Pub Date : 1984-06-01DOI: 10.1080/07345410.1984.11677868
E M Verban, J L Groppel, E W Pfautsch, G C Ramseyer
AbstractThe purpose of this study was to examine the effects of a mandibular orthopedic repositioning appliance (MORA) on human shoulder strength. Twenty volunteer undergraduate college students were randomly selected. The subjects were given oral examinations and two appliances were then constructed for them: A MORA, which repositioned the mandible in three dimensions as described by Gelb,1 and a placebo appliance that did not alter the occlusion. Three bite conditions were then studied for each subject: centric occlusion, centric occlusion with the placebo splint inserted, and the position with the MORA inserted. The data for each subject were taken as he or she was seated in a stabilized chair, and the data were collected using a Cybex II dynamometer. Measurements were recorded for each of the six shoulder movements: abduction, adduction, flexion, extension, external rotation, and internal rotation.Statistically significant results were obtained among the bite conditions for shoulder extension, peak to...
{"title":"The effects of mandibular orthopedic repositioning appliance on shoulder strength.","authors":"E M Verban, J L Groppel, E W Pfautsch, G C Ramseyer","doi":"10.1080/07345410.1984.11677868","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677868","url":null,"abstract":"AbstractThe purpose of this study was to examine the effects of a mandibular orthopedic repositioning appliance (MORA) on human shoulder strength. Twenty volunteer undergraduate college students were randomly selected. The subjects were given oral examinations and two appliances were then constructed for them: A MORA, which repositioned the mandible in three dimensions as described by Gelb,1 and a placebo appliance that did not alter the occlusion. Three bite conditions were then studied for each subject: centric occlusion, centric occlusion with the placebo splint inserted, and the position with the MORA inserted. The data for each subject were taken as he or she was seated in a stabilized chair, and the data were collected using a Cybex II dynamometer. Measurements were recorded for each of the six shoulder movements: abduction, adduction, flexion, extension, external rotation, and internal rotation.Statistically significant results were obtained among the bite conditions for shoulder extension, peak to...","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 3","pages":"232-7"},"PeriodicalIF":0.0,"publicationDate":"1984-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677868","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17647485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-06-01DOI: 10.1080/07345410.1984.11677871
G S Graham
AbstractThere is much difficulty involved in prescribing appropriate treatment for patients with internal derangements of the temporomandibular joint. This article presents three case histories in which the patients have well-documented TMJ disk displacements with and without perforations. None of these cases showed adequate response to extensive nonsurgical treatment, and all had come to the point of referral for surgical correction. While the doctors involved felt surgery to be the next step for relief, none of the patients actually went on for surgery. However, within a few months each showed significant improvement. Two to four years later the patients are still managing well without active treatments. These cases underscore the need to improve understanding of the course of internal derangements and of the efficacy of various treatment methods.
{"title":"Nonsurgical management of internal derangements: a report of three cases.","authors":"G S Graham","doi":"10.1080/07345410.1984.11677871","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677871","url":null,"abstract":"AbstractThere is much difficulty involved in prescribing appropriate treatment for patients with internal derangements of the temporomandibular joint. This article presents three case histories in which the patients have well-documented TMJ disk displacements with and without perforations. None of these cases showed adequate response to extensive nonsurgical treatment, and all had come to the point of referral for surgical correction. While the doctors involved felt surgery to be the next step for relief, none of the patients actually went on for surgery. However, within a few months each showed significant improvement. Two to four years later the patients are still managing well without active treatments. These cases underscore the need to improve understanding of the course of internal derangements and of the efficacy of various treatment methods.","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 3","pages":"253-5"},"PeriodicalIF":0.0,"publicationDate":"1984-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677871","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17647488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-06-01DOI: 10.1080/07345410.1984.11677867
F Mongini, E Fabris, G Tempia-Valenta
AbstractThis article describes a system that allows for simultaneous analysis of subjects' mandibular movements and electromyographic activity during chewing. The authors examined clockwise and counterclockwise movements separately, using the following parameters for the opening and closing strokes at 20 different degrees of jaw separation: 1. Number of times the movement occurred.2. Mean displacement values.3. Actual velocity.4. Velocity values on the three coordinates X, Y, and Z.A plotter was used for a graphic analysis of the movements. The system recorded electromyographic activity from both masseters with a two-channel electromyograph. (However, the system can record up to eight channels at once.) After the data was collected, the mean electrical activity for each degree of jaw separation during opening and closing was calculated. The system used for this study seems to be a reliable and comprehensive means of assessing masticatory activity in function and dysfunction.
