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Article
The Relationship Among Otic Clinical Findings and Temporomandibular Joint Disorders Population

Authors: Marwan F.Buraa --- Hadeel S. Alazzawi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 4 Pages: 546-550
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: The otologic symptoms are frequents in temporomandibular joint (TMJ) disorder due to the proximity of the ear to the temporomandibular joint, TMJ pain can often be confused with ear pain. OBJECTIVE:To verify the frequency of otic signs and symptoms with TMJ disorder. Study design: descriptive and transversal.MATERIALS AND METHODS: Thirty five patients, with pain complaint in tragus and peritragus area from otorhinolaringology department in Aljamhori Teaching Hospital in Mosul-Iraq. Patients with ear infection, even with TMJ disorder were selected and the ones with TMJ disorder with otalgia. Then sent to maxillofacial department to examine the TMJ. The data obtained were subdivided into two groups: TMJ disorder patients with otological exam in normal condition and TMJ disorder patients with abnormal otological condition.RESULTS: Thirty five patients, 14 men and 21 women aging from 18 to 75 years .There were 19 patients had TMJ disorder with otological examination in normal condition. Otalgia and TMJ tenderness were (89.74%) masticatory muscle tenderness (78.68%) and TMJ sound (63.15%), followed by itching and tinnitus (42.1% both). In second group all 16 patients with ear problems had TMJ tenderness (100%), were otalgia and itching (81.25%, 68.75%) respectively. CONCLUSION: The signs and symptoms most frequently associated with ear and TMJ disorder were TMJ tenderness, masticatory muscle tenderness- especially lateral pterygoid and temporalis -and click associated with otalgia; itching and tinnitus respectively. The results provide additional support for the notion that a relationship between temporomandibular disorder and otologic signs and symptoms does exit


Article
The interrelation of medical history and temporomandibular joint disorders (TMD) in Iraqi patients

Author: Wajnaa F. Qassim وجناء قاسم
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2005 Volume: 17 Issue: 2 Pages: 49-52
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Patients with a temporomandibular joint disorder generally are not subjected to an extensive examination of the entire body, but certain observations which are related mainly to diseases of the musculoskeletal system and nervous system should be taken into consideration. This study is to clear the relation of systemic medical status with temporomandibular disorders progression and vise versa.Materials and Method: this study was applied on 58 patients, 30 females and 28 males. The mean age was 35 years (range 19-63) years. All patients were complaining from temporomandibular disorder.Results: were recorded that most of temporomandibular disorder patients were clinically normal (48.4%), whereas patients subjected to stress form (34.3%) and only (17.3%) had different medical problems. The total male to female ratio nearly equal 1:1 with predominant age for both sexes was (20-29) years.Conclusion: temporomandibular joint was more prone to be affected by local factors, especially the stress relieving habit, than the systemic factors, but this will not preclude more comprehensive and sophisticated diagnostic process, to identify more hidden systemic causes of stress.


Article
Orthodontic Treatment and Temporomandibular Joint Condylar Position Relationship with Disk Displacement (Magnetic Resonance Imaging Study)

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Abstract

Temporomandibular joint (TMJ) is a complex synovial articulation between the mandibular condyle and the glenoid fossa of temporal bone. The question of whether a relationship exists between orthodontic treatment, abnormal condyle and disk position, and temporomandibular disorders has been investigated for many years. Despite the abundance of studies, the question continues to trouble orthodontists.This study conducted to assess the relationship between orthodontic treatments, abnormal condyle and disk position, with temporomandibular disorders, and to study the disk- condyle relationship in term of presence or absence of anterior disk displacement. By mean of Magnetic Resonance Imaging a cross sectional investigation for the condyles of temporomandibular joints (TMJs) and disk position was conducted to 50 TMJs of 25 patients between 19-30 years of age who had undergone orthodontic treatment (by upper and lower fixed orthodontic appliances with extraction of maxillary first premolar only for treatment of class II division 1 malocclusion), and 50 TMJs of 25 patients who had not yet received orthodontic treatment from the same class and matched age group.The results of this study showed that 30% of pre-treatment group have anterior disk displacement in comparison to 26.0% of the post treatment group. The condyle position is more concentric in post treatment group than pre-treatment, and the position of the disk is not affected by orthodontic treatment. This conclude that condyle position of the TMJ may be affected by orthodontic treatment, but the disk position is not.


