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TMJ Dysfunctions and Systemic Correlations
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TMJ Dysfunctions and Systemic Correlations

A special issue of Journal of Functional Morphology and Kinesiology (ISSN 2411-5142). This special issue belongs to the section "Sports Medicine and Nutrition".

Deadline for manuscript submissions: closed (31 December 2019) | Viewed by 59882

Special Issue Editor

Prof. Dr. Luca Fiorillo

E-Mail Website
Guest Editor
1. Department of Biomedical and Dental Sciences, Morphological and Functional Images, School of Dentistry University of Messina, 98100 Messina, Italy
2. Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, 80121 Naples, Italy
Interests: oral health; public health; systemic disease; biomaterials; microbiomes; infection risk; oral surgery; rehabilitative medicine; environment disinfection
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The purpose of this Special Issue is to promote knowledge and the correlation between the temporomandibular joint and all of the postural dysfunctions or those affecting the spine. Many occlusal correlations in recent years have been found to be responsible for the alterations affecting the posture of our patients, or for the musculoskeletal pain in other districts. Inter-specific orthopedic–orthodontic treatment, in some cases, has been proven to be effective in resolving these situations. Everything related to functional dental orthopedic therapy, TMJ surgical therapy, and more clinical or other information about these correlations, is the subject of the Special Issue.

Dr. Luca Fiorillo
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Functional Morphology and Kinesiology is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • posture
  • TMJ
  • orthodontic
  • orthopedic
  • vertebral column
  • physiatry
  • interdisciplinary approach
  • orthodontic treatment
  • orthognathic surgery

Published Papers (7 papers)

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Editorial

Jump to: Research, Review

4 pages, 205 KiB  
Editorial
Spine and TMJ: A Pathophysiology Report
by Luca Fiorillo
J. Funct. Morphol. Kinesiol. 2020, 5(2), 24; https://doi.org/10.3390/jfmk5020024 - 30 Mar 2020
Cited by 8 | Viewed by 3093
Abstract
The relationship between posture, spine, and temporomandibular joint (TMJ) is still a hotly debated topic in medicine. TMJ takes part in different physiological functions of the organism, starting from its embryological development, it is possible that it influences different vital functions. There is [...] Read more.
The relationship between posture, spine, and temporomandibular joint (TMJ) is still a hotly debated topic in medicine. TMJ takes part in different physiological functions of the organism, starting from its embryological development, it is possible that it influences different vital functions. There is a strong connection between the respiratory tract and dental/maxillary occlusion or anatomy. The altered physiology of this district leads to pathologies that could affect the whole organism. On the contrary, it is also possible to highlight some symptoms of distant organism districts. Knowing well the pathophysiology of this district and semiotics, it is also possible to diagnose pathologies affecting other organs. Full article
(This article belongs to the Special Issue TMJ Dysfunctions and Systemic Correlations)
5 pages, 807 KiB  
Editorial
TMJ Dysfunction and Systemic Correlation
by Luca Fiorillo and Giuseppe Musumeci
J. Funct. Morphol. Kinesiol. 2020, 5(1), 20; https://doi.org/10.3390/jfmk5010020 - 9 Mar 2020
Cited by 17 | Viewed by 8504
Abstract
In recent years it has been conclusively shown how the position of the mouth in relation to the body affects the way of walking and standing. In particular, occlusion, the relationship between skull and jaw, swallowing and convergence of the eyes are in [...] Read more.
In recent years it has been conclusively shown how the position of the mouth in relation to the body affects the way of walking and standing. In particular, occlusion, the relationship between skull and jaw, swallowing and convergence of the eyes are in neuro-muscular relationship with the control and maintenance system of posture, integrating at different levels. This manuscript aims to be a summary of all the oral, occlusal and articular dysfunctions of TMJ with systemic and postural–muscular repercussions. Recent articles found in the literature that are taken into consideration and briefly analyzed represent an important starting point for these correlations, which are still unclear in the medical field. Posturology, occlusal and oral influences on posture, spine and muscular system are still much debated today. In the literature, there are articles concerning sports performance and dental occlusion or even the postural characteristics of adolescents or children in deciduous and mixed dentition. The temporomandibular joint, as the only joint of the skull, could therefore represent a site to pay particular attention to, and in some cases an ATM dysfunction could be a clue for the diagnosis of systemic pathologies, or it could be the repercussion. Full article
(This article belongs to the Special Issue TMJ Dysfunctions and Systemic Correlations)
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Research

