Abstract
Temporomandibular disorders are recognized as the most common nontooth-related chronic orofacial pain conditions. This article reviews the recent temporomandibular disorders literature and summarizes the temporomandibular disorders seen in rheumatology practices. Arthritis is a common condition affecting the temporomandibular joint. Although degenerative and rheumatoid arthritis are the most frequently encountered infectious arthritis, metabolic arthritis, spondyloarthropathies and the traumatic arthritis have also been reported. Distinguishing between different temporomandibular disorders is as important as the clinical course, long-term prognosis, and therapy. Diagnostic criteria are generally based on signs and symptoms of the patient. The American Academy of Orofacial Pain established the first well-defined diagnostic classification. In addition, Research Diagnostic Criteria for Temporomandibular Disorders have been developed using similar classification. In the treatment of temporomandibular disorders, conservative and noninvasive treatments are endorsed for the initial care of nearly all TMD patients because the majority of patients with TMD achieve good relief of symptoms with conservative treatment.
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References
McNeill C (1997) Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent 77:510–522
McNeill C, Mohl ND, Rugh JD, Tanaka TT (1990) Temporomandibular disorders: diagnosis, management, education, and research. J Am Dent Assoc 120:253, 255, 257
Okeson JP, ed (1996) Orofacial pain: guidelines for assessment, diagnosis, and management. Quintessence Publishing Co, Chicago
Rugh JD, Solberg WK (1985) Oral health status in the United States: temporomandibular disorders. J Dent Educ 49:398–406
Schiffman E, Fricton JR (1988) Epidemiology of TMJ and craniofacial pain. In: Friction JR, Kroening RJ, Hathaway KM (eds) TMJ and craniofacial pain: diagnosis and management. IEA Publishers, St. Louis
Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, Truelove E, Sommers E (1990) Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. J Am Dent Assoc 120:273–281
McNeill C (1985) The optimum temporomandibular joint condyle position in clinical practice. Int J Periodont Rest 5:52–76
Winocur E, Gavish A, Finkelshtein T, Halachmi M, Gazit E (2001) Oral habits among adolescent girls and their association with symptoms of temporomandibular disorders. J Oral Rehabil 28:624–629
McNamara JA Jr, Seligman DA, Okeson JP (1995) Occlusion, orthodontic treatment, and temporomandibular disorders: a review. J Orofac Pain 9:73–90
Seligman DA, Pullinger AG (1991) The role of intercuspal occlusal relationships in temporomandibular disorders: a review. J Craniomandib Disord 5:96–106
Yap AUJ, Tan KBC, Chua EK, Tan HH (2002) Depression and somatization in patients with temporomandibular disorders. J Prosthet Dent 88:479–484
Velly AM, Gornitsky M, Philippe P (2003) Contributing factors to chronic myofascial pain: a case-control study. Pain 104:491–499
Kino K, Sugisaki M, Haketa T, Amemori Y, Ishikawa T, Shibuya T (2005) The comparison between pains, difficulties in function, and associating factors of patients in subtypes of temporomandibular disorders. J Oral Rehabil 32:315–325
Bell WE (1983) Understanding temporomandibular biomechanics. J Craniomandibular Pract 1:27–33
Laskin DM (2005) Temporomandibular joint pain. In: Harris ED, Budd RC, Firestein GS, Genovese MC, Sergent JS, Ruddy S, Sledge CB (eds) Kelley’s textbook of rheumatology. Elsevier Saunders, Philadelphia
Howard JA (1990) Imaging techniques for the diagnosis and prognosis of TMD. J Calif Dent Assoc 18:61–71
Petersson A, Rohlin M (1988) Rheumatoid arthritis of the temporomandibular joint. Evaluation of three different radiographic techniques by assessment of observer performance. Dentomaxillofac Rad 17:115–20
Sanchez-Woodworth RE, Tallents RH, Katzberg RW, Guay JA (1988) Bilateral internal derangements of temporomandibular joint: evaluation by magnetic resonance imaging. Oral Surg Oral Med Oral Pathol 65:281–5
