The Temporomandibular Joint and the Human Body: A New Perspective on Cross Talk

被引:5
作者
Abbass, Marwa M. S. [1 ,2 ]
Rady, Dina [1 ,2 ]
El Moshy, Sara [1 ,2 ]
Radwan, Israa Ahmed [1 ,2 ]
Wadan, Al-Hassan Soliman [3 ]
Doerfer, Christof E. [4 ]
El-Sayed, Karim M. Fawzy [2 ,4 ,5 ]
机构
[1] Cairo Univ, Fac Dent, Oral Biol Dept, Cairo 11435, Egypt
[2] Cairo Univ, Fac Dent, Stem Cells & Tissue Engn Res Grp, Cairo 11435, Egypt
[3] Galala Univ, Fac Dent, Oral Biol Dept, Attaka 15888, Egypt
[4] Univ Kiel, Sch Dent Med, Clin Conservat Dent & Periodontol, D-43517 Kiel, Germany
[5] Cairo Univ, Fac Dent, Oral Med & Periodontol Dept, Cairo 24105, Egypt
关键词
temporomandibular joint disorders; TMD-related systemic diseases; therapeutic approaches; biomarkers; microvesicles; platelet-rich plasma; TUMOR-NECROSIS-FACTOR; ENDOTHELIAL GROWTH-FACTOR; JUVENILE IDIOPATHIC ARTHRITIS; MESENCHYMAL STEM-CELLS; PLATELET-RICH PLASMA; CONNECTIVE-TISSUE DISEASE; NORMAL SYNOVIAL-MEMBRANE; TENSION-TYPE HEADACHE; INTERNAL DERANGEMENT; HYALURONIC-ACID;
D O I
10.3390/dj12110357
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background: As a unique joint that facilitates the articulation of the upper and lower jaws, the temporomandibular joint (TMJ) is concerned with several critical functions, such as speech and mastication. Pain that can become incapacitating is a result of temporomandibular disorders (TMDs), which are complex disorders affecting the masticatory muscles and the TMJ. Several anomalies and TMDs have an interdisciplinary relationship. Complementary and concurrent disorders may be caused by occlusal anomalies, psychological disorders, and changes in spine posture. Methods: This article examines the clinical characteristics of TMDs, their classification, their etiological factors, and the impact of TMJ disorders on the human body with reference to their anatomies and histological structures. Results: The clinical picture of some TMJ pathologies may be unknown, so certain biomarkers, such as cytokines, may be useful for an accurate diagnosis as they are frequently seen in TMJ disorders. Furthermore, novel therapeutic approaches that target pro-inflammatory cytokines and treat TMDs by using tissue engineering and regenerative medicine while permitting TMJ cartilage and bone regeneration may offer numerous benefits that require clinical translation. Conclusions: Implementation of recent modalities such as microvesicles and platelet-rich plasma in growth factors may provide a promising approach to enhance bone formation. In addition, we target different biological markers that give insights into the introduction of new pharmaceutical agents for therapy.
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页数:35
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