List of Articles by MeSH

TEMPOROMANDIBULAR JOINT DISORDERS + therapy

1. Badel T, Stražanac J, Marotti M, Krapac L. Treatment of myogenic temporomandibular disorder by occlusal splint and physical therapy: a case report. Acta Stomatol Croat. 2010;44(3):202-10.
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   Title in English:	Treatment of myogenic temporomandibular disorder by occlusal splint and physical therapy: a case report
   Title in Croatian:	Liječenje miogenog temporomandibularnog poremećaja okluzijskom udlagom i fizioterapijom: prikaz slučaja
   Type of Article:	case report
   MeSH:	MALOCCLUSION + therapy MASSETER MUSCLE + pathology MYOFUNCTIONAL THERAPY + utilization SPLINTS + utilization TEMPOROMANDIBULAR JOINT DISORDERS + therapy
   Abstract:	Diagnostics of a patient suffering from masseter tendomyopathy as well as the 18-month followup of Michigan split treatment and kinesiotherapy by Schulte are described. Techniques of manual functional analysis and the diagnostically differential magnetic resonance were used for diagnostics since the patient had pathologic habitual occlusion caused by a previous inadequate splint. However, apart from the physiological disc position, there were only visible subchondral changes in terms of osteoarthritis with preserved contours of cortical bone and without additional clinical symptomatology. Diagnostics and treatment require a multidisciplinary cooperation which will enable treatment success. The goal of initial and palliative treatment is to manage, reduce and remove temporomandibular pain as well as to improve the functioning of the entire stomatognathic system. While there is an agreed gold standard in clinical diagnostics of temporomandibular disorders (clinical examination, manual examination techniques, magnetic resonance), there is no such gold standard for the choice of treatment methods. The pathophysiological and neuromuscular component of the myogenic temporomandibular disorder has not been completely explained. Recent systematic review papers confirm the value of the Michigan splint and physical therapy as successful treatment methods of temporomandibular disorders. However, there is a lack of randomized, comparable research.

2. Ćelić R, Jerolimov V, Pandurić J, Haban V. Depression and Somatization in Patients with Temporomandibular Disorders. Acta Stomatol Croat. 2006;40(1):35-45.
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   Title in English:	Depression and Somatization in Patients with Temporomandibular Disorders
   Title in Croatian:	Depresija i somatizacija u pacijenata s temporomandibularnim poremećajima
   Type of Article:	original scientific paper
   MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS + therapy DEPRESSION SOMATOFORM DISORDERS
   Abstract:	Studies have indicated that patients with TMD demonstrate increased somatization, stress, anxiety, depression.A consistent relationship has been demonstrated among anxiety, general somatic complaints, and TMD-related pain. The aims of this study were to determine the differences in depression and somatization scores in patients in different RDC/TMD axis I diagnostic groups and to investigate the role of psychological factors (depression and somatization) in TMD. One hundred fifty- four patients (37 male and 117 female; mean age, 39.0 ± 14.5 years) with RDC/ TMD-defined clinical TMD were selected. Patients were subsequently classified into 7 groups based on the presence of the various RDC/TMD axis I diagnostic groups. Differences in mean SCL-90 depression and somatization scores between the diagnostic groups were compared by one-way analysis of variance and Scheffé post hoc tests at a significance level of 0.05. The frequencies of the different diagnostic groups were as follows: group 1 (muscle disorders, MD), 35.7%; group 2 (disc displacement, DD), 18.2%; group 3 (arthralgia, arthritis, arthrosis, AAA), 7.8%; group 4 (MD+DD), 9.1%; group 5 (MD+AAA), 13.0%; group 6 (DD+AAA), 9.1%; group 7 (MD+DD+AAA), 7.1%. The majority of patients had one diagnosis (61.7%) while the remaining patients experienced two or more diagnoses (38.3%). About 19.5% of TMD clinical patients yielded severe depression scores, and 27.3% experienced severe levels of non-specific physical symptoms scores. Only 6 patients (21.4%) had high disability with moderate and severe limitations (psychosocially dysfunctional patients). Patients diagnosed with myofascial pain and arthralgia (group 5 and 7) had significantly higher levels of depression and somatization than patients diagnosed with only disc displacements (group 2). These data mandate that screening and treatment for depression and somatization should be an integral part of the evaluation and management of patients with TMD.

