Tmj Arthralgia: A Rarely Described Internal Joint Derangement And Characterization Regarding Factors Of Age , Pain Description, And Prevalence In Craniomandibular Disorders Individuals (CMDs)
DOI:
https://doi.org/10.47385/cadunifoa.v5.n14.1026Keywords:
Craniomandibular Disorders, Arthralgia, Joint noises, Burning PainAbstract
Aims: Characterize Craniomandibular Disorders (CMDs) and arthralgia individuals regarding factors of age, joint noises, frequency of burning pain and severity of pain. Material and Methods: 25 CMD and arthralgia patients, 39 CMDs and capsulitis patients were retrieved from a large sample of CMD patients and were compared with a control Non CMD group. History of sign and symptoms, questionnaires, clinical examination, description of pain, diagnostic tests and criteria for CMDs were used. Results: Mean age in the experimental (CMD+arthralgia group) was about 40.2 years old. The frequency of joint noises was about 72% in the CMDs+arthralgia group as compared to the other two control groups (56.4% and 40.6%) . Bilateral reciprocal click was also more frequently in the experimental group than in the controls and the difference was statistically significant. The frequency of severe pain was much higher in the CMD+arthralgia than in the CMD+capsulitis group (80% and 10.2% respectively). The description of burning pain was observed exclusively in the CMD+arthralgia group. Finally, the frequency of pain increased from the Non CMD to the CMD+capsulitis and to the CMD+arthralgia group. Conclusions: The results of this study indicate that arthralgia is a more chronic disorder characterized by burning pain, more severe pain and higher frequency of joint noises, specifically unilateral reciprocal click.
Downloads
References
Roberts, C.A.; Tallents, R.H.; Katzberg, R.W.; Sanchez-Woodworth, R.E.;
Manzione, J.V.; Speland, M.A.; Handelman, S.L. Clinical and arthrographic
evaluation of temporomandibular joint sounds. Oral Surgery, Oral Medicine, Oral
Pathology, v.62, p. 373-376, 1986.
Kreutziger KL, Mahan PM. Temporomandibular degenerative joint disease:
Anatomy, pathophysiology and clinical description. Oral Surgery, Oral Medicine, Oral
Pathology, v.40, p.165-182, 1975.
Barkin, S.; Weinberg, S. Internal derangements of the temporomandibular joint: The
role of arthroscopic surgery and arthrocentesis. Journal of The Canadian Dental
Association, v.66, p.199-203, 2000.
Rosenberg, I.; Goss, A.N. The outcome of arthroscopic treatment of
temporomandibular joint arthropathy. Australian Dental Journal, v.44, p.106-111, 1999.
Nitzan, D.; Dolwick, F.W. An alternative explanation for the genesis of closed –
lock symptoms in the internal derangement process. Journal of Oral and Maxillofacial
Surgery, v. 49, p.810-815, 1991.
Magnusson, T.; Egermark-Eriksson, I.; Carlsson, G.E. Changes in subjective
symptoms of craniomandibular disorders in children and adolescents during a 10-year
period. Journal of Orofacial Pain, v.7, p. 76-82, 1993.
New York Presbyterian Hospital: Internal derangements of the temporomandibular
joint. No volume, p.1-2, 2000.
Yap, A.U. Temporomandibular disorders: An overview. SMJ, v.40, p.1-9, 1999.
Rasmussen, O.C. Description of population and progress of symptoms in a
longitudinal study of temporomandibular arthropathy. Scandinavian Journal of Dental
Research, v.89, p.196-203, 1981.
Pullinger, A.G.; Seligman, D.A. TMJ osteoarthrosis: A differentiation of diagnostic
subgroups by symptom history and demographics. Journal of Craniomandibular
Disorders Facial and Oral Pain, Journal of Craniomandibular Disorders, Facial and
Oral Pain, v.1, p.251-256, 1987.
Stegenga, B.; de Bont, L.; der Kuijl, B.; Boering, G. Classification of
temporomandibular joint osteoarthrosis and internal derangement. Part 1: Diagnostic
significance of clinical and radiographic symptoms and signs. Journal of
Craniomandibular Practice, v. 10, p. 95-106, 1992.
Miyamoto, H.; Sakashitas H.; Miyata, M.; Goss, A.N.; Okabe, K.; Miyaji, Y.;
Sakuma, K. Arthroscopic management of temporomandibular closed lock. Australian
Dental Journal, v. 43, p. 301-304, 1998.
Bell, W.E. Orofacial pains: Diagnostic and management. 1.ed. Chicago: The Year
Book Publishing Company, 1985.
Schiffman, E. Diagnostic criteria for intraarticular temporomandibulasr disorders.
Community Dental Oral Epidemiology, v. 17, p. 252-257, 1989.
Donlon, W.C.; Moon, K.L. Comparison of magnetic resonance imaging,
arthrotomography and clinical ad surgical findings in temporomandibular joint
internal derangements. Oral Surgery, Oral Medicine, Oral Pathology, v.64, p.2-5, 1987.
Lobbezoo-Scholte, A.M.; de Leeuw, J.R.; Steenks, M.H.; Bosman, F.; Buchner,
R.; Olthoff, L.W.Diagnostic subgroups of craniomandibulasr disorders Part I: Self-
report data and clinical findings. Journal of Orofac Pain, v.9, p.24-36, 1995.
