Tmj Arthralgia: A Rarely Described Internal Joint Derangement And Characterization Regarding Factors Of Age , Pain Description, And Prevalence In Craniomandibular Disorders Individuals (CMDs)

Autores

  • Omar Franklin Molina Universidade Federal de Santa Catarina (UFSC), Centro Universitário de Gurupi (UNIRG)
  • Raphael Navarro Aquilino Universidade Estadual de Campinas (UNICAMP), Centro Universitário de Gurupi (UNIRG)
  • Ed Wilson César Centro Universitário de Gurupi (UNIRG)
  • Sérgio Elias Cury Centro Universitário de Volta Redonda (UNIFOA)
  • Ricardo Léllis Marçal Centro Universitário de Gurupi (UNIRG)
  • Margarida M de Miranda

DOI:

https://doi.org/10.47385/cadunifoa.v5.n14.1026

Palavras-chave:

Craniomandibular Disorders, Arthralgia, Joint noises, Burning Pain

Resumo

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

Não há dados estatísticos.

Referências

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

Publicado

27-03-2017

Como Citar

MOLINA, Omar Franklin; AQUILINO, Raphael Navarro; CÉSAR, Ed Wilson; CURY, Sérgio Elias; MARÇAL, Ricardo Léllis; MIRANDA, Margarida M de. Tmj Arthralgia: A Rarely Described Internal Joint Derangement And Characterization Regarding Factors Of Age , Pain Description, And Prevalence In Craniomandibular Disorders Individuals (CMDs). Cadernos UniFOA, Volta Redonda, v. 5, n. 14, p. 71–81, 2017. DOI: 10.47385/cadunifoa.v5.n14.1026. Disponível em: https://revistas.unifoa.edu.br/cadernos/article/view/1026. Acesso em: 21 nov. 2024.

Edição

Seção

Ciências Biológicas e da Saúde

Artigos mais lidos pelo mesmo(s) autor(es)