Subluxation of temporomandibular joint- A clinical view |
Author : Tomislav Badel*, Mirko Laškarin, Dijana Zadravec, Samir Cimic and Ivana Savic Pavicin |
Abstract | Full Text |
Abstract :In the temporomandibular joint (TMJ) with physiological disc position, the disc rotates posteriorly on the condyle to the maximum degree and the condyle translates to the maximum degree, which occurs simultaneously at the maximum mouth opening movement. Condylar hypermobility in the position of maximally open mouth leads to the subluxation of the joint, and the two terms can thus be considered synonyms. The predisposition of the morphological relations of the zenith of the articular eminence and the contours of the articular surfaces lead to an excessive anterior displacement of the condyle over the zenith eminence. In addition, the irregular movement of the disc-condylar complex can also occur. The aim of this paper is to explain the hyperextension of TMJ which may, along with anatomical predisposition to the maximally open mouth position, lead to subluxation or luxation of the joint. Subluxation is not associated with a specific pathological characteristic of the joint. However, apart from discomfort, a subluxation can also cause pain. The excursory movement of the condyle close to and over the individual opening limit can lead to stiffness of joints and the inability to open the mouth (open lock), which is a prominent clinical sign of TMJ luxation. Electronic axiography can show pathological hyperextension of the condyle, while x-ray diagnostics records the condition of subluxation. A spontaneous luxation is clinically evident and therefore radiological diagnosis is used only to confirm the condition. Magnetic resonance imaging shows the disc and in the position of the maximally open mouth, thus giving the responses of the disk relation to the hypermobile condyle. Therapeutic modalities include occlusal splints and oral appliances, physiotherapy, and the mouth opening self-control. The goal of the treatment is relaxation of the masticatory muscles, removal of pain in the joint and muscles, and better coordination of movement, particularly in cases when there is a predisposition of spontaneous luxation. |
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Dental Treatment of Snoring and Sleep Apnea |
Author : Susanne Schwarting* |
Abstract | Full Text |
Abstract :Quite often it is a source of amusement and quite often it is hushed up: SNORING! One third of the adult population snores and knows the problems in everyday life which result from snoring. However, what a lot of people do not know is that snoring can be one indication of a serious health problem called obstructive sleep apnea (OSA). This is the reason why more than 90% of the people with sleep apnea go undiagnosed. |
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Erosive Mucosa |
Author : N Vasudev Ballal* and Jothi Mariam Varghese |
Abstract | Full Text |
Abstract :Sir, I want to share with your readers a case of erosive mucosal lesion due to the use of Neem juice. A patient reported with severe burning sensation intra-orally on the right posterior region. On examination, we found erosive lesions on the buccal mucosa (Figure 1). The right mandibular molars had silver amalgam restorations of eight years standing. Patient medical history was non-contributory. |
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Saliva as a Forensic Tool |
Author : Shailja Chatterjee* |
Abstract | Full Text |
Abstract :Forensic science is a branch that deals with a wide plethora of areas such as anthropology, migration studies and criminology. Various biological samples have been utilized to assist a scientist towards getting answers to the myriad of questions in the field. Saliva is an easily available source from victim as well as aggressors, parent-child and siblings. Various tests have been devised to aid in identifying salivary sample constituents. This paper deals with the wide utility of saliva as a forensic tool. |
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