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The performance of endotracheal intubation for general anesthesia has long been considered a risk factor for the development or exacerbation of temporomandibular joint dysfunction (TMD) including facial pain. A recent update of guidelines for the management of the difficult airway by the American Society of Anesthesiologists specifically recommends measures to evaluate temporomandibular joint (TMJ) function preoperatively. 1 , 2 However, the literature in this area is limited, with only a small number of published case reports, 3–9 and

Ehlers-Danlos syndrome (EDS) is a heritable connective tissue disorder classified into 6 types: classic, hypermobility, vascular, kyphoscoliosis, arthrochalasis, and dermatosparaxis. 1 This case is classified into EDS hypermobility type (EDS-HT), and the chief manifestation was joint hypermobility and dislocation. In the branch of dentistry, temporomandibular joint (TMJ) disorder may be one of the complaints. 2 We report the case of a patient with EDS-HT who underwent removal of synovial chondromatosis in the TMJ under general anesthesia

Multiple sclerosis (MS) is a demyelinating disease of the central nervous system characterized by varying initial symptoms such as visual impairment, bowel/bladder dysfunction, trigeminal neuralgia, cognitive problems, gait disorder, and motor paralysis. We report a case of a patient with MS who underwent temporomandibular joint (TMJ) mobilization under general anesthesia. CASE REPORT A 54-year-old woman (height, 155 cm; weight, 45 kg) with MS was scheduled for TMJ mobilization under general anesthesia. The

consequent temporomandibular joint (TMJ) or orofacial pain syndromes, excessive tooth wear, or tooth fracture. 7 8 Rhythmic nocturnal masticatory muscle activity in bursts of 3–5 at 1 Hz, with occlusal force generated between 3 and 80 N (N ≈ 100 g), is commonly seen. The relationship between the rhythmic and the tonic forms of bruxism is unclear, but both forms cause pain. 2 Sleep bruxism is thought to occur during microarousals or arousal transients. 1 6 9 Pain, TMJ structural damage, tooth damage, and nonrestorative sleep are serious consequences of bruxism for

of the temporomandibular joint (TMJ). She could neither close nor open her mouth normally without pain. Her present condition had started approximately 7 to 9 hours earlier, after she yawned. She reported a history of dislocations over the past 25 years, with the most recent event occurring 90 days earlier. At that time, she was able to reduce the luxation herself, but she presented to the Emergency Department because of associated pain. This time, however, she was able to reduce only the left mandibular condyle on her own; the right mandibular condyle, because of

neuropathic pain, myofascial pain/temporomandibular joint (TMJ) syndrome, and glossodynia. 10 , 11 Correct diagnosis can be difficult due to the complex anatomy and neurophysiology of the orofacial complex, as well as numerous biopsychosocial factors. 12 , 13 Although previous research into the psychological state of patients with chronic orofacial pain focused on particular diseases or compared chronic pain patients with healthy individuals, 14 – 16 few studies in the dental field have compared the characteristics of patients with acute or chronic pain. Treatment

. 13.  Gomez TM, Van Gilder JW. Reflex bradycardia during TMJ arthroscopy: case report . J Oral Maxillofac Surg . 1991 ; 49 : 543 – 544 . 14.  Lübbers HT, Zweifel D, Grätz

conunon treatment for this condition, however it also has some complications and the rate of success is generally not so high. It has been reported that anticonvulsants and antidepressants are effective to the treatment of neuropathic pain after nerve injury. To evaluate the effects of anticonvulsants and antidepressants on trigeminal nerve injury, a total of 85 trigeminal nerve injury patients who visited TMJ & Orofacial pain clinic from March 2004 to March 2005, were enrolled in this study. Prospectively pain characteristics, pain and discomfort level (VAS