1/15. Case report: treatment for a patient with a history of TMJ disorder.Establishing a knowledge-based protocol for the treatment of orthodontic patients who report a history of temporomandibular dysfunction can alert the practitioner to potential treatment pitfalls before they happen. While the joints can be extremely adaptive, some individuals are subject to painful and/or limited function. Others have acquired condylar positions that, if not recognized, could lead to serious alterations in the original treatment plan. Combining a thorough diagnostic protocol with a therapeutic regimen that seeks to establish a stable condylar and occlusal position-prior to initiating treatment- is essential.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
2/15. arthrogryposis multiplex congenita in a patient with limited mouth opening: a case report.This report describes a case of arthrogryposis multiplex congenita and concomitant bruxism with limited mouth opening and pain in the temporomandibular joints (TMJ). A conservative treatment with a myorelaxing splint and physiotherapeutic exercises was prescribed resulting in improvement to the muscular and joint conditions and a reduction in pain.- - - - - - - - - - ranking = 2keywords = joint (Clic here for more details about this article) |
3/15. A case of anterior open bite developing during adolescence.Imaging studies have reported on the relationship between temporomandibular joint (TMJ) degeneration and facial deformity. These studies have suggested that mandibular growth is affected by TMJ degeneration, resulting in altered skeletal structure as mandibular retrusion. However, there are very few longitudinal case reports on TMJ osteoarthrosis (OA). Progressive open bite occurred in an adolescent patient with TMJ OA. Cephalometric analysis showed a downward and backward rotated mandible, and a labial inclination of the upper incisor. magnetic resonance imaging showed internal derangement without reduction and erosion in the right and the left condyles. Although the cause of open bite is unclear in this case, tongue thrusting, and internal derangements in the temporomandibular joint were suspected as causes of the open bite.- - - - - - - - - - ranking = 2keywords = joint (Clic here for more details about this article) |
4/15. Vectored upper cervical manipulation for chronic sleep bruxism, headache, and cervical spine pain in a child.OBJECTIVE: To discuss the management of chronic sleep bruxism in a 6-year old girl. Clinical features The patient had morning headaches and cervical spine pain. Due to abnormal tooth wear, bruxism had been previously diagnosed and was verified by observation during sleep. She also had abnormal postural and palpatory findings, indicating upper cervical joint dysfunction. Intervention and outcome Bilateral rotary cervical stretching/mobilization and a vectored high-velocity, low-amplitude adjustment were performed in the upper cervical spine, using the atlas transverse process as the contact point. There was complete relief of the chronic subjective symptoms concomitant with remission of the objective signs of joint dysfunction. CONCLUSIONS: Cervical, particularly upper cervical, spine muscle-joint dysfunction should be considered as a potential etiology in chronic childhood sleep bruxism.- - - - - - - - - - ranking = 3keywords = joint (Clic here for more details about this article) |
5/15. Condylar resorption during active orthodontic treatment and subsequent therapy: report of a special case dealing with iatrogenic TMD possibly related to orthodontic treatment.A 28-year-old female underwent orthodontic treatment for approximately 22 months. During the later stages of this treatment, the patient reported right shoulder and neck-muscle pain. In addition, temporomandibular joint disorder (TMD) with a 'clicking' sound during mastication commenced 5 months prior to treatment completion. Specific medication to deal with these symptoms was suggested by medical specialists, as were some stress-relief methods, although the pain still progressed, and subsequent clinical and radiographical examinations were undertaken by another orthodontist. Right mandibular condylar resorption was observed from both the panorex and temporomandibular joint (TMJ) radiographs. No clinical signs of rheumatic disease were observed, although bruxism was noted. Following the termination of the orthodontic treatment by the second practitioner, the patient was treated with splint therapy 1 month subsequent to which, the previous symptoms of pain in the shoulder and neck, and the clicking sound during mastication had subsided. During the 14-month period of splint therapy and follow-up, new bone growth in the right condyle was observed from radiographs.- - - - - - - - - - ranking = 2keywords = joint (Clic here for more details about this article) |
