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  1. Article ; Online: Lateral pterygoid muscle ultrasound-guided injection: A technical note.

    Rodríguez-Gimillo, Pablo / Valverde-Navarro, Alfonso / Margaix-Muñoz, Maria / Poveda-Roda, Rafael / Delgado-Navarro, Carlos / Puig-Bernabeu, Jaume

    Journal of stomatology, oral and maxillofacial surgery

    2023  , Page(s) 101547

    Abstract: Background: Temporomandibular disorders (TMDs) are a frequent cause of orofacial pain, causing functional disability and a negative impact on quality of life. Botulinum toxin (BTX-A) injection in lateral pterygoid muscle (LPM) is one of the treatment ... ...

    Abstract Background: Temporomandibular disorders (TMDs) are a frequent cause of orofacial pain, causing functional disability and a negative impact on quality of life. Botulinum toxin (BTX-A) injection in lateral pterygoid muscle (LPM) is one of the treatment modalities proposed, but the blind puncture guided by EMG carries a risk of vascular puncture or diffusion of the toxin to nearby muscles. We describe an ultrasound-guided approach and evaluate the spread of the injection in a fresh human cadaver.
    Methods: A fresh human cadaver was injected. An out-of-plane approach was performed using a convex probe, injecting 1.0 ml of 0.25% methylene blue dye into the LPM. After, a dissection was performed to isolate the lateral pterygoid muscle and assess the spread of the dye.
    Results: Ultrasound-guided injection allowed to visualize in real-time the spread of the dye within the LPM. The deep and superficial muscles nearby to LPM were not stained by the dye, but upper and lower head of LPM was heavily stained.
    Conclusion: Ultrasound-guided approach for the injection of BTX-A into the LPM could be considered a successful and safe treatment for myofascial pain related to TMD. Therefore, further clinical studies are needed to study the reproducibility of ultrasound guided LPM injection and to evaluate the clinical results.
    Language English
    Publishing date 2023-06-30
    Publishing country France
    Document type Journal Article
    ZDB-ID 2916276-2
    ISSN 2468-7855 ; 2468-8509
    ISSN (online) 2468-7855
    ISSN 2468-8509
    DOI 10.1016/j.jormas.2023.101547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Claves para el diagnóstico diferencial del dolor odontogénico mediante un soporte audiovisual

    Maria Margaix-Muñoz / Leticia Bagán Debón / Yolanda Jiménez Soriano / María Gracia Sarrión Pérez / José Bagán / Rafael Poveda-Roda

    Educación Médica, Vol 24, Iss 5, Pp 100846- (2023)

    metodologías alternativas de aprendizaje

    2023  

    Abstract: Resumen: Antecedentes: el odontólogo juega un papel fundamental en el diagnóstico y tratamiento del dolor orofacial, sobre todo en el dolor de origen pulpar o periodontal (odontogénico). En el caso del dolor clasificado habitualmente como crónico (no ... ...

    Abstract Resumen: Antecedentes: el odontólogo juega un papel fundamental en el diagnóstico y tratamiento del dolor orofacial, sobre todo en el dolor de origen pulpar o periodontal (odontogénico). En el caso del dolor clasificado habitualmente como crónico (no odontogénico), un elevado porcentaje de estudiantes de Odontología se sienten «en absoluto» o «algo» preparados para afrontar su diagnóstico y tratamiento. Objetivo: proponer una breve guía para diferenciar clínicamente el dolor odontogénico del dolor orofacial, que sea de utilidad tanto para el estudiante de Odontología como para el profesional. Material y método: se elaboró un vídeo educativo de apoyo a la docencia dentro de un proyecto de innovación docente de la Universidad de Valencia titulado «El dolor orofacial para estudiantes del grado de Odontología: dolor agudo frente a dolor crónico» (UV-SFPIE_PID-1640062. Núm. Registro: 64155). Se establecieron 11 características fundamentales del dolor odontogénico y otras 11 del no odontogénico, que pretenden servir de orientación para el diagnóstico en situaciones en las que el dolor no presenta las características habituales. Resultados: la proyección del vídeo tuvo una buena acogida por parte de los estudiantes, entendiéndolo como una herramienta atractiva de aprendizaje que favorece la motivación y la adquisición de responsabilidades. El 75,3% consideró que era «muy interesante», otorgando la máxima puntuación. Conclusión: con los datos disponibles actualmente en la literatura científica en relación a las características del dolor facial atípico, consideramos que la guía aportada en este proyecto puede ser de utilidad en el diagnóstico de estos procesos. Abstract: Background: Dentists play a fundamental role in the diagnosis and treatment of orofacial pain, especially in pain of pulp or periodontal (odontogenic) origin. In the case of pain usually classified as chronic (non-odontogenic), a high percentage of dental students feel “not at all” or “somewhat” prepared to carry out a diagnosis and treatment. Objective: ...
    Keywords Orofacial pain ; Atypical orofacial pain ; Odontogenic ; Non-odontogenic ; Differential diagnosis ; Medical education ; Education (General) ; L7-991 ; Medicine (General) ; R5-920
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Ewing sarcoma of the oral cavity. A review.

