Temporomandibular disorders (TMDs) can affect the temporomandibular joint (TMJ) the muscles of mastication or both. A range of factors have been related to TMDs , occlusion, trauma, deep pain stimulus, parafunctional activities and psychological factors, such as anxiety, depression and stress . It has also been suggested that postural problems related to the head and [read the full story…]
Temporomandibular joint disorders (TMD) are normally managed conservatively however it has been estimated that aroung 5% require a surgical interventions (arthrocentesis, arthroscopy, condylotomy, and disc repair or removal (menisectomy). A small subset of patietsn may require Temporomandibular Joint (TMJ) replacement . Indications for replacement include:- bony ankylosis failed previous alloplastic and autogenous joint replacement post-traumatic [read the full story…]
Temporomandibular disorders (TMD) are a group of disorders with symptoms that include pain, clicking, grating in the jaw joint and/or problems chewing or opening the jaw. It has been estimated that around 75% of the population have at least one sign of TMD. The aim of this review was to assess the effectiveness of counselling [read the full story…]
Temporomandibular joint (TMJ) involvement is seen in patients with juvenile idiopathic arthritis (JIA). Interventions for TMJ arthritis in these patients are aimed at maintaining joint function and reducing symptoms and avoiding permanent damage to the joint components. Treatment of the TMJ has included intra- articular corticosteroid injection (IACI). However there are concerns that while there [read the full story…]
It has been estimates that 20% to 30% of the adult population will experience temporomandibular joint dysfunction. The aim of this study was to assess the short-term efficacy of two treatments for patients with permanently displaced discs and temporomandibular disorder (TMD) pain. Adult patients( ≥ 18) with TMD pain and disk displacement without reduction (DDwoR) [read the full story…]
Orofacial pain is a relatively common and is categorized into musculoskeletal; neuropathic; vascular; neurovascular; idiopathic; pain caused by local, distant, or systemic pathology; and psychogenic. Diagnosis can be challenging when psychosocial factors are present and while antidepressants have been used as a treatment there remains some controversy. The aim of this review was to assess [read the full story…]
The 2003 Cochrane review by Al-Ani et al found no evidence for or against the use of stablisation splints for the treatment of temporomandibular disorders (TMD). While a subsequent review by Fricton et al in 2010 found modest evidence for effectiveness of hard stabilization splints. The implications from both reviews are that more robust randomised [read the full story…]
Obstructive sleep apnoea syndrome (OSAS) affects about 4% of the male and 2% of the female population of North America. Standard treatment is with continuous positive airway pressure (CPAP) however this has poor adherence in some groups and oral appliance therapy is an alternative therapy. The aim of this trial was to assess variations in [read the full story…]
Temporomandibular disorders (TMDs) result in craniofacial pain, limited mouth opening, temporomandibular joint (TMJ) clicks affecting the joint and related structures. A prevalence of between 10% to 70% has been reported, and it particularly effects women aged 20 to 40 years. TMDs can be classified into muscular disorders, internal derangement (ID), inflammatory disease, and osteoarthritis. Internal [read the full story…]
The temporomandibular joint (TMJ) as with many of the other joints, can be affected by osteoarthritis (OA). This is characterized by progressive destruction of the internal surfaces of the joint which can result in debilitating pain and joint noises. Osteoarthritis (OA) is the most common form of arthritis affecting the TMJ. The aim of this [read the full story…]