Article
The Impact of Chronological Age on Man-dibular Movements

Author: Wasan M Al-Omary
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2013 Volume: 13 Issue: 1 Pages: 29-36
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The aims of this research are to evaluate mandibular movements' normal values in a representa-tive population sample of various chronological ages, to analyze the differences according to the chronological ages groups, to find out the correlation between mandibular movements' values and height and weight in each age group, and to determine gender differences in each age group. Materials and Methods: A total of eight hundred forty subjects were chosen from primary and secondary schools and college of dentistry/Mosul University students and staff, in the city of Mosul in Iraq, and ordered into six groups according to the chronological age. The variables analyzed were maximum mouth opening MO, right and left lateral RL and LL, and protrusion movements P; considering age, height, weight, and gender. Results: Mandibular movements' ranges and means in normal healthy Iraqi popu-lation in the city of Mosul are: MO 35-70 mm 49.1 mm, RL and LL 4-13 mm 7.5 mm, P 3-13 mm 6.9 mm. The maximum mandibular movements' values were in young adults group. There were significant positive Pearson Correlations among mandibular movements' values, height, and weight. Significant differences P<0.5 were found in terms of gender and mandibular movements in all age groups, except the children group. Conclusion: Mandibular movements' values were measured in order to establish normal reference values in Mosulian Iraqi population. Age, height, weight, and gender are important variables in relation to mandibular movements' values.


Article
Temporomandibular Joint Disorders among Patients with Juvenile Idiopathic Arthritis

Author: Zainab Shalan Khalaf *, Nadia Aftan Al-Rawi **, Nizar AbduLateef Jassim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2017 Volume: 16 Issue: 1 Pages: 98-101
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Juvenile idiopathic arthritis (JIA) is an immune mediated chronic disease. In its most severe clinical form, JIA may show localized and/or systemic and oral complications. This may result in variable growth and developmental anomalies. As a result, it is not uncommon for JIA patients to present with skeletal Class II and open bite malocclusions.OBJECTIVE:This study was conducted to assess temporomandibular joint (TMJ) among patients with JIA.MATERIALS AND METHODS: A cross sectional study was conducted among JIA patients attending Baghdad Teaching Hospital from November 2014 to April 2015. All patients underwent a clinical evaluation of their TMJ condition. TMJ disorder was assessed by using Helkimo’s index (1974a), and distribution of TMJ disorders was assessed according to the age, gender, duration of illness and types of medication.RESULTS: The mean age of JIA patients was 17.59±9.63 years old and mean Illness duration of 8.45± 9.29 years. High percentage of patients (93.8%) presented with clinical dysfunction of TMJ (CDI). 22 patients with JIA (27.16%) presented with severe clinical dysfunction, 19 patients with JIA (23.46%) presented with moderate clinical dysfunction and 35 patients (43.21%) presented with mild clinical dysfunction of TMJ. No significant difference in mean value of CDI according to age and duration of illness. Females were affected by clinical dysfunctional index of TMJ more than males, but statistically non- significant. The highest mean value of CDI was among patients treated with prednisolone, while patients treated with combination of drugs were the least affected.CONCLUSION: This study confirms that patients with JIA have a high incidence of TMJ dysfunction. The systemic effect of disease may impact on development of TMJ and facial growth. Close supervision is required to JIA patients for orthodontic intervention need, regular dental care, and TMJ evaluation.


Article
Assessment of cortisol as salivary psychological stress marker in relation to temporomandibular disorders among a sample of dental students

