Accidental dental displacement into the maxillary sinus during extraction maneuvers:a case series

The aims of this study were to describe the clinical findings of patients that suffered teeth displacement into the maxillary sinus, and to report the surgical technique used to solve this complication. A retrospective observational study was conducted involving patients that suffered a displacement of teeth into the maxillary sinus. Demographic and clinical data were recorded from the affected patients and a descriptive statistical analysis was made of the study variables. A total of nine patients were enrolled, six males (66.7%) and three females (33.3%), with a mean age of 36.0 years (range 22-54). In five patients (55.5%) the displaced teeth remained asymptomatic; however, dental fragments were retrieved from the maxillary sinus using Caldwell-Luc technique or endoscopic approach. Dental displacement into the maxillary sinus during the extraction manoeuvres is an uncommon finding. Even in asymptomatic cases, these displaced teeth should be extracted in order to avoid the development of sinus pathology

The use of tricyclic antidepressants in the treatment of temporomandibular joint disorders: systematic review of the literature of the last 20 years

Many therapies have been proposed for the management of temporomandibular disorders, including the use of different drugs. However, lack of knowledge about the mechanisms behind the pain associated with this pathology, and the fact that the studies carried out so far use highly disparate patient selection criteria, mean that results on the effectiveness of the different medications are inconclusive. This study makes a systematic review of the literature published on the use of tricyclic antidepressants for the treatment of temporomandibular disorders, using the SORT criteria (Strength of recommendation taxonomy) to consider the level of scientific evidence of the different studies. Following analysis of the articles, and in function of their scientific quality, a type B recommendation is given in favor of the use of tricyclic antidepressants for the treatment of temporomandibular disorders

The use of tricyclic antidepressants in the treatment of temporomandibular joint disorders : Systematic review of the literature of the last 20 years

Many therapies have been proposed for the management of temporomandibular disorders, including the use of different drugs. However, lack of knowledge about the mechanisms behind the pain associated with this pathology, and the fact that the studies carried out so far use highly disparate patient selection criteria, mean that results on the effectiveness of the different medications are inconclusive. This study makes a systematic review of the literature published on the use of tricyclic antidepressants for the treatment of temporomandibular disorders, using the SORT criteria (Strength of recommendation taxonomy) to consider the level of scientific evidence of the different studies. Following analysis of the articles, and in function of their scientific quality, a type B recommendation is given in favor of the use of tricyclic antidepressants for the treatment of temporomandibular disorders

Myofascial pain syndrome associated with trigger points: A literature review. (I): Epidemiology, clinical treatment and etiopathogeny

Over the last few decades, advances have been made in the understanding of myofascial pain syndrome epidemiology, clinical characteristics and aetiopathogenesis, but many unknowns remain. An integrated hypothesis has provided a greater understanding of the physiopathology of trigger points, which may allow the development of new diagnostic, and above all, therapeutic methods, as well as the establishment of prevention policies and protocols by the health profession. Nevertheless, randomized studies are needed to provide a better understanding and detection of the different factors involved in the origin of trigger points

Myofascial pain associated to trigger points: A literature review. Part 2: Differential diagnosis and treatment

During the last decades the advance in knowledge of myofascial pain has been constant in the medical and dental community. However, although several aspects have been clarified in relation to its epidemiology, clinical characteristics and etiopathogenesis, many uncertainties remain. Many clinical conditions are included in the differential diagnosis of myofascial pain associated to trigger points. A good anamnesis and clinical exploration is thus required in order to ensure correct diagnosis and treatment. Among the numerous treatments used in application to trigger points, the spray-and-stretch technique and direct injection targeted to such trigger points have been found to be the most effective options. In chronic cases, psychosocial intervention is required, due to the high incidence of mood disorders and/or anxiety observed in these patients, who in turn present a poorer prognosis. This underscores the importance of early diagnosis and treatment

El dolor miofascial asociado a puntos gatillo: revisión de la literatura. 2ª parte: diagnóstico diferencial y tratamiento

Durante las últimas décadas, ha sido constante el avance del conocimiento del dolor miofascial por parte de la comunidad médica y odontológica pero, aunque son numerosos los aspectos aclarados en cuanto a su epidemiología, características clínicas y etiopatogenia aún hay muchas incógnitas por resolver. Son muchas las entidades clínicas que se incluyen en el diagnóstico diferencial del dolor miofascial asociado a puntos gatillo por lo que será necesario realizar una correcta anamnesis y exploración clínica para realizar un diagnóstico certero y un tratamiento adecuado. Entre las numerosas modalidades terapéuticas utilizadas en el tratamiento de los puntos gatillo, la técnica de esprai- estiramiento y la inyección directa sobre estos han demostrado ser las de mayor efectividad en su eliminación. En los cuadros crónicos se requiere la participación de especialistas en el campo de las ciencias psicosociales debido a la elevada frecuencia de trastornos anímicos y/o ansiedad en estos pacientes ya que suelen presentar un peor pronóstico, lo que pone de manifiesto la importancia de un diagnóstico y tratamiento precoces

