STATISTIC RESULTS OF TMJ TREATMENT

    TABLE 1: Symptoms of 742 patients with Temporomandibular joint Syndrome
    -------------------------------------------------------------------------------------
    AGE GROUP    10-20      20-30     31-40      41-50      51-60       61-70       71- 80     TOTAL
    -------------------------------------------------------------------------------------
       Males            15            31          47           20           36          30           12           191
       Female         35            81        115          125         123          50            22          551
    -------------------------------------------------------------------------------------

    Muscles spasm
    1) Internal
        pterygoids       43      109        137        109         115           53             36            602
    2) External
        pterygoids       30       87          96        101          83            52             22             471
    3) Masseters       20       45          76         49          49            13             14             266
    4) Temporalis        8       27          58         39          38            16              11            197
    5) Sternomastoids 20      40           81        47          46             26             14            214
    6) Posterior
        cervicals          5       12           33        40          33             20              8              15
    7) Mylohyoids       -       13            9        14            2              2               2              42
    8) Trapezius         4        2           16        12            4              6               3              47
    -------------------------------------------------------------------------------------
     
    Ear symptoms

    1) Tinnitus             11          51          70          83          58          28           10           311
    2) Hearing los        -           19          40          17          25            5             1          107
    3) Pre-auricular
        pain                  12         19          25          33           17           2             1           109
    4) post-auricular
        pain                  14          7            5          17           24          10            2             79
    -------------------------------------------------------------------------------------
    Temporomandibular joint

    1) Tinnitus                   6         28          22          38           31          3          4         132
    2) Hearing
        loss                        2         12          14          30          17          7           4           86
    3) pre-auricular
        pain                       28         61         75           67          55         23         11         320
    4) Post-auricular pain    6          4          6            4            5           1           3          29
    -------------------------------------------------------------------------------------
    Bruxism                12          24         42          30          23          13          3         147
    -------------------------------------------------------------------------------------
    Head pain

    1) Facial                  8           11          15          16          22            6            1          79
    2) Occipital              -            8            3            9          19            3            2          44
    3) Cervical               -            5            8           11           5            3            1          33
    4) Headaches           4          24           43          33          32           14           2         152
        Dizziness             9          27           25          31          23            6           2         134
    -------------------------------------------------------------------------------------

    From Gelb, H., et al.: The role of the dentist and the otolaryngologist in evaluating temporomandibular joint
    syndromes. J. prosthet. Dent, 18:500, 1967.

    TABLE 2: Distribution of 200 Patients by Dental Status
                                                              

     DENTAL STATUS NO. %
    -------------------------------------------------------------------------------------
    1)Full complement of teeth                                                                      50             25
    2)Complete maxillary and mandibular dentures                                          7             3.5
    3)Removable partial prostheses                                                             29           14.5
    4)Complete maxillary partial
       mandibular dentures                                                                           4               2
    5)Fixed partial prostheses                                                                     34             17
    6)Partially edentulous-no replacements                                                   76             38
    -------------------------------------------------------------------------------------
    From Gelb, H., and Tarte, J.: A two-year clinical evaluation of 200 cases of chronic headache: the caniocevical-mandibular syndrome, JADA, 91:1230, 1975.

    TABLE 3: FINDINGS

    1) CHIEF COMPLAINTS
        
    TMJ Pain Head-ache Ear Pain Neck Pain Click Tinnitus Other
          NO.: 57 83 9 22 6 2 3
          %   : 28.5 41.5 4.5 11 3 1 1.5

    2) ILIAC CREST
        
    Right Only Left Only Both
          NO. : 12 123 16

    3) CHRONIC ILLNESS
       
    Endocrine hyst. Surgery Psychologic E.N.T. Orthopedist Combo.
        Thyroid NO.: 138 126 69 81 105 134

    4) PREVIOUS TMJ THERARY
        
    Drugs Surgery Equilibration Appliance Restorations Chiropractor or Prosthesis
          NO.: 106 12 14 38 18 12
          Other Combo.
          38 134
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    TABLE 4: FACIAL CHANGE& OTHERS TOTAL
    1) High Eye & Low Hip on Same Side
    - RIGHT ................................................................. 147
    - LEFT ..................................................................... 3
    2) Midline Deviation on Same Side as High Eye
    Closed-Right and Left................................................ 65
    Open- Right and Left.................................................. 82
    3) Previous Orthodontic Therapy.................................. 43
    4) Orthodontia with Extractions (Bicuspid).....................15
    5) Previous History of Trauma
    Within past Five years ................................................46
    Five Years or Longer..................................................99
    Had Both............................................................... 24
    * Most important things are TMJ patients usually accompanied by changes in eye position, hip position,
    From clinical management of Head, Neck and TMJ Pain and Dysfunction Edited by Harold Gelb page 280-283

     

     

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