Symptoms Of Temporomandibular Dysfunction Research Articles

Introduction: Temporomandibular dysfunction (TMD) is a problem which is increasing in general population. It is considered a multifactorial problem, which can become from biomechanical, neuromuscular, biopsychosocial or neurobiological factors. It is associated with risk of occlusion, parafunction, stress, trauma and hypermobility. The treatment of this pathology is based on teamwork, where Physiotherapy has a significant role (1). In recent years, the relationship between TMD and posturographic changes has been studied. Despite numerous studies have been published it is not clear yet if postural imbalances are etiological or perpetuating agents of TMD. Evidence from most of the studies shows that muscle and postural disorders are more frequent in patients with TMD and seem to be a correlation between the type of occlusion, the existence of signs and symptoms of dysfunction and postural imbalance (2). The general objective of this study was to observe if there is a relationship between the level of TMD and posturographic changes in college students aged between 18 and 30 years old. Materials and Methods: Sixty students were assigned into two groups. Group 1 (n = 25) who presented moderate or severe TMD dysfunctions and group 2 (n = 25) who had no symptoms of TMD. All subjects completed a sample characterization questionnaire and the Fonseca Questionnaire to identify the prevalence of symptoms and severity of TMD. The selected subjects were submitted to four tests to measure the center of gravity position on several static and dynamic positions, on bilateral and unilateral podal stance with their eyes open and closed. This study followed all the principles of the Declaration of Helsinki. Results: A total of 63 variables were studied. Of these, only 5 obtained significant differences between the group with TMD and the group without. The percentage of anteroposterior oscillation amplitude, the anteroposterior distance in the left unipodal with closed eyes, the anteroposterior oscillation amplitude in left unipedal with closed eyes, the left unipedal oscillation area with closed eyes and the percentage of oscillation velocity in the left unipedal with eyes, were the variables that obtained a p <0.05. Discussion and Conclusion: The most common way to study postural control is to observe body behavior (especially the oscillation) during any task. The observation can be both qualitative and quantitative, with the aid of measuring instruments. Based on our results and according to the existing literature (3), we conclude that there is no relationship between the moderate and severe TMD variables and the changes in the center of pressure. The relationship between moderate and severe TMD with changes in the center of pressure is an approach that is poorly studied and developed.

Data sourcesPubMed, Medline via Ovid (1946 onward), EMBASE via Ovid (1947 onward), Scopus, Web of Science (Scientific Citation Index, Conference Indexes), dissertations and theses databases; Cochrane Collaboration (DARE, CDSR), NICE, SIGN, ClinicalTrials.gov; grey literature searching.Study selectionSix electronic databases were searched for terms related to hypodontia and treatment methods, and four further electronic databases searched using terms for hypodontia only. Mixed-method study designs were used with exclusion of case reports, case series with fewer than ten participants and nonsystematic reviews. Quality improvement reports were also included and managed separately. No language restrictions were used.Data extraction and synthesisData from each study were systematically extracted using a data extraction form modified from the Cochrane Public Health Group template. One reviewer completed data extraction, with a second reviewer checking for accuracy and consistency. Four outcome categories were developed to synthesise the studies using a novel categorisation approach based on the perspective of the study's evaluator; including three subjective outcomes (patient-reported, clinician-reported and lay-reported) and one objective outcome (clinical indicators). No synthesis of efficacy data was planned; therefore, a methodologic quality appraisal of studies was not undertaken.ResultsThe search identified 497 abstracts, from which 106 eligible articles were retrieved in full. Fifty-six studies and eight quality-improvement reports were included. Clinical indicators were reported in 49 studies (88%) including appearance, function, dental health, treatment longevity, treatment success and service delivery. Patient-reported outcomes were given in 22 studies (39%) including oral health-related quality of life, appearance, function, symptoms of temporomandibular dysfunction and patient experience. Clinician-reported and lay-reported outcomes were limited to appearance. Variability was seen in the tools used for measuring outcomes.ConclusionsThere is a lack of rationale and consistency in the selection of outcome measures used to evaluate hypodontia care. Outcomes are largely clinician and researcher-driven with little evidence of their relevance to patients. Evidence from hypodontia research is clinician-focused and likely to have limited value to support patients during decision-making. There is a need for a core-outcomes set with a patient-centric approach to drive improvements in health services.

Symptoms Of Temporomandibular Dysfunction Research Articles

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Symptoms Of Temporomandibular Dysfunction Research Articles

Related Topics

Articles published on Symptoms Of Temporomandibular Dysfunction

Symptoms of Temporomandibular Dysfunction in Patients Submitted to Bucco-Dental Surgery

Mucosa mordiscada: relato de caso

Relationship between temporomandibular dysfunctions, sleep disorders, and anxiety among dentistry students

Prevalence of symptoms of temporomandibular disorders, oral behaviors, anxiety, and depression in Dentistry students during the period of social isolation due to COVID-19.

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Correlação entre sintomas de disfunção temporomandibular, hábitos orais deletérios e sintomas de estresse em estudantes universitários

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