Cranio
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Bruxism is the involuntary grinding of teeth that occurs during sleep or wake time. The prevalence of bruxism in children and adolescents is high when compared to the adult population. ⋯ NE could be a predisposing factor for sleep bruxism in children, as it causes emotional stress and has a negative impact on a child's self esteem. Psychological support and techniques for overcoming NE, like a scheduled waking program at night helps children with these problems by alleviating the associated stress. In addition, NE and bruxism are often associated with other sleep disorders, such as obstructive sleep apnea syndrome, and hence, child bruxers require careful medical evaluation to rule out such potential interactions.
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Comparative Study
Evaluation of autonomic nervous system in sleep apnea patients using pupillometry under occlusal stress: a pilot study.
Recently, it has been proposed that obstructive sleep apnea syndrome (OSAS) is characterized by an imbalance in autonomic nervous tone. Pupil size has been considered a valid test for studying the autonomic nervous system (ANS). Pupillometry is a simple and non-invasive tool to assess the size and dynamics of the pupil. The purpose of this study was to evaluate, by pupillometry, the hypothesis that subjects with OSAS present ANS dysregulation. ⋯ The results of the current study confirm ANS dysregulation in OSAS patients and provide a new possible strategy for studying this pathology by using pupillometry through linear and non-linear mathematical models.
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Review Case Reports
Recurrent dislocation of the temporomandibular joint: a literature review and two case reports treated with eminectomy.
Dislocation of the temporomandibular joint (TMJ) is a troublesome condition that occurs in a chronic or acute form. It is a distressing and highly embarrassing situation that may occur as a result of daily activities such as yawning, laughing, or during events that require keeping the mouth open for a long time. This review aims to present and discuss different conservative and surgical techniques to treat patients with a dislocated mandible, and to present two cases of surgical treatment. ⋯ Eminectomy results in long-term resolution of recurrent TMJ dislocations, when compared with others surgical techniques.
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Randomized Controlled Trial
Low-level laser therapy for management of TMJ osteoarthritis.
This study investigated the efficacy of low-level laser therapy (LLLT) for the management of temporomandibular joint (TMJ) osteoarthritis. ⋯ LLLT using the present laser parameters was no more effective than the placebo treatment for reducing pain and improving mouth opening in patients with TMJ osteoarthritis.
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Comparative Study
Comparison of masticatory muscle myofascial pain in patients with and without a chief complaint of headache.
Headaches are a common complaint in temporomandibular disorder (TMD) patients. However, few studies have compared the symptom characteristics between TMD patients with and without a complaint of headache. The aim of this study was to compare subjective symptoms and treatment outcomes between myofascial TMD patients who had a chief complaint of headache and those who did not. ⋯ Significant differences in symptom characteristics and outcomes were observed between primarily myofascial TMD patients with and without a chief complaint of headache.