Güler, N.; Yatmaz, P.I.; Ataoglu, H.; Emlik, D.; Uckan, S. Temporomandibulr
internal derangement: Correlation of MRI findings with clinical symptoms of pain and
joint sounds in patients with bruxing behavior. Dentomaxillofacial Radiology, v.32,
p.304-310, 2003.
Schiffman, E.L.; Anderson, G.C.; Fricton, J.R.; Lindgren, B.R. The relationship
between the level of mandibular pain and dysfunction and stage of temporomandibular
joint internal derangement. Journal of Dental Research, v.71, p.1812-1815, 1992.
Dent Res 1992; 71: 1812-1815.
Westesson, P.L.; Rohlin, M. Internal derangement related to osteoarthrosis in
temporomandibular joint autopsy specimens. Oral Surgery, v. 57, p. 17-21, 1984.
Farrar, B. Characteristics of the condylar path in internal derangements of the TMJ.
Journal of Prosthetic Dentistry, v. 39, p. 319-323, 1975.
Holmlund, A.; Helssing, G.; Axelsson, S. The temporomandibular joint: A
comparison of clinical and arthrographic findings. Journal of Prosthetic Dentistry,
v.62, p. 61-65, 1989.
Helms CA, Kahan L, McNeil C, Dotson T: Temporomandibular joint MRI
morphology and signal characteristics of the disc. Radiology 172: 817-820, 1989.
Bean, W.R.; Omnell, K.A.; Oberg, T. Comparison between radiographic observations and macroscopic tissue changes in temporomandibular joints. Dentomaxillofacial Radiology, v.6, p.90-106, 1977.
Eriksson, L.; Westesson, P.L.; Rohlin, M. Temporomandibular joint sounds in patients with disc displacement. International Journal of Oral Surgery, v.14, p.
-436, 1985.
Chowdary, U.V.; Rajesh, P.; Neelakandan, R.S.; Nandagopal, C.M. Correlation of
clinical and MRI findings in temporomandibular joint internal derangements. Indian
Journal of Dental Research, v.13, p.22-26, 2006.
Eversole, L.R.; Machado, L. Temporomandibular joint internal derangements and
associated neuromuscular disorders. Journal of The American Dental Association,
v.110, p.69-79, 1985.
Alstergren, P.; Kopp, S. Pain and synovial fluid concentration of serotonin in
arthritic temporomandibular joints. Pain, v.72, p. 137-143, 1999.
Suenagas, S.; Abeyama, K.; Hamasaki, A.; Mimura, T.; Noikura, T. Temporomandibular disorders: Relationship between joint pain and effusion and nitric oxide concentration in the joint fluid. Dentomaxilofacial Radiology, v.30, p.214-218, 2001.
Yajima, A.; Sano, T.; Otonari-Yamamoto, M.; Otonari, T.; Ohkubo, M.; Harada, T.; Wakoh, M. MR evidence of characteristics in symptomatic osteoarthritis of the
Temporomandibular joint: Increased signal intensity ratio on proton density-weighted
images of bone marrow in the mandibular condyle. Journal of Craniomandibular
Practice, v.25, p. 250-256, 2007.
Nelson, D.A.; Landau, W.M. Jaws: diversities of gnathological history and
temporomandibular joint enterprise. Journal of Neurology, Neurosurgery and
Psychiatry, v.67, p.141-147, 1999.
Pertes, R.A. Differential diagnosis of orofacial pain. Mount Sinai Journal of
Medicine, v.65, p.348-354, 1998.
Downloads
Published
How to Cite
Issue
Section
License
Declaração de Transferência de Direitos Autorais - Cadernos UniFOA como autor(es) do artigo abaixo intitulado, declaro(amos) que em caso de aceitação do artigo por parte da Revista Cadernos UniFOA, concordo(amos) que os direitos autorais e ele referentes se tornarão propriedade exclusiva desta revista, vedada qualquer produção, total ou parcial, em qualquer outra parte ou meio de divulgação, impressa ou eletrônica, sem que a prévia e necessária autorização seja solicitada e, se obtida, farei(emos) constar o agradecimento à Revista Cadernos UniFOA, e os créditos correspondentes. Declaro(emos) também que este artigo é original na sua forma e conteúdo, não tendo sido publicado em outro periódico, completo ou em parte, e certifico(amos) que não se encontra sob análise em qualquer outro veículo de comunicação científica.
O AUTOR desde já está ciente e de acordo que:
- A obra não poderá ser comercializada e sua contribuição não gerará ônus para a FOA/UniFOA;
- A obra será disponibilizada em formato digital no sítio eletrônico do UniFOA para pesquisas e downloads de forma gratuita;
- Todo o conteúdo é de total responsabilidade dos autores na sua forma e originalidade;
- Todas as imagens utilizadas (fotos, ilustrações, vetores e etc.) devem possuir autorização para uso;
- Que a obra não se encontra sob a análise em qualquer outro veículo de comunicação científica, caso contrário o Autor deverá justificar a submissão à Editora da FOA, que analisará o pedido, podendo ser autorizado ou não.
O AUTOR está ciente e de acordo que tem por obrigação solicitar a autorização expressa dos coautores da obra/artigo, bem como dos professores orientadores antes da submissão do mesmo, se obrigando inclusive a mencioná-los no corpo da obra, sob pena de responder exclusivamente pelos danos causados.
