Prävalenz, Ursachen und Therapiemöglichkeiten von pathologischen Kiefergelenkbefunden im Kindes- und Erwachsenenalter – ein Update

Zusammenfassung

Pathologische Kiefergelenkbefunde im Sinne einer kraniomandibulären Dysfunktion (CMD) können grundsätzlich in jedem Lebensalter auftreten. Aus dem CMD-Spektrum greift der Beitrag Schwerpunkte heraus, beleuchtet Häufigkeit und mögliche Ursachen und zeigt befundabhängig verschiedene Möglichkeiten und Apparaturen zur Therapie.

Der vorliegende Artikel basiert auf dem wissenschaftlichen Beitrag „Pathologische Kiefergelenksbefunde im Kindes- und Jugendalter“ aus dem Jahr 2015 [1]. Er hat das Ziel Prävalenzen und Ursachen nicht nur im Kindesalter, sondern auch im Erwachsenenalter sowie diagnostische und therapeutische Möglichkeiten vor dem Hintergrund aktueller Literaturdaten aufzuzeigen.

Abstract

Pathological temporomandibular joint disorders in the sense of a craniomandibular dysfunction (CMD) can basically occur at all ages. From the range of craniomandibular dysfunctions, the article singles out areas of focus, highlights the frequency and possible causes and shows various possibilities and appliances for use in treatment depending on the findings.

This article is based on the scientific article “Pathological temporomandibular joint findings in children and adolescents” from 2015 [1]. Its objective is to reveal prevalences and causes not only in children but also in adults as well as diagnostic and therapeutic options in view of current literature data.

Schlüsselwörter

CMD - Kieferorthopädie - Kiefergelenk - Kiefergelenksdiagnostik - spezifische Diagnostik und Therapie

Key words

CMD - orthodontics - temporomandibular joint - temporomandibular joint diagnostics - specific diagnostics and therapy

