1,721,206 research outputs found
The TMJ Troubles and Their Nutritional Consequences
No full textThe term temporomandibular disorder (TMD) refers to a heterogeneous group of pathologies affecting the stomatognathic system, characterized by pain and functional limitation within the temporomandibular joint (TMJ) area, the muscles of mastication, and the related structures. TMDs are considered the most common cause of orofacial pain of nondental origin and are currently included within the musculoskeletal disorders. They are characterized by a classically described triad of clinical signs: muscle and/or TMJ pain; TMJ sounds; and restriction, deviation, or deflection of the mouth opening path. TMD symptoms have always been considered to have a broad prevalence peak between 20 and 40 years of age, with a lower prevalence in younger and older people. For specific TMD conditions, distinct peaks were recently identified in patient populations: one around the age of 30 years for subjects with disc displacements and another over the age of 50 years for inflammatory-degenerative joint disorders. The etiology of TMD is complex, multifactorial and consistent with the biopsychosocial model of illness. Negative emotional states such as depression and anxiety are known contributing factors to TMD.
Clinical studies agree that chronic medical conditions have strong negative effects on quality of life.
TMD that run a chronic course are more likely associated with psychological and somatic complaints as well as sleep disturbances. Stressful and dynamic academic, work or family environments can also sufficiently.
The most common symptoms observed in patients with temporomandibular disorders are: chronic pain; loss of energy; activity restriction (inability) of physical ailments and emotional disorders; emotional state; general health problems; anxiety/depression; voice changes; taste changes, discomfort when eating, owing to limited mandibular opening and pain and discomfort with biting and chewing. Consequently, painful TMD may affect dietary intake and nutritional status.
Management of painful TMD is multifaceted and involves pharmacologic, physical, and cognitive behavior and dietary therapies. There is a lack of evidence‐based dietary guidelines for patients that clinicians can use to assess and manage diet and nutritional well-being in patients with this disorder. The Author presents recommendations to guide clinicians on how to help the neglected patients with painful TMD improve the quality of their diets and avoid or minimize eating-related pain.
The areas of discussion will include reviewing the following: potential impact of painful TMD on eating and nutritional status; potential role of diet and nutrition in the TMD management; and dietary guidance for patients with TMD
La nota scrittrice Bianca Garavelli è la nuova testimonial di Al.Ce
No full textLa nota scrittrice Bianca Garavelli è la nuova testimonial di Al.Ce.
allieva di Maria Corti, all’Università di Pavia, esordisce con la raccolta di poesie “L’insonnia beata”
(Edizioni del Laboratorio, Modena, 1988); nel 1990
pubblica il suo primo romanzo “L’amico di Arianna” (Alfredo Guida) a cui seguono nel 1997 “Guerriero del Sogno” (La Vita Felice, Milano)e nel 1999
il romanzo per ragazzi “Il mistero di Gatta Bianca”
(Laterza, Bari). Nel 1996 pubblica per Bompiani
(Milano) i due volumi antologici “Leggere la poesia dell’Ottocento” e “Leggere la poesia del Novecento
Dolore e articolazione temporomandibolare
No full textI disordini temporomandibolari
(TMD) vengono definiti nell’ultima classificazione come un gruppo eterogeneo di condizioni dolorose e/o disfunzionali
di natura infiammatoria o degenerativa
che interessano le articolazioni
temporomandibolari
(ATM), la muscolatura masticatoria
e le strutture che con esse
contraggono rapporti anatomofunzionali.
Rappresentano una
causa di dolore di origine non
odontogena nella regione orofacciale
ed appartengono alla
sottoclassificazione dei disordini
muscolo scheletrici.