6/15. The use of botulinum toxin-a in the treatment of severe bruxism in a patient with autism: a case report.This case report describes an alternative method for reducing bruxism in a special needs patient who was not a candidate for an intraoral appliance. Bruxism is often seen in patients with special needs and can result in excessive dental wear, temporo-mandibular joint pain, avulsion of teeth and other problems. Current methods of management are not typically effective in this population because most require patient compliance. An 11-year-old male diagnosed with autism and Bannayan-Zonana syndrome received bilateral injections of botulinum toxin type-A (Botox Allergan Pharmaceuticals, Irvine CA) in the masseter muscle. The patient's condition was followed up via post-operative telephone interviews with the parents for 60 days. A reduction in the frequency and severity of bruxism was reported. The only side effects noted were soreness at the injection site and mild, temporary drooling. Although further research is required to determine the optimal doses and injection frequency, botulinum toxin type-A appears to be an alternative method for controlling bruxism in the special needs population.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
7/15. Evaluation of temporomandibular disorders in children using limited cone-beam computed tomography: a case report.Considerable advances have been made in dental and orthodontic diagnosis resulting from the development of a device known as a limited cone beam dental compact-CT (3DX). This report documents the diagnostic procedures and treatment performed on an eight year old female patient who presented with clinical signs and symptoms of a temporomandibular disorder (TMD). Evaluation of a bony abnormality of the temporomandibular joint (TMJ) using the limited cone-beam CT (3DX) proved to be of considerable value. A three-dimensional image of the right TMJ showed erosion and flattening of the condyle. Following treatment, there was marked alleviation of the clinical symptoms while considerable improvement of the bony abnormalities was clearly evident on a three-dimensional image.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
8/15. temporomandibular joint disease treated with hypnosis.A 17-year-old girl with temporomandibular joint disease who had been treated with the usual types of treatment for 8 1/2 years by multiple clinicians was treated using hypnosis as an adjunct. The treatment, which is described in detail, was successful for 6 months until the patient transferred to an urban college where additional academic and personal pressures caused her bruxism symptoms to reappear. Probable causes of the relapse are discussed.- - - - - - - - - - ranking = 5keywords = joint (Clic here for more details about this article) |
9/15. The treatment of temporomandibular joint syndrome through control of anxiety.Following a negative experience with general anesthesia, a 20-yr-old woman developed anxiety and an inability to relax concomitant with temporomandibular joint dysfunction and pain syndrome. Systematic countering of anxiety by relaxation successfully removed her anxiety and led to a complete resolution of her symptoms. Follow-up at 16 months indicated maintenance of treatment gains and no recurrence of the symptoms during the previous 12 months.- - - - - - - - - - ranking = 5keywords = joint (Clic here for more details about this article) |
10/15. sleep bruxism as a manifestation of subclinical rapid eye movement sleep behavior disorder.A 59-year-old man with temporomandibular joint pain/dysfunction syndrome presented with a long history of nocturnal bruxism. All-night polysomnographic recordings with video monitoring showed episodes of teeth grinding or clenching occurring exclusively during rapid eye movement (REM) sleep, which were often associated with movements of the hands and fingers and/or brief vocalization. Throughout REM sleep, there was excessive phasic chin electromyographic twitching, without increased tone, and also excessive phasic electromyographic twitching in multiple muscle sites. The patient maintained a normal nonrapid eye movement-REM cycle, but showed increased REM density. Polysomnographic characteristics suggested that there may be a common pathophysiology in a certain type of sleep bruxism and the rem sleep behavior disorder. sleep bruxism seen in this case is concluded to be a manifestation of subclinical rem sleep behavior disorder.- - - - - - - - - - ranking = 1keywords = joint (Clic here for more details about this article) |
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