatment plan is one of the most critical aspects of dental treatments. The purpose of this study was to compare multimedia system and conventional method in patients' selecting prosthetic treatment and the time consumed.
Materials and Methods: 90 patients randomly divided into three groups. Patients in group A, once were instructed using the conventional method of dental office and once multimedia system and time was measured in seconds from the beginning of the instruction till the patient had came to decision. The patients were asked about the satisfaction of the method used for them. In group B, patients were only instructed using the conventional method, whereas they were only exposed to soft ware in group C. The data were analyzed with Paired-T-test (in group A) and T-test and Mann-Whitney test (in groups B and C).
Result: There was a significant difference between multimedia system and conventional method in group A and also between groups B and C (P<0.001). In group A and between groups B and C, patient's satisfaction about multimedia system was better. However, in comparison between groups B and C, multimedia system did not have a significant effect in treatment selection score (P=0.08).
Conclusion: Using multimedia system is recommended due to its high ability in giving answers to a large number of patient's questions as well as in terms of marketing.
Mehrdad Panjnoush, Zahra Ghoncheh, Hoda Banihashemi, Farnosh Taghavi,
Volume 24, Issue 4 (1-2012)
Abstract
Background and Aims: Disc displacement is the most common temporomandibular joint disorder and magnetic resonance imaging (MRI) is the gold standard in its diagnosis. This disorder can lead to changes in signal intensity of magnetic resonance (MR). The purpose of this study was evaluation of correlation between relative signal intensity of MR images of retrodiscal tissue, superior and inferior head of lateral ptrygoid muscle with type of anterior disk displacement and condylar head flattening in patients with temporomandibular disorder (TMD).
Materials and Methods: In this retrospective study, 31 MR images of patients who had anterior disc displacement were evaluated. After relative signal intensity measurement for retrodiscal tissue, superior and inferior head of lateral ptrygoid muscle, the correlation between relative signal intensity and type of anterior disc displacement was evaluated with repeated measure ANOVA test. In each of these 3 areas, t-test was used to compare the groups with and without condylar head flattening.
Results: The correlation between relative signal intensity of MR images and type of anterior disc displacement in retrodiscal tissue, superior and inferior head of lateral ptrygoid muscle was not significant. There was also no statistically significant correlation between relative signal intensity of MR images and flattening of condylar head in retrodiscal tissue, superior and inferior head of lateral ptrygoid muscle (P>0.05).
Conclusion: According to findings of this study, relative signal intensity of MR images in retrodiscal tissue, superior and inferior head of ptrygoid muscle is not a good predictor for type of anterior disc displacement and flattening of condylar head. It seems that this cannot be used as a diagnostic marker for TMD progression.
Daryosh Goodarzipour, Allahyari Nezad, Bahareh Purtaji, Yasaman Mohemkar Kheirandish,
Volume 26, Issue 2 (5-2013)
Abstract
Background and Aims: Because of high prevalence of TMJ dysfunctions , increased promotion of diagnostic and treatment methods is necessary. In many cases, in addition to disc position, morphology of other joint components such as articular eminence can be changed and therefore the probable correlation between disc position and morphology of hard tissue components can be used for prediction of internal derangements. The aim of this study was to evaluate the correlation between the position of disc and morphology of articular eminence of TMD`s patients using magnetic resonance imaging (MRI).
Materials and Methods: In this cross sectional study by evaluation of digital MRI files, ultimately 78 joint images were identified which had sufficient quality and resolution for review. Then the MRI images, were observed and evaluated by 3 oral and maxillofacial radiologists to determine the disc position (normal, anterior displacement with and without reduction, and posterior displacement) and morphology of articular eminence (Box, Sigmoid, Flattened). Ultimately the results that were reported at least by 2 observers were included as the final results and were recorded in the check list. Data were analyzed using Chi-Square test and Fisher test.
Results: In this study, no case of posterior disc displacement was found and therefore was excluded from the study. Articular eminence morphology (Flattened versus Sigmoid) showed statistically significant correlation with anterior disc displacement with and without reduction (P-values for anterior displacement with and without reduction were 0.03 and 0.002, respectively). No significant difference was found between the sigmoid and box types in relationship with disc displacement (P-values for anterior displacement with and without reduction were 0.72 and 0.70. In this study, no significant difference between the anterior disc displacement with reduction and anterior disc displacement without reduction in relationship with the morphological changes of articular eminence in any of the cases were found.
Conclusion: The results showed that flattening of articular eminence had significant relationship with anterior disc displacement.
Sahebi Majid , Hajizadeh Moslem ,
Volume 27, Issue 4 (1-2015)
Abstract
Background and Aims: Temporomandibular joint disorders are common problems among patients referring to dental schools and clinics. However appropriate treatment modalities are performed for the TMD patients in dental school, the results and success rate of these treatments are not studied distinctly. The aims of this study was to determine the treatment performed for temporomandibular patients at the TMJ department of Tehran University dental school in 2010-11 .
Materials and Methods: In a descriptive cross-sectional trial, 85 TMD patients treated at the TMJ department of Tehran University dental school were examined at least 3 months after the treatments. The patients demographic data ,TMD signs and symptoms and the improvements occurred in TMD disorder were determined (complete, partial and no improvement). The patients satisfaction regarding the treatment results were investigated and data were analyzed regarding the presence of different TMD signs and symptoms before and after the treatment using Mann-Whitney U test .