• Literatur

• 1 Heekeren D, Lange A, Jung BA. Pathologische Kiefergelenkbefunde im Kindes- und Jugendalter- Häufigkeit, Ursachen und Therapiemöglichkeiten. Wissen Kompakt 2015; 3: 105-116
• 2 Ahlers MO, Fussnegger M, Göz G et al. Wissenschaftliche Mitteilung Zur Therapie der funktionellen Erkrankungen des kraniomandibulären Systems. http://www.dgzmk.de/uploads/tx_szdgzmkdocuments/WM_DGFDT_Therapie_CMD_-final_2015_11_25_sa_Korr_LitVerz_2016-07-04.pdf
• 3 Yekkalam N, Wänman A. Associations between craniomandibular disorders, sociodemographic factors and self-perceived general and oral health in an adult population. Acta Odontol Scand 2014; 72: 1054-1065
• 4 Yekkalam N, Wänman A. Prevalence of signs and symptoms indicative of temporomandibular disorders and headaches in 35-, 50-, 65- and 75-year-olds living in Västerbotten, Sweden. Acta Odontol Scand 2014; 72: 458-465
• 5 Dahlström L, Carsson GR. Temporomandibular disorders and health-related quality of life. A systematic review. Acta Odontol Scand 2010; 68: 80-85
• 6 Österberg T, Carlsson GE. Relationship between symptoms of temporomandibular disorders and dental statur, gernal helath and psychosomatic factors in two cohorts of 79-year-old subjects. Gerodontology 2007; 24: 129-135
• 7 Johansson A, Unell L, Carlsson GE. et al. Association between social and general health factors ans symptoms related tp temporomandibular disorders and bruxism in a population of 50-year-old subjects. Acta Odontol Scand 1986; 62: 231-237
• 8 Emodi-Perlman A, Eli I, Friedman-Rubin P. et al. Bruxism, oral parafunctions, anamnestic and clinical findings if temporomandibular disorders in children. J Oral Rehabil 2012; 39: 126-135
• 9 Magnusson T, Egermarki I, Carlsson GE. A prospective investigation over two decades on signs and symptoms of temporomandibular disorders and associated variables. A final summary. Acta Odontol Scand 2005; 63: 99-109
• 10 Howard J. Temporomandibular Joint Disorders in Children. Dent Clin N Am 2013; 57: 99-127
• 11 Marangoni AF, deGodoy CH, Biasotto-Gonzalez DA. et al. Assessment of type of bite and vertical dimension of occlusion in children and adolescents with temporomandibular disorder. J Bodyw Mov Ther 2014; 18: 435-440
• 12 Haralur SB, Addas MK, Othman HI. et al. Prevalence of malocclusion, association with occlusal interferences and temporomandibular disorders among the Saudi sub-population. Oral health Dent Manag 2014; 13: 164-169
• 13 Bumann A, Lotzmann U. Funktionsdiagnostik und Therapieprinzipien. In: Rateitschak KH, Wolf HF. (Hrsg.) Farbatlanten der Zahnmedizin. Band 12. Stuttgart: Thieme; 2000. 100 293
• 14 Tzaribachev N, Weber D, Horger M. Juvenile idiopathic arthritis: the silent killer of pediatric temporomandibular joints. Z Rheumatol 2010; 69: 124-129
• 15 Twilt M, Mobers SM, Arends LR. et al. Temporomandibular involvement in juvenile idiopathic arthritis. J Rheumatol 2004; 31: 1418-1422
• 16 Böhm K, Tesch-Römer C, Ziese T. Beiträge zur Gesundheitsberichterstattung des Bundes Gesundheit und Krankheit im Alter. Berlin: Robert Koch-Institut 2009
• 17 Lövgren A, Häggman-Henrikson B, Visscher CM. et al. Temporomandibular pain and jaw dysfunction at different ages covering the lifespan-A population based study. Eur J Pain 2016; 20: 532-540
• 18 Afari N, Ahumada SM, Wright LJ. et al. Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis. Psychosom Med 2014; 76: 2-11
• 19 Reissmann DR, John MT, Seedorf H. et al. Temporomandibular disorder pain is related to the general disposition to be anxious. J Oral Facial Pain Headache 2014; 28: 322-330
• 20 Nishiyama A, Tsuchida E. Relationship Between Wind Instrument Playing Habits and Symptoms of Temporomandibular Disorders in Non-Professional Musicians. Open Dent J 2016; 10: 411-416
• 21 Rhim E, Han K, Yun KI. Association between temporomandibular disorders and obesity. J Craniomaxillofac Surg 2016; 44: 1003-1007
• 22 Manfredini D, Stellini E, Marchese-Ragona R. et al. Are occlusal features associated with different temporomandibular disorder diagnoses in bruxers?. Cranio 2014; 32: 283-288
• 23 Häggman-Henrikson B, Rezvani M, List T. Prevalence of whiplash trauma in TMD patients: a systematic review. J Oral Rehabil 2014; 41: 59-68
• 24 Vilanova LS, Gonçalves TM, Meirelles L. et al. Hormonal fluctuations intensify temporomandibular disorder pain without impairing masticatory function. Int J Prosthodont 2015; 28: 72-74
• 25 Visscher CM, Lobbezoo F. TMD pain is partly heritable. A systematic review of family studies and genetic association studies. J Oral Rehabil 2015; 42: 386-399
• 26 Manfredini D, Stellini E, Gracco A. et al. Orthodontics is temporomandibular disorder-neutral. Angle Orthod 2016; 86: 649-654
• 27 Dias IM, Cordeiro PC, Devito KL. et al. Evaluation of temporomandibular joint disc displacement as a risk factor for osteoarthrosis. Int J Oral Maxillofac Surg. 2016; 45: 313-317
• 28 Fernández-González FJ, Cañigral A, López-Caballo JL. et al. Influence of orthodontic treatment on temporomandibular disorders. A systematic review. J Clin Exp Dent 2015; 7: e320-e327
• 29 http://www.cmd-centrum.de/img/presse/Quintessenz_05_2007-Ahlers + Jakstat.pdf Zugegriffen: 10. März 2015
• 30 Ahlers MO, Jakstat HA. Indikationsstellung per Screening: CMD-Kurzbefund. In: Ahlers MO, Jakstat HA. (Hrsg.) Klinische Funktionsanalyse. Interdisziplinäres Vorgehen mit optimierten Befundbögen. 3. Aufl. dentaConcept Hamburg: 2007: 145-158
• 31 http://www.dgfdt.de/documents/266840/266916/Untersuchungsbogen_Manuelle_Strukturanalyse/3e90115d-e63a-4972-a2b0-5240b01ace1d Zugegriffen: 31.03.2015
• 32 Kahl-Nieke B. Kieferorthopädie im 21. Jahrhundert. In: Jäger A. (Hrsg.) Stuttgart: Thieme; 2013. 58 52-59
• 33 de Melo DP, Sousa Melo SL, de Andrade Freitas Oliveira LS. et al. Evaluation of temporomandibular joint disk displacement and its correlation with pain and osseous abnormalities in symptomatic young patients with magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119: 107-112
• 34 Larheim TA, Abrahamsson AK, Kristensen M. et al. Temporomandibular joint diagnostics using CBCT. Dentomaxillofac Radiol. 2015; 44: 20140235
• 35 Demling A, Fauska K, Ismail F. et al. A comparison of change in condylar position in asymptomatic volunteers utilizing a stabilization and a pivot appliance. Cranio 2009; 27: 54-61
• 36 Bumann A, Heekeren D. Individuelle Schienentherapie. Quintessenz Zahntech 2013; 39: 1518-1529