Artículos de revistas
Temporomandibular Joint Internal Derangement: Association With Headache, Joint Effusion, Bruxism, And Joint Pain
Registro en:
Journal Of Contemporary Dental Practice. , v. 9, n. 6, p. 9 - 16, 2008.
15263711
2-s2.0-51149105052
Autor
Costa A.L.F.
D'Abreu A.
Cendes F.
Institución
Resumen
Aim: The aim of the present study was to assess the correlation of temporomandibular joint internal derangement (TMJ ID) in patients with the presence of headache, bruxism, and joint pain using magnetic resonance imaging (MRI). Methods and Materials: This study evaluated 42 joints in 42 patients; 21 patients diagnosed with unilateral TMJ ID and a history of headaches and 21 patients diagnosed with unilateral TMD ID without a history of headaches. Signs of headache, bruxism, and joint pain were diagnosed clinically and were also obtained from the patient's history. Sixteen joints in 16 patients without signs or symptoms of TMD or headache were included as a control group. All patients underwent bilateral MRI of the TMJ to evaluate the disc position and the presence of joint effusion. Data were analyzed using Chi-square and Fischer's exact tests. Results: Bruxing behavior was most frequently reported by patients with headaches (p<0.0125). Eighty-five percent of subjects with headaches also reported joint pain. A significant association was found between headache and TMJ effusion (p<0.0125). Patients with more severe disc displacement also had a higher frequency of effusion (p=0.001). Conclusion: The results suggest joint effusion may have a role in the pathogenesis of headache in TMJ ID. Clinical Significance: Temporomandibular joint effusion on MRI may serve as a biological marker of headache associated with TMD and could be helpful for diagnostic classification and treatment follow up. 9 6 9 16 McNeill, C., Management of temporomandibular disorders: Concepts and controversies (1997) J Prosthet Dent, 77, pp. 510-522 McNeill, C., Mohl, N.D., Rugh, J.D., Tanaka, T.T., Temporomandibular disorders: Diagnosis, management, education, and research. J Am Dent Assoc (1990), 253 (255), p. 257. , 120Okeson, J.P., (1996) Orofacial pain: Guidelines for assessment, diagnosis, and management, pp. 33-34. , Quintessence Publishing Co, Chicago De Kanter, R.J., Truin, G.J., Burgersdijk, R.C., Van't Hof, M.A., Battistuzzi, P.G., Kalsbeek, H., Käyser, A.F., Prevalence in the Dutch adult population and a meta-analysis of signs and symptoms of temporomandibular disorders (1993) J Dent Res, 72, pp. 150-918 DeRossi, S.S., Greenberg, M.S., Sollecito, T.P., Detre, J.A., A prospective study evaluating and analyzing the presence of temporomandibular disorders (TMD) in a cohort of patients referred to a neurology clinic for evaluation and treatment of headache (2000) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 89, p. 443 Magnusson, T., Carlsson, G.E., Recurrent headaches in relation temporomandibular joint pain-dysfunction (1978) Acta Odontol Scand, 36, pp. 333-338 Dalkinz, M., Pakdemirli, E., Beydemir, B., Evaluation of Temporomandibular Joint Dysfunction by Magnetic Resonance Imaging Tr (2001) J Med Sci, 31, pp. 337-343 Classification and diagnostic criteria for headache disorders, cranial neuralgia and facial pain (2004) Cephalalgia, 24 (SUPPL. 1), pp. 1-160. , Headache Classification Committee of the International Headache Society, 2nd edn Schokker, R.P., Hansson, T.L., Ansink, B.J., Habets, L.L., Craniomandibular in headache patients (1989) J Craniomandib Disord, 3, pp. 71-74 Schokker, R.P., Hansson, T.L., Ansink, B.J., Habets, L.L., Craniomandibular in patients with different types of headache (1990) J Craniomandib Disord, 4, pp. 47-51 Schellhas, K.P., Wilkes, C.H., Baker, C.C., Facial pain, headache, and temporomandibular joint inflammation (1989) Headache, 29, pp. 229-232 Ciancaglini, R., Radaelli, G., The relationship between headache and symptoms of temporomandibular disorder in the general population (2001) J Dent, 29, pp. 93-98 Guler, N., Yatmaz, P.I., Ataoglu, H., Emlik, D., Uckan, S., Temporomandibular internal derangement: Correlation of MRI findings with clinical symptoms of pain and joint sounds in patients with bruxing behaviour (2003) Dentomaxillofac Radiol, 32, pp. 304-310 Rasmussen, O.C., Description of population and progress of symptoms in a longitudinal study of temporomandibular joint arthropathy (1981) Scand J Dent Res, 89, pp. 196-203 Okeson, J.P., Diagnosis of temporomandibular disorders (2003) Management of temporomandibular disorder and occlusion, pp. 321-364. , J.P. Okeson, Editor, 5th ed, Mosby, St Louis Kreisberg, M.K., Headache as a symptom