Results: TMJ pain (35 cases, 42.2%), click (33 cases, 39.8%) and muscle tenderness (26 cases, 31.3%) were the most prevalent obtained signs and symptoms. The mean age of the patients were 32.3 years old while females were the predominant group (72 cases vs.11 one). 44 individuals (53.0%) were treated by splint, 11 ones (13.3%) with anterior repositioning splint and 17 individuals (92.5%) were managed by physiotherapy plus splint. 65 patients (87.3%) were satisfied with the results and 16 ones (19.3%) were not. After the treatment, patients with TMJ pain (P<0.001) and muscle tenderness (P<0.001) showed significantly lower satisfaction than that of patients with no signs. No other significant differences were noted between patients satisfaction regarding the presence of TMD signs and symptoms (P>0.05) .
Conclusion: The results showed that the treatments presented for the TMD patients at Tehran University dental school were successful and most patients received satisfactory treatment.
Farzaneh Aghahosseini, Nafiseh Sheykhbahaei,
Volume 30, Issue 3 (10-2017)
Abstract
Background and Aims: Headache is among the most common complaints in patients suffering from temporomandibular joint disorders (TMD). Thus, it seems that evaluation of patients with headache in terms of temporomandibular joint (TMJ) disorders is necessary. In people with TMD, parafunctional activities play an important etiologic role. Considering the high prevalence of bruxism and TMDs in patients with headache, assessment the accuracy and severity of this association can play a key role in diagnosis and treatment of these two phenomena. The purpose of this study was to investigate the relationship between bruxism, TMD and headache, also assessment the efficacy of TMD conservative therapy with a special approach to self-management in treating patients with headache.
Materials and Methods: Motor searches of Cochrane, Medline and EMbase databases, PubMed, Google Scholar, Uptodate, BMJ clinical Evidence, MD consult and science direct by using of relevant key words were searched for article published between 2000 and 2015. A total of English language abstracts were reviewed, 80 full articles were obtained and among them, 30 relevant articles were reviewed in this study. Because of the high number of studies in this field, we divided the data into four group, bruxism and TMD, TMD and headache, bruxism, TMD and headache, treatment.
Conclusion: Bruxism and temporomandibular disorders are the two main contributing factors in initiation and perpetuation of headache. Treatment of these two phenomena would be effective in the treatment of headache.
Alireza Omrani, Pedram Daneshkazemi, Amir Mansour Shirani, Mohammad Amin Habibi,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: Temporomandibular joint disorders (TMDs) are one of the most common causes of the patient's referral to dental clinics. Considering the role of related factors in its creation, the purpose of this study was to investigate the relative frequency of factors related to temporomandibular disorders in patients aged 20 to 50 years referred to dental clinics in Isfahan in 1397.
Materials and Methods: In this descriptive and analytical study, 324 patients referred to Isfahan dental clinics in 1397 were randomly included. Factors related to TMD and demographic factors of patients were recorded with clinical examination by a trained dentist and self-declaration of patients in the data collection form. The frequency and relevance were analysed by SPSS 22 software and chi-square, fisher and logistic regression statistic tests.
Results: At least one of the TMD related factors was present in 40.7% of the subjects, which the most common factors related to TMD was posterior edentulousness (49.7%). History of jaw dislocation was more common in men (P=0.014) and the frequency of posterior edentulousness was more common in in women (P=0.003). As the age increased, the frequency of posterior edentulousness (P=0.000) and earache (P=0.009) increased. The frequency of posterior edentulousness was higher in housekeepers (P=0.000), the frequency of earache was higher in employees (P=0.005) and the history of jaw dislocation was higher in self-employed persons (P=0.047). |
Conclusion: The high prevalence of TMD and related factors, such as a history of jaw dislocation, posterior edentulousness, earache, and clenching, requires attention to be identified and treat these problems.
Neda Omidpanah, Mohammad Esmi, Farzan Soltani,
Volume 37, Issue 0 (3-2024)
Abstract
Background and Aims: Multiple sclerosis (MS) is an autoimmune disease. Oral manifestations in these patients include paralysis or spasm of facial muscles, temporomandibular joint disorders (TMJ), trigeminal neuralgia, dysphagia, or dysarthria. The aim of the study was to investigate the characteristics of orofacial pain in patients with MS.
Materials and Methods: The current cross-sectional study was conducted on 250 patients with a definite diagnosis of MS referred to Iran MS Association and Iran MS Research Center. The patients were in the age group of 17 to 57 years and were selected completely randomly. Data were obtained based on two checklists and clinical examination. Finally, DC/TMD criterion was used to check TMD problems. Then the data was analyzed by SPSS version 26 software and by Fisher's Test.
Results: The prevalence of MS disease was higher in women and the average age of patients was 37 years and the average duration of MS disease among patients was 8 years. The most common pain was related to shooting and shock-like pain with a frequency of 40.4% and the lowest quality was related to dull and diffuse pain with a frequency of 5.3%. In total, 24.5% of patients with buccal-oral pain had TMD, and in this case, the DC/TMD criterion was used.
Conclusion: Temporomandibular disorders and shooting and shock-like pains are usually observed in a number of patients with MS. As a result, dentists should be aware of the presence of these pains in the patient, the pain trigger, and the drugs used by the patients, in order to provide medical services and being aware of drug interactions.
