The effect of TENS on temporomandibular joint clicking sound
,
Abstract
Introduction: Temporomandibular disorder (TMD) is a very common disorder in modern societies. This disease is caused by disturbance in the masticatory system and joints, leading to various symptoms such as pain, reduced maximum mouth opening, deviation, deflection and joint clicking sound. The clicking sound, which is a kind of joint sound, is one of the most important side effects of TMD. The present study was conducted to examine the effect of transcutaneous electrical nerve stimulation (TENS) on temporomandibular joint (TMJ) clicking sound. Materials and Methods: Seventeen patients with TMD who had clicking sound were selected. The TENS unit was used for patients twice a week for ten sessions. The clicking sound in patients was recorded before and after the treatment. Data were analyzed using SPSS version 21 and McNemar’s test. Results: The results of the study showed that the average values of joint sound in the pretest was 1.000, and decreased to 0.647 in the posttest and this decrease was statistically significant (p=0.031). Conclusion: TENS can be used as a therapeutic technique to reduce joint sounds. Keywords: Clicking sound; Joint sound; Tens; Temporomandibular disorder.
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120(3):273-81.
[3] Emshoff R, Bösch R, Pümpel E, Schöning H,Strobl H. Low-level laser therapy for treatment of temporomandibular joint pain: a double-blind and placebo-controlled trial. Oral Surgery, OralMedicine, Oral Pathology, Oral Radiology, and
Endodontology. 2008; 105(4):452-6.
[4] Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M.Effectiveness of low‐level laser therapy in temporomandibular
disorder. Scandinavian journalof rheumatology. 2003; 32(2):114-8.
[5] Liu F, Steinkeler A. Epidemiology, diagnosis, andtreatment of temporomandibular disorders. Dental Clinics. 2013; 57(3):465-79.
[6] Cleland J, Palmer J. Effectiveness of manual physical therapy, therapeutic exercise, and patient education on bilateral disc displacement without reduction of the temporomandibular joint: a single-case design. Journal of Orthopaedic & Sports Physical Therapy. 2004; 34(9):535-48.
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[8] Hellkimo M. Studies on functional and dysfunction of the masticatory system II. Index for anamnestic
and clinical dysfunction and occlusal state.Swed dent J. 1974; 67:101-21.
[9] Farrar WB. A clinical outline of temporomandibular joint. Diagnosis and Treatment. 1983:129-30.
[10] Isberg-Holm AM, Westesson P-L. Movement of disc and condyle in temporomandibular jointswith and without clicking: a high-speed cinematographic and dissection study on autopsy specimens. Acta Odontologica Scandinavica.
1982; 40(3):165-77.
[11] Bumann A, Lotzmann U, Mah J. TMJ disorders and orofacial pain: the role of dentistry in a multidisciplinary
diagnostic approach (color atlas of dental medicine): New York: Thieme; 2002.
[12] Oral K, Bal Küçük B, Ebeoğlu B, Dincer S. Etiology of temporomandibular disorder pain. Agri. 2009; 21(3):89-94.
[13] Núñez SC, Garcez AS, Suzuki SS, Ribeiro MS.Management of mouth opening in patients with temporomandibular disorders through low-level laser therapy and transcutaneous electrical neural stimulation. Photomedicine and laser surgery.2006; 24(1):45-9.
[14] Burket LW, Greenberg MS, Glick M. Burket’s oral medicine: diagnosis & treatment: PMPH-USA;2003.
[15] Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J-P, 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. Journal of oral & facial pain and headache. 2014; 28(1):6.
[16] Okeson JP. Management of Temporomandibular Disorders and Occlusion-E-Book: Elsevier Health Sciences; 2014.
[17] Okeson JP, de Leeuw R. Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dental Clinics. 2011; 55(1):105-20.
[18]Olivieri KAN, Garcia AR, Paiva G, Stevens C.Joint vibrations analysis in asymptomatic volunteers and symptomatic patients. CRANIO®. 1999; 17(3):176-83.
[19] Widmalm S, Dong Y, Li B, Lin M, Fan L, Deng S.Unbalanced lateral mandibular deviation associated with TMJ sound as a sign in TMJ disc dysfunction diagnosis. Journal of oral rehabilitation. 2016; 43(12):911-20.
[20] Oliveira Mazzetto M, Hirono Hotta T, Graciele Carrasco T, Galli Mazzetto R. Characteristics of TMD noise analyzed by electrovibratography. CRANIO®. 2008; 26(3):222-8.
[21] Drum R, Litt M. Spectral analysis of temporomandibular joint sounds. Journal of Prosthetic Dentistry.1987; 58(4):485-94.
[22] Grossmann E, Tambara JS, Grossmann TK, Siqueira JTTd. Transcutaneous electrical nerve stimulation for temporomandibular joint dysfunction.Revista Dor. 2012; 13(3):271-6.
[23] Khosla B, Singh A, Agarwal N, Mishra A. Comparative Evaluation between the Effects of Low-Intensity Laser Therapy and Transcutaneous Electric Nerve Stimulation on Temporomandibular Joint Disorders. International Journal Of Scientific
Study. 2015; 3(6):86-92.
[24] Madani AS, Mirmortazavi A. Comparison of three treatment options for painful temporomandibular joint clicking. Journal of oral science. 2011;53(3):349-54.
