Pub Date : 2024-03-01Epub Date: 2021-05-06DOI: 10.1080/08869634.2021.1922810
Tuula Palotie, Anni Peltomaa, Adel Bachour, Patrick Bachour, Antti Mäkitie, Miikka Peltomaa, Pekka Vallittu
Objective: To investigate the reasons for poor adaptation to mandibular advancement splint (MAS) treatment.Methods: The study consisted of 44 patients with obstructive sleep apnea who had unsuccessful MAS treatment. Data were collected on age, body mass index, gender, general and mental diseases, continuous positive airway pressure (CPAP) tryout, usage of occlusal splint, dental overjet, temporomandibular disorders, shortened dental arch, sleep apnea severity, and Apnea-Hypopnea Index. Sixty patients who underwent successful MAS treatment were controls.Results: Patients with missing molars failed significantly more often in MAS therapy than the controls (p = 0.020). Patients with CPAP tryout prior to MAS treatment had a tendency to fail MAS treatment. MAS treatment was more likely to be successful in patients with prior occlusal splint experience (p = 0.050).Conclusion: The study could not identify a single reason for MAS failure.
摘要调查下颌前突夹板(MAS)治疗适应性差的原因:研究对象包括 44 名下颌前突夹板治疗失败的阻塞性睡眠呼吸暂停患者。收集的数据包括年龄、体重指数、性别、全身疾病和精神疾病、持续气道正压(CPAP)试用情况、咬合夹板使用情况、牙齿咬合过度、颞下颌关节紊乱、牙弓过短、睡眠呼吸暂停严重程度和呼吸暂停-低通气指数。60 名成功接受 MAS 治疗的患者为对照组:结果:臼齿缺失患者的 MAS 治疗失败率明显高于对照组(P = 0.020)。在 MAS 治疗前试用过 CPAP 的患者有 MAS 治疗失败的倾向。有咬合夹板经验的患者更容易成功接受 MAS 治疗(p = 0.050):本研究无法确定 MAS 治疗失败的单一原因。
{"title":"Reasons for failure of mandibular advancement splint therapy in the treatment of obstructive sleep apnea.","authors":"Tuula Palotie, Anni Peltomaa, Adel Bachour, Patrick Bachour, Antti Mäkitie, Miikka Peltomaa, Pekka Vallittu","doi":"10.1080/08869634.2021.1922810","DOIUrl":"10.1080/08869634.2021.1922810","url":null,"abstract":"<p><p><b>Objective</b>: To investigate the reasons for poor adaptation to mandibular advancement splint (MAS) treatment.<b>Methods:</b> The study consisted of 44 patients with obstructive sleep apnea who had unsuccessful MAS treatment. Data were collected on age, body mass index, gender, general and mental diseases, continuous positive airway pressure (CPAP) tryout, usage of occlusal splint, dental overjet, temporomandibular disorders, shortened dental arch, sleep apnea severity, and Apnea-Hypopnea Index. Sixty patients who underwent successful MAS treatment were controls.<b>Results:</b> Patients with missing molars failed significantly more often in MAS therapy than the controls (<i>p = 0.020</i>). Patients with CPAP tryout prior to MAS treatment had a tendency to fail MAS treatment. MAS treatment was more likely to be successful in patients with prior occlusal splint experience (<i>p = 0.050</i>).<b>Conclusion:</b> The study could not identify a single reason for MAS failure.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2021-06-15DOI: 10.1080/08869634.2021.1938854
Harun Gençosmanoğlu, Nezehat Özgül Ünlüer, Mustafa Emre Akın, Pervin Demir, Gülümser Aydın
Objective: To investigate biomechanics, muscle performance, and disability of the craniocervical region in temporomandibular disorder (TMD) patients and compare them with controls.
Methods: Craniocervical posture was evaluated using lateral photography and radiography. Range of motion, muscle performance, disability, and TMD severity were assessed using an inclinometer, Functional Strength Testing of Cervical Spine, Neck Disability Index, and Fonseca Anamnestic Index, respectively.
Results: Compared to the control group, the TMD group demonstrated higher cervical flexion angle (p=0.005) and neck disability (p<0.001) as well as lower cervical extension (p=0.040), right cervical rotation (p=0.005), left cervical rotation (p<0.001), and tragus-C7-horizontal (p=0.048) angles, and reduced muscle performances (p≤0.001). Most patients had higher than normal craniocervical angle (p<0.001). Muscle performance in each cervical motion (p<0.005) and disability (p<0.001) were associated with TMD severity in the TMD group.
