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Article: Temporomandibular joint syndrome of Costen.

CAPPS, F C

Proceedings of the Royal Society of Medicine

1962 Volume 55, Page(s) 792–793

MeSH term(s)	Humans ; Joint Diseases ; Temporomandibular Joint ; Temporomandibular Joint Dysfunction Syndrome
Language	English
Publishing date	1962-09
Publishing country	England
Document type	Journal Article
ZDB-ID	209243-8
ISSN	0035-9157
ISSN	0035-9157
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Article: Animal Models of Temporomandibular Disorder.

Xiang, Ting / Tao, Zhuo-Ying / Liao, Li-Fan / Wang, Shuang / Cao, Dong-Yuan

Journal of pain research

2021 Volume 14, Page(s) 1415–1430

Abstract: ... load), surgical operation (partial disc resection, joint disc perforation) and psychological stress ... Temporomandibular disorders (TMD) are a group of diseases in the oral and maxillofacial region ... summarized into four ways according to the various causes and symptoms, including chemical induction ...

Abstract	Temporomandibular disorders (TMD) are a group of diseases in the oral and maxillofacial region that can manifest as acute or chronic persistent pain, affecting millions of people worldwide. Although hundreds of studies have explored mechanisms and treatments underlying TMD, multiple pathogenic factors and diverse clinical manifestations make it still poorly managed. Appropriate animal models are helpful to study the pathogenesis of TMD and explore effective treatment measures. At present, due to the high cost of obtaining large animals, rodents and rabbits are often used to prepare TMD animal models. Over the past decade, various animal models have been intensively developed to understand neurobiological and molecular mechanisms of TMD, and seek effective treatments. Although these models cannot carry out all clinical features, they are valuable in revealing the mechanisms of TMD and creating curative access. Currently, there are multitudinous animal models of TMD research. They can be constructed in different means and summarized into four ways according to the various causes and symptoms, including chemical induction (intra-articular injection of ovalbumin, collagenase, formalin, vascular endothelial growth factor, intramuscular injection of complete Freund's adjuvant, etc.), mechanical stress stimulation (passive mouth opening, change of chewing load), surgical operation (partial disc resection, joint disc perforation) and psychological stress induction. Here, we summarize and discuss different approaches of animal models for determining neurophysiological and mechanical mechanisms of TMD and assess their advantages and limitations, respectively.
Language	English
Publishing date	2021-05-26
Publishing country	New Zealand
Document type	Journal Article ; Review
ZDB-ID	2495284-9
ISSN	1178-7090
ISSN	1178-7090
DOI	10.2147/JPR.S303536
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Article: Effectiveness of Physical Therapy Interventions for Temporomandibular Disorders Associated with Tinnitus: A Systematic Review.

da Silva, Marianne Trajano / Silva, Carlos / Silva, Jade / Costa, Mateus / Gadotti, Inae / Ribeiro, Karyna

Journal of clinical medicine

2023 Volume 12, Issue 13

Abstract: ... the temporomandibular joints, masticatory muscles, and adjacent structures. Although TMDs signs and symptoms (e.g., pain and ... Temporomandibular disorders (TMDs) refers to different clinical conditions affecting ... limited mouth opening) are common, otological symptoms, such as tinnitus, might also be present ...

Abstract	Temporomandibular disorders (TMDs) refers to different clinical conditions affecting the temporomandibular joints, masticatory muscles, and adjacent structures. Although TMDs signs and symptoms (e.g., pain and limited mouth opening) are common, otological symptoms, such as tinnitus, might also be present. This study aims to summarize the evidence of the effectiveness of physical therapy interventions in individuals with TMDs associated with tinnitus. Randomized controlled trials investigating the effectiveness of physical therapy in individuals of both genders aged 18 or older with TMDs associated with tinnitus were included. The electronic search was performed in the following databases: MEDLINE, EMBASE, CINAHL, PEDro and CENTRAL. A total of four studies were included. All studies showed that physical therapy reduced the intensity of tinnitus, and two trials showed a decrease in the pain intensity caused by TMDs, an increase in the pressure pain thresholds in the masticatory muscles and an improvement of mandibular function. Two studies presented a low risk of bias. Despite a low certainty of the evidence, this review showed that physical therapy reduces the intensity or severity of tinnitus associated with TMDs. Results may support future research on the topic and evidence-based practice by recommending the best physical therapy approach for patients, clinicians, researchers, and health system managers.
Language	English
Publishing date	2023-06-28
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12134329
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Article ; Online: Do steroid abusers have more temporomandibular joint symptoms? A study with 97 bodybuilders.