Raustia AM, Pyhtinen J (1990) Morphology of the condyles and mandibular fossa as seen by computed tomography. J Prosthet Dent 63:77–82
Goupille P, Fouquet B, Colty P, Goga D, Mateu J, Valat JP (1990) The temporomandibular joint in rheumatoid arthritis. Correlation between clinical and computed tomography features. J Rheumatol 17:1285–1291
Goupille P, Fouquet B, Colty G, Goga D, Valat JP (1992) Direct coronal computed tomography of the temporomandibular joint in patients with rheumatoid arthritis. Br J Radiol 66:955–960
Bayar N, Kara SA, Keles I, Koc MC, Altinok D, Orkun S (2002) Temporomandibular joint involvement in rheumatoid arthritis: radiological and clinical study. Cranio 20:105–110
Voog U, Alstergren P, Eliasson S, Leibler E, Kallikorm R, Kopp S (2003) Inflammatory mediators and radiographic changes in temporomandibular joints of patients with rheumatoid arthritis. Acta Odontol Scand 61:57–64
Celiker R, Gokce-Kutsal Y, Eryilmaz M (1995) Temporomandibular joint involvement in rheumatoid arthritis. Relationship with disease activity. Scand J Rheumatol 24:22–25
Tegelberg A (1987) Temporomandibular joint involvement in rheumatoid arthritis. A clinical study. Swed Dent J 49:1–133
Wilson AW, Brown JS, Ord RA (1990) Psoriatic arthropathy of the temporomandibular joint. Oral Surg Oral Med Oral Pathol 70:555–8
Wenneberg B, Hollender L, Kopp S (1983) Radiographic changes in the temporomandibular joint in ankylosing spondylitis. Dentomaxillofac Rad 12:25–30
Moses JJ, Lange CR, Arredondo A (1998) Septic arthritis of the temporomandibular joint after the removal of third molars. J Oral Maxil Surg 56:510–512
Gross BD, Williams RB, DiCosimo CJ, Williams SV (1987) Gout and pseudogout of the temporomandibular joint. Oral Surg Oral Med Oral Pathol 63:551–554
Mejersjo C (1987) Therapeutic and prognostic considerations in TMJ osteoarthrosis: a literature review and a long-term study in 11 subjects. Cranio 5:69–78
Milam SB, Zardeneta G, Schmitz JP (1998) Oxidative stress and degenerative temporomandibular joint disease: a proposed hypothesis. J Oral Maxil Surg 56:214–223
de Leeuw R, Boering G, Stegenga B, de Bont LG (1994) Clinical signs of TMJ osteoarthrosis and internal derangement 30 years after nonsurgical treatment. J Orofac Pain 8:18–24
Manfredini D, Tognini F, Montagnani G, Bazzichi L, Bombardieri S, Bosco M (2004) Comparison of masticatory dysfunction in temporomandibular disorders and fibromyalgia. Minerva Stomatol 53:641–650
Dworkin SF, LeResche L (1992) Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 6:301–355
Danzig WN, Van Dyke AR (1983) Physical therapy as an adjunct to temporomandibular joint therapy. J Prosthet Dent 49:96–99
Clark GT (1984) A critical evaluation of orthopedic interocclusal appliance therapy: design, theory, and overall effectiveness. J Am Dent Assoc 108:359–364
Sheikholeslam A, Holmgren K, Riise C (1986) A clinical and electromyographic study of the long-term effects of an occlusal splint on the temporal and masseter muscles in patients with functional disorders and nocturnal bruxism. J Oral Rehabil 13:137–145
Okeson JP, Kemper JT, Moody PM (1982) A study of the use of occlusion splints in the treatment of acute and chronic patients with craniomandibular disorders. J Prosthet Dent 48:708–712
Anderson GC, Schulte JK, Goodkind RJ (1985) Comparative study of two treatment methods for internal derangement of the temporomandibular joint. J Prosthet Dent 53:392–397
Nitzan DW, Dolwick MF, Heft MW (1990) Arthroscopic lavage and lysis of the temporomandibular joint: a change in perspective. J Oral Maxil Surg 48:798–801
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Atsü, S.S., Ayhan-Ardic, F. Temporomandibular disorders seen in rheumatology practices: a review. Rheumatol Int 26, 781–787 (2006). https://doi.org/10.1007/s00296-006-0110-y
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DOI: https://doi.org/10.1007/s00296-006-0110-y