Authors: Sarmad Qays Ali سرمد قيس علي --- Raja Hadi رجاء هادي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2015 Volume: 27 Issue: 2 Pages: 86-92
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: University dental students perceived a higher level of stress prior to the final exam associated with raisedsalivary cortisol levels which could be considered as a useful noninvasive biomarker for measuring acute stress. Usinga Helkimo anamnestic and clinical dysfunction scoring for temporomandibular disorders can give a better insightabout the association of this marker and temporomandibular joint disorders. The aim of this study was to evaluationlevel of salivary cortisol in stressor students with temporomandibular disorder and the relation between this marker inrelation to temporomandibular disorder severity. This might give a better understanding to the role of psychologicalstress as an etiological factor for developing temporomandibular joint problems.Materials and methods: A total eighty participants age between 20 to 24 were recruited for this study. Theparticipants were University dental students under graduate students at final examination period who wereexamined and gave saliva samples in final examination period. Salivary assay kits as cortisol was used to measurethose variables and a Helkimo anamnestic and clinical dysfunction scoring for TMD.Results: The group of participants with stress and temporomandibular disorder showed significantly higher levels ofsalivary cortisol than the control group, the salivary cortisol has statistically significant correlation with Helkimoanamnestic categories (Di-I mild, Di-II moderate and Di-III severe. Salivary cortisol levels show significant but weakassociation with two categories of clinical dysfunction criteria in Helkimo index system, which are Muscle pain andTMJ pain on palpation.Conclusion: This study demonstrated that University students perceived a high level of stress before the finalexamination. Salivary cortisol is the stress biomarker that is most often used to measure acute stress. Helkimoanamnestic and clinical dysfunction scoring criteria for still the pioneer for measuring a temporomandibular disorder


Article
An Assessment of Alpha-Amylase as Salivary Psychological Stress Marker in Relation to Temporomandibular Disorders among a Sample of Dental Students

Authors: Sarmad Qays Ali سرمد قيس علي --- Raja Hadi
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2015 Volume: 27 Issue: 4 Pages: 90-95
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: University dental students perceived a higher level of stress prior to the final exam associated with raisedsalivary alpha-amylase levels which could be considered as a useful noninvasive biomarker for measuring acutestress. Using a Helkimo anamnestic and clinical dysfunction scoring for temporomandibular disorders can give abetter insight about the association of this marker and temporomandibular disorders. The aim of this study was toevaluation level of salivary alpha-amylase in stressor students with temporomandibular disorders and the relationbetween the marker in relation to temporomandibular disorders severity. This might give a better understanding tothe role of psychological stress as an etiological factor for developing temporomandibular joint problems.Materials and Methods: A total eighty participants aged between 20 to 24 were recruited for this study. Theparticipants were University dental students under graduate students at final examination period who wereexamined and gave saliva samples in final examination period. Salivary assay kits as alpha-amylase was used tomeasure those variable and a Helkimo anamnestic and clinical dysfunction scoring for temporomandibulardisorders.Results: The group of participants with stress and temporomandibular disorders showed significantly higher levels ofsalivary alpha-amylase than the control group, the salivary alpha-amylase has statistically non-significant correlationwith Helkimo anamnestic categories (Di-I mild, Di-II moderate and Di-III severe. Salivary alpha-amylase levels shownon-significant and weak association with two categories of clinical dysfunction criteria in Helkimo index system,which are Muscle pain and temporomandibular joint pain on palpation.Conclusion: This study concluded that University students perceived a high level of stress before the finalexamination. Salivary alpha-amylase is now the stress biomarker that is most often used to measure acute stress.Helkimo anamnestic and clinical dysfunction scoring criteria for still the pioneer for measuring a TMD


Article
Dental Health of Osteopenia Diabetes Mellitus Male Patients

Author: Anass Muez AL‑Yasiry
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2018 Volume: 15 Issue: 2 Pages: 118-123
Publisher: Babylon University جامعة بابل

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Abstract

Objective: The aim of the study was to examine the oral health of osteopenia diabetes mellitus (DM) male, which includes condition of theteeth, the periodontal tissue, and the temporomandibular joint (TMJ). Materials and Methods: The basis of the absolute value and t-score,only 42 diabetic osteopenia male patients were included in this study. The examination used only male patients with DM osteopenia, agedbetween 30 and 70 years; they were divided into two groups according to the type of DM. The following clinical parameters used in this studydetermined the conditions of periodontal tissues involved: Carious of the teeth, gingivitis, periodontitis bleeding on probing, mobility of theteeth, and number of the teeth and the TMJ included TMJ tenderness, TMJ clicking, limitation in opening, drifting to one side, and statement ofteeth like the presence of attrition. Results: The results of this study for the osteopenia DM patients found that the carious teeth and gingivitisoccurred in all ages in both groups of DM. TMJ tender, clicking, limiting of mouth opening percentage increased with increasing the age inboth groups of DM, the older age more suspected to, periodontitis, bleeding on probing, number of the teeth, and mobility of the teeth alsoattrition increased with increasing the age in both groups of DM. Conclusion: The oral health for the diabetic osteopenia male patients moreeffected, the percentage of carious teeth, gingivitis, attrition mobility of the teeth, bleeding on probing periodontitis, and number of the teethwere increased with increasing the age in both the groups of DM.