Braga, Ana Paula Corlaite / Ribeiro, Bruna Campos / de Pádua Gandra, Ricardo Antonio / de Oliveira Chiavaioli, Gustavo Marques / Costa, Samuel Macedo

Cranio : the journal of craniomandibular practice

2024 , Page(s) 1–8

Abstract: ... temporomandibular joint pain were evaluated.: Results: It was observed that drug usage is related to symptoms ... the use of AAS without medical follow-up may exacerbate temporomandibular joint problems in patients ... temporomandibular joint problems, especially in patients with low estrogen levels. ...

Abstract	Objectives: Anabolic androgenic steroids (AAS) are derivatives of testosterone, used to treat gonadal disturbances, performance enhancement, and aesthetic purposes. AAS abuse can lead to side effects, including androgenic, cardiovascular, and liver disturbances, effects on libido, gynecomastia, and behavioral effects. There is a hypothesis that some joint tissues may be targets for sex hormones, and the use of AAS without medical follow-up may exacerbate temporomandibular joint problems in patients seeking performance and aesthetics. Methods: In this study, a cross-sectional survey was conducted on AAS abusers who voluntarily presented themselves for clinical evaluation. Patients were subdivided by sex and age group, and the length of AAS use and symptoms such as headache, tinnitus, and temporomandibular joint pain were evaluated. Results: It was observed that drug usage is related to symptoms. Conclusion: The results suggest that AAS use without medical follow-up may exacerbate temporomandibular joint problems, especially in patients with low estrogen levels.
Language	English
Publishing date	2024-05-24
Publishing country	England
Document type	Journal Article
ZDB-ID	632570-1
ISSN	2151-0903 ; 0886-9634
ISSN (online)	2151-0903
ISSN	0886-9634
DOI	10.1080/08869634.2024.2357053
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Article ; Online: Arthroscopic reduction and rigid fixation of the anteriorly displaced temporomandibular joint disc without reduction using titanium screw: a case series.

Liu, Yao / Wang, Peng / Telha, Wael / Jiang, Nan / Bi, Ruiye / Zhu, Songsong

Clinical oral investigations

2024 Volume 28, Issue 2, Page(s) 156

Abstract: ... using a suture-free titanium screw as a treatment approach to temporomandibular joint's (TMJ) anterior ... presented to the Department of Orthognathic and Temporomandibular Surgery at West China Hospital ... improvements in symptoms related to TMJ disorders.: Materials and methods: A series of twenty patients ...

Abstract	Objectives: To evaluate the effectiveness of arthroscopic reduction and rigid fixation (ARRF) using a suture-free titanium screw as a treatment approach to temporomandibular joint's (TMJ) anterior disc displacement without reduction (ADDwoR) and assess its impact on clinical outcomes, including improvements in symptoms related to TMJ disorders. Materials and methods: A series of twenty patients presented to the Department of Orthognathic and Temporomandibular Surgery at West China Hospital of Stomatology between September 2022 and January 2023, complaining of symptoms such as pain, clicking, and limited mouth opening. Standard magnetic resonance image (MRI) imaging T1 and T2 sequences in both sagittal and coronal views study with closed and maximal open mouth positions were taken preoperatively to assess the disc's position, integrity, and shape. Also, cone-beam computed tomography (CBCT) scans images to find any degenerative changes and evaluate the condylar bone's features and volume. Additionally, the clinical examination assesses limited oral opening, mechanical pain, and the presence of any noises such as clicking and crepitus. All cases were treated under general anesthesia using the arthroscopic release, reduction, and rigid fixation of the TMJ's ADDwoR to establish a normal disc-condyle relationship and to restore the functional position. Results: Patients' symptoms, such as pain and mouth opening, improved significantly following the arthroscopic treatment. Postoperative MRI and CBCT imaging follow-up conducted at 6 months demonstrated the stable position of the reduced TMJ disc and the fixation screw. Notably, none of the patients exhibited signs of relapse during this follow-up period. Conclusion: Overall, the ARRF of TMJ's ADDwoR using a suture-free titanium screw proved to be safe and provides satisfactory results, in addition to the several advantages of using suture-free titanium screws, such as biocompatibility, strong fixation, and durability. However, it is a technically demanding procedure requiring extensive, long-term training. Clinical relevance: ARRF using a cost-effective fixation titanium screw to treat ADDwoR emerges as a clinically effective minimally invasive approach.
MeSH term(s)	Humans ; Titanium ; Temporomandibular Joint Disc/diagnostic imaging ; Temporomandibular Joint Disc/surgery ; Joint Prosthesis ; Bone Screws ; Pain
Chemical Substances	Titanium (D1JT611TNE)
Language	English
Publishing date	2024-02-20
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1364490-7
ISSN	1436-3771 ; 1432-6981
ISSN (online)	1436-3771
ISSN	1432-6981
DOI	10.1007/s00784-024-05552-2
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Article ; Online: The reliability of using light therapy compared with LASER in pain reduction of temporomandibular disorders: a randomized controlled trial.