El dolor miofascial asociado a puntos gatillo: revisión de la literatura (I): epidemiología, clínica y etiopatogenia

Durante las últimas décadas, ha sido constante el avance del conocimiento del dolor miofascial por parte de la comunidad médica y odontológica pero, aunque son numerosos los aspectos aclarados en cuanto a su epidemiología, características clínicas y etiopatogenia aún hay muchas incógnitas por resolver. Esto dificulta la realización de pruebas complementarias que ayudarían en la detección de los puntos gatillo, característicos de este cuadro, lo que supone que a la hora de diagnosticar este cuadro clínico haya discrepancias entre los diferentes profesionales. La teoría integrada ha proporcionado un mejor entendimiento de la fisiopatología de los puntos gatillo, lo que podría permitir, en un futuro próximo, el desarrollo de nuevas modalidades diagnósticas y sobre todo terapéuticas, así como la instauración de protocolos y políticas de prevención por parte de la comunidad sanitaria. No obstante, es necesaria la elaboración de estudios randomizados que permitan una mejor comprensión y detección de los distintos factores involucrados en el origen de los puntos gatillo

Accidental dental displacement into the maxillary sinus during extraction maneuvers: a case series

Background: The aims of this study were to describe the clinical findings of patients that suffered teeth displacement into the maxillary sinus, and to report the surgical technique used to solve this complication. Material and methods: A retrospective observational study was conducted involving patients that suffered a displacement of teeth into the maxillary sinus. Demographic and clinical data were recorded from the affected patients and a descriptive statistical analysis was made of the study variables. Results: A total of nine patients were enrolled, six males (66.7%) and three females (33.3%), with a mean age of 36.0 years (range 22-54). In five patients (55.5%) the displaced teeth remained asymptomatic; however, dental fragments were retrieved from the maxillary sinus using Caldwell-Luc technique or endoscopic approach. Conclusions: Dental displacement into the maxillary sinus during the extraction manoeuvres is an uncommon finding. Even in asymptomatic cases, these displaced teeth should be extracted in order to avoid the development of sinus pathology

El dolor miofascial asociado a puntos gatillo: revisión de la literatura (I): epidemiología, clínica y etiopatogenia

Durante las últimas décadas, ha sido constante el avance del conocimiento del dolor miofascial por parte de la comunidad médica y odontológica pero, aunque son numerosos los aspectos aclarados en cuanto a su epidemiología, características clínicas y etiopatogenia aún hay muchas incógnitas por resolver. Esto dificulta la realización de pruebas complementarias que ayudarían en la detección de los puntos gatillo, característicos de este cuadro, lo que supone que a la hora de diagnosticar este cuadro clínico haya discrepancias entre los diferentes profesionales. La teoría integrada ha proporcionado un mejor entendimiento de la fisiopatología de los puntos gatillo, lo que podría permitir, en un futuro próximo, el desarrollo de nuevas modalidades diagnósticas y sobre todo terapéuticas, así como la instauración de protocolos y políticas de prevención por parte de la comunidad sanitaria. No obstante, es necesaria la elaboración de estudios randomizados que permitan una mejor comprensión y detección de los distintos factores involucrados en el origen de los puntos gatillo

Myofascial pain associated to trigger points: A literature review. Part 2: Differential diagnosis and treatment

During the last decades the advance in knowledge of myofascial pain has been constant in the medical and dental community. However, although several aspects have been clarified in relation to its epidemiology, clinical characteristics and etiopathogenesis, many uncertainties remain. Many clinical conditions are included in the differential diagnosis of myofascial pain associated to trigger points. A good anamnesis and clinical exploration is thus required in order to ensure correct diagnosis and treatment. Among the numerous treatments used in application to trigger points, the spray-and-stretch technique and direct injection targeted to such trigger points have been found to be the most effective options. In chronic cases, psychosocial intervention is required, due to the high incidence of mood disorders and/or anxiety observed in these patients, who in turn present a poorer prognosis. This underscores the importance of early diagnosis and treatment