3. Illeš I, Delladio S, Illeš D. Combined Orthodontic-Prosthetic Therapy of TMD Patients (Case Report). Acta Stomatol Croat. 2003;37(3):335.
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   Title in English:	Combined Orthodontic-Prosthetic Therapy of TMD Patients (Case Report)
   Title in Croatian:	Kombinirana ortodontsko-protetska terapija pacijenata s temporomandibularnom disfunkcijom (TMD) - Prikaz slučaja
   Type of Article:	congress abstract
   MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS + therapy
   Abstract:	A 25 year-old female came to the practice with symptoms typical of temporomandibular dysfunction. Clinical examination revealed that there were several teeth missing: 25, 26, 46. Dystopia of the right upper canine and several teeth rotations, titling and spaces caused by tooth loos were noticed.After utilizing a stabilization splint which relieved the original symptoms, orthodontic therapy, followed by prosthodontic work, was chosen as definitive therapy.Straight wire technique was applied using 0.22” Roth fixed braces. Nivelation was started with 0.14” wire and finished with 0.16” x 0.16” square wire. Procedure was conducted during a 3 month period. Then the canine was derotated and returned to its correct positon, using 0.16” round wire and finishing with 0.16” x 0.16” square wire. Whole the orthodontic treatment lasted for 11 months and provided solid ground for prosthodontic treatment.Prosthodontic treatment included two fixed prosthodontic restorations. One including abutments on teeth 24 and 27, and the other on teeth 45 and 47. Abrasive metal ceramic was choosen for those restorations. Restorations were made using articulator Artex NK and finally fitted in the mouth. The final result eliminated all symptoms of TMD and was aesthetically pleasing for tha patient.

4. Illeš D, Alajbeg IŽ, Valentić-Peruzović M. TMD Therapy With Chair -Side Composite Inlays. Acta Stomatol Croat. 2003;37(3):334.
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   Title in English:	TMD Therapy With Chair -Side Composite Inlays
   Title in Croatian:	TMD liječenje s kompozitnim inlayima izrađenim u ordinaciji
   Type of Article:	congress abstract
   MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS + therapy INLAYS
   Abstract:	In some cases of heavily damaged posterior teeth, especially those on which endodontic treatment was performed, there is no possibility for full prosthodontic treatment. An alternative is chair side made composite inlay, onlay and overlay.These fillings can be made in the special partial articulator (Easy Croc, Girrbach Dental Gmbh, Germany) which makes them sutiable for final treatment of temporomandibular dysfunctions. Impressions are taken by a special a bimaxillary tray which is then poured into stone type IV gypsum and at the same time mounted in an articulator. Standard composite resin is modelled according to similar occlusal morphology of neighbouring teeth and gnathological rules. Occlusion is then adjusted in the articulator and programmed to a chosen occlusal scheme. Complete work is finally polymerized outside the mouth which eliminates shrinking stress and increases polymerization ratio. After try in, such work finally cemented using composite dual luting cements and then polished. Such chair side made prosthodontic devices increases the structural integrity of heavily damaged posterior teeth and can provide adequate treatment for the TMD patient.

5. Girotto M, Kovač Z, Valentić-Peruzović M, Uhac I. Relationship Between Attrition Faces and Signs of TMD. Acta Stomatol Croat. 2003;37(3):325-6.
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   Title in English:	Relationship Between Attrition Faces and Signs of TMD
   Title in Croatian:	Brusne fasete i znakovi temporomandibularne disfunkcije
   Type of Article:	congress abstract
   MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS + therapy TOOTH ATTRITION + therapy
   Abstract:	Attrition faces are usually seen on the occlusal or incisal surfaces of teeth worn by attrition. They are considered to be a sign of functional and parafunctional activities, and can differ by wideness and position on the teeth. Bruxizm, as a parafunctional activity, is considered to be a risk factor for dysfunction of the masticatory system.The aim of the study was to investigate the possible relationship between attritional faces, as a sign of bruxizm, and signs of temporomandibular dysfunction. By clinical examination, a group of 100 subjects was selected for trial, based on findings of attritional faces. The severity of attrition faces was quantified on a fivepoint scale ( modified assessment for determination of incisal tooth wear according to Pullinger and Seligman: 0 = no visible tooth wear; 1 = minimal wear of cusps or incisal tips (enamel); 2 = faces parallel to normal planes of contour (enamel); 3 = noticeable flattening of cusp or incisal edges (enamel); 4 = total loss of contour and dental exposure when identifiable (dentin exposure up to half of former crown of tooth): 5 = total loss of contour and dental exposure over half of former crown of tooth). Selected subjects were then examined by standard procedure to investigate the presence of TMD signs. Results showed that there was no statistical significance between signs of TMD and presence of attrition faces, and neither between signs of TMD and severity of attrition faces. Results of this study are compatible with other recent investigations, which show that attrition faces are not a reliable sign for assessing the functional status of the masticatory system.According to this investigation there is no association between attrition faces and signs of temporomandibular dysfunction.