    Margaix-Muñoz, Maria / Bagán, José / Poveda-Roda, Rafael

    Journal of clinical and experimental dentistry

    2017  Volume 9, Issue 2, Page(s) e294–e301

    Abstract: Objectives: A review is made of the clinical, diagnostic, therapeutic and survival characteristics of Ewing sarcoma (ES) of the oral cavity.: Material and methods: A systematic literature search was carried out, with restrictions referred to time ( ... ...

    Abstract Objectives: A review is made of the clinical, diagnostic, therapeutic and survival characteristics of Ewing sarcoma (ES) of the oral cavity.
    Material and methods: A systematic literature search was carried out, with restrictions referred to time (1960-2014), language (English and Spanish) and type of study (case reports, letters, datasets, reviews). The following MeSH terms and boolean operators were used: Ewing AND Sarcoma AND [tongue, jaw, maxilla, cheek, condyle OR temporomandibular, floor AND mouth, gum OR gingiva, palate OR palatal, lip, uvula, head AND neck].
    Results: Seventy-one cases of ES of the oral cavity were documented from 53 articles. The main differences versus ES of other locations were a younger age at manifestation, a shorter time from symptoms onset to diagnosis, and swelling as the most frequent clinical manifestation versus swelling and pain in the rest of disease locations. The way in which ES manifests in the oral cavity is varied and comprises dental displacement (19.7%), dental mobility (7%), root reabsorption (5.6%), destruction of the dental follicle (4.2%), premature exfoliation (4.2%) and paresthesia of the chin (2.8%). Metastatic neck adenopathies appear in 11.3% of the cases. Significant differences in survival are observed between patients with a complete diagnosis of ES (hematoxylin-eosin staining, PAS positivity, CD99 positivity) and those with an incomplete diagnosis.
    Conclusions: Ewing sarcoma of the oral cavity presents a series of specific features that distinguish it from ES of other locations.
    Language English
    Publishing date 2017-02-01
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 2586647-3
    ISSN 1989-5488
    ISSN 1989-5488
    DOI 10.4317/jced.53575
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Myofascial Pain: Ultrasound Width of the Masseter Muscle.

    Poveda-Roda, Rafael / Moreno, Pilar / Bagán, José / Margaix, María

    Journal of oral & facial pain and headache

    2018  Volume 32, Issue 3, Page(s) 298–303

    Abstract: Aims: To determine whether subjects with temporomandibular disorders (TMD) manifesting as chronic myofascial pain (MFP) involving the masseter muscle present with significantly greater masseter muscle width, as evidenced by ultrasound, compared to ... ...