Nel corso degli anni tali disordini sono stati descritti con oltre 27 termini e acronimi, dalla
Sindrome di Costen (1934), alla sindrome algico-disfunzionale
dell’ATM, ai disordini craniocervico-mandibolari, all’odierno temporomandibular disorders(TMD)
Disordini temporomandibolari: fotografia della situazione italiana, approccio conservativo e counseling
No full textCovid-19: “Avere apnee nel sonno non comporta di per sé conseguenze peggiori in caso di infezione”
No full textOSAS, acronimo di Obstructive Sleep Apnea Syndrome, vale a dire Sindrome delle Apnee ostruttive del Sonno, è un disordine caratterizzato da ripetuti episodi di completa o parziale cessazione del flusso d’aria attraverso le vie aeree superiori, dovuto al loro ricorrente collasso durante il sonno, con conseguenti sonnolenza diurna e russamento notturno
Dolore oro-facciale e disordini temporomandibolari
No full textIl distretto oro-facciale è spesso teatro di dolore con implicazioni importanti poiché questa regione del corpo è la sede
dell’alimentazione, della fonazione e dell’espressione dei
sentimenti.
Il dolore orofacciale ha dunque
un impatto sull’emotività e sulla
qualità della vita
dei pazienti.
Circa 450 milioni di
persone al mondo,
prevalentemente di
sesso femminile (in rapporto
femmine: maschi = 4:1)
e di età compresa tra i
20 e i 40 anni, sono affette da disordini temporomandibolari
(TMD) che rappresentano la più comune causa
di dolore non dentale
nella regione oro faccial
Cherry loop: a new loop to move the mandibular molar mesially
No full textAbstract: The aim of this study was to test the clinical
efficacy of a new loop named ‘cherry loop’ in correcting the
Class II relationship by the mesial movement of the first lower
molars in the Tweed–Merrifield technique. We compared the
amount of molar mesial movement in two groups of patients
treated with upper first bicuspid and lower second bicuspid
extractions. The study was conducted using two X-rays, one
before treatment and one after the molars had moved.
Mandibular molars and incisors were traced and their positions
analyzed along a Cartesian coordinate system. Movements
were related to stable structures: lower borders of the
mandible and the symphysis. The cherry loop performance
was compared to that of the shoehorn loop. Cherry loop
averaged 5.25 mm of average mesial movement, whereas the
shoehorn loop yielded only 3.28 mm. The vertical control of
molars was better with the new loop; we had only 1.24 mm of
extrusion compared to 3.24 mm with the usual loop. The
anteroposterior stability of the incisors was better too; we had
1.54 mm of distal movement of the crowns compared to 2.24
mm with the shoehorn loop. A serendipitous finding was that
the occlusal plane could be controlled by the cherry loop. It
can be oriented to best fit the growth pattern. In turn, in the
growing patient, a favorable skeletal response can be
expected
Approccio al paziente secondo i Criteri Diagnostici di Ricerca per i Disordini Temporomandibolari (RDC/TMD)
No full textI disordini temporomandibolari (TMD) comprendono diversi problemi clinici che riguardano i muscoli
masticatori, l’articolazione temporomandibolare (ATM) e le strutture ad essi associate. Gli studi basati
sulla popolazione hanno riportato una prevalenza dall’8 al 15 per cento per le donne e dal 3 al 10 per
cento per gli uomini; ciò indica i TMD come la principale causa di dolore orofacciale di origine non
dentale. I moderni concetti eziologici vanno verso un modello biopsicosociale che integra i fattori fisici
con quelli psicologici e psicosociali. I Criteri Diagnostici di Ricerca per i Disordini
Temporomandibolari (RDC/TMD) comprendono: asse I e asse II. Asse I: disordini muscolari (gruppo I);
dislocazioni discali (gruppo II); artralgia, osteoartrosi, osteoartrite (gruppo III). Asse II: severità del dolore
cronico; punteggio di depressione; scala dei sintomi fisici associati; limitazione funzionale.Temporomandibular disorders is a collective term embracing a number of clinical problems that involve
the masticatory muscles, the temporomandibular joint and associated structures. Population based
studies have reported the prevalence of TMD from 8% to 15% for women and from 3% to 10% for men,
indicating that TMD are major causes of non-dental pain in the orofacial region. The modern aetiological
concepts of temporomandibular pain disorders support a biopsychosocial model integrating physical
disorder factors with psychological and psychosocial illness impact factors. The Research Diagnostic
Criteria for Temporomandibular Disorders (RDC/TMD) include: AXIS I: Group I: muscle disorders; Group
II: disc displacement; Group III: arthralgia, osteoarthritis, osteoarthrosis; AXIS II: Graded Chronic Pain,
Depression, Nonspecific physical symptoms, Jaw disability
- …