Al-Quisi, Ahmed Fadhel / Jamil, Firas A / Abdulhadi, Baseem Natheer / Muhsen, Salah Jassim

BMC oral health

2023 Volume 23, Issue 1, Page(s) 91

Abstract: Background: Temporomandibular Disorders (TMD) refer to a group of symptoms where pain is the most ... times due to its biosafety and non-invasive quality when used for the management of TMD symptoms ... as there were no important differences between their outcomes. However, the biosafety and lower cost ...

Abstract	Background: Temporomandibular Disorders (TMD) refer to a group of symptoms where pain is the most leading cause to demand a treatment by the patient. Light therapies are of great importance at current times due to its biosafety and non-invasive quality when used for the management of TMD symptoms. This study aimed to evaluate the efficacy of red LED light with low-level LASER in treating TMD patients. Materials and methods: A double-blind randomized clinical study was conducted and included 60 patients along 3 groups (20 for each group) presented with myofascial pain related to TMD. Patients were randomly divided into 3 groups. Group A were managed by applying the LED light device into the trigger points without switching the device on. A red LED light was given to group B for 5 min at the tender muscles. Group C were treated by using low-level LASER therapy for 30 s. Patients were evaluated for any improvements regarding the pain score, presence of trigger points, and trismus along 4 visits (1 week interval between each visit). Any side effects related to the 2 devices were also assessed. Results: Both group B and C patients showed a statistically significant improvement in the pain value (P < 0.05) at the 3rd and 4th visits when compared to group A. Regarding tenderness, there was a reduction in the number of trigger points in both study groups; however, the results were insignificant in group B. Statistics showed insignificant differences between group B & C patients regarding pain and number of trigger points at all visits (P > 0.05). Conclusion: Both LED light and LASER therapies could effectively relieve pain associated with myogenic TMD as there were no important differences between their outcomes. However, the biosafety and lower cost of the LED light device compared to the LASER should also be considered. Trial Registration This clinical trial was prospectively registered (TCTR ID: TCTR20190507002) on 07/05/2019. URL: http://www.thaiclinicaltrials.org/show/TCTR20190507002.
MeSH term(s)	Humans ; Lasers ; Pain ; Phototherapy ; Reproducibility of Results ; Temporomandibular Joint Disorders/therapy ; Temporomandibular Joint Disorders/diagnosis ; Treatment Outcome ; Pain Management
Language	English
Publishing date	2023-02-13
Publishing country	England
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	2091511-1
ISSN	1472-6831 ; 1472-6831
ISSN (online)	1472-6831
ISSN	1472-6831
DOI	10.1186/s12903-023-02784-8
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Article ; Online: Effectiveness of Physical Therapy Interventions for Temporomandibular Disorders Associated with Tinnitus

Marianne Trajano da Silva / Carlos Silva / Jade Silva / Mateus Costa / Inae Gadotti / Karyna Ribeiro

Journal of Clinical Medicine, Vol 12, Iss 4329, p

A Systematic Review

2023 Volume 4329

Abstract	Temporomandibular disorders (TMDs) refers to different clinical conditions affecting the temporomandibular joints, masticatory muscles, and adjacent structures. Although TMDs signs and symptoms (e.g., pain and limited mouth opening) are common, otological symptoms, such as tinnitus, might also be present. This study aims to summarize the evidence of the effectiveness of physical therapy interventions in individuals with TMDs associated with tinnitus. Randomized controlled trials investigating the effectiveness of physical therapy in individuals of both genders aged 18 or older with TMDs associated with tinnitus were included. The electronic search was performed in the following databases: MEDLINE, EMBASE, CINAHL, PEDro and CENTRAL. A total of four studies were included. All studies showed that physical therapy reduced the intensity of tinnitus, and two trials showed a decrease in the pain intensity caused by TMDs, an increase in the pressure pain thresholds in the masticatory muscles and an improvement of mandibular function. Two studies presented a low risk of bias. Despite a low certainty of the evidence, this review showed that physical therapy reduces the intensity or severity of tinnitus associated with TMDs. Results may support future research on the topic and evidence-based practice by recommending the best physical therapy approach for patients, clinicians, researchers, and health system managers.
Keywords	temporomandibular joint ; physical therapy modalities ; tinnitus ; pain ; Medicine ; R
Subject code	150
Language	English
Publishing date	2023-06-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
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Article ; Online: Impact of technology in temporomandibular joint reconstruction surgeries: A systematic review.

