54 patients with temporomandibular joint (TMJ) arthralgia were randomised to recieve either methylprednisolone or saline to reduce pain. Findings suggest no difference in TMJ pain
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This review the prevalence of degenerative joint disease (DJD) of the temporomandibular joints included 32 studies only 6 being considered at low risk of bias. While a high prevalence of DJD was seen in patients with juvenile idiopathic arthritis and rheumatoid arthritis the findings should be viewed cautiously.
[read the full story...]2017 Dental Elf end of year round up May to August 2017.
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This review of the association between temporomandibular disorders and dental occlusion included 25 observational studies. No consistent association was found.
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This review of TMJ lavage for temporomandibular disorders only included 5 small RCTs a majority of which were at high risk of bias. While the findings suggest a benefit from lavage this should be interpreted cautiously because of the limited quality of the available evidence.
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This review of intra-articular injections of hyaluronic acid (HA) for temporomandibular disorder only identified 8 small studies of limited quality providing no consensus that HA injections were better than other agents.
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This review looked at surgical approaches for the management of internal derangement of the temporomandibular joint. Seven studies were identified of which 3 were randomised trials. Benefits for some outcomes were found with both open and arthroscopic surgery. However the available evidence is limited.
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This review focuses on the effect of chin cup therapy used for treating class III malocclusion on the TMJ.On 8 low quality studies could be included and they suggest suggests that chin cup therapy affects the condylar growth pattern but constitutes no risk factor for TMD.
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Temporomandibular joint disorders (TMD) are normally managed conservatively however it has been estimated that aroung 5% require a surgical interventions (arthrocentesis, arthroscopy, condylotomy, and disc repair or removal (menisectomy). A small subset of patietsn may require Temporomandibular Joint (TMJ) replacement . Indications for replacement include:- bony ankylosis failed previous alloplastic and autogenous joint replacement post-traumatic [read the full story…]