{"title":"A computerized system to study masticatory function.","authors":"F Mongini, E Fabris, G Tempia-Valenta","doi":"10.1080/07345410.1984.11677867","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677867","url":null,"abstract":"AbstractThis article describes a system that allows for simultaneous analysis of subjects' mandibular movements and electromyographic activity during chewing. The authors examined clockwise and counterclockwise movements separately, using the following parameters for the opening and closing strokes at 20 different degrees of jaw separation: 1. Number of times the movement occurred.2. Mean displacement values.3. Actual velocity.4. Velocity values on the three coordinates X, Y, and Z.A plotter was used for a graphic analysis of the movements. The system recorded electromyographic activity from both masseters with a two-channel electromyograph. (However, the system can record up to eight channels at once.) After the data was collected, the mean electrical activity for each degree of jaw separation during opening and closing was calculated. The system used for this study seems to be a reliable and comprehensive means of assessing masticatory activity in function and dysfunction.","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 3","pages":"225-31"},"PeriodicalIF":0.0,"publicationDate":"1984-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17647490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-06-01DOI: 10.1080/07345410.1984.11677872
M R Rask
AbstractPain in the shoulder, neck, arm, and hand, and in the scapular, supraclavicular, mandibular, and temporal regions may be caused by the omohyoideus myofascial pain syndrome. This may be primary, caused by vomiting or by other intense use of the muscle, or it may be secondary, occurring as a result of rheumatoid myositis, ankylosing spondylitis, nonankylosing rheumatoid spondylitis, gouty myositis, or other disorders. The syndrome can be successfully treated by gently injecting the inferior belly of the omohyoideus muscle and the secondary trigger points with a combination of medications that will break the pain/spasm cycle.
{"title":"The omohyoideus myofascial pain syndrome: report of four patients.","authors":"M R Rask","doi":"10.1080/07345410.1984.11677872","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677872","url":null,"abstract":"AbstractPain in the shoulder, neck, arm, and hand, and in the scapular, supraclavicular, mandibular, and temporal regions may be caused by the omohyoideus myofascial pain syndrome. This may be primary, caused by vomiting or by other intense use of the muscle, or it may be secondary, occurring as a result of rheumatoid myositis, ankylosing spondylitis, nonankylosing rheumatoid spondylitis, gouty myositis, or other disorders. The syndrome can be successfully treated by gently injecting the inferior belly of the omohyoideus muscle and the secondary trigger points with a combination of medications that will break the pain/spasm cycle.","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 3","pages":"256-62"},"PeriodicalIF":0.0,"publicationDate":"1984-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677872","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17269644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-06-01DOI: 10.1080/07345410.1984.11677873
G T Clark
AbstractThis case report presents the results of a one-to three-year follow-up of 25 patients who had been diagnosed as having temporomandibular joint internal derangement. All of the patients had been treated by mandibular repositioning with an interocclusal appliance. Fourteen of the 25 patients actually completed the repositioning treatment. Of those 14, 86% (12 patients) indicated on the questionnaire given them that they had had a moderate to highly successful treatment result. Of the 11 patients who did not complete treatment, six remained in follow-up and were treated with a conventional non-repositioning splint. Only one of these six patients reported moderate to highly successful results for overall improvement after treatment.
