Digital and Clinical evaluation of temporomandibular disorders in full dentition and free end extension patients.

Authors

  • Ahmed Adel college of Dentistry, oral medicine department, Uruk university, Baghdad, Iraq
  • Fawaz Aswad college of Dentistry, oral medicine department, university of Baghdad, Baghdad, Iraq
  • Muzzammil Nusrath University of Sheffield, United Kingdom

DOI:

https://doi.org/10.32828/mdj.v19i2.890

Keywords:

Tempromandibular joint, Tempromandibular disorders, Myofacial pain dysfunction syndrome, Tscan

Abstract

Background: Temporomandibular disorders (TMD) Which are a subgroup of craniofacial pain disorders involving chronic pain, dysfunction of the temporomandibular joint (TMJ), masticatory muscles and associated musculoskeletal structures of the head and neck. Pain is one of the most frequent clinical features for these TMD in addition to the clicking, limitation of mouth opening and deviation. This study aimed to evaluate Digital evaluation of the occlusal instability parameters (Disclusion Time, Occlusion Time, trajectory of force Index and Occlusal Interferences).

Method:  the study including 180 patients with free end extension and full dentition (kennedy classification class I and II) their age was between (20-50) years old .they had either disc displacement or myofascial pain dysfunction syndrome according to shiffman criteria.and also examined by digital T scan.

Result: the result showed significant pain difference between free end extension and full dentition patients. 

Conclusion: The trajectory of force distribution is highly variable between the two major groups, the full dentition exhibit more posterior force while The free end patients tend to establish more anterior force which lead to a series of temporomandibular disorders.

References

References

PALLA, S. 2016. Anatomy and Pathophysiology of the Temporomandibular Joint, in Functional Occlusion in Restorative Dentistry and Prosthodontics, S.E. Eckert, Editor, Mosby. p. 67-85

Suvinen TI, Reade PC, Kemppainen P, Könönen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain. 2005;9(6):613–633. [PubMed] [Google Scholar]

Ismael WK, AbdulLateef T, Shumran MK. An Analysis of the Efficacy of Platelet-Rich Plasma Injections on the Treatment of Internal Derangement of a temporomandibular Joint. J Bagh Coll Dent [Internet]. 2017 Sep. 15 [cited 2023 May 14];29(3):39-44.Available from: https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/2212

Detamore, M. S., Athanasiou, K. A., 2003. Structure and function of the temporomandibular joint disc: implications for tissue engineering Journal of Oral and Maxillofacial Surgery 61, 494-506

Khoo SP, Yap AU, Chan YH, Bulgiba AM. Translating the research diagnostic criteria for temporomandibular disorders into Malay: evaluation of content and process. J Orofac Pain. 2008;22(2):131–138. [PubMed] [Google Scholar]

SCHIFFMAN E, OHRBACH R, TRUELOVE E, LOOK J, ANDERSON G, GOULET JP, ET AL. 2014. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group† J Oral Facial Pain Headache. ;28:6–27

Carlsson AM: Assessment of chronic pain: I. Aspects of the reliability and validity of the visual analogue scale. Pain 1983; 16: 87–101

Using the Digital Occlusal Analysis (T-Scan NOVUS) in Diagnosis the MFDS in Iraqi Patients During Lateral Excursion Movements. Sanaa Abdul Hameed Hussein and Jamal N.Ahmed Medico-Legal Update . Jan-Mar2021, Vol. 21 Issue 1, p919-924. 6p

de Melo Júnior PC, Aroucha JMCNL, Arnaud M, Lima MGS, Gomes SGF, Ximenes R, Rosenblatt A, Caldas AF Jr. Prevalence of TMD and level of chronic pain in a group of Brazilian adolescents.PLoS One. 2019 Feb 8;14(2):e0205874. doi: 10.1371/journal.pone.0205874. eCollection 2019.PMID: 30735506

Bertoli FMP, Bruzamolin CD, Pizzatto E, Losso EM, Brancher JA, de Souza JF.Prevalence of diagnosed temporomandibular disorders: A cross-sectional study in Brazilian adolescents..PLoS One. 2018 Feb 8;13(2):e0192254. doi: 10.1371/journal.pone.0192254. eCollection 2018.PMID: 29420573 .

The occlusion time in Iraqi patients with TMJ internal derangement utilizing T-scan (novus) system. Zena kamel and Fawas Aswad ,2020. Journal of research in medical and dental science, vol. 8 issue 6 pafes 77-82.

Evaluation of the physical parameters on ischemic heart disease patients using echocardiography.Marrwa K.Mohammed , Samar I.Essa . Iraqi journal of science university of Baghdad-college of science. 31-8-2022, 3354-3358

The correlation between rheumatoid factor , chloroquine phosohate in osteoarthritis. Eman S. Saleh . Iraqi journal of pharmaceutical sciences vol.20 (2)2011.

Al Kayat A, Abdul Lateef T, Abdulmajed EA. Efficacy of arthrocentesis with injection of hyaluronic acid in the treatment of internal derangement of temporomandibular joint. J Bagh Coll Dent [Internet]. 2015 Jun. 15 [cited 2023 May 14];27(2):105-9. Available from: https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/720.

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Published

30.12.2023

How to Cite

Adel, A., Aswad, F. ., & Nusrath, M. . (2023). Digital and Clinical evaluation of temporomandibular disorders in full dentition and free end extension patients. Mustansiria Dental Journal, 19(2), 260–269. https://doi.org/10.32828/mdj.v19i2.890