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8 pages, 1363 KiB  
Article
Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation
by Mario Santagata, Roberto De Luca, Giorgio Lo Giudice, Antonio Troiano, Giuseppe Lo Giudice, Giovanni Corvo and Gianpaolo Tartaro
J. Funct. Morphol. Kinesiol. 2020, 5(1), 18; https://doi.org/10.3390/jfmk5010018 - 6 Mar 2020
Cited by 6 | Viewed by 2987
Abstract
Arthrocentesis in temporomandibular joint disorders can be associated with the intra-articular infiltration of various drugs with the objective of increase treatment efficacy. The aim of this study was to evaluate the clinical indexes variation in patients affected by temporomandibular joint disorders treated with [...] Read more.
Arthrocentesis in temporomandibular joint disorders can be associated with the intra-articular infiltration of various drugs with the objective of increase treatment efficacy. The aim of this study was to evaluate the clinical indexes variation in patients affected by temporomandibular joint disorders treated with arthrocentesis and sodium hyaluronate (SH) injections. A total of 28 patients suffering from temporomandibular joint disorders underwent one cycle of five arthrocentesis and infiltrations of sodium hyaluronate. Spontaneous mouth opening improved from 36.3 ± 7.5 mm to 45.1 ± 1.9 mm at six months follow-up. A significant reduction in the pain at rest and during mastication mean values emerged at follow-up (p < 0.0001). The mean masticatory efficiency, evaluated through a visual analogic scale, showed improvement at the follow-up period, highlighted by the increase of mean value from a baseline of 3.1 ± 1.2 to a mean value of 8.5 ± 1.2 (p < 0.0001). The mean severity of the joint damage at baseline time was 2.4 ± 0.9 and decreased to 0.4 ± 0.3 at the end of the follow-up period. The decrease in values is confirmed by statistical test (p < 0.05). Our data show how arthrocentesis integrated with sodium hyaluronate infiltrations performed under local anesthesia is a valid method of treating temporomandibular joint disorders. Full article
(This article belongs to the Special Issue TMJ Dysfunctions and Systemic Correlations)
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12 pages, 4271 KiB  
Article
Elastics Selector Gauge as Orthodontics Device Applied to Inter-Maxillary Traction during Malocclusion Correction
by Sergio Sambataro, Salvatore Bocchieri, Luigi Bafumi, Luca Fiorillo, Gabriele Cervino and Marco Cicciù
J. Funct. Morphol. Kinesiol. 2019, 4(3), 63; https://doi.org/10.3390/jfmk4030063 - 26 Aug 2019
Cited by 13 | Viewed by 4982
Abstract
Elastics are the simplest device that can be used during a class correction in orthodontics, and despite the simplicity of a latex band, they are very effective and powerful. The resultant inter-maxillary force affects not only the teeth, but even the mandibular position, [...] Read more.
Elastics are the simplest device that can be used during a class correction in orthodontics, and despite the simplicity of a latex band, they are very effective and powerful. The resultant inter-maxillary force affects not only the teeth, but even the mandibular position, and consequently the temporomandibular joints (TMJ). The purpose of our work is to simplify the use of elastics, and to reduce the amount of inventory for orthodontists, because there is a lot of merceology available on the market, and different ways of using the elastics. The use of elastics in clinical practice is based on the force extension values, which are given by the manufacturer for the different sizes of the elastics, generally when they are stretched to three times their lumen size. Various configurations allow for the correction of different malocclusions. We propose a new classification and a new device, the elastic selector gauge, in order to allow clinicians to quickly and easily choose the right elastic in all conditions. Full article
(This article belongs to the Special Issue TMJ Dysfunctions and Systemic Correlations)
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12 pages, 275 KiB  
Article
Correlations between Malocclusion and Postural Anomalies in Children with Mixed Dentition
by Sergio Sambataro, Salvatore Bocchieri, Gabriele Cervino, Rosario La Bruna, Alessandra Cicciù, Marcella Innorta, Benedetto Torrisi and Marco Cicciù
J. Funct. Morphol. Kinesiol. 2019, 4(3), 45; https://doi.org/10.3390/jfmk4030045 - 19 Jul 2019
Cited by 21 | Viewed by 6045
Abstract
The aim of this study was to investigate the possible relationship between malocclusion and body posture anomalies. The original sample involved 127 children (45 males and 82 females) with mixed dentition. Clinical examination of oral cavity was performed by an orthodontist, who recorded [...] Read more.
The aim of this study was to investigate the possible relationship between malocclusion and body posture anomalies. The original sample involved 127 children (45 males and 82 females) with mixed dentition. Clinical examination of oral cavity was performed by an orthodontist, who recorded molar and canine relationship, cross-bite, lower middle-line deviation, and centric relation (CR) considering mono or bilateral contacts in CR. Orthopedic examination of the body posture was clinically carried out by an orthopedist who detected anomalies such as scoliosis, false scoliosis or paramorphism, kyphosis and lordosis. Of the 127 subjects of the sample, 18 children were orthopedically normal, 80 patients had false scoliosis, 22 scoliosis and 7 showed kyphosis. In our study, we don’t consider the 7 patients with kyphosis for the exiguity of the sample; so, our analysis was performed on 120 children (42 males and 78 females). The results obtained revealed that the cross-bite was more frequent when scoliosis became worse. We also found that the relationship between left cross-bite and contralateral side of deviation of the curve of the spine in subjects with scoliosis is statistically significant (p = 0.002). Furthermore, the relationship between lower midline and contralateral side of deviation of the curve of the spine in patients with false scoliosis is statistically significant (p = 0.003). In conclusion, it seems that posture anomalies are correlated to cross-bite and mandible abnormal position. Full article
(This article belongs to the Special Issue TMJ Dysfunctions and Systemic Correlations)