{"title":"Treatment of jaw clicking with temporomandibular repositioning: analysis of 25 cases.","authors":"G T Clark","doi":"10.1080/07345410.1984.11677873","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677873","url":null,"abstract":"AbstractThis case report presents the results of a one-to three-year follow-up of 25 patients who had been diagnosed as having temporomandibular joint internal derangement. All of the patients had been treated by mandibular repositioning with an interocclusal appliance. Fourteen of the 25 patients actually completed the repositioning treatment. Of those 14, 86% (12 patients) indicated on the questionnaire given them that they had had a moderate to highly successful treatment result. Of the 11 patients who did not complete treatment, six remained in follow-up and were treated with a conventional non-repositioning splint. Only one of these six patients reported moderate to highly successful results for overall improvement after treatment.","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 3","pages":"263-70"},"PeriodicalIF":0.0,"publicationDate":"1984-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677873","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17647489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-06-01DOI: 10.1080/07345410.1984.11677866
C A Helms, M L Richardson, K L Moon, W H Ware
AbstractMagnetic resonance imaging (MRI) is a new technique used by radiologists to give images of the body in a manner similar to that of computed tomography (CT). This is done without ionizing radiation, and the technique has no known biological aftereffects. MRI promises to replace CT scanning in the diagnosis of many disorders throughout the body. We feel that it has the potential to replace arthrography and CT in diagnosing internal derangements of the temporomandibular joint. This report briefly explains the principles of MRI and describes our initial experience in obtaining images of the disk of the temporomandibular joint.
{"title":"Nuclear magnetic resonance imaging of the temporomandibular joint: preliminary observations.","authors":"C A Helms, M L Richardson, K L Moon, W H Ware","doi":"10.1080/07345410.1984.11677866","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677866","url":null,"abstract":"AbstractMagnetic resonance imaging (MRI) is a new technique used by radiologists to give images of the body in a manner similar to that of computed tomography (CT). This is done without ionizing radiation, and the technique has no known biological aftereffects. MRI promises to replace CT scanning in the diagnosis of many disorders throughout the body. We feel that it has the potential to replace arthrography and CT in diagnosing internal derangements of the temporomandibular joint. This report briefly explains the principles of MRI and describes our initial experience in obtaining images of the disk of the temporomandibular joint.","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 3","pages":"219-24"},"PeriodicalIF":0.0,"publicationDate":"1984-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677866","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17647484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-06-01DOI: 10.1080/07345410.1984.11677869
A H Owen
AbstractCraniomandibular dysfunction is a phenomenon with multiple causes. The most commonly cited of these factors are occlusal problems, stress, and condylar displacements. Craniomandibular dysfunction problems are more common than most practitioners have thought, and every orthodontic practice will come in contact with a significant number of these disorders.Since every orthodontic treatment is in reality a “full-mouth reconstruction” or orthopedic case when the craniomandibular relationship is taken into consideration, it is important that orthodontists recognize the extent of the craniomandibular dysfunction and correct it as best as possible with orthodontic/orthopedic treatment. Particular attention should be paid to the final placement of the condyles and the functional articulation (assuming that goals for skeletal and soft tissue harmony have been met). Transcranial radiographs should be made of each patient as treatment nears completion, and he or she should be carefully examined for posterior ...
{"title":"Orthodontic/orthopedic treatment of craniomandibular pain dysfunction. Part 1: diagnosis with transcranial radiographs.","authors":"A H Owen","doi":"10.1080/07345410.1984.11677869","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677869","url":null,"abstract":"AbstractCraniomandibular dysfunction is a phenomenon with multiple causes. The most commonly cited of these factors are occlusal problems, stress, and condylar displacements. Craniomandibular dysfunction problems are more common than most practitioners have thought, and every orthodontic practice will come in contact with a significant number of these disorders.Since every orthodontic treatment is in reality a “full-mouth reconstruction” or orthopedic case when the craniomandibular relationship is taken into consideration, it is important that orthodontists recognize the extent of the craniomandibular dysfunction and correct it as best as possible with orthodontic/orthopedic treatment. Particular attention should be paid to the final placement of the condyles and the functional articulation (assuming that goals for skeletal and soft tissue harmony have been met). Transcranial radiographs should be made of each patient as treatment nears completion, and he or she should be carefully examined for posterior ...","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 3","pages":"238-49"},"PeriodicalIF":0.0,"publicationDate":"1984-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677869","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17647486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-03-01DOI: 10.1080/07345410.1984.11677863
S L Bronstein
AbstractThere are numerous studies discussing presurgical arthrography of the temporomandibular joint, but to date no reports have been published that deal with postsurgical arthrography. This article reports on a study in which 21 joints were examined arthrographically after TMJ surgery. The author describes the various postsurgical radiographic appearances of the joints. He also discusses the correlation of these arthrographic studies to the patients' symptoms, surgery, and clinical course, and he assesses the importance of arthrograms in evaluating the surgical procedures and the success or failure of the treatment.