Conclusion: Biomechanics, muscle performance, and disability of craniocervical region were altered in the TMD group.
{"title":"An investigation of biomechanics, muscle performance, and disability level of craniocervical region of individuals with temporomandibular disorder.","authors":"Harun Gençosmanoğlu, Nezehat Özgül Ünlüer, Mustafa Emre Akın, Pervin Demir, Gülümser Aydın","doi":"10.1080/08869634.2021.1938854","DOIUrl":"10.1080/08869634.2021.1938854","url":null,"abstract":"<p><strong>Objective: </strong>To investigate biomechanics, muscle performance, and disability of the craniocervical region in temporomandibular disorder (TMD) patients and compare them with controls.</p><p><strong>Methods: </strong>Craniocervical posture was evaluated using lateral photography and radiography. Range of motion, muscle performance, disability, and TMD severity were assessed using an inclinometer, Functional Strength Testing of Cervical Spine, Neck Disability Index, and Fonseca Anamnestic Index, respectively.</p><p><strong>Results: </strong>Compared to the control group, the TMD group demonstrated higher cervical flexion angle (<i>p</i>=0.005) and neck disability (<i>p</i><0.001) as well as lower cervical extension (<i>p</i>=0.040), right cervical rotation (<i>p</i>=0.005), left cervical rotation (<i>p</i><0.001), and tragus-C7-horizontal (<i>p</i>=0.048) angles, and reduced muscle performances (<i>p</i>≤0.001). Most patients had higher than normal craniocervical angle (<i>p</i><0.001). Muscle performance in each cervical motion (<i>p</i><0.005) and disability (<i>p</i><0.001) were associated with TMD severity in the TMD group.</p><p><strong>Conclusion: </strong>Biomechanics, muscle performance, and disability of craniocervical region were altered in the TMD group.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39234149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2021-04-25DOI: 10.1080/08869634.2021.1917900
Waled M Alshhrani, Yuuya Kohzuka, Kentaro Okuno, Mona M Hamoda, John A Fleetham, Fernanda R Almeida
Objective: To evaluate the long-term effectiveness, compliance, and side effects of tongue stabilizing devices (TSDs).
Methods: Thirty-nine patients were followed up after 12 and 30 months. The subjective effectiveness was assessed using the Epworth Sleepiness Scale (ESS), the Functional Outcomes Sleep Questionnaire (FOSQ-10), the Chalder Fatigue Scale (CFQ), and a sleep-related quality of life questionnaire (QoL). Compliance and side effects were assessed.
Results: At 12-months, 35.9% of patients confirmed continuing the therapy, compared to only 15.4% of patients at 30 months. At 30 months, a significant average improvement of ESS (2.0 ± 2.8) was observed compared to baseline levels in six patients. Six patients demonstrated an average increase in blood pressure. The most frequently reported side effects were mouth dryness and excessive salivation. The 3D analysis revealed small tooth movements.
Conclusion: The TSD therapy demonstrated a good long-term subjective effectiveness against OSA but had a relatively low treatment acceptance rate.
{"title":"Compliance and side effects of tongue stabilizing device in patients with obstructive sleep apnea.","authors":"Waled M Alshhrani, Yuuya Kohzuka, Kentaro Okuno, Mona M Hamoda, John A Fleetham, Fernanda R Almeida","doi":"10.1080/08869634.2021.1917900","DOIUrl":"10.1080/08869634.2021.1917900","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the long-term effectiveness, compliance, and side effects of tongue stabilizing devices (TSDs).</p><p><strong>Methods: </strong>Thirty-nine patients were followed up after 12 and 30 months. The subjective effectiveness was assessed using the Epworth Sleepiness Scale (ESS), the Functional Outcomes Sleep Questionnaire (FOSQ-10), the Chalder Fatigue Scale (CFQ), and a sleep-related quality of life questionnaire (QoL). Compliance and side effects were assessed.</p><p><strong>Results: </strong>At 12-months, 35.9% of patients confirmed continuing the therapy, compared to only 15.4% of patients at 30 months. At 30 months, a significant average improvement of ESS (2.0 ± 2.8) was observed compared to baseline levels in six patients. Six patients demonstrated an average increase in blood pressure. The most frequently reported side effects were mouth dryness and excessive salivation. The 3D analysis revealed small tooth movements.</p><p><strong>Conclusion: </strong>The TSD therapy demonstrated a good long-term subjective effectiveness against OSA but had a relatively low treatment acceptance rate.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38916303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2021-06-01DOI: 10.1080/08869634.2021.1933307
Caroline Mélou, Lucie Leroux, Martin Bonnesoeur, Clément Le Padellec, Valérie Bertaud, Dominique Chauvel-Lebret
Objective: To investigate the link between malocclusions and temporomandibular disorders (TMD) with a focus on iatrogenic malocclusion. Other etiologies of TMD (oral parafunctions) were also assessed.
