Treatment for temporomandibular joint (TMJ) ankylosis include gap arthroplasty (GA) and resection of the ankylosis and reconstruction of the ramus–condyle unit with a costochondral graft or prosthetic joint. The aim of this review was to assess whether GA or and resection of the ankylosis and reconstruction of the ramus–condyle unit with a costochondral graft produced [read the full story…]
Nociceptive Trigeminal Inhibition tension suppression system and temporomandibular disorders
This recently published critical summary of a systematic review was prepared under the auspices of the American Dental Association Center for Evidence-Based Dentistry. The review summarised aimed to assess the effectiveness of the NTI-tss (Nociceptive Trigeminal Inhibition tension suppression system) device for the treatment of bruxism, headache and temporomandibular disorders was originally published in 2008. [read the full story…]
Ability of existing tests to distinguish between temporomandibular disorders questioned
The aim of this review was to summarize the research on accuracy of individual clinical diagnostic signs and tests for the presence of temporomandibular disorder (TMD), , and for the subclassifications affiliated with TMD. The authors conducted hand and computerised searches to identify articles on the diagnostic accuracy of clinical tests and signs. The sources [read the full story…]
Limited evidence that hard stabilisation appliances provide improvement in pain related to temporomandibular disorders
This critical summary of a systematic review published in 2010 was prepared under the auspices of the American Dental Association Center for Evidence-Based Dentistry. The original review was addressing the question of whether intraoral orthopaedic appliances reduce pain in patients with temporomandibular disorders affecting muscle and joint (TMJD) compared to subjects receiving placebo control, no [read the full story…]
Oral glucosamine sulphate not superior to placebo in treating osteoarthritis in temporomandibular joint
Osteoarthritis (OA) of the temporomandibular joint is found in about 5-16% of those referred with temporomandibular disorders (TMD). The aim of this study was to evaluate the effect of oral glucosamine sulphate, compared with placebo, on pain and function in patients diagnosed with osteoarthritis in the temporomandibular joints. Patients with the research diagnostic criteria for [read the full story…]
The impact of temporomandibular disorders on oral health-related quality of life
This critical summary of a systematic review published in 2010 was prepared under the auspices of the American Dental Association Center for Evidence-Based Dentistry. The original review authors were looking at the relationship between oral health-related quality of life (OHQOL) and temporomandibular disorders (TMDs). The critical summary noted that the review question could have been [read the full story…]
Inferior or double temporomandibular joint spaces injection technique better than superior space injection
The temporomandibular joint has 2 unconnected cavities, superior and inferior, partitioned by the articular disc. The superior space injection (SSI) of was the commonly used technique for temporomandibular disorders (TMD) . Recently, some researchers found that inferior space injection (ISI) or double spaces injection (DSI), ie, both upper and lower spaces being injected at 1time, [read the full story…]
Oral appliances for treating headache in patients with myofascial pain
The aim of this trial was to compare the short- and long-term effectiveness of a prefabricated occlusal appliance with that of a stabilization appliance when treating headache in patients with myofascial pain. A group of 66 patients attending two centres for Stomatognathic Physiology in Sweden and Finland 94% of whom suffered concomitantly from headache were [read the full story…]
Insufficient evidence for or against use of cognitive-behavioural therapy for the treatment of temporomandibular disorders
The aim of this review was to assess the contribution of cognitive-behavioural therapy (CBT) to the management of temporomandibular disorders (TMD). The authors searched the Cochrane Central Register of Controlled Trial (CENTRAL), Pubmed and the Chinese Biomedical Literature Data for randomised and semi-randomised controlled trials (RCTs), comparing CBT with any control group receiving other dental [read the full story…]
Hypnosis reduces temporomandibular disorder pain
The aim of this trial was to assess the effect of hypnosis on self-reported pain and the blink reflex (BR) in temporomandibular disorder. Forty three patients with a diagnosis of persistent (>6 months) myofascial pain Iab according to the Research Diagnostic Criteria (RDC/TMD) were randomized to hypnosis or control (nonhypnotic relaxation). Pain intensity was assessed [read the full story…]