Biomedical subjects

M J van der Meulen

Publications and source records attributed to M J van der Meulen.

9 recordsLinked to original sources

PubMed2006

[Occupational differentiation in dentistry 2. From Brueghel's syndrome to a radiant smile. An advanced postgraduate programme in oral kinesiology].

Oral movement disorders, jaw pain, and tooth wear are examples of clinical problems that are part of the dental discipline 'oral kinesiology'. About half of the advanced postgraduate programme in oral kinesiology involves the diagnosis, indication, and management of patients with one or more oral kinesiologic problems. The remaining time is available for thematic courses and a research project. The breadth of the programme will hopefully lead to improved care for patients whose treatment until now has been dispersed between various dental specialists. Successful candidates will obtain an advanced postgraduate diploma in Oral Kinesiology, and can also apply to be recognized as a gnathologist.

Bruxism↗

PubMed2000

[Treatment protocol for craniomandibular disorder 1. Diagnosis].

In two essays the treatment strategy of the department of Oral Function of the Academic Center of Dentistry Amsterdam for treating craniomandibular disorder (CMD) patients will be presented. This first essay starts with a short description of the symptomatology, classification and etiology of CMD. Then it is described how to diagnose a CMD with the use of a standardized diagnostic protocol. Some important aspects of the differential diagnosis of CMD are discussed. Furthermore it is discussed when a CMD-patient can be treated by the dentist or when referral to a CMD specialist or oral surgeon is necessary.

Craniomandibular Disorders↗

PubMed2000

[Treatment protocol for craniomandibular dysfunction 2. Treatment].

In two essays the treatment strategy of the department of Oral Function of the Academic Center of Dentistry Amsterdam for treating craniomandibular disorder (CMD) patients is described. In this second essay a description is given of several dental, physiotherapeutical and psychological treatment modalities for CMD. Then treatment strategies for the different categories of CMD are described. It is also indicated which aspects of the treatment strategy are based upon 'evidence based care' and which aspects are more based upon principles of 'common sense' and 'clinical prudence'.

Analgesics↗

PubMed2000

[Multidisciplinary diagnosis and treatment of craniomandibular disorders].

Treatment of craniomandibular disorders (CMD) requires a multidisciplinary approach. The CMD-team of the Academic Centre for Dentistry Amsterdam (ACTA) therefore consists not only of specialists in CMD and orofacial pain, but also of physiotherapists and a psychologist. Possible CMD-patients are referred to this team by the dentist-general practitioner, either directly or upon request of a family physician or a medical specialist; the many rules of such referrals are outlined in the article. The CMD-team regularly consults other disciplines for diagnosis and/or treatment of their patients. For instance, internal referrals are sometimes made to the departments of Oral radiology, Endontology, Periodontology, Orthodontics, or Oral and maxillofacial surgery. External referrals to, for example, a speech therapist or a medical specialist (e.g., a pain specialist) are arranged by the family physician upon request of the CMD-team.

Craniomandibular Disorders↗

PubMed2000

[Role of the psychologist in the treatment of bruxism].

Although there is a controversy about the importance of psychological factors in the development, enhancement and perpetuation of bruxism and other parafunctional activities, the contribution of a psychologist in the treatment of the individual patient is recommended. This contribution consists of diagnostic examination and treatment, most often a short cognitive behavior modification therapy. Because bruxism is mostly examined and treated in relation to the complaints it might cause, especially CMD-complaints, diagnosis and treatment are mostly directed at both. For the diagnosis a questionnaire is used, including a psychological test, which is followed by one or more interviews. The treatment is directed at learning to recognize bruxism activities, to practice alternative behavior, and to learn to cope better with situations that may lead to an increase of bruxism.

Behavior Therapy↗

PubMed1997

Psychological characteristics of patients applying for treatment in a dental fear clinic.

The aim of the present study was to assess psychological characteristics of highly anxious dental patients. Subjects were 321 patients (203 women) applying for treatment at a dental fear clinic in The Netherlands. Patients filled out several questionnaires to assess the amount of psychological complaints (Dutch version of the Symptom Checklist 90-Revised; SCL-90) and dental anxiety (Dental Anxiety Scale, Short version of the Dental Anxiety Inventory) approximately 4 months prior to their first appointment. The total mean score on the SCL-90 for the highly anxious patients was 142.7 (SD=47.2) for men and 166.5 (SD=64.3) for women. The SCL-90 total score and the mean scores of all subscales were significantly higher, and above the 80th percentile for most of the subscales, than the mean scores of the Dutch general population. The results indicate that patients who apply for treatment at a dental fear clinic are not just dentally anxious; they show complaints on a wide range of other psychological dimensions.

Adolescent↗

PubMed1996

[Psychosocial factors in patients with temporomandibular dysfunction].

In this article the possible involvement of psychosocial factors in temporomandibular dysfunction (TMD) is discussed, both from a scientific and a clinical point of view. Compared with patients with TMD, controls thought they had personal control over their health and had a more active problem-solving coping style. Patients with a negative treatment outcome were older, reported fewer stressors and more frequently considered health to be determined by external factors than patients who were treated successfully. It was concluded that the assessment of psychosocial variables and in particular health locus of control is important for understanding both subjective treatment need and treatment outcome for TMD.

Attitude to Health↗

PubMed1996

[The use of a questionnaire in TMD].

The use of a questionnaire in a TMD-clinic seems to be a useful aid in diagnosis and treatment of patients with TMD. By using such a questionnaire, it becomes clear which patients have to be advised to attend to psychosocial factors. Besides, the completion of the questionnaire before the first clinical examination often changes the opinion of patients about their complaints. The possible role of psychosocial factors is introduced gradually, and thereby, patients are more receptive to learn adaptive, coping strategies.

Adaptation, Psychological↗

PubMed1995

Recurrence risk for germinal mosaics revisited.

A formula to calculate recurrence risk for germline mosaicism published by Hartl in 1971 has been updated to include marker information. For practical genetic counselling new, more elaborate tables are given.

Chromosome Aberrations↗