Online ISSN: 2515-8260

Keywords : TMJ

Assessment of tinnitus in patients with internal derangement of TMJ

Dr.Archana Kumari, Dr.Ranjan Kumar

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1478-1481

Background: Tinnitus has been shown to be strongly associated with anxiety and
depression. The present study was conducted to assess tinnitus in patients with internal
derangement of TMJ.
Materials & Methods:170 patients with complaint of tinnitus referred for arthrographic
examination of the TMJ were enrolled in the study. Disk positions were diagnosed as
normal superior position, anterior disk displacement with reduction or anterior disk
displacement without reduction. Symptoms such as tinnitus and blockage sensation in the
ear was recorded. Tinnitus was recorded as absent or present
Results: Out of 170 patients, males were 100 and females were 70. Tinnitus was present in
130 and absent in 40. Location of pain was TMJ in 80, lower lateral face in 20, bac of eye
in 10 and temporal region in 20 cases. Other findings were painful chewing in 35, stressful
life in 42, limited mouth opening in 78 and bruxism in 40 cases. The difference was
significant (P< 0.05).
Conclusion: There was high rate of tinnitus in patients with internal disc derangement of

A comparison of the efficacy of arthrocentesis alone and arthrocentesis with duloxetine in patients with TMJ pain

Dr. M. Vinuthna; Dr Nitin Bhagat; Dr. Afsal B; Dr Chethan Kumar D; Dr. Nimmy Elsa Samuel; Dr. Swaroop S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7842-7847

Background:Temporomandibular disorder (TMD) is a musculoskeletal disorder within the masticatory system. The present study was conducted to compare theefficacy of arthrocentesis alone and arthrocentesis withduloxetine in patients with TMJ pain.
Materials & Methods:40 patients with TMJ pain were randomly divided into two groups of 20 each. Group I patients were treated with arthrocentesis alone and group II with arthrocentesis followed by duloxetine 30 mg twice daily for 12-week therapy. Patients were followed up at regular interval at day 1, day 5, day 7, week 4, week 6 and week 12. Outcome assessment of pain and maximal mouth opening was done.
Results: There were 8 males in group I and 9 in ii and 12 females in group I and 11 in group II.VAS score in group I was 5.1, 5.8, 4.9, 4.5, 3.5, 3.3 and 3.0 and in group II was 6.0, 6.5, 4.3, 4.0, 3.2, 2.8 and 1.6 at Pre- op, day 1, day 5, day 7, week 4, week 6 and week 12 respectively. The maximum mouth opening (mm) pre- op, day 1, day 5, day 7, week 4, week 6 and 12 weeks was 34.2, 35.6, 38.4, 40.6, 41.2, 41.9 and 42.5 in group I and 35.4, 36.7, 38.9, 40.5, 42.6, 43.7 and 45.2 in group II respectively. The difference was significant (P< 0.05).Conclusion:Combination of duloxetine witharthrocentesis gave much better outcome than arthrocentesis alone in TMJ pain patients.


Amit Kumar Singh; Revathi Duraisamy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1907-1915

The objective of full mouth rehabilitation is not only the reconstruction and restoration but also to maintain the health of the entire stomatognathic system. Full mouth Rehabilitation can be defined as the reestablished state of functional and as well as biological efficiency where teeth with their periodontal structure, the muscle of mastication and the TMJ mechanism all function together and in synchronous harmony. Tooth material loss (wear) occurs as a natural process during the lifetime. In some cases tooth wear is severe and there will be a decrease in the vertical dimension. Hence it is mandatory to evaluate the vertical dimension before further treatment planning. So this present study aims to assess the patients requiring Full mouth Rehabilitation based on Turner and Missilarian classification. patient records were analyzed with the data of 86000 patients between June 2019 and March 2020 from this a sample size of 65 patients were selected for the study. Data tabulated with parameters such as age, name, gender, classification of Turner, and Missilarian classification and their categories. Data import to SPSS for statistical analysis. Descriptive statistics having a frequency, percentage, and chi square test done for association.Male is found to be slightly more prevalent than females. The most common age group affected were above 50 years of age group with categories-2 was more frequently seen. Chi-square test showed no Statistical significance between age/gender with the diagnosis of Turner and Missilarian categories since p value>0.005. Turner and Missilarian classification category 2 was found to be more in males above 50 years of age group. This study needs further extensive research with a large sample size in the future.