Methods: The prevalence of malocclusions was correlated in two groups: patients with TMD (case group) and patients without TMD (control group). Malocclusions involving dental care were specified. Parafunctions in the case group were assessed.
Results: A statistically significant association between TMD and overbite >4 mm, interferences in laterotrusion, and absence of Angle Class I was shown. A potential deleterious effect of iatrogenic malocclusions was highlighted.
Conclusion: The multifactorial etiology of TMD was confirmed because an association between TMD and three malocclusions was found, and all case patients had parafunction(s). Current recommendations advising first a reversible treatment, TMD care should start with a behavioral re-education to remove parafunctions. However, it is essential to avoid creating iatrogenic malocclusion during dental care.
目的研究错颌畸形与颞下颌关节紊乱症(TMD)之间的联系,重点是先天性错颌畸形。同时评估 TMD 的其他病因(口腔功能障碍):方法:对两组患者的错合畸形发生率进行相关分析:TMD 患者(病例组)和非 TMD 患者(对照组)。对涉及牙科护理的畸形情况进行了详细说明。对病例组的副功能进行了评估:结果表明,TMD 与咬合过大 >4 毫米、侧突干扰和无角度 I 级之间存在明显的统计学关联。结果:TMD 与咬合过大 >4 mm、侧隐窝干扰和无 Angle Class I 之间有统计学意义的关联,突出了先天性畸形的潜在有害影响:结论:TMD 的多因素病因得到证实,因为发现 TMD 与三种畸形之间存在关联,而且所有病例患者都有副功能。目前的建议是首先进行可逆治疗,TMD 护理应从行为再教育开始,以消除副功能。然而,在牙科治疗过程中,必须避免造成先天性错颌畸形。
{"title":"Relationship between natural or iatrogenic malocclusions and temporomandibular disorders: A case control study.","authors":"Caroline Mélou, Lucie Leroux, Martin Bonnesoeur, Clément Le Padellec, Valérie Bertaud, Dominique Chauvel-Lebret","doi":"10.1080/08869634.2021.1933307","DOIUrl":"10.1080/08869634.2021.1933307","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the link between malocclusions and temporomandibular disorders (TMD) with a focus on iatrogenic malocclusion. Other etiologies of TMD (oral parafunctions) were also assessed.</p><p><strong>Methods: </strong>The prevalence of malocclusions was correlated in two groups: patients with TMD (case group) and patients without TMD (control group). Malocclusions involving dental care were specified. Parafunctions in the case group were assessed.</p><p><strong>Results: </strong>A statistically significant association between TMD and overbite >4 mm, interferences in laterotrusion, and absence of Angle Class I was shown. A potential deleterious effect of iatrogenic malocclusions was highlighted.</p><p><strong>Conclusion: </strong>The multifactorial etiology of TMD was confirmed because an association between TMD and three malocclusions was found, and all case patients had parafunction(s). Current recommendations advising first a reversible treatment, TMD care should start with a behavioral re-education to remove parafunctions. However, it is essential to avoid creating iatrogenic malocclusion during dental care.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39039785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2021-06-26DOI: 10.1080/08869634.2021.1939932
İffet Yazıcıoğlu, Volkan Çiftçi
Objective: To study the signs and symptoms of temporomandibular disorders (TMDs) and incisal relationships related to sleep bruxism and parafunctional habits among children.
Methods: The study consisted of 106 children (53 with and 53 without bruxism) between the ages of 7 and 10. A general questionnaire and Diagnostic Criteria for Temporomandibular Disorders Axis I examination form were used for each child.
Results: There were significant differences between children according to pain, headache, midline deviation, opening pattern, temporomandibular joint noise, overjet, overbite, corrected deviation, and pain disorders (p < 0.05). According to the logistic regression, the higher scores of "mouth breathing" and "horizontal incisal overjet" were independent risk factors for TMDs. The lack of "bruxism" and "sleeping with open mouth" were protective factors for TMDs.
Conclusion: Children with bruxism showed signs and symptoms of TMDs and divergence in incisal relationships.
