MyMedR

Fulltext Migraine masquerading as temporomandibular disorders: a case report

Shoji Y, Cohen HV

Journal of Clinical and Health Sciences, 2018;3(1):43-46.

MyJurnal

Migraine is a common disabling primary headache disorder. Ipsilateral radiation of pain to orofacial regions, including teeth, jaws and temporomandibular joints, although not a common complaint, could occur. The area of involvement may obscure the diagnosis and lead to unnecessary dental treatment. A case is presented in which a patient initially sought dental care for left jaw pain that radiated to her left maxillary teeth and temple region and she was also experiencing discomfort in the left masticatory musculature. Subsequently a medical consult diagnosed migraine headache without aura and fortunately unnecessary dental treatment was not done. The key issue here is the complexity of the Trigeminal nerve when the dentist is assessing a patient for dental or other orofacial pain complaints and dental pathology has been ruled out. Equally as important is the dentist taking thorough medical history since a patient may not tell a dentist about a “headache” because the pain is in the teeth and/or jaws. And, perhaps most important is the final differential diagnosis whether made by the dentist or medical care provider.

Matched MeSH terms: Temporomandibular Joint Disorders*

Fulltext A prospective study on response to treatment of patients with Temporomandibular disorder: a clinical study

Kashmoola, Muhannad Ali, Nazih Shaaban Mustafa, Robiah Mohamed, Siti Nabilah Mohamed Talmizi

International Medical Journal Malaysia, 2017;16(21):20-20.

MyJurnal

Temporomandibular joint dysfunction (TMD) is regarded as multifactorial in origin
and this may influence the diagnosis and treatment plan. Early detection of TMD with suitable
management may provide good response. This study was to relate demographic factors, signs and
symptoms, diagnosis, stage of detection and treatment modalities on review outcome. (Copied from article).

Matched MeSH terms: Temporomandibular Joint Disorders

Fulltext Hot towel massage relieved a 7 years orofacial pain – a case report

Ma MS

Ann Dent, 2012;19(2):66-69.

MyJurnal

Diagnosis and management of orofacial pain of non-odontogenic origin has always been a challenge to dentists. Inaccurate diagnosis would result in delay of treatment and in cases of orofacial pain, affects patient’s quality of life. Temporomandibular pain dysfunction syndrome is the most common temporomandibular disorder that presents to dental clinics. Trigeminal neuralgia, also known as ticdouloureux is a relatively rare condition that causes electric shock-like pain when the trigger zone is stimulated by triggering factor. Case report: A case of temporomandibular pain dysfunction syndrome in a 52 years old Indian lady that was managed as trigeminal neuralgia for 7 years is presented. Conclusion: The aim of this case report is to make dentists aware of the signs and symptoms of different orofacial pain, so that early and accurate diagnosis can be made and appropriate treatment instituted.

Matched MeSH terms: Temporomandibular Joint Disorders*

Fulltext Temporomandibular joint ankylosis in a child: an unusual case with delayed surgical intervention

Yew CC, Rahman SA, Alam MK

BMC Pediatr, 2015;15:169.

PMID: 26546159 DOI: 10.1186/s12887-015-0495-4

The Temporomandibular Joint (TMJ) ankylosis in child is rare and yet the causes still remain unclear. This condition that affects the feeding and possible airway obstruction do not only worry the parents, but also possesses as a great challenge to the surgeons. Furthermore, it interferes with the facial skeletal and dento-alveolar development in the on growing child.

Matched MeSH terms: Temporomandibular Joint Disorders/physiopathology; Temporomandibular Joint Disorders/radiography; Temporomandibular Joint Disorders/surgery*

Fulltext True ankylosis of temporomandibular joint: a case report

Ling KC

Med J Malaysia, 1985 Jun;40(2):129-31.

PMID: 3834284

A unilateral true ankylosis of the temporomandibular joint of traumatic origin and of 23 years duration is reported. Its pathogenesis and treatment are discussed.

Matched MeSH terms: Temporomandibular Joint Disorders/pathology*; Temporomandibular Joint Disorders/surgery

Role of hormonal fluctuations in temporomandibular disorder pain: facts to ponder

Das S, Rajalingham S

Pain, 2012 Jan;153(1):250-251.

PMID: 22119339 DOI: 10.1016/j.pain.2011.10.039

Matched MeSH terms: Temporomandibular Joint Disorders/blood*; Temporomandibular Joint Disorders/drug therapy*

Association between temporomandibular disorders and pubertal development: A systematic review

Song YL, Yap AU, Türp JC

J Oral Rehabil, 2018 Dec;45(12):1007-1015.