    Abstract Aims: To determine whether subjects with temporomandibular disorders (TMD) manifesting as chronic myofascial pain (MFP) involving the masseter muscle present with significantly greater masseter muscle width, as evidenced by ultrasound, compared to individuals without MFP.
    Methods: A case-control study was carried out. A total of 31 subjects presenting with MFP of the masticatory muscles involving the masseter muscle and 35 controls with TMD but no diagnosis of MFP, matched by age and sex, were included. Ultrasound was used to measure the maximum width of both masseter muscles at the intermediate point between the origin and insertion of the muscle in the light occlusal contact (LOC) position and under maximum contraction. Each side was analyzed separately. Means were compared by using single-factor analysis of variance and Mann-Whitney U test; P < .05 was considered to reflect statistical significance.
    Results: In the study group, the right masseter muscle had a mean ± standard deviation width of 8.6 ± 1.8 mm under LOC (controls: 8.6 ± 1.6 mm; P = .85) and 11.5 ± 2.1 mm under maximum contraction (controls: 11.7 ± 1.9 mm; P = .86). The analagous measures in the left masseter muscle were 8.6 ± 1.6 mm under LOC (controls: 8.2 ± 1.5 mm; P = .42) and 11.3 ± 1.8 mm under maximum contraction (controls: 11.5 ± 1.8 mm) (P = .79), respectively. The increase in width of the right masseter muscle was 2.9 ± 2.1 mm (controls: 3.1 ± 1.2 mm; P = .67) in absolute terms and 1.4 ± 0.3 mm (controls: 1.4 ± 0.2 mm; P = .91) in relative values (width at maximum contraction/LOC width). In the case of the left masseter muscle, the respective values were 2.8 ± 1.7 mm (controls: 3.2 ± 0.9 mm; P = .25) and 1.3 ± 0.2 mm (controls: 1.4 ± 0.1 mm; P = .32).
    Conclusion: There were no statistically significant differences in masseter muscle width between MFP subjects and control subjects under LOC conditions or maximum contraction. The increase in width under maximum contraction was likewise not significantly different between the groups.
    MeSH term(s) Adult ; Case-Control Studies ; Female ; Humans ; Male ; Masseter Muscle/diagnostic imaging ; Masseter Muscle/pathology ; Organ Size ; Temporomandibular Joint Dysfunction Syndrome/diagnostic imaging ; Temporomandibular Joint Dysfunction Syndrome/pathology ; Ultrasonography
    Language English
    Publishing date 2018-03-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2762048-7
    ISSN 2333-0376 ; 2333-0384
    ISSN (online) 2333-0376
    ISSN 2333-0384
    DOI 10.11607/ofph.1944
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Second primary tumors in proliferative verrucous leukoplakia: a series of 33 cases.

    Bagan, Jose / Murillo-Cortes, Judith / Poveda-Roda, Rafael / Leopoldo-Rodado, Manuel / Bagan, Leticia

    Clinical oral investigations

    2019  Volume 24, Issue 6, Page(s) 1963–1969

    Abstract: Objectives: To describe the number of second primary malignancies in a series of 33 patients with proliferative verrucous leukoplakia (PVL), detailing the mean time between primary malignancies and their clinical characteristics.: Materials and ... ...

    Abstract Objectives: To describe the number of second primary malignancies in a series of 33 patients with proliferative verrucous leukoplakia (PVL), detailing the mean time between primary malignancies and their clinical characteristics.
    Materials and methods: Two groups of patients were included in this study: group 1 comprised 33 PVL patients who had developed ≥ 2 oral squamous cell carcinoma (OSCC) and group 2 comprised 48 PVL patients without malignant degeneration. We compared the groups with regard to age, gender, oral location, and number of oral sites affected. For patients in group 1, we determined the locations, clinical forms, and TNM stages of oral cancers. We also recorded the intervals of time between instances of oral cancer for all patients.
    Results: The groups did not differ significantly in age; however, group 1 included more women (p < 0.05). The follow-up period and number of oral PVL locations were greater in group 1 (p < 0.01). Moreover, in group 1, as the number of OSCCs increased, the intervals between them became shorter. The gingiva was the most common site. The mean number of cancers in group 1 was 3.15; five second primary tumors were diagnosed in one patient.
    Conclusions: Multiple cancers in PVL patients were more frequently located on the gingiva in the form of erythroleukoplastic areas. In addition, the interval between new cancers decreased over time.
    Clinical relevance: This is the series with the highest number of cases described with second primary tumors in PVL.
    MeSH term(s) Carcinoma, Squamous Cell/epidemiology ; Cell Transformation, Neoplastic ; Female ; Gingiva ; Humans ; Leukoplakia, Oral/complications ; Leukoplakia, Oral/epidemiology ; Male ; Mouth Neoplasms/complications ; Mouth Neoplasms/epidemiology ; Neoplasms, Second Primary/complications ; Neoplasms, Second Primary/epidemiology
    Language English
    Publishing date 2019-08-22
    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/s00784-019-03059-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Diagnostic validity (sensitivity and specificity) of panoramic X-rays in osteoarthrosis of the temporomandibular joint.

