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Article
Temporomandibular disorders in association with stress among students of sixth grade preparatory and students of fifth year high schools

Authors: Toka T. Alnesary تقى الناصري --- Rafil H. Rasheed رافل رشيد
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 2 Pages: 70-74
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: A close relationship had been reported between depression, anxiety and many disease symptoms ordisorders. This is true for temporomandibular disorders which is a collective term embracing a number of clinicalproblems that involve the masticatory musculatures, temporomandibular joint and associated structures, or both. Thisstudy designed to evaluate the association of stress with temporomandibular disorders among sixth gradepreparatory students and students of fifth year of secondary school.Subjects, materials and methods: The sample's size of 404 students of sixth grade preparatory study (154males and250 females) and 360 (168males and 192females) of fifth year of secondary schools. Firstly all the students subjectedfor stress questionnaire, secondly the stressful students subjected to different combination of clinical andquestionnaire measures according to the research diagnostic criteria of temporomandibular disorders (axis I) whichhave standardized series of diagnostic tests based on clinical signs and symptoms. Data are analyzed by using Z-testand chi-square.Results: The results obtained from this study showed that no significant differences between classes in the percentageof stressful students with temporomandibular disorders according to the clinical examination but in both classes,females' students showed higher percentage of temporomandibular disorders than males of same class. Bruxism andnail biting were significantly higher among students of sixth grade.Conclusions: This study revealed that stress of studying at sixth grade has no effect on temporomandibular disordersprevalence.


Article
Effects of low-energy laser in the treatment of myofascial pain dysfunction syndrome of the temporo-mandibular joint

Author: Ali H. Abbas علي عباس
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 3 Pages: 82-86
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The aim of this study to evaluate the effectiveness of low-energy 904nm gallium-arsenide laser therapyin myofascial pain dysfunction syndrome of the temporo-mandibular joint.Materials and methods: Twenty six patients included in this study who complain from myofascial pain dysfunctionsyndrome of the temporo-mandibular joints. The patients were randomly divided into two groups. Group 1 consistedof 13 patients who received non steroidal anti inflammatory drug and muscle relaxant for three weeks, and group 2consisted of 13 patients who received low-energy laser for three weeks.Results: The study reveals significant early improvement in laser group in reducing pain severity and muscletenderness from first week up to the end of the observation period.Conclusion: Low-energy laser had an effect at the trigger points and significantly reducing the pain and muscletenderness


Article
Prevalence of myofascial pain in students of selected secondary schools in Baghdad city

Authors: Toka T. Alnesary --- Rafil H. Rasheed رافل رشيد --- Raja H. AL-Jubouri رجاء الجبوري --- Raya R. Al-Dafaai ريا الدفاعي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: special issue 2 Pages: 84-87
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Myofascial face pain (MFP) is painful disorder of masticatory muscles thought to be the most commontype of temporomandibular disorder (TMD).This study was done to evaluate the prevalence of MFP in students ofsecondary schools of Baghdad cityMaterials and methods: The sample comprised 242 females' students and 222 males' students of secondary schools,aged 17-18 years. The MFP evaluated according to the specific screening questionnaire of research diagnosticcriteria of temporomandibular disorders (RDC/TMD) axis I with clinical examination.Results: the study revealed that (50.8%) of the students had history of pain where females reported higherpercentage than males with statistical significant difference. The history of pain in muscles of mastication was higherthan joint pain in both genders. After clinical examination this study also showed that (25.4%) of students with historyof pain had MFP. The differences between both genders regarding the diagnosis of MFP were higher in females thanmales but statistically not significant.Conclusion: high percentage of students reported a history of pain which could be attributed to MFP in (25.4%) ofthe students. The prevalence of pain history and MFP was higher in females’ than males


Article
Chronic Pelvic pain of myofascial origin in a 53 year old patient

Authors: Patricia McWalter --- Tarfah Al-Muammar --- Kevin Hafez
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2016 Volume: 29 Issue: 4 Pages: 236-239
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Chronic pelvic pain in women has a multifactorial etiology but pelvic musculoskeletal dysfunction is not routinely evaluated as a cause by gynaecologists. There is no gold standard diagnostic test for pelvic musculoskeletal problems. Our patient presented to a gynaecologist because of chronic pelvic pain. However no gynaecological cause was found for her symptoms. This patient enjoyed sport particularly horse riding. Imaging revealed osteitis pubis and an osteophyte of the sacro-ilium. It has been recognised in athletes that there can be an association between stress injuries to the pubic symphysis and degenerative changes at the sacro-ilium. This case demonstrates the importance of thinking of a myofascial cause for chronic pelvic pain.

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