PMID: 30125394 DOI: 10.1111/joor.12704

The aim of this systematic review (SR) was to determine the association between temporomandibular disorders (TMDs) and pubertal development. Due to the inadequacy of the conventional PICO (Population, Interventions, Comparisons and Outcome) format used for intervention-based SRs, the Joanna Briggs Institute's guidelines for synthesising evidence related to associations with a focus on aetiology were adopted. A search of the PubMed and LIVIVO databases covering the period from January 1980 to May 2018 yielded four publications, which fulfilled the inclusion criteria. Analysis of articles based on the Pubertal Development Scale showed that TMD prevalence increases with pubertal development. Although no sex difference in TMD prevalence and diagnosis was observed, more females reported TMD anamnestic variables, including accounts of temporomandibular pain during pubertal maturity. The higher prevalence of depression and somatisation during pubertal development may contribute to more TMD symptom reporting in females. More prospective studies incorporating standardised methods for diagnosing TMDs and detecting comorbid psychosocial and somatic problems are desired to further elucidate the relationship between TMDs and pubertal development.

Matched MeSH terms: Temporomandibular Joint Disorders

Temporomandibular joint disorders: a review for physicians

Khoo SP

Family Physician, 1994;6:2-5.

Temporomandibular disorders are the commonest orofacila pain. Many of them present themselves to the primary care physician. A fundamental familiarity with this disorder is essential for proper diagnosis and management.

Matched MeSH terms: Temporomandibular Joint Disorders

Translating the Research Diagnostic Criteria for Temporomandibular Disorders into Malay: evaluation of content and process

Khoo SP, Yap AU, Chan YH, Bulgiba AM

J Orofac Pain, 2008;22(2):131-8.

PMID: 18548842

To develop a Malay-language version of the Axis II Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) through a formal translation/back-translation process and to summarize available data about the psychometric properties of the translated scales.

Matched MeSH terms: Temporomandibular Joint Disorders/diagnosis*

Management of ankylosed temporomandibular joint in a young child

Boon LC, Nik-Hussein NN

J Pedod, 1990;14(3):136-8.

PMID: 2081129

Various alloplastic and autogenous tissues have been used in attempts to restore facial height and reconstruct temporomandibular articulation. A case is presented where an ectodermal rib graft was used to reconstruct the temporomandibular joint after arthroplasty in a young child.

Matched MeSH terms: Temporomandibular Joint Disorders/surgery*

Fulltext Effectiveness of the Laser Application in Temporomandibular Joint Disorder: A Systematic Review of 1172 Patients

Zwiri A, Alrawashdeh MA, Khan M, Ahmad WMAW, Kassim NK, Ahmed Asif J, et al.

Pain Res Manag, 2020;2020:5971032.

PMID: 33005278 DOI: 10.1155/2020/5971032

Objective: The aim of this systematic review was to evaluate the effectiveness of laser application in temporomandibular joint disorder.

Methods: PubMed, SCOPUS, Science Direct, Web of Science, and Google Scholar electronic databases were searched systematically with restricting the languages to only English and year (January 2001 to March 2020), and studies were selected based on the inclusion criteria. Study quality and publication bias were assessed by using the Robvis, a software package of R statistical software.

Results: This systematic review included 32 studies (1172 patients) based on the inclusion and exclusion criteria. Most of the studies reported significant reduction of pain by the use of the laser during TMD treatment. Two-thirds of the study (78.13%) found a better outcome comparing with conventional one. According to Robvis, 84.4% of the studies were high methodological studies with low risk of bias.

Conclusion: TMD patients suffer with continuous pain for long time even after conventional treatment. Laser therapy shows a promising outcome of pain reduction for TMD patients. Therefore, laser therapy can be recommended for the TMD patients' better outcome. This trial is registered with PROSPERO (CRD42020177562).

Matched MeSH terms: Temporomandibular Joint Disorders/radiotherapy*

Fulltext Impact of Temporomandibular Joint Complaints on Tinnitus-Related Distress

Edvall NK, Gunan E, Genitsaridi E, Lazar A, Mehraei G, Billing M, et al.

Front Neurosci, 2019;13:879.