{"title":"Evaluation of signs and symptoms of temporomandibular disorders and incisal relationships among 7-10-year-old Turkish children with sleep bruxism: A cross-sectional study.","authors":"İffet Yazıcıoğlu, Volkan Çiftçi","doi":"10.1080/08869634.2021.1939932","DOIUrl":"10.1080/08869634.2021.1939932","url":null,"abstract":"<p><strong>Objective: </strong>To study the signs and symptoms of temporomandibular disorders (TMDs) and incisal relationships related to sleep bruxism and parafunctional habits among children.</p><p><strong>Methods: </strong>The study consisted of 106 children (53 with and 53 without bruxism) between the ages of 7 and 10. A general questionnaire and Diagnostic Criteria for Temporomandibular Disorders Axis I examination form were used for each child.</p><p><strong>Results: </strong>There were significant differences between children according to pain, headache, midline deviation, opening pattern, temporomandibular joint noise, overjet, overbite, corrected deviation, and pain disorders (<i>p</i> < 0.05). According to the logistic regression, the higher scores of \"mouth breathing\" and \"horizontal incisal overjet\" were independent risk factors for TMDs. The lack of \"bruxism\" and \"sleeping with open mouth\" were protective factors for TMDs.</p><p><strong>Conclusion: </strong>Children with bruxism showed signs and symptoms of TMDs and divergence in incisal relationships.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39043133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2021-06-01DOI: 10.1080/08869634.2021.1934276
Montserrat Diéguez-Pérez, Aurora Fernández-Molina, Laura Burgueño Torres
Objective: To determine postural changes in relation to mandibular position in maximum intercuspation and at rest in adult patients of both sexes.
Methods: : A descriptive observational clinical study was carried out in 76 patients. Using an analyzer and the Meersseman test, the necessary dermal points for postural analysis were located.
Results: : The authors found significant differences in the posture adopted by the patient between maximum intercuspation and mandibular rest in the frontal, sagittal, and dorsal planes. Foot support in the right foot went from cavus to normal in 6% of the sample, and from flat to normal in 2.5% of the sample in the jaw rest position.
Conclusion: Postural changes were observed in various segments, with clinical and statistical significance at cervical level in the frontal plane, in the biscapular variable in the dorsal plane, and at the level of the lower limbs in the bipopliteal and bimalleolar variables.
{"title":"Influence of the mandibular position on various postural anatomical segments.","authors":"Montserrat Diéguez-Pérez, Aurora Fernández-Molina, Laura Burgueño Torres","doi":"10.1080/08869634.2021.1934276","DOIUrl":"10.1080/08869634.2021.1934276","url":null,"abstract":"<p><strong>Objective: </strong>To determine postural changes in relation to mandibular position in maximum intercuspation and at rest in adult patients of both sexes.</p><p><strong>Methods: </strong>: A descriptive observational clinical study was carried out in 76 patients. Using an analyzer and the Meersseman test, the necessary dermal points for postural analysis were located.</p><p><strong>Results: </strong>: The authors found significant differences in the posture adopted by the patient between maximum intercuspation and mandibular rest in the frontal, sagittal, and dorsal planes. Foot support in the right foot went from cavus to normal in 6% of the sample, and from flat to normal in 2.5% of the sample in the jaw rest position.</p><p><strong>Conclusion: </strong>Postural changes were observed in various segments, with clinical and statistical significance at cervical level in the frontal plane, in the biscapular variable in the dorsal plane, and at the level of the lower limbs in the bipopliteal and bimalleolar variables.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39039233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2021-07-14DOI: 10.1080/08869634.2021.1949536
Hessa M Alwayli, Baraa Issam Abdulrahman, Sanjay Rastogi
Objective: To determine the efficacy of injectable botulinum toxin (BTA) in the management of pain associated with nocturnal bruxism.
Methods: The study subjects consisted of 40 male and female volunteers who complained of chronic pain in the masseter muscles bilaterally due to bruxism. Twenty units of BTA were injected bilaterally into the masseter muscles. Clinical parameters of pain at rest and chewing were assessed at baseline, 2, 4, 8, 12, 16, 18, and 24 weeks using the visual pain scale (VPS).
Results: The study included 24 females and 16 males aged 21 to 52 years (mean 33.9 ± 31.0). The mean VPS score on the first day was 5.75 (SD 1.9), significantly decreasing after two weeks to 0.44 (SD 0.727). The mean difference of VPS from 8 weeks up to 24 weeks gradually increase from 0.69 at 8 weeks to 2.00 at 24 weeks.