6. Badel T, Pandurić J, Kraljević-Šimunković S, Marotti M, Kocijan Lovko S, Šutalo J. Temporomandibular Disorders in a Patient With Anxiety. Acta Stomatol Croat. 2003;37(3):306-7.
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   Title in English:	Temporomandibular Disorders in a Patient With Anxiety
   Title in Croatian:	Temporomandibularna disfunkcija u pacijentice s anksioznošću
   Type of Article:	congress abstract
   MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS + therapy ANXIETY
   Abstract:	A patient (28 yrs. old) during the last year has noticed wear facets on the teeth and also symptoms of temporomandibular disorders (TMD) - pain, limitation of mandibular movements, and also clicking in the right temporomandibular joint (TMJ). The pain was evaluated with analog-visual scale (0 - 10) = 7. Case history revealed the presence of mental trauma four years ago, which had caused the increase of anxiety and occurrence of panic attacks. By means of manual functional analysis myofacial pain and anterior disc displacement without reduction in the right TMJ was determined and confirmed with electronic axiography and magnetic resonance imaging (MRI). As a consequence of excessive teeth wear the interfering contacts in laterotrusive movements of mandibule were established. Anxiety was confirmed with psychological measuring instrument State-Trait Anxiety Inventory. For the initial treatment the fabrication of Michigan splint was indicated. After 2 months improvement in clinical condition was achieved. Stronger pain was only during larger mouth opening. In the right TMJ crepitation was found. In the last few months she took irregularly prescribed anxiolytic drugs. She still feels anxious, tense and insecure. After 9 months the anterior disc dislocation without reduction and with present signs of subchondral degeneration and condylar aplation in the right TMJ was established with controlling MRI. Orthopedic stability of TMJs was established with definitive occlusal treatment (restoration of wear teeth tissues with composite fillings). Because of accompanying osteoarthritis and better stabilisation of TMJs as well as teeth protection from bruxism a stabilisation splint was fabricated. Bruxism is a pathophysiological disorder of unclear aetiology. The most noticeable sign of bruxism is excessive teeth wear which can cause pathological occlusal relationships. The mechanism of aetiopathogenesis of TMD is insufficiently explained and occlusion is considered to be a secondary aetiological factor. Anxiety can be a pathophysiological factor of bruxism and can lead to persistence of chronic temporomandibular pain.

7. Ardizone I, Aneiros F, Sanchez T. Influence of the Splint Therapy on Muscle Function and on Mandibular Kinetics in the Treatment of a Patient with Malocclusion and Severe Temporomandibular Disorders. Acta Stomatol Croat. 2002;36(3):330.
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   Title in English:	Influence of the Splint Therapy on Muscle Function and on Mandibular Kinetics in the Treatment of a Patient with Malocclusion and Severe Temporomandibular Disorders
   Title in Croatian:	nema
   Type of Article:	congress abstract
   MeSH:	SPLINTS TEMPOROMANDIBULAR JOINT DISORDERS + therapy MALOCCLUSION + therapy
   Abstract:	INTRODUCTION: Despite the most recent changes in the treatment of temporomandibular disorders, the relaxation splint is still the most employed therapeutic variety.Some authors, however, have doubts about its actions on neuromuscular function and suspect that its effectiveness is onlydue to psychological factors and placebo effect. AIM: In this study an attempt was made to study the neuromuscular response of the stomatognathic apparatus in a temporomandibular disorder patient during splint therapy in order to evaluate its therapeutic effectiveness.MATERIAL AND METHODS:We performed a clinical examination, occlusal analysis and electromyographic and kinesiographic tests in a patient with bruxism, malocclusion and severe temporomandibular disorder, in order to compare the results with those obtained after twomonths of splint treatment. For this purpose we used a K6I electromyograph and kinesiograph device, the Helkimo test and a Dentatus ARL articulator.RESULTS AND CONCLUSION: After two months wearing the splint, the patient reports symptomatic improvement. Joint and muscle pain are reduced. The study of the mandibular kinetics shows a wider range of movements and less deviation of the midline in opencloserecordings. Electromyography shows an improvement of masseter muscle function in clenching and chewing tests and a decrease of temporalis muscle hypertonicity in the mandibular rest position. Furthermore, the function of all the muscles explored, despite the lateral crossbite malocclusion, is more symmetrical.

8. Suvin M. [10 years' experience with bite splints]. Acta Stomatol Croat. 1981;15(1-2):59-63.
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   Title in English:	10 years' experience with bite splints
   Title in Croatian:	Deset godina iskustva s nagriznom pločom.
   Type of Article:	not determined
   MeSH:	DENTAL OCCLUSION DISLOCATIONS + therapy MALOCCLUSION + therapy MANDIBULAR CONDYLE + injuries SPLINTS TEMPOROMANDIBULAR JOINT DISORDERS + therapy
   Abstract:	(not available)