of craniomandibular disorders I: Pathophysiology (1986) Cranio, 4, pp. 135-142 Westensson, P.L., Brooks, S., Temporomandibular joint: Relationship between MR evidence of effusion and the presence of pain and disk displacement (1992) AJR Am J Roentgenol, 159, pp. 559-563 Sano, T., Westesson, P.L., Magnetic resonance imaging of temporomandibular joint. Increased T2 signal in the retrodiscal tissue of painful joints (1995) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 79, pp. 511-516 Dworkin, S.F., LeResche, L., Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique (1992) J Craniomandib Disord, 6, pp. 301-355 Katzberg, R.W., Temporomandibular joint imaging (1989) Radiology, 170, pp. 297-307 Cady, R., Schreiber, C., Farmer, K., Sheftell, F., Primary Headaches: A Convergence Hypothesis (2002) Headache, 42 (3), pp. 204-216 Reik, L., The temporomandibular joint pain-dysfunction syndrome: A frequent cause of headache (1981) Headache, 21, pp. 151-156 Tepper, S.J., Treatment of headache pain with botulinum neurotoxins (2004) Pain Pract, 4, pp. 38-46. , Mar; Melis, M., Secci, S., Migraine with aura and dental occlusion: A case report (2006) J Mass Dent Soc, 54, pp. 28-30 DeRossi, S.S., Stoopler, E.T., Sollecito, T.P., (2005) Temporomandibular Disorders And Migraine Headache: Comorbid Conditions?: The Internet Journal of Dental Science, 2, p. 1 Sano, T., Westesson, P.L., Magnetic resonance imaging of temporomandibular joint. Increased T2 signal in the retrodiscal tissue of painful joints (1995) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 79, pp. 511-516 Segami, N., Suzuki, T., Sato, J., Miyamaru, M., Nishimura, M., Yoshimura, H., Does joint effusion on T2 magnetic resonance images reflect synovitis? Part 3. Comparison of histologic findings of arthroscopically obtained synovium in internal derangements of the temporomandibular joint (2003) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 95, pp. 761-766 Emshoff, R., Gerhard, S., Ennemoser, T., Rudisch, A., Magnetic resonance imaging findings of internal derangement, osteoarthrosis, effusion, and bone marrow edema before and after performance of arthrocentesis and hydraulic distension of the temporomandibular joint (2006) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 101, pp. 784-790 Rugh, J.D., Drago, D.J., Vertical dimension: A study of clinical rest position and jaw muscle activity (1981) J Prosth Dent, 45, pp. 670-675 Guler, N., Uckan, S., Imirzaliogu, P., Acikgozoglu, S., Temporomandibular joint internal derangement: Relationship between joint pain and MR grading of effusion and total protein concentration in the joint fluid (2005) Dentomaxillofac Radiol, 34, pp. 175-181 Kubota, E., Kubota, T., Matsumoto, J., Shibata, T., Murakami, K.I., Synovial fluid cytokines and proteinases as markers of temporomandibular joint disease (1998) J Oral Maxillofac Surg, 56, pp. 192-198 Segami, N., Miyamaru, M., Nishimura, M., Suzuki, T., Kanayame, K., Murakami, K.I., Does joint effusion on T2 magnetic resonance images reflect synovitis? Part 2. Comparison of concentration levels of proinflammatory cytokines and total protein in synovial fluid of the temporomandibular joint with internal derangements and osteoarthrosis (2002) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 94, pp. 515-521 Suenaga, 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 (2001) Dentomaxillofac Radiol, 30, pp. 214-218 Takahashi, T., Kondon, T., Kamei, K., Seki, H., Fukuda, R.W., Nagai, H., Takano, H., Yamazaki, Y., Elevated leves of nitric oxide in synovial fluid from patients with temporomandibular disorders (1996) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 82, pp. 505-509 Brockhaus, F., Brune, B., p53 accumulation in apoptotic macrophages is an energy demanding process that precedes cytochrome c release in response to nitric oxide (1999) Oncogene, 18, pp. 6403-6410 Brune, B., von Knethen, A., Sandau, K.B., Nitric oxide (NO): An effector of apoptosis (1999) Cell Death Differ, 6, pp. 969-975 Hashimoto, S., Takahashi, K., Amiel, D., Coutts, R.D., Lotz, M., Chondrocyte apoptosis and nitric oxide production during experimentally induced osteoarthritis (1998) Arthritis Rheum, 41, pp. 1266-1274 Nagai, H., Kumamoto, H., Fukuda, M., Takahashi, T., Inducible nitric oxide synthase and apoptosis-related factors in the synovial tissues of temporomandibular joints with internal derangement and osteoarthritis (2003) J Oral Maxillofac Surg, 61, pp. 801-807 Langrer, J.M., Rosemary, A., Hoffman, J.R., Lancaster, J.R.J., Simmons, R.L., Nitric oxide, a new endogenous immuno-modulator (1993) Transplantation, 55, pp. 1205-1212