Kumar, Sumit / Khanna, Vikram / Singh, Balendra P / Mehrotra, Divya / Patil, Ranjit K

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

2021 Volume 74, Issue 6, Page(s) 1331–1345

Abstract: ... with temporomandibular joint reconstruction surgeries (TRS). Therefore, a systematic study was conducted to assess the impact ... and Subjective/objective symptoms, Study design= Type of study. The quality of observational study was ... however, evidence for tiTRS in long-term follow-up is inconclusive. The cost, time, infrastructure and ethical ...

Abstract	Objectives: The digital technologies, in recent years, have integrated with temporomandibular joint reconstruction surgeries (TRS). Therefore, a systematic study was conducted to assess the impact of digital technologies in TRS. Besides, a brief comparison between the CAD/CAM and 3D printing (3DP) technologies is presented. Materials & methods: We searched in PubMed, ProQuest and Science direct using PRISMA guidelines. Population = Patients undergoing TRS, Intervention=CAD/CAM or 3DP, Comparison= conventional TRS (cTRS) vs technology integrated TRS (tiTRS), Outcome= Advantages/disadvantages of technology and Subjective/objective symptoms, Study design= Type of study. The quality of observational study was assessed using ROBINS-1 Assessment tool. Results: Out of 632 articles, 30 articles for CAD/CAM and 3DP were included in the study. A majority of TRS were done for ankylosis (new or re-entry), earlier failed surgery, osteoarthritis and neoplastic cases. The articles were divided into two groups. Group I: CAD/CAM(n = 16), Group II: 3DP (n = 14). Discussion: tiTRS had definite advantages over cTRS with lesser surgery time, defined osteotomies, précised implant fitting and better final result outcome however, evidence for tiTRS in long-term follow-up is inconclusive. The cost, time, infrastructure and ethical/regulatory issues are the downsides of assisted surgeries. It was observed that 3DP technology is versatile and its adaptation in the fabrication of customized implants has outpaced CAD/CAM technology. However, literature data is feeble qualitatively and quantitatively. Conclusion: The TRS has leveraged the flexibility and precision of assisted surgeries. In future, tiTRS could successfully replace cTRS, provided that shortcomings should be dealt so that the technology can benefit the masses.
MeSH term(s)	Arthroplasty, Replacement/methods ; Arthroplasty, Replacement/trends ; Computer-Aided Design ; Humans ; Inventions ; Joint Diseases/surgery ; Printing, Three-Dimensional ; Reconstructive Surgical Procedures/methods ; Temporomandibular Joint/surgery
Language	English
Publishing date	2021-01-08
Publishing country	Netherlands
Document type	Journal Article ; Systematic Review
ZDB-ID	2217750-4
ISSN	1878-0539 ; 1748-6815 ; 0007-1226
ISSN (online)	1878-0539
ISSN	1748-6815 ; 0007-1226
DOI	10.1016/j.bjps.2020.12.077
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Article ; Online: Temporomandibular Disorder and Cerebellopontine Angle Meningioma

D. S. Klyachko / Yu. A. Bystrova / S. A. Bystrov / S. V. Ryazantsev / V. V. Partyushko / O. S. Donskaya / A. D. Margiev / E. A. Zaytsev

Медицинский совет, Vol 0, Iss 18, Pp 140-

Perspectives from Three Medical Specialists

2021 Volume 147

Abstract: ... of tinnitus, pain and crepitus in the temporomandibular joint during movements of the lower jaw, paresthesia ... of Kosten's syndrome and meningioma in the area of the cerebellar bridge angle of the brain, as well ... to the differential diagnosis of meningioma of the cerebellar angle and Kosten's syndrome.Materials and methods. To accomplish ...

