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[Evaluation of the condylar position in the diagnosis of temporomandibular joint dysfunction syndrome].

26 cases with Temporomandibular Joint Dysfunction Syndrome (TMJDS) were included in the present study. Fully corrected lateral tomogrames of TMJ in the intercuspid position were taken for all the cases; and fully corrected lateral arthrotomogrames were taken for 19 cases (21 joints) of them. The area and linear measurements of the joint space were made with the aid of computer. The results showed that the position of the condyle in the patients with TMJDS was located in the posterior position of the fossa. Statistics results showed that there was significant difference between the patient group and control group. Although the posterior displacement of the condyle was often associated with the anterior displacement of the disc, it was not always agreement with the anterior disc displacement. So, the exact diagnosis of disc displacement should be still on the basis of arthrography or other examinations, such as CT or MRI.

Adolescent↗

Temporomandibular joint dysfunction syndrome in children.

Temporomandibular joint (TMJ) dsyfunction is described and a historical perspective of the disorder is presented. A review of research related to symptoms, incidence, correlates, and causes of TMJ dysfunction in children is presented. Factors regarding identification are discussed, and treatment options are outlined. The purpose of this article is to increase the awareness of school health personnel about a condition which traditionally has been considered an adult disorder.

Adolescent↗

[Operative and pathological observations on secondary synovitis of temporomandibular joint dysfunction syndrome].

14 cases (16 joints) with temporomandibular joint dysfunction syndrome (TMJDS) were included in the present study. All the patients had severe pain of the joint for a long time and the conventional therapy was not effective. The operative and pathological findings of the 14 cases showed that synovitis secondary to microtrauma of the joint really existed and might be one of the reasons causing the severe pain of the joint in some patients with TMJDS.

Adult↗

[Evaluation of digital subtraction arthrography on the diagnosis of temporomandibular joint dysfunction syndrome].

Digital subtraction arthrography of temporomandibular joint superior cavity (TMJSC-DSA) was performed for 70 cases with TMJ dysfunction syndrome. A comparative observation between the operative findings and the findings of TMJSC-DSA examination was carried out for 11 cases who underwent TMJ operation. The results showed that TMJSC-DSA could overcome the disadvantages of conventional arthrography and make exact diagnoses for the anterior displacement of the disc and the disc perforation.

Adolescent↗

The role of systemic hypermobility and condylar hypermobility in temporomandibular joint dysfunction syndrome.

OBJECTIVE: To evaluate the risk of temporomandibular joint dysfunction (TMD), when both systemic joint hypermobility (SJH) and localized condylar hypermobility (LCH) exist. MATERIALS AND METHODS: Sixty-four consecutive outpatients with temporomandibular joint clicking or pain, and 77 sex- and age-matched control subjects, were recruited in the study. LCH was diagnosed when condylar subluxation was present, and SJL was diagnosed by using Beighton's method. The frequency of symptoms, mean mouth opening, and the frequency of subjects with SJL and LCH were the main outcome measures. RESULTS: Out of the 64 patients, 16 patients were suffering from pain, 20 patients from joint-clicking and 28 patients from both. Both SJH and LCH were more frequently observed in those patients with TMD than in control subjects. The risk of TMD was higher if LCH and SJH existed jointly. CONCLUSION: Both systemic and localized hypermobility may have a role in the etiology of TMD.

Adult↗

[Substance P in synovial fluid in patients with temporomandibular joint dysfunction syndrome].

Radioimmunoassay technique was used to measure substance P levels in synovial fluid samples from thirty patients with temporomandibular joint dysfunction syndrome (TMJDS). Twenty-four samples (80%) were found to have substance P. Concentrations of substance P in the synovial fluid from patients with painful TMJDS were higher than those patients without pain (P < 0.05). The study supported the evidence for the secondary synovitis in painful TMJDS, and suggested that the nervous system play a role in the pathophysiology of TMJDS.

Adolescent↗

[Study on internal derangement in temporomandibular joint of temporomandibular joint dysfunction syndrome patient in adolescent by means of Fuji Computed Radiography (FCR)].

The aim of this study was to examine the Temporomandibular Joint of the thirty-eight adolescent subjects with Temporomandibular Joint Dysfunction Syndrome by means of Fuji Computed Radiography System (FCR). The following results were obtained: 1) It was indicated that the frequency of occurrence of the backward on the condyle position to fossa in the group with signs of TMJ Dysfunction was higher than the group without signs. Also it was suggested that the central position was a good position as the goal for improved position. 2) The revealed frequency of morphological abnormality of condyle in the group with signs was higher than the group without signs. 3) Internal derangement of meniscus was associated with signs of TMJ Dysfunction. In particular, sound and pain was definitely associated with the internal derangement. 4) The organic abnormal change (morphological abnormality of the condyle and internal derangement of meniscus) in the TMJ of adolescent patients with the TMJ Dysfunction Syndrome was found.

Adolescent↗

[Tumor necrosis factor in synovial fluids of temporomandibular joint dysfunction syndrome].

With the MTT tetrazolium WEHI 164 clone 13 cell cytotoxicity assay, we measured TNF alpha (tumor necrosis factor) activity in synovial fluids of TMJDS (Temporomandibular joint dysfunction syndrome). We found no detected TNF alpha level from 5 patients with muscle dysfunction, raised TNF alpha levels from 5 of 11 patients with internal derangement and from 9 of 11 patients with organic destruction (osteoarthritis). The findings of biologically active TNF alpha in synovial fluids of TMJDS suggest that TNF alpha may play a role in the pathogenesis of TMJDS.

Adolescent↗

[Study on the masticatory muscle and occlusal function of temporomandibular joint dysfunction syndrome patients in adolescence].

The aims of this study was to clarify the role of masticatory and occlusal malfunction in causing the Temporomandibular joint (TMJ) Dysfunction Syndrome in adolescents. We examined the relationships between masticatory and occlusal malfunction and signs of the TMJ dysfunction by using the number of interocclusal points, occlusal interference, the dental arch models and the electromyographs. In particular, the electromyographs was examined by comparison between with at the first examination and after the adjustment of occlusal relations. The subjects were thirty-nine out patients with the TMJ Dysfunction Syndrome. The following results were obtained: 1) The number of interocclusal points in the TMJ Dysfunction Syndrome was fewer than in the normal control group. 2) In the relationships between the occlusal interference on the non-working side and pain as signs of TMJ Dysfunction, 76.9% in all subjects had reasonable relationship which recognized a causal sequence. 3) By analysis using integrated method for electromyographs, it was found that the total electric potentials in TA after the adjustment of occlusal relations tended to decrease in comparison with at the first examination, while, the ration of M was shown to have a tendency of increasing. 4) On comparing the gum chewing patterns (duration, interval, cycle) recorded from the masseter muscle, it was found that the pattern after the adjustment of occlusal relations were more stable than at the first examination. 5) The frequency of occurrence of the silent period after the adjustment of occlusal relations was higher than at the first examination. Also relationships between the change on duration of the silent period and signs of TMJ Dysfunction were found.

Adolescent↗