[25] Peimani A, Keshavarz S, Fathollahi M. Comparison of Low-Level Laser Therapy and Drug Therapy in Patients with Temporomandibular Disorders:A Randomized Clinical Trial. J Oral HealthDent. 2018; 2:208.
[2] Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, Truelove E, et al. Epidemiology of signs and symptoms in temporomandibular disorders:clinical signs in cases and controls. TheJournal of the American Dental Association. 1990;
120(3):273-81.
[3] Emshoff R, Bösch R, Pümpel E, Schöning H,Strobl H. Low-level laser therapy for treatment of temporomandibular joint pain: a double-blind and placebo-controlled trial. Oral Surgery, OralMedicine, Oral Pathology, Oral Radiology, and
Endodontology. 2008; 105(4):452-6.
[4] Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M.Effectiveness of low‐level laser therapy in temporomandibular
disorder. Scandinavian journalof rheumatology. 2003; 32(2):114-8.
[5] Liu F, Steinkeler A. Epidemiology, diagnosis, andtreatment of temporomandibular disorders. Dental Clinics. 2013; 57(3):465-79.
[6] Cleland J, Palmer J. Effectiveness of manual physical therapy, therapeutic exercise, and patient education on bilateral disc displacement without reduction of the temporomandibular joint: a single-case design. Journal of Orthopaedic & Sports Physical Therapy. 2004; 34(9):535-48.
[7] Elfving L, Helkimo M, Magnusson T. Prevalence of different temporomandibular joint sounds,with emphasis on disc-displacement, in patients with temporomandibular disorders and controls. Swedish dental journal. 2002; 26(1):9-19.
[8] Hellkimo M. Studies on functional and dysfunction of the masticatory system II. Index for anamnestic
and clinical dysfunction and occlusal state.Swed dent J. 1974; 67:101-21.
[9] Farrar WB. A clinical outline of temporomandibular joint. Diagnosis and Treatment. 1983:129-30.
[10] Isberg-Holm AM, Westesson P-L. Movement of disc and condyle in temporomandibular jointswith and without clicking: a high-speed cinematographic and dissection study on autopsy specimens. Acta Odontologica Scandinavica.
1982; 40(3):165-77.
[11] Bumann A, Lotzmann U, Mah J. TMJ disorders and orofacial pain: the role of dentistry in a multidisciplinary
diagnostic approach (color atlas of dental medicine): New York: Thieme; 2002.
[12] Oral K, Bal Küçük B, Ebeoğlu B, Dincer S. Etiology of temporomandibular disorder pain. Agri. 2009; 21(3):89-94.
[13] Núñez SC, Garcez AS, Suzuki SS, Ribeiro MS.Management of mouth opening in patients with temporomandibular disorders through low-level laser therapy and transcutaneous electrical neural stimulation. Photomedicine and laser surgery.2006; 24(1):45-9.
[14] Burket LW, Greenberg MS, Glick M. Burket’s oral medicine: diagnosis & treatment: PMPH-USA;2003.
[15] Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J-P, 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. Journal of oral & facial pain and headache. 2014; 28(1):6.
[16] Okeson JP. Management of Temporomandibular Disorders and Occlusion-E-Book: Elsevier Health Sciences; 2014.
[17] Okeson JP, de Leeuw R. Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dental Clinics. 2011; 55(1):105-20.
[18]Olivieri KAN, Garcia AR, Paiva G, Stevens C.Joint vibrations analysis in asymptomatic volunteers and symptomatic patients. CRANIO®. 1999; 17(3):176-83.
[19] Widmalm S, Dong Y, Li B, Lin M, Fan L, Deng S.Unbalanced lateral mandibular deviation associated with TMJ sound as a sign in TMJ disc dysfunction diagnosis. Journal of oral rehabilitation. 2016; 43(12):911-20.
[20] Oliveira Mazzetto M, Hirono Hotta T, Graciele Carrasco T, Galli Mazzetto R. Characteristics of TMD noise analyzed by electrovibratography. CRANIO®. 2008; 26(3):222-8.
[21] Drum R, Litt M. Spectral analysis of temporomandibular joint sounds. Journal of Prosthetic Dentistry.1987; 58(4):485-94.
[22] Grossmann E, Tambara JS, Grossmann TK, Siqueira JTTd. Transcutaneous electrical nerve stimulation for temporomandibular joint dysfunction.Revista Dor. 2012; 13(3):271-6.
[23] Khosla B, Singh A, Agarwal N, Mishra A. Comparative Evaluation between the Effects of Low-Intensity Laser Therapy and Transcutaneous Electric Nerve Stimulation on Temporomandibular Joint Disorders. International Journal Of Scientific
Study. 2015; 3(6):86-92.
[24] Madani AS, Mirmortazavi A. Comparison of three treatment options for painful temporomandibular joint clicking. Journal of oral science. 2011;53(3):349-54.
[25] Peimani A, Keshavarz S, Fathollahi M. Comparison of Low-Level Laser Therapy and Drug Therapy in Patients with Temporomandibular Disorders:A Randomized Clinical Trial. J Oral HealthDent. 2018; 2:208.
| Files | ||
| Issue | Vol 5, No 4 (Autumn 2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Clicking sound Joint sound Tens Temporomandibular disorder (Tmd). | ||
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How to Cite
1.
Najafi S, Palizgir R, Sheykh Bahaei N, Kharazi Fard MJ. The effect of TENS on temporomandibular joint clicking sound. J Craniomaxillofac Res. 2019;5(4):143-147.