    Poveda-Roda, Rafael / Bagan, José / Carbonell, Enrique / Margaix, Maria

    Cranio : the journal of craniomandibular practice

    2015  Volume 33, Issue 3, Page(s) 189–194

    Abstract: Objective: To establish the diagnostic validity of panoramic X-rays (PRx) in temporomandibular osteoarthrosis (OA) using the clinical and imaging criteria (magnetic resonance imaging, MRI) of the Research Diagnostic Criteria for Temporomandibular ... ...

    Abstract Objective: To establish the diagnostic validity of panoramic X-rays (PRx) in temporomandibular osteoarthrosis (OA) using the clinical and imaging criteria (magnetic resonance imaging, MRI) of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) as gold standards.
    Methods: Eighty-four patients with full clinical records (RDC/TMD), PRx, and MRI scans were selected. Two stomatologists evaluated the PRx for OA. The MRI findings were derived from the radiologist report. Intra/inter-examiner concordance was established. The diagnostic concordance between clinical signs and MRI was determined. Both were used as gold standards to calculate the validity of PRx in OA.
    Results: The diagnostic validity of PRx with MRI as gold standard was sensitivity=69.0% and specificity=67.9%. The diagnostic validity of PRx with clinical criteria as gold standard was sensitivity=61.6% and specificity=57.9%.
    Discussion: Panoramic X-rays have scant diagnostic validity in temporomandibular osteoarthrosis when taking MRI or clinical criteria of RDC/TMD as gold standards.
    MeSH term(s) Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Osteoarthritis/diagnostic imaging ; Radiography, Panoramic ; Retrospective Studies ; Sensitivity and Specificity ; Temporomandibular Joint Disorders/diagnostic imaging
    Language English
    Publishing date 2015-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 632570-1
    ISSN 2151-0903 ; 0886-9634
    ISSN (online) 2151-0903
    ISSN 0886-9634
    DOI 10.1179/2151090314Y.0000000018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Intravenous bisphosphonate-related osteonecrosis of the jaws: influence of coadjuvant antineoplastic treatment and study of buccodental condition.

    Margaix-Muñoz, Maria / Bagan, José / Poveda-Roda, Rafael

    Medicina oral, patologia oral y cirugia bucal

    2013  Volume 18, Issue 2, Page(s) e194–200

    Abstract: Objectives: To determine whether coadjuvant antineoplastic treatment can influence the number and size of bone exposures among patients with intravenous bisphosphonate-related osteonecrosis of the jaws (iBRONJ), and to analyze the buccodental condition ... ...

    Abstract Objectives: To determine whether coadjuvant antineoplastic treatment can influence the number and size of bone exposures among patients with intravenous bisphosphonate-related osteonecrosis of the jaws (iBRONJ), and to analyze the buccodental condition of these patients.
    Material and methods: The study sample comprised 67 patients with iBRONJ, 53 patients without iBRONJ receiving treatment with intravenous bisphosphonates, and 36 healthy subjects. In all three groups, measurements were made of the CAO index and of resting whole saliva and stimulated whole saliva. In the patients with iBRONJ, the size (cm) and number of bone exposures were recorded. The data obtained were subjected to analysis of variance (ANOVA), the Mann-Whitney U-test, and multivariate logistic regression analysis.
    Results: A total of 57.6% of the patients presented single bone exposure, 25.4% presented two, and 17% more than two exposures. The mean exposure size was 2.3 ± 1.9 cm. Neither the bivariate analysis nor the multivariate multiple regression analysis found coadjuvant antineoplastic treatment to exert a statistically significant effect upon the number and size of bone exposures. On the other hand, there were statistically significant differences among the three study groups in relation to the CAO index (p=0.02) and the number of missing teeth (p=0.00). The resting whole saliva and stimulated whole saliva levels were similar in the three groups, though the patients with osteonecrosis of the jaws showed comparatively lower SWS levels.
    Conclusions: Coadjuvant antineoplastic treatment alone appears to exert no influence upon the size and number of bone exposures in iBRONJ. The patients with this disease show a higher CAO index and a larger number of missing teeth.
    MeSH term(s) Antineoplastic Agents/adverse effects ; Bisphosphonate-Associated Osteonecrosis of the Jaw ; Chemotherapy, Adjuvant ; Diphosphonates/administration & dosage ; Diphosphonates/adverse effects ; Female ; Humans ; Injections, Intravenous ; Male ; Middle Aged ; Mouth Diseases/chemically induced
    Chemical Substances Antineoplastic Agents ; Diphosphonates
    Language English
    Publishing date 2013-03-01
    Publishing country Spain
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2171573-7
    ISSN 1698-6946 ; 1698-4447
    ISSN (online) 1698-6946
    ISSN 1698-4447
    DOI 10.4317/medoral.18604
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Pseudotumors and tumors of the temporomandibular joint. A review.

