Conservative possibilities for management of osteoarthritis in the temporomandibular joint: a case report

Authors

  • Larissa Bissoli Lago Departamento de Odontologia, Universidade Federal de Juiz de Fora, campus Governador Valadares, Governador Valadares, Minas Gerais https://orcid.org/0000-0002-7027-335X
  • Maria Beatriz Freitas D’Arce Departamento de Odontologia, Universidade Federal de Juiz de Fora, campus Governador Valadares, Governador Valadares, Minas Gerais https://orcid.org/0000-0002-8663-8763
  • Maurício Malheiros Badaró Departamento de Odontologia, Universidade Federal de Santa Catarina, Santa Catarina https://orcid.org/0000-0001-6118-9116
  • Ana Martins Departamento de Odontologia, Universidade Federal de Juiz de Fora, campus Governador Valadares, Governador Valadares, Minas Gerais https://orcid.org/0000-0003-4236-9335

DOI:

https://doi.org/10.34019/1982-8047.2020.v46.29767

Keywords:

Temporomandibular Joint Disorders, Osteoarthritis, Conservative Treatment

Abstract

Introduction: Temporomandibular Disorders (TMDs) are understood as a set of conditions that affect the temporomandibular joints (TMJs), masticatory muscles and associated structures. There are several sub-classifications within TMDs that may occur singly or in combination. Osteoarthritis is defined as an inflammatory condition that results in erosion of articular cartilage and degeneration of adjacent subchondral bone. Clinical signs and symptoms of this condition include movement-associated crackling, limited jaw movement, and intermittent pain within the joint. Objective: The aim of this study was to report a clinical case of painful degenerative joint disease in the TMJ (osteoarthritis), as well as to evaluate the effectiveness of the treatment plan indicated for the case. Case Report: As a collaborator, a 19-year-old female patient attended the Dental Clinic of the Federal University of Juiz de Fora - Campus Governador Valadares, with the following complaint: “head, neck and shoulder pain, tiredness and tenderness light” that began five years ago. Patient assessment consisted of anamnesis, application of some questionnaires: questionnaire based on the American Academy of Orofacial Pain, hypervigilance, catastrophizing and sleep quality, and physical examination. From the data obtained, the diagnosis of osteoarthritis and centrally mediated myalgia was made. Given this situation, a conservative treatment was chosen with the use of medications, muscle stretching exercises, thermotherapy and sleep hygiene, and especially for osteoarthritis, load reduction through patient orientation and night use of an oral splint. Conclusion: The patient presented significant improvement regarding painful symptoms and range of motion.

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References

Okeson JP. Tratamento das desordens temporomandibulares e oclusão. 7. ed. Rio de Janeiro: Elsevier; 2013.

Chantaracherd P, John MT, Hodges JS, Schiffman EL. Temporomandibular joint disorders' impact on pain, function, and disability. J Dent Res. 2015; 94(3): 79-86.

Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders. N Engl J Med. 2008; 359(25):2693-705.

Carrara SV, Conti PCR, Barbosa JS. Termo do 1º consenso em disfunção temporomandibular e dor orofacial. Dental Press J. Orthod. 2010; 15(3):114-20.

Maixner W, Diatchenko L, Dubner R, Fillingim RB, Greenspan JD, Knott C et al. Orofacial pain prospective evaluation and risk assessment study: the OPPERA study. J Pain. 2011; 12(11 Suppl):T4-11.

Gonçalves DA, Camparis CM, Speciali JG, Franco AL, Castanharo SM, Bigal ME. Temporomandibular disorders are differentially associated with headache diagnoses: a controlled study. Clin J Pain. 2011; 27(7):611-5.

Lim PF, Smith S, Bhalang K, Slade GD, Maixner W. Development of temporomandibular disorders is associated with greater bodily pain experience. Clin J Pain. 2010; 26(2):116-20.

Sperry MM, Kartha S, Winkelstein BA, Granquist EJ. Experimental methods to inform diagnostic approaches for painful TMJ osteoarthritis. J Dent Res. 2019; 98(4):388-97.

De Leeuw R, Klasser GD. Orofacial pain: guidelines for assessment, diagnosis, and management. 6. ed. Chicago: Quintessence; 2018.

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache. 2014; 28(1):6-27.

Waldron T. Palaeopathology. Cambridge: Cambridge University Press; 2008.

