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Klobas, Luciano
Publications (4 of 4) Show all publications
Klobas, L. (2013). Stabilization appliance therapy has an equally extensive alleviating effect on jaw pain and frontal headache in patients with myogenous temporomandibular disorders (TMD), with or without chronic whiplash-associated disorders (WAD) grades 2 and 3.
Open this publication in new window or tab >>Stabilization appliance therapy has an equally extensive alleviating effect on jaw pain and frontal headache in patients with myogenous temporomandibular disorders (TMD), with or without chronic whiplash-associated disorders (WAD) grades 2 and 3
2013 (English)Article in journal (Other academic) Submitted
National Category
Medical and Health Sciences
Research subject
Oral and Maxillofacial Surgery
Identifiers
urn:nbn:se:uu:diva-198419 (URN)
Available from: 2013-04-15 Created: 2013-04-15 Last updated: 2013-08-30Bibliographically approved
Klobas, L. (2013). The Manifestations and the Treatment of Temporomandibular Disorders in Patients with Chronic Whiplash-associated Disorders Grades 2 and 3. (Doctoral dissertation). Uppsala: Acta Universitatis Upsaliensis
Open this publication in new window or tab >>The Manifestations and the Treatment of Temporomandibular Disorders in Patients with Chronic Whiplash-associated Disorders Grades 2 and 3
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The main aim of this project was to encircle the subtype of temporomandibular disorders (TMD) present in patients with chronic whiplash-associated disorders (WAD) and study the debut of TMD symptoms, the provoking factors and the outcome of conservative TMD treatments. The results could add to the aetiological discussion about TMD mainly as being part of chronic WAD pain or not.

The subjects were referred patients with chronic WAD at a specialized rehabilitation centre where they were diagnosed using a standardized classification of WAD diagnosing that resulted in approximately 20% WAD grade 2 and 80% WAD grade 3. In Studies I and II, a total 136 individuals with chronic WAD were found to have a significantly higher prevalence of pain associated with TMD compared to a control group of 66 general dental patients. The symptoms debuted approximately six months after the whiplash injury and were most often provoked by stress. In Study III, the effect of a therapeutic jaw exercise (TJE) program on TMD was studied over six months in patients with chronic WAD and TMD, randomized to TJE (25 subjects) or not (30 subjects). TJE had no effect on TMD. In Study IV, patients with chronic WAD and TMD were found to have a mainly myogenous origin of TMD pain. Five months of stabilisation appliance therapy (SAT) equally resulted in an almost complete perceived reduction of jaw pain and frontal headache in patients with chronic WAD and TMD (n=14) and TMD patients without WAD (n=10). In the long-term, TMD was significantly lower in patients with chronic WAD who were treated compared to patients with chronic WAD and TMD who were not treated (n=9).

TMD in patients with chronic WAD grades 2 or 3 may be the same kind of musculoskeletal disorder as in TMD patients without WAD, and not primarily part of the WAD pain. A functional TMD examination as well as assessment of perceived stress can be recommended as part of the standardized screening procedure for patients with chronic WAD grades 2 and 3. Patients with symptoms and signs of TMD could be recommended SAT. Patients with symptoms of frontal headache alone should also be considered as candidates for SAT.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2013. p. 54
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 900
Keywords
Temporomandibular, TMD, Muscle, Whiplash, Whiplash-associated disorders, WAD, Chronic, Prevalence, Treatment
National Category
Medical and Health Sciences
Research subject
Oral and Maxillofacial Surgery
Identifiers
urn:nbn:se:uu:diva-198420 (URN)978-91-554-8660-0 (ISBN)
Public defence
2013-05-30, Grönwallsalen, Akademiska sjukhuset, Ingång 50, 751 85 Uppsala, Uppsala, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2013-05-08 Created: 2013-04-15 Last updated: 2013-08-30
Klobas, L. (2013). The precipitation of symptoms of temporomandibular disorders (TMD) in patients with chronic whiplash-associated disorders (WAD).
Open this publication in new window or tab >>The precipitation of symptoms of temporomandibular disorders (TMD) in patients with chronic whiplash-associated disorders (WAD)
2013 (English)Article in journal (Other academic) Submitted
National Category
Medical and Health Sciences
Research subject
Oral and Maxillofacial Surgery
Identifiers
urn:nbn:se:uu:diva-198418 (URN)
Available from: 2013-04-15 Created: 2013-04-15 Last updated: 2013-08-30Bibliographically approved
Klobas, L., Gambardella, U. & Hansson, T. L. (2006). A 5-year follow-up of temporomandibular disorder treatment emphasizing condylar asymmetry. Cranio, 24(4), 265-273
Open this publication in new window or tab >>A 5-year follow-up of temporomandibular disorder treatment emphasizing condylar asymmetry
2006 (English)In: Cranio, ISSN 0886-9634, E-ISSN 2151-0903, Vol. 24, no 4, p. 265-273Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to investigate the long-term effect of temporomandibular disorder (TMD) treatment giving priority to oral stability, i.e. creating stability for the mandible in the individual retruded position of the mandible (RPM), focusing condylar asymmetry. Twenty-nine (29) patients treated for TMD participated in the study. A standardized TMD examination was executed originally and an identical examination was performed at the follow-up in a private TMD practice. In general, the patients showed a significant increase of their maximum active mouth opening capacity (p < 0.01) and a significant decrease of dynamic and static pain at the performed tests (p < 0.001). Patients initially suffering facial pain showed a significant reduction of their pain with treatment (p < 0.01). The patients with condylar asymmetry > 10%, and who underwent treatment aiming at permanent oral stability, showed the greatest improvement.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-18123 (URN)000241117000008 ()17086856 (PubMedID)
Available from: 2006-11-20 Created: 2006-11-20 Last updated: 2017-12-08Bibliographically approved
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