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Biomedical subjects

W P Savalle

Publications and source records attributed to W P Savalle.

5 recordsLinked to original sources

[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↗

[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↗

Elastic and collagenous fibers in the temporomandibular joint capsule of the rabbit and their functional relevance.

This study deals with the form and function of the temporomandibular joint capsule and compares the histological structure of the capsule and kinetics of condylar and disc movement in rabbit and man. The morphology of the capsule of the jaw joint of the rabbit was studied by means of histological sections of isolated capsules, celloidin sections of decalcified heads, and cryostat sections containing the joint, fixed in jaw open and closed positions. General staining methods and selective methods for elastin and collagen were used. The volume density of the elastic fibers was determined morphometrically. The capsule consists of a portion connecting disc and skull and a portion connecting disc and mandible. The former portion has a fibrous outer layer of dense connective tissue. It contains numerous bundles of specifically oriented collagen but hardly any elastic fibers. Few irregularly arranged elastic fibers are present in the lateral and medial areas of the capsule. In contrast, the portion connecting disc and condylar process contains not only oriented collagen but also large amounts of elastic fibers. Anteriorly, there is a thin elastic band that is stretched greatly at jaw opening. Posteriorly, the capsule takes the appearance of a large fibro-elastic pad that covers the posterior extension of the condyle. This part is somewhat stretched when the jaw is closed. The findings correlate well with the results of jaw movement studies, showing a remarkable capability for condylar protrusion and retrusion. In contrast to the situation in humans, this movement occurs mainly between condyle and disc. It is made possible by the rather tight connections between skull and disc and flexible ones between disc and condyle.

Animals↗

Some aspects of the morphology of the human temporomandibular joint capsule.

Since opinions about the presence of a band structure or a ligament in the lateral part of the temporomandibular joint capsule are divergent in the literature, the capsule of 16 post-mortem human specimens was examined both anatomically and histologically. A distinguishable ligamentous formation in the lateral part of the capsule was observed only in three specimens. In one of these, the distinguishable formation had morphological characteristics of tendinous tissue. This study indicates caution with too generalised opinions about temporomandibular morphology.

Female↗