    Poveda-Roda, Rafael / Bagán, José V / Sanchis, José-María / Margaix, María

    Medicina oral, patologia oral y cirugia bucal

    2013  Volume 18, Issue 3, Page(s) e392–402

    Abstract: Objective: To review the pseudotumors and tumors of the temporomandibular joint (TMJ) published in journals included in Journal Citation Reports (JCR), and to evaluate whether there are clinical and radiological signs capable of differentiating between ... ...

    Abstract Objective: To review the pseudotumors and tumors of the temporomandibular joint (TMJ) published in journals included in Journal Citation Reports (JCR), and to evaluate whether there are clinical and radiological signs capable of differentiating between pseudotumors and tumors and between malignant and benign tumors.
    Material and methods: A systematic Medline search was made of clinical cases of tumors and pseudotumors of the TMJ covering a 20-year period and published in journals included in JCR. Only cases with histological confirmation were included. A description is provided of the general characteristics of TMJ tumors, with comparison of the clinical, diagnostic, therapeutic and evolutive variables referred to pseudotumors, benign tumors and malignant tumors.
    Results: We identified 285 TMJ tumors published in 181 articles of 15 journals. The most frequent lesions were pseudotumors (synovial chondromatosis, pigmented villonodular synovitis, eosinophilic granuloma and osteochondroma). The mean age was 42 years and one month ± 16 years and two months. Tumors were more common in females. The mean time from symptoms onset to consultation was 30 months and 8 days ± 41 months and 9 days, and almost 19.6% of the cases initially had been diagnosed and treated as TMJ dysfunction. The most frequent clinical manifestations were pain, swelling and the limitation of joint movements. The most common radiological findings in the case of benign and malignant lesions were radiopacities and radiotransparencies, respectively. No panoramic X-ray alterations were observed in 14.6% of the benign tumors and in 7.7% of the malignant lesions. Surgery was the usual form of treatment. Sequelae were recorded in 18.2% of the cases, with tumor relapse in 9.1%. The four-year survival rate in the case of malignant tumors was 72.2%.
    MeSH term(s) Humans ; Mandibular Neoplasms/diagnosis ; Mandibular Neoplasms/therapy ; Temporomandibular Joint Disorders/diagnosis ; Temporomandibular Joint Disorders/therapy
    Language English
    Publishing date 2013-05-01
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 2171573-7
    ISSN 1698-6946 ; 1698-4447
    ISSN (online) 1698-6946
    ISSN 1698-4447
    DOI 10.4317/medoral.18799
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Graft-versus-host disease affecting oral cavity. A review.

    Margaix-Muñoz, Maria / Bagán, José V / Jiménez, Yolanda / Sarrión, María-Gracia / Poveda-Roda, Rafael

    Journal of clinical and experimental dentistry

    2015  Volume 7, Issue 1, Page(s) e138–45

    Abstract: Graft versus host disease (GVHD) is one of the most frequent and serious complications of hematopoietic stem cell transplantation, and is regarded as the leading cause of late mortality unrelated to the underlying malignant disease. GVHD is an autoimmune ...

