Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Based on the assumption that there is a correlation between myofascial pain dysfunction (MPD), headache and/or back pain, this study intended to assess the occurrence of MPD among persons reporting pain in their head or back. Another main purpose was to measure the response to an offer of free examination of teeth and jaws and, if needed, also free treatment of TMJ-disorder. In an electrotechnical company comprising 698 employees, a total of 27 persons attended for examination after the offer had been presented to two groups selected by two different sampling methods. Of the attendants, women, middle-aged persons, and persons from the upper social strata were overrepresented. These same categories were also the most likely to report headache and/or back pain. Ten individuals out of the 27 attendants claimed to have experienced some TMJ-disorder, and these indivuduals tended also to complain about headache and back pain. A major finding was that the response to the offer was clearly affected by social background. The response pattern was much like that known about the seeking of treatment for MPD-- and for dental treatment generally.
 ...
PMID:Response to an offer of consultation concerning TMJ-disorder. 13 19

Myofascial pain syndrome of the TMJ region is not uncommon. It is important to realize that these patients often have a history of TMJ trauma, frequently have positive physical findings of the TMJ, and often have positive roentgenographic findings which continue following successful therapy of myofascial pain syndrome mimicking pain of the TMJ. Because of this, the malady is often diagnosed as TMJ disease, refractory to treatment, rather than correctly as myofascial pain syndrome. Continued investigation of myofascial pain syndrome of the TMJ region is indicated.
 ...
PMID:Myofascial pain syndrome masquerading as temporomandibular joint pain. 26 34

A review of 55 high condylectomies is presented with a discussion of diagnosis, rationale, technique, some simultaneous problems, and complications. An average two-year follow-up shows good results, and the procedure is thought to be useful when indicated. Many of our respondents, who classified themselves as improved, were actually cured of their arthritis, but had a previously diagnosed synergistic disorder. Muscle spasms and anxiety syndromes frequently required continued treatment after a 6- to 12-month interval. Despite the difficulty in diagnosis and the frequent occurrence of simultaneous disorders there is a definite place for the high condylectomy. Its use, however, is still restricted at this institution to that group of patients with persistent pain in the TMJ or severe functional disorders caused by actual pathologic conditions of the condyle. After surgery, all patients should be followed for at least two years for recurrence of any TMJ-related disorder.
 ...
PMID:High condylectomy for treatment of arthritis of the temporomandibular joint. 26 45

The treatment procedure for posterior unilateral condylar displacement has been described. An acrylic resin repositioning prosthesis may be used to decrease trismus. Occlusal adjustment permits lateral freedom for mandibular movement to the opposite side which provides a dual, or a therapeutic, centric occlusion as well as the existing dysfunctional centric relation. This permits the patient's physiologic adaptive mechanism to choose between the existing dysfunctional centric relation, which resulted in unilateral condylar retrusion and pain, or a therapeutic centric occlusion which is aimed at anterior unilateral condylar repositioning. Over long period of time, muscle reprogramming produces maximum intercuspation of teeth in the planned therapeutic centric occlusion rather than in the original dysfunctional position. No explanation has been established for this phenomenon. It is important, however, to provide a technique that permits physiologic adaptability over a period of time. It should be emphasized that this is not TMJ "remodeling" but a functional change in the position of the jaw. The treatment objectives of bilateral and unilateral posterior condylar displacement are similar, but the clinical techniques are completely different. In either instance, TMJ radiographs are necessary to establish the diagnosis and treatment, as well as to document the postoperative results.
 ...
PMID:Posterior unilateral condylar displacement: its diagnosis and treatment. 26 9

The purpose of this research was to compare, in the subjects, the duration of the EMG silent period with jaw motion error. The results indicate that both jaw motion error and silent period duration are large in patients with TMJ-muscle-pain dysfunction, both are small in normal subjects, and both are small in successfully treated patients. There is a statistically significant correlation (r=0.91; P less than 0.01) between the two diagnostic parameters of TMJ-muscle-pain dysfunction.
 ...
PMID:Electromyographic silent periods and jaw motion parameters: quantitative measures of temporomandibular joint dysfunction. 26 57

The clinical findings in 20 patients with TMJ-crepitation (E1-group) and 19 patients with TMJ palpatory tenderness (E2-group) have been compared with the findings in 29 other patients with mandibular dysfunction (R-group). The patients underwent a clinical examination of the masticatory system and of the second distal interphalangeal joints (DIP II joints). No statistically significant differences could be found between groups with respect to clinical signs, occlusal interferences, or dental attrition. Loss of molar support was found to be significantly more frequent in the E1-group than in the R-group. The frequency of tenderness to palpation or pain on movement of DIP II joints was significantly higher in the E2-group than in the R-group. Periarticular bony swelling of DIP II joints was significantly correlated with TMJ-crepitation. The patients with TMJ-crepitation were considered to have TMJ-osteoarthrosis. The results of the present study indicate that patients with TMJ-OZ have a similar clinical picture to other patients with mandibular dysfunction and that molar loss plays a role in the etiology of TMJ-OA.
 ...
PMID:Clinical findings in temporomandibular joint osteoarthrosis. 27 41