Conclusion: This study provides evidence that BTA could reduce the pain of nocturnal bruxism in affected patients.
{"title":"Does botulinum toxin have any role in the management of chronic pain associated with bruxism?","authors":"Hessa M Alwayli, Baraa Issam Abdulrahman, Sanjay Rastogi","doi":"10.1080/08869634.2021.1949536","DOIUrl":"10.1080/08869634.2021.1949536","url":null,"abstract":"<p><strong>Objective: </strong>To determine the efficacy of injectable botulinum toxin (BTA) in the management of pain associated with nocturnal bruxism.</p><p><strong>Methods: </strong>The study subjects consisted of 40 male and female volunteers who complained of chronic pain in the masseter muscles bilaterally due to bruxism. Twenty units of BTA were injected bilaterally into the masseter muscles. Clinical parameters of pain at rest and chewing were assessed at baseline, 2, 4, 8, 12, 16, 18, and 24 weeks using the visual pain scale (VPS).</p><p><strong>Results: </strong>The study included 24 females and 16 males aged 21 to 52 years (mean 33.9 ± 31.0). The mean VPS score on the first day was 5.75 (SD 1.9), significantly decreasing after two weeks to 0.44 (SD 0.727). The mean difference of VPS from 8 weeks up to 24 weeks gradually increase from 0.69 at 8 weeks to 2.00 at 24 weeks.</p><p><strong>Conclusion: </strong>This study provides evidence that BTA could reduce the pain of nocturnal bruxism in affected patients.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39182287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-28DOI: 10.1080/08869634.2024.2322595
Adrian Ujin Yap, Kai Kee Wee, Jia Yu Loh, Carolina Marpaung, Vaishali Prakash Natu
Objectives: The associations of Temporomandibular disorder (TMD) pain with somatic symptoms, mental ill-being/distress, and well-being were explored, along with the mental correlates of TMD (TS) and somatic symptom (SS) burden in older adolescents-young adults.
Methods: TMD/somatic symptoms were appraised with the five quintessential symptoms (5Ts) of the DC/TMD/Somatic Symptom Scale-8, whereas mental distress/well-being was assessed with the Depression, Anxiety, Stress Scales-21/Scales of Psychological Well-being-18. Data were examined using Chi-square/non-parametric tests and multivariate analyses (α = .05).
Results: Among the 366 participants, 51.4%, 28.1%, 6.8%, and 13.7% had no TMD (NT), TMD pain (TP), TMD dysfunction (TD), and combined TMD (CT) respectively. Though mental distress varied substantially (CT, TP>NT, TD), no significant differences in well-being were discerned. SS burden, but not TS burden, was moderately correlated to distress.
Conclusions: The prospect of TMD pain was increased by being female, depressed, and anxious but reduced by "positive relations with others" and "self-acceptance".
{"title":"Temporomandibular disorder pain in older adolescents-young adults: Interrelationship with somatic burden, mental ill-being, and well-being.","authors":"Adrian Ujin Yap, Kai Kee Wee, Jia Yu Loh, Carolina Marpaung, Vaishali Prakash Natu","doi":"10.1080/08869634.2024.2322595","DOIUrl":"https://doi.org/10.1080/08869634.2024.2322595","url":null,"abstract":"<p><strong>Objectives: </strong>The associations of Temporomandibular disorder (TMD) pain with somatic symptoms, mental ill-being/distress, and well-being were explored, along with the mental correlates of TMD (TS) and somatic symptom (SS) burden in older adolescents-young adults.</p><p><strong>Methods: </strong>TMD/somatic symptoms were appraised with the five quintessential symptoms (5Ts) of the DC/TMD/Somatic Symptom Scale-8, whereas mental distress/well-being was assessed with the Depression, Anxiety, Stress Scales-21/Scales of Psychological Well-being-18. Data were examined using Chi-square/non-parametric tests and multivariate analyses (α = .05).</p><p><strong>Results: </strong>Among the 366 participants, 51.4%, 28.1%, 6.8%, and 13.7% had no TMD (NT), TMD pain (TP), TMD dysfunction (TD), and combined TMD (CT) respectively. Though mental distress varied substantially (CT, TP>NT, TD), no significant differences in well-being were discerned. SS burden, but not TS burden, was moderately correlated to distress.</p><p><strong>Conclusions: </strong>The prospect of TMD pain was increased by being female, depressed, and anxious but reduced by \"positive relations with others\" and \"self-acceptance\".</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-28DOI: 10.1080/08869634.2024.2319565
Negin Yekkalam, Mehmed Novo, Anders Wänman
The aim of this study was to assess the received TMD treatment modalities and the perceived outcome among the frequent types of EDS. A digital questionnaire was sent to the member of the National Swedish EDS Association during January-March 2022. The subsamples of hypermobile and classical EDS were constructed. Almost 90% reported TMD symptoms. Bite splint therapy, counselling, jaw training and occlusal adjustment were reported as the most common treatments with no statistically significant difference in terms of good effect between the two subsamples. Hypermobile and classical EDS might consider as an entity with regards to TMD.