Tanaka E, Detamore MS, Mercuri LG. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res. 2008; 87(4):296-307.

The American Academy of Orofacial Pain. Orofacial pain: guidelines for assessment, diagnosis and management. Chicago: Quintessence Publishing Co, Inc; 2018.

Cavalcanti RF, Studart LM, Kosminsky M, Goés PSA. Development of the multimedia version of the “Research Diagnostic Criteria for Temporomandibular disorders: Axis II (RDC/TMD)” questionnaire in Portuguese language. Rev. Odonto Ciênc. 2008; 23(4):388-91.

Peck CC, Goulet JP, Lobbezoo F, Schiffman EL, Alstergren P, Anderson GC et al. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil. 2014; 41(1):2-23.

Renapurkar SK. Surgical versus nonsurgical management of degenerative joint disease. Oral Maxillofac Surg Clin North Am. 2018; 30(3):291-7.

Kalladka M, Quek S, Heir G, Eliav E, Mupparapu M, Viswanath A. Temporomandibular joint osteoarthritis: diagnosis and long-term conservative management: a topic review. J Indian Prosthodont Soc. 2014; 14(1):6-15.

Vrbanović E, Alajbeg IZ. A young patient with temporomandibular joint osteoarthritis: case report. Acta Stomatol Croat. 2017; 51(3):232-9.

Lei J, Yap AU, Liu MQ, Fu KY. Condylar repair and regeneration in adolescents/young adults with early-stage degenerative temporomandibular joint disease: a randomised controlled study. J Oral Rehabil. 2019; 46(8):704-14.

Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015; 91(6):378-86.

- Hryvenko I, Cervantes-Chavarría AR, Law AS, Nixdorf DR. Hemicrania continua: case series presenting in an orofacial pain clinic. Cephalalgia. 2018; 38(13):1950-9.

Pereira GDS, Duarte JM, Vilela EM. Avaliação da sintomatologia ocular em pacientes com disfunção temporomandibular. Arq. Bras. Oftalmol. 2000. 63(4):263-7.

Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ et al. Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013; 40(1):2-4.

Yap AU, Chua AP. Sleep bruxism: Current knowledge and contemporary management. J Conserv Dent. 2016; 19(5):383-9.

Furlan RM, Giovanardi RS, Britto AT, Oliveira e Britto DB. The use of superficial heat for treatment of temporomandibular disorders: an integrative review. Codas. 2015; 27(2):207-12.

Nelson SJ, Ash MM. An evaluation of a moist heating pad for the treatment of TMJ/muscle pain dysfunction. Cranio. 1988; 6(4):355-9.

Felicio CM, Rodrigues da Silva MA, Mazzetto MO, Centola AL. Myofunctional therapy combined with occlusal splint in treatment of temporomandibular joint dysfunction-pain syndrome. Braz Dent J. 1991; 2(1):27-33.

Kuttila M, Le Bell Y, Savolainen-Niemi E, Kuttila S, Alanen P. Efficiency of occlusal appliance therapy in secondary otalgia and temporomandibular disorders. Acta Odontol Scand. 2002; 60(4):248-54.

Niemelä K, Korpela M, Raustia A, Ylöstalo P, Sipilä K. Efficacy of stabilisation splint treatment on temporomandibular disorders. J Oral Rehabil. 2012; 39(11):799-804.

Heir GM. The efficacy of pharmacologic treatment of temporomandibular disorders. Oral Maxillofac Surg Clin North Am. 2018; 30(3):279-85.

Rang, HP et al. Rang & Dale Farmacologia. 8. ed. Rio de Janeiro: Elsevier; 2016.

Ouanounou A, Goldberg M, Haas DA. Pharmacotherapy in temporomandibular disorders: a review. J Can Dent Assoc. 2017; 83:h7.

McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther. 2006; 86(5):710-25.

Beddis H, Pemberton M, Davies S. Sleep bruxism: an overview for clinicians. Br Dent J. 2018; 225(6):497-501.

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Published

2020-09-24

How to Cite

1.
Lago LB, D’Arce MBF, Badaró MM, Varela Brown Martins AP. Conservative possibilities for management of osteoarthritis in the temporomandibular joint: a case report. HU Rev [Internet]. 2020Sep.24 [cited 2024Jun.30];46:1-9. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/29767

Issue

Vol. 46 (2020)

Section

Relato de Caso

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