Article
Experience in the management of the true ankylosis of the temporomandibular joint: A suggested protocol for treatment
خبرة في إدارة خلل المفصل الصدغي الحقيقي: بروتوكول مقترح للعلاج

Authors: Hundreen M. Ali --- Reiadh K. Al-Kamali
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 1 Pages: 894-901
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: True ankylosis of the temporomandibular joint may be defined as joint surfaces fusion. It can affect the function adversely and when occurs during childhood, it can adversely affect mandibular growth. The treatment is usually surgical, but, unfortunately, poses a significant challenge because of the high recurrence rate. The objective of this paper is to evaluate the outcome of following a definitive protocol in the treatment of temporomandibular joint ankylosis. Methods: Seventy-seven patients, 36 unilateral and 41 bilateral ankylosis (118 ankylosed joints) were diagnosed clinically and radiologically as having true ankylosis of the temporomandibular joint during the period between 2001 and 2013. Resection of the ankylosed bone or horizontal ramus osteoctomy of the affected side with interpositional autogenic or alloplastic material, with possible ipsilateral and/or contralateral coronoidectomy to achieve the definitive interincisal opening of not less than 35mm. Results: The postoperative measurement of interincisal opening of ≥35mm with lateral and protrusive movement was the criteria for success of surgery. Reankylosis occurred in 7 unilateral and 12 bilateral cases. Conclusion: Postoperative jaw opening exercises are crucial for lasting success and failure of patient compliance is the cause of reankylosis.


Article
The Relationship of Tempromandibular joint disorders with Bony Exostosis in the Oral Cavity

Authors: Dr. Thikra I .Hamad. B.D.S., M.Sc. Lecturer د. ذكرى حامد --- Dr. Intisar J .Ismail. B.D.S., M.Sc. Lecturer د. انتصار اسماعيل
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2009 Volume: 6 Issue: 2 Pages: 164-171
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

The temporomandibular joint (TMJ) may be affected by inflammatory, traumatic, infectious, congenital, and developmental, as seen in other joints. However, the most common affliction of the TMJ and masticatory apparatus is a group of functional disorders with associated pain that occurs predominantly in women and was previously known as the TMJ pain dysfunction syndrome. Since 1978, there have been substantial changes in the study of etiologic factors, pathophysiology, diagnosis, and management of what are now called temporomandibular disorders (TMD).(1)The general perception that all symptoms in the head, face, and jaw region without an identifiable cause constitute a "TMJ" problem is clearly unfounded.Although some oral lesions, such as torus palatinus and torus mandibularis are normal variants, but require prompt diagnosis and sometime treatment to reduce the potential for serious complication and enhance prosthodontic treatment. The purpose of this study is to inspect the relation of TMJ dysfunction syndrome to the presence of oral exostosis, and find the prevalence of torus palatinus (TP) and torus mandibularis (TM)The sample consisted of 932 teachers, 301 males and 631 females were examined for the presence of TMD, TP and / or TM. Analysis was carried out according to age, gender, TMJ dysfunction and the presence of TP and TM.Results indicated that 123(16.1%) had at least one symptoms of TMD, where as 49 (5.3%) had TP; and 67 (7.2) had TM. The male: female prevalence ratios of TP and TM were 1: 3.42 and 1: 1.81 respectively. The results revealed that significant relationship between TMD and tori, and increase in percentage of mandibular tori with the presence of TMJ dysfunctional syndrome more than maxillary tori were found.TP and TM were more frequent in females and there is significant relation between the TP and TM with presence of TMJ dysfunction syndrome ( P< 0.05 ) especially TM , the presence of TM might be useful to look for sign of dysfunction.(TP),

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