PMID: 31548840 DOI: 10.3389/fnins.2019.00879

There is increasing evidence of associations between the presence of temporomandibular joint (TMJ) disorders and tinnitus. It has been recently proposed that tinnitus patients with TMJ complaints could constitute a subtype, meaning a subgroup of tinnitus patients responsive to specific treatments. Tinnitus patients with TMJ complaints are often young women with somatosensory features of their tinnitus. Here, we investigate the socio-economic factors, phenotypic characteristics and psychological variables of tinnitus subjects from the Swedish Tinnitus Outreach Project, with (n = 486) or without (n = 1,996) TMJ complaints. The prevalence of TMJ complaints was greater in tinnitus subjects with severe tinnitus (36%) when compared to those with any tinnitus (19%), strongly indicating the contribution of TMJ problems to the severity of tinnitus. Comparing subgroups with or without TMJ complaints in the whole sample, differences were found regarding a large number of socioeconomic, phenotypic, and psychological characteristics. Subjects with TMJ complaints were more often women, more often reported stress as the cause of tinnitus, were more severely affected by tinnitus, scored worse in measures of psychological well-being and life quality, and were more often affected by problems tolerating sounds, headache, vertigo/dizziness, and neck pain. In addition, they more often reported pulsating and tonal tinnitus, somatic modulation of tinnitus, and aggravation of tinnitus by loud sounds and stress. When focusing the analysis in subjects with tinnitus as a big problem using the Tinnitus Functional Index cut-off ≥ 48, or with severe tinnitus according to the Tinnitus Handicap Inventory cut-off ≥ 58, the impact of somatosensory modulations and stress on tinnitus were greater in subjects with TMJ complaints in comparison to those without. In light of these results, we hypothesize that stress could contribute to the co-occurrence of TMJ problems and tinnitus and also to the development of severe tinnitus. Our study supports the need of involving dental care and stress management in the holistic treatment of patients with severe tinnitus.

Matched MeSH terms: Temporomandibular Joint Disorders

Temporomandibular Joint Ankylosis Leading to Obstructive Sleep Apnea

Shaeran TAT, Samsudin AR

J Craniofac Surg, 2019 Jun 28.

PMID: 31261319 DOI: 10.1097/SCS.0000000000005689

Temporomandibular joint ankylosis in children commonly lead to difficulty in feeding, poor oral hygiene, retrognathic mandible and obstructive sleep apnea. Surgical release of the ankylosis has always been the standard treatment. The authors report a 12 year old boy with unilateral temporomandibular joint ankylosis and obstructive sleep apnea underwent surgical release of the ankylosis with successful gain in mouth opening. However, he continued to suffer from obstructive sleep apnea as confirmed by post-operative polysomnography. Orthognathic surgery for mandibular advancement is not favorable due to his young age and mandibular distraction osteogenesis was not a choice. A mandibular advancement device similar to orthodontic myofunctional appliance was the preferred choice in the post-operative period while waiting for definitive retrognathia surgical treatment after skeletal maturity. Surgical release of temporomandibular joint ankylosis corrects the oral problem but does not adequately address the narrow pharyngeal airway space. Assessment of pharyngeal airway with a high suspicion of obstructive sleep apnea is mandatory in the management of TMJ ankylosis.

Matched MeSH terms: Temporomandibular Joint Disorders

Fulltext Is the burden of oral diseases higher in urban disadvantaged community compared to the national prevalence?

Jaafar N, Hakim H, Mohd Nor NA, Mohamed A, Saub R, Esa R, et al.

BMC Public Health, 2014;14 Suppl 3:S2.

PMID: 25438162 DOI: 10.1186/1471-2458-14-S3-S2

The urban low income has often been assumed to have the greatest dental treatment needs compared to the general population. However, no studies have been carried out to verify these assumptions. This study was conducted to assess whether there was any difference between the treatment needs of an urban poor population as compared to the general population in order to design an intervention programme for this community.

Matched MeSH terms: Temporomandibular Joint Disorders/epidemiology*

Numbness of the ear following inferior alveolar nerve block: the forgotten complication

Ngeow WC, Chai WL

Br Dent J, 2009 Jul 11;207(1):19-21.

PMID: 19590550 DOI: 10.1038/sj.bdj.2009.559

This article presents a distant complication in the auricle following the administration of a standard inferior alveolar nerve block. The patient experienced profound numbness of the auricle on the ipsilateral side of the injection that lasted for about an hour following unintended injection to the auriculotemporal nerve.

Matched MeSH terms: Temporomandibular Joint Disorders/etiology

Septic arthritis of temporomandibular joint

Azmi NS, Mohamad N, Razali NA, Zamli AKT, Sapiai NA

Med J Malaysia, 2021 03;76(2):264-266.

PMID: 33742643

Septic arthritis (SA) occurrence for temporomandibular joint (TMJ) is rare. Pain, fever, swelling or loss of TMJ function are the typical presentation. The more common diagnosis for these presentations is internal derangement, osteoarthritis and rheumatoid arthritis. Therefore, TMJ septic arthritis is a challenging diagnosis and at risk of delayed diagnosis. We present a case of TMJ septic arthritis in a 46 year old Malay female with underlying hypertension and hypercholestrolemia, which was diagnosed as internal derangement in the initial presentation. The initial radiograph was normal. Arthrocentesis procedure had temporarily relieved the symptoms before progressive facial swelling developed after a week. Contrast enhanced computed tomography (CECT) brain revealed left TMJ abscess formation with left condylar erosion. Patient subsequently improved after wound debridement, left condylectomy and antimicrobial therapy.

Matched MeSH terms: Temporomandibular Joint Disorders

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