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Difference between revisions of "Research Diagnostic Criteria (RDC)"
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File:Miastenia paraneoplastica.jpg|'''Figure 1:''' Patient considered TMD despite the mouth opening being greater than 40mm but presenting difficulty in chewing such as to lead the dental colleagues to refer to total prostheses with increased vertical dimensions. After 2 months from the initial symptoms, the situation worsened with the appearance of a difficulty in swallowing. Some neurological clinical tests resulted positive: Mingazzini, index-nose, nystagmus, alteration of the swallowing reflex. These anamnestic data directed the diagnosis towards an organic neurological pathology. Subsequent laboratory tests (blood chemistry, Rx, trigeminal electrophysiological and repetitive stimulation) made it possible to formulate the diagnosis of[https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=43393 Sindrome Miastenica di Eaton-Lambert (SMEL)]. | File:Miastenia paraneoplastica.jpg|'''Figure 1:''' Patient considered TMD despite the mouth opening being greater than 40mm but presenting difficulty in chewing such as to lead the dental colleagues to refer to total prostheses with increased vertical dimensions. After 2 months from the initial symptoms, the situation worsened with the appearance of a difficulty in swallowing. Some neurological clinical tests resulted positive: Mingazzini, index-nose, nystagmus, alteration of the swallowing reflex. These anamnestic data directed the diagnosis towards an organic neurological pathology. Subsequent laboratory tests (blood chemistry, Rx, trigeminal electrophysiological and repetitive stimulation) made it possible to formulate the diagnosis of[https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=43393 Sindