Is use of exogenous estrogen associated with temporomandibular signs and symptoms?

Article Abstract:

Hormone replacement therapy with estrogen does not appear to increase the risk of temporomandibular joint disorder, according to a study of 510 women. TMD is two to five times more common in women than men, but the reasons for this are not known.

Complications and side effects, Risk factors, Hormone therapy, Estrogen, Estrogens

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Temporomandibular disorders: diagnosis, management, education and research

Article Abstract:

Temporomandibular disorders (TMDs) are a group of related disorders of the masticatory, or chewing, system with similar symptoms including pain, limited jaw movement and joint sounds, such as clicking. The collection of baseline diagnostic data is essential to proper management of TMD, and TMD screening should be part of routine dental examination. A complete history and physical examination should be performed on TMD patients. When there are indications of progressive or recent joint problems, X-rays should be done. More sophisticated imaging may be ordered as warranted, such as cephalometric tomography, computed axial tomography or magnetic resonance imaging. Patients with chronic TMD should also be evaluated behaviorally and psychosocially. The goals for treatment of TMD patients should include reduction of pain, restoration of normal jaw function, reduction of the need for future health care, and restoration of normal lifestyle. Treatment options may include behavioral therapy, orthopedic stabilization, drug therapy, physical medicine, occlusional therapy or surgery. Patients must also be educated about the self-care aspects of their treatment. Further research, and more extensive education of dentists in TMD diagnosis and treatment are needed. (Consumer Summary produced by Reliance Medical Information, Inc.)

Care and treatment, Abnormalities, Diagnosis, Temporomandibular joint

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Comparing prospective and retrospective evaluations of temporomandibular disorders after orthognathic surgery

Article Abstract:

Retrospective chart reviews may not indicate the true extent of patients' post-operative symptoms. Done by the surgeons themselves, they may only be useful as a basis for prospective clinical trials. Surgical charts may not record all pertinent information. In the cases of 58 patients who had surgery for temporomandibular disorders,nearly twice as many patients seemed to show improvement in retrospective review as in later prospective study. Patients may underreport the symptoms in order to please their doctors.

Evaluation, Clinical trials, Surgery, Pain, Postoperative, Postoperative pain

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