Review

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15 pages, 2057 KiB  
Review
Oral Health and Fibromyalgia Syndrome: A Systemic Review
by Rosa De Stefano, Antonio Bruno, Maria Rosaria Anna Muscatello, Clemente Cedro, Alessandra Cicciù, Rosario Rullo, Michele Gaeta and Luca Fiorillo
J. Funct. Morphol. Kinesiol. 2020, 5(1), 7; https://doi.org/10.3390/jfmk5010007 - 25 Jan 2020
Cited by 10 | Viewed by 4410
Abstract
Fibromyalgia is a syndrome currently considered idiopathic and multifactorial rheumatic that causes an increase in muscle tension and is characterized by muscle pain and chronic fibrous tissues—widespread, fluctuating and migrating—associated with stiffness, asthenia, cognitive disorders, insomnia or sleep disorders, alterations in sensitivity to [...] Read more.
Fibromyalgia is a syndrome currently considered idiopathic and multifactorial rheumatic that causes an increase in muscle tension and is characterized by muscle pain and chronic fibrous tissues—widespread, fluctuating and migrating—associated with stiffness, asthenia, cognitive disorders, insomnia or sleep disorders, alterations in sensitivity to stimuli. In affected patients, there may be anxiety or depressive disorder development. The aim of this study is, with the help of an interdisciplinary team, to evaluate the correlations between this syndrome and oral health. A literature review was conducted, analyzing the most common scientific databases, more than 200 studies were obtained. Subsequently to the application of filters and revision by the authors, only 18 articles were considered eligible for this review. From the results, it is clear that the correlations between fibromyalgia and oral health mainly concern pain in the oro-maxillofacial district, especially in the temporomandibular joint. This certainly could help for faster diagnosis of the syndrome, which is currently difficult to identify. Full article
(This article belongs to the Special Issue TMJ Dysfunctions and Systemic Correlations)
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12 pages, 885 KiB  
Review
TMJ Dysfunctions Systemic Implications and Postural Assessments: A Review of Recent Literature
by Sergio Sambataro, Gabriele Cervino, Salvatore Bocchieri, Rosario La Bruna and Marco Cicciù
J. Funct. Morphol. Kinesiol. 2019, 4(3), 58; https://doi.org/10.3390/jfmk4030058 - 19 Aug 2019
Cited by 24 | Viewed by 28792
Abstract
Cases of correlations between posture and the temporomandibular joint have long been reported in the literature. In particular, occlusal anomalies, and therefore malocclusion, could have negative implications for the spine. The objective of this study was to review the literature and bring to [...] Read more.
Cases of correlations between posture and the temporomandibular joint have long been reported in the literature. In particular, occlusal anomalies, and therefore malocclusion, could have negative implications for the spine. The objective of this study was to review the literature and bring to light any correlations between temporomandibular joints (TMJ) and posturology. The literature search was conducted in the PubMed and Embase scientific search engines with the aim of obtaining the most possible results in the initial search, the number of results initially obtained was 263. Subsequently, the inclusion and exclusion criteria were reduced first to 83 and subsequently to manual analysis of the articles, those included remained only 11. The results show a correlation between anomalies of the TMJ and dysfunctions of the vertebral column. Not all the articles considered are in agreement with each other regarding epidemiological data, but surely this study can represent an important starting point for a much more careful evaluation of the dental patient and at the same time for the request for counseling by a dentist in case of postural abnormalities. Full article
(This article belongs to the Special Issue TMJ Dysfunctions and Systemic Correlations)
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