{"title":"Postsurgical TMJ arthrography.","authors":"S L Bronstein","doi":"10.1080/07345410.1984.11677863","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677863","url":null,"abstract":"AbstractThere are numerous studies discussing presurgical arthrography of the temporomandibular joint, but to date no reports have been published that deal with postsurgical arthrography. This article reports on a study in which 21 joints were examined arthrographically after TMJ surgery. The author describes the various postsurgical radiographic appearances of the joints. He also discusses the correlation of these arthrographic studies to the patients' symptoms, surgery, and clinical course, and he assesses the importance of arthrograms in evaluating the surgical procedures and the success or failure of the treatment.","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 2","pages":"165-71"},"PeriodicalIF":0.0,"publicationDate":"1984-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17651107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-03-01DOI: 10.1080/07345410.1984.11677861
S V Cole
AbstractThe purpose of this article is to report on the ability of the transcranial radiograph to view the temporomandibular joint space and the position of the condyle within the fossa. This was studied by placing six shims of known thickness one by one on a condyle and then radiographing the joint. The shims gave known minimum distances between the condyle and the fossa, and the transcranial films were studied with this in mind. The radiographs produced provided the examiner with clear and accurate views of a direct correlation between the known minimum joint space and the space seen on the radiograph.
{"title":"Transcranial radiography: correlation between actual and radiographic joint spaces.","authors":"S V Cole","doi":"10.1080/07345410.1984.11677861","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677861","url":null,"abstract":"AbstractThe purpose of this article is to report on the ability of the transcranial radiograph to view the temporomandibular joint space and the position of the condyle within the fossa. This was studied by placing six shims of known thickness one by one on a condyle and then radiographing the joint. The shims gave known minimum distances between the condyle and the fossa, and the transcranial films were studied with this in mind. The radiographs produced provided the examiner with clear and accurate views of a direct correlation between the known minimum joint space and the space seen on the radiograph.","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 2","pages":"153-8"},"PeriodicalIF":0.0,"publicationDate":"1984-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17651102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1984-03-01DOI: 10.1080/07345410.1984.11677860
J F Barnes
AbstractThe approach to craniomandibular disorders that is discussed in this article sees the temporomandibular joint as the primary or the secondary source of the problem, while recognizing that the whole body is actually involved. Clinicians who use this multifaceted approach may employ traditional physical therapy techniques, such as ice, heat, ultrasound, massage, postural exercises, and transcutaneous electrical neural stimulation. They may also place an emphasis on the newer pain and stress control methods, such as neuroprobe (electronic acupuncture), cold laser therapy, biofeedback, joint mobilization, and myofascial release techniques.Such a practitioner should work with the referring dentist or physician from the initial stages of the treatment. The improvements that occur in body alignments frequently cause the occlusal surfaces to be altered, so the functional appliance may need to be adjusted. Coordinating treatments with the dentist or the physician from the beginning can also speed the treat...
{"title":"Electronic acupuncture and cold laser therapy as adjuncts to pain treatment.","authors":"J F Barnes","doi":"10.1080/07345410.1984.11677860","DOIUrl":"https://doi.org/10.1080/07345410.1984.11677860","url":null,"abstract":"AbstractThe approach to craniomandibular disorders that is discussed in this article sees the temporomandibular joint as the primary or the secondary source of the problem, while recognizing that the whole body is actually involved. Clinicians who use this multifaceted approach may employ traditional physical therapy techniques, such as ice, heat, ultrasound, massage, postural exercises, and transcutaneous electrical neural stimulation. They may also place an emphasis on the newer pain and stress control methods, such as neuroprobe (electronic acupuncture), cold laser therapy, biofeedback, joint mobilization, and myofascial release techniques.Such a practitioner should work with the referring dentist or physician from the initial stages of the treatment. The improvements that occur in body alignments frequently cause the occlusal surfaces to be altered, so the functional appliance may need to be adjusted. Coordinating treatments with the dentist or the physician from the beginning can also speed the treat...","PeriodicalId":79273,"journal":{"name":"The Journal of cranio-mandibular practice","volume":"2 2","pages":"148-52"},"PeriodicalIF":0.0,"publicationDate":"1984-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/07345410.1984.11677860","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17651103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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