Abstract	Introduction. The relevance of the study is due to the complexity of the differential diagnosis of Kosten's syndrome and meningioma in the area of the cerebellar bridge angle of the brain, as well as the severe suffering of patientsThe purpose of our study: development of an algorithm for the approach to the differential diagnosis of meningioma of the cerebellar angle and Kosten's syndrome.Materials and methods. To accomplish the set tasks, we examined 22 patients who complained of headache, hearing impairment, sensation of tinnitus, pain and crepitus in the temporomandibular joint during movements of the lower jaw, paresthesia of the oral and nasal mucosa. All patients were assigned studies: cone-beam computed tomography (CBCT) and magnetic resonance imaging (MRI) of the TMJ according to indications.Results. Since complaints can lead patients to see doctors of various specialties, it is necessary to be able to differentiate between Costen's syndrome and a tumor of the cerebral pons-cerebral angle. In Costen's syndrome, the pain most often has an aching character, in contrast to the volumetric formations of the brain, in which the pain is burning, spreading along the branches of the facial or trigeminal nerve. One of the main methods of excluding a brain tumor is magnetic resonance imaging.Conclusions. The most significant modern method for diagnosing Costen's syndrome and meningioma of the cerebellopontine angle is magnetic resonance imaging (MRI) of the TMJ and the brain. Differential signs of Costen's syndrome are distal displacement of the head of the lower jaw, diagnosed by CBCT and MRI, as well as displacement of the articular disc (determined by MRI). A meningioma of the cerebellopontine angle is indicated by the burning nature of pain in half of the face, as well as confirmation of the diagnosis by magnetic resonance imaging of the brain.
Keywords	costen's syndrome ; temporomandibular joint conditions ; cerebellopontine angle meningioma ; diagnostics ; cochleovestibular syndrome ; Medicine ; R
Subject code	610
Language	Russian
Publishing date	2021-12-01T00:00:00Z
Publisher	Remedium Group LLC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Temporomandibular disorders cases with high-impact pain are more likely to experience short-term pain fluctuations.

Herrero Babiloni, Alberto / Exposto, Fernando G / Peck, Connor M / Lindgren, Bruce R / Martel, Marc O / Lenglet, Christophe / Bereiter, David A / Eberly, Lynn E / Moana-Filho, Estephan J

Scientific reports

2022 Volume 12, Issue 1, Page(s) 1657

Abstract: Temporomandibular disorders (TMD) patients can present clinically significant jaw pain fluctuations ... psychological symptoms. Thereby, there is reason to believe that individuals with low- and high-impact TMD pain ...

Abstract	Temporomandibular disorders (TMD) patients can present clinically significant jaw pain fluctuations which can be debilitating and lead to poor global health. The Graded Chronic Pain Scale evaluates pain-related disability and its dichotomous grading (high/low impact pain) can determine patient care pathways and in general high-impact pain patients have worse treatment outcomes. Individuals with low-impact TMD pain are thought to have better psychosocial functioning, more favorable disease course, and better ability to control pain, while individuals with high-impact pain can present with higher levels of physical and psychological symptoms. Thereby, there is reason to believe that individuals with low- and high-impact TMD pain could experience different pain trajectories over time. Our primary objective was to determine if short-term jaw pain fluctuations serve as a clinical marker for the impact status of TMD pain. To this end, we estimated the association between high/low impact pain status and jaw pain fluctuations over three visits (≤ 21-day-period) in 30 TMD cases. Secondarily, we measured the association between jaw pain intensity and pressure pain thresholds (PPT) over the face and hand, the latter measurements compared to matched pain-free controls (n = 17). Jaw pain fluctuations were more frequent among high-impact pain cases (n = 15) than low-impact pain cases (n = 15) (OR 5.5; 95% CI 1.2, 26.4; p value = 0.033). Jaw pain ratings were not associated with PPT ratings (p value > 0.220), suggesting different mechanisms for clinical versus experimental pain. Results from this proof-of-concept study suggest that targeted treatments to reduce short-term pain fluctuations in high-impact TMD pain is a potential strategy to achieve improved patient perception of clinical pain management outcomes.
MeSH term(s)	Adult ; Case-Control Studies ; Chronic Pain/diagnosis ; Chronic Pain/physiopathology ; Cost of Illness ; Facial Pain/diagnosis ; Facial Pain/physiopathology ; Female ; Humans ; Jaw/innervation ; Male ; Middle Aged ; Pain Measurement ; Pain Threshold ; Proof of Concept Study ; Temporomandibular Joint Disorders/diagnosis ; Temporomandibular Joint Disorders/physiopathology ; Time Factors ; Young Adult
Language	English
Publishing date	2022-01-31
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-022-05598-w
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