{"title":"Treatments related to temporomandibular disorders among patients with prevalent types of Ehlers-Danlos syndrome in Sweden.","authors":"Negin Yekkalam, Mehmed Novo, Anders Wänman","doi":"10.1080/08869634.2024.2319565","DOIUrl":"10.1080/08869634.2024.2319565","url":null,"abstract":"<p><p>The aim of this study was to assess the received TMD treatment modalities and the perceived outcome among the frequent types of EDS. A digital questionnaire was sent to the member of the National Swedish EDS Association during January-March 2022. The subsamples of hypermobile and classical EDS were constructed. Almost 90% reported TMD symptoms. Bite splint therapy, counselling, jaw training and occlusal adjustment were reported as the most common treatments with no statistically significant difference in terms of good effect between the two subsamples. Hypermobile and classical EDS might consider as an entity with regards to TMD.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-18DOI: 10.1080/08869634.2024.2316081
Adrian Ujin Yap, Jie Lei, Ji Woon Park, Chengge Liu, Seong Hae Kim, Byeong-Min Lee, Kai-Yuan Fu
Objectives: The pattern of age distribution in East Asian temporomandibular disorder (TMD) patients and age-related differences in DC/TMD diagnostic subtypes/categories were evaluated.
Subjects and methods: TMD patients from two University-based centers in China and South Korea were enrolled. Axis I physical diagnoses were rendered according to DC/TMD. Patients were categorized into six age groups (15-24, 25-34, 35-44, 45-54, 55-64, and 65-84 years; Groups A-F respectively).
Results: Youths/young adults (Groups A-C) formed 74.1% of TMD patients. TMJ disc displacements (74.9%), arthralgia (49.2%), and degenerative joint disease [DJD] (36.8%) were the most common TMD subtypes. The majority had combined (54.0%) and chronic (58.5%) TMDs. Youths/young adults and middle-aged/old adults had substantially lower frequencies of merely pain-related (6.2-14.5%) and intra-articular (13.8-16.8%) TMDs correspondingly. "Being female" increased the prospects of pain-related/combined TMDs by 96%/49%, respectively.
Conclusions: East Asian TMD patients comprised mostly of youths/young adults who had an alarmingly high prevalence of TMJ DJD.
{"title":"Age distribution of East Asian TMD patients and age-related differences in DC/TMD axis I findings.","authors":"Adrian Ujin Yap, Jie Lei, Ji Woon Park, Chengge Liu, Seong Hae Kim, Byeong-Min Lee, Kai-Yuan Fu","doi":"10.1080/08869634.2024.2316081","DOIUrl":"https://doi.org/10.1080/08869634.2024.2316081","url":null,"abstract":"<p><strong>Objectives: </strong>The pattern of age distribution in East Asian temporomandibular disorder (TMD) patients and age-related differences in DC/TMD diagnostic subtypes/categories were evaluated.</p><p><strong>Subjects and methods: </strong>TMD patients from two University-based centers in China and South Korea were enrolled. Axis I physical diagnoses were rendered according to DC/TMD. Patients were categorized into six age groups (15-24, 25-34, 35-44, 45-54, 55-64, and 65-84 years; Groups A-F respectively).</p><p><strong>Results: </strong>Youths/young adults (Groups A-C) formed 74.1% of TMD patients. TMJ disc displacements (74.9%), arthralgia (49.2%), and degenerative joint disease [DJD] (36.8%) were the most common TMD subtypes. The majority had combined (54.0%) and chronic (58.5%) TMDs. Youths/young adults and middle-aged/old adults had substantially lower frequencies of merely pain-related (6.2-14.5%) and intra-articular (13.8-16.8%) TMDs correspondingly. \"Being female\" increased the prospects of pain-related/combined TMDs by 96%/49%, respectively.</p><p><strong>Conclusions: </strong>East Asian TMD patients comprised mostly of youths/young adults who had an alarmingly high prevalence of TMJ DJD.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}