    Abstract Graft versus host disease (GVHD) is one of the most frequent and serious complications of hematopoietic stem cell transplantation, and is regarded as the leading cause of late mortality unrelated to the underlying malignant disease. GVHD is an autoimmune and alloimmune disorder that usually affects multiple organs and tissues, and exhibits a variable clinical course. It can manifest in either acute or chronic form. The acute presentation of GVHD is potentially fatal and typically affects the skin, gastrointestinal tract and liver. The chronic form is characterized by the involvement of a number of organs, including the oral cavity. Indeed, the oral cavity may be the only affected location in chronic GVHD. The clinical manifestations of chronic oral GVHD comprise lichenoid lesions, hyperkeratotic plaques and limited oral aperture secondary to sclerosis. The oral condition is usually mild, though moderate to severe erosive and ulcerated lesions may also be seen. The diagnosis is established from the clinical characteristics, though confirmation through biopsy study is sometimes needed. Local corticosteroids are the treatment of choice, offering overall response rates of close to 50%. Extracorporeal photopheresis and systemic corticosteroids in turn constitute second line treatment. Oral chronic GVHD is not considered a determinant factor for patient survival, which is close to 52% five years after diagnosis of the condition. Key words:Chronic graft-versus-host disease, oral chronic graft-versus-host disease, pathogenics, management, survival.
    Language English
    Publishing date 2015-02-01
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 2586647-3
    ISSN 1989-5488
    ISSN 1989-5488
    DOI 10.4317/jced.51975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Temporomandibular disorders. A case-control study.

    Poveda-Roda, Rafael / Bagan, Jose V / Sanchis, Jose-Maria / Carbonell, Enrique

    Medicina oral, patologia oral y cirugia bucal

    2012  Volume 17, Issue 5, Page(s) e794–800

    Abstract: Objective: To compare the risk factors and clinical manifestations of patients with temporomandibular disorders (TMDs) diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (axis I) versus an age and gender ... ...

    Abstract Objective: To compare the risk factors and clinical manifestations of patients with temporomandibular disorders (TMDs) diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (axis I) versus an age and gender matched control group.
    Study design: A total of 162 patients explored according to the RDC/TMD (mean age 40.6±18.8 years, range 7-90; 11.1% males and 88.9% females) were compared with 119 controls, measuring differences in TMD risk factors (sleep disturbances, stress, psychoactive medication, parafunctions, loss of posterior support, ligament hyperlaxity) and clinical variables (joint sounds, painful muscle and joint palpation, maximum aperture).
    Results: Myofascial pain (MFP) (single or multiple diagnoses) was the most frequent diagnosis (42%). The most common diagnostic combination was MFP plus arthralgia (16.0%). Statistically significant differences were observed in clenching (OR 2.3; 95%CI: 1.4-3.8) and in maximum active aperture (MAA) on comparing the two groups both globally (TMD vs. controls) (patients 36.7±8.6 mm, controls 43.1±5.8 mm; F=45.41, p=0.000) and on comparing according to diagnostic categories. MFP explained most of the observed differences in the risk factors: stress perception (OR=1.98;I.C.:1.01-3.89), psychoactive medication (OR=2.21; I.C.:1.12-4.37), parafunctions (OR=2.14;I.C.:1.12-4.11), and ligament laxity (OR=2.6;I.C.:1.01-6.68). Joint sounds were more frequent in patients with MFP (39.7% vs. 24.0%; χ²=4.66; p=0.03), and painful joint palpation was more common in patients with disc displacement with reduction (DDWR)(15.9% vs. 5.0%; χ²= 5.2; p=0.02) and osteoarthrosis (20.8% vs. 5.0%; χ²=7.0; p=0.008).
    Conclusions: There is a high prevalence of signs and symptoms of TMDs in the general population. Significant differences are observed in clenching and MAA between patients and controls considered both globally and for each diagnostic category individually. The analyzed risk factors (except loss of posterior support) show a statistically significant OR for the diagnosis of MFP.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Case-Control Studies ; Child ; Female ; Humans ; Male ; Middle Aged ; Risk Factors ; Temporomandibular Joint Disorders/diagnosis ; Temporomandibular Joint Disorders/epidemiology ; Young Adult
    Language English
    Publishing date 2012-09-01
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2171573-7
    ISSN 1698-6946 ; 1698-4447
    ISSN (online) 1698-6946
    ISSN 1698-4447
    DOI 10.4317/medoral.18040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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