Public vs professional education: a matter of priority and procedure.
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Biomedical subjects
Publications and source records attributed to D M Laskin.
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From an analysis of the factors that could contribute to the development of post-traumatic TMJ ankylosis, it is evident that a number of different conditions are probably operant. Based on clinical and experimental findings, however, it is suggested that of primary importance is the location of the meniscus in relation to the fracture site. It is proposed that the meniscus normally serves as a barrier to prevent fusion of the distal fragment with the glenoid fossa, and that ankylosis generally occurs if this relationship is not maintained. Based on this concept, possible modifications in the management of fractures of the condyloid process are suggested.
The sound patterns produced by tooth contact were recorded in 24 subjects with myofascial pain-dysfunction (MPD) syndrome prior to and following treatment using an Occlusograph. Recordings also were obtained on 12 control subjects. Evaluation of the sound patterns showed a close correlation between the improvement in symptoms of MPD syndrome following treatment and the consistency of repeated occlusal contacts. The consistency following successful treatment of the subjects with MPD syndrome was equivalent to that of the control subjects.
Electromyographic (EMG) biofeedback was used in a controlled situation to teach patients with myofascial pain-dysfunction syndrome to relax and masseter muscle. Those receiving biofeedback were able to reduce their mean masseter EMG levels significantly. Concurrently, there was a reduction of symptoms. Seventy-five percent of the successfully treated patients required no further therapy during one year of observation.
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A technique for arthroscopic examination of the temporomandibular joint (TMJ) of the rabbit is reported. Rabbits were selected because of the accessibility of the joint and its relative morphologic similarity to the human TMJ. The clinical findings and postoperative sequelae of the procedure are discussed. The results indicate that the technique safely and accurately demonstrates the internal anatomy of the TMJ, and suggest its future application in studies in humans.