Various types of acrylic resin therapeutic prostheses commonly used in the treatment of TMJ dysfunction-pain syndrome were described. Each design was related to recent data concerning optimum condylar positions in the fossae, the physiologic condylar suspension system, and individual treatment objectives for repositioning the mandibular condyles. For example, alteration of the vertical dimension of occlusion is a popular treatment procedure that is empirical in nature and is usually used without TMJ radiographs or a differential diagnosis. It can violate the physiologic requirements of the interocclusal distance or the speaking space and does not necessarily move the condyles forward as has been commonly thought. The dangers of empirical treatment procedures for a multicausal dysfunction syndrome have been pointed out. An example was cited where the mandible was moved forward for a long period of time with a repositioning prosthesis; this produced pathologic TMJ remodeling and continued pain. It was recommended that specific mandibular repositioning be based on the type of condylar displacement observed on the radiographs. Sometimes the condyles should be retruded, and other times they should be repositioned anteriorly or occasionally inferiorly on one side. Long-standing use of any acrylic resin repositioning prosthesis is contraindicated, particularly without close supervision. Acrylic resin anterior bite plates (with a minimum opening of 1 mm) were recommended for the relief of acute trismus or intractable pain. Usually the prosthesis is used in conjunction with heat and drug therapy. This type of prothesis can also be utilized to deprogram the muscles when a strong habit of eccentric occlusion develops as a result of missing teeth. (This should be confirmed by TMJ radiographs.) Occasionally atypical pain is present and a differential diagnosis can be established between TMJ dysfunction or neurologic etiology by the physiologic response to bite plate therapy. When it is necessary to reposition the mandibular condyles anteriorly the occlusion is adjusted to provide the planned anterior movement without increasing the vertical dimension of occlusion. A temporary acrylic resin prosthesis is used to retrain the muscle programming to the anterior therapeutic mandibular position. When the symptoms are relieved and the corrective condylar position is confirmed with TMJ radiographs, a more permanent repositioning prosthesis is made. The treatment of TMJ dysfunction-pain syndrome should be based on documented data including the pain history, TMJ radiographs, condylar position in the fossae, electromyographic evidence, and occlusal analysis. This information will help determine if the patient's centric relation is functional or dysfunctional and will indicate the recommended treatment procedures.
 ...
PMID:Treatment prostheses in TMJ dysfunction-pain syndrome. 27 7

In the presence of idiopathic and neuralgiform pain in the trigeminal area, differential diagnosis will have to eliminate sinus disturbances, toothache, TMJ trouble and neuromuscular spasms derived thereof. Neuralgias unconnected to these causes are treated by electrobiological testing of the neurotoxins. Symptomatic immediate treatment was formerly done by enneural injection. Now, a special technique of auriculoacupuncture has been successful for some time.
 ...
PMID:[Therapeutic considerations in maxillofacial neuralgia]. 27 25

The precision (reproducibility) of active and passive recordings of the retruded position of the mandible was studied by two examiners on 10 patients with mandibular dysfunction symptoms. The position of the mandible was recorded with an intra-oral graphic method, before and after treatment of the symptoms. The precision of the recording was highest when the retruded position was recorded by passive hinge movement and lowest when it was recorded by active hinge movement and when recording habitual closure. Both systematical and accidental errors tended to be somewhat larger among these patients than that previously found among individuals without signs or symptoms of mandibular dysfunction. The accidental errors in antero-posterior and medio-lateral directions were the same fo both examiners and of the same magnitude before and after treatment of the symptoms. Both examiners recorded the retruded position on the average 0.20 mm more posterior after treatment than before. The results showed that because of its good reproducibility the retruded position of the mandible can be recommended as a reference position in functional analysis of occlusion and for jaw recordings also in patients with TMJ muscle-pain dysfunction symptoms. During the recording the conventional technique with passive hinge movement and a posterior pressure should be used.
 ...
PMID:Recording of the retruded position of the mandible in patients with mandibular dysfunction. 27 53

A case of multiple myeloma was reported in which the initial symptom was pain and dysfunction of the TMJ that resulted from pathological fracture of the mandibular condyle. An initial radiographic skeletal survey showed no evidence of further lesions, although hematological and biochemical tests indicated a diagnosis of multiple myeloma. Treatment resulted in improvement of symptoms and of an evident regression of the lesion after 18 months. After a year, however, radiographs disclosed generalized skeletal involvement; deterioration of the general condition followed.
 ...
PMID:Multiple myeloma involving the temporomandibular joint: report of case. 27 46


1 2 3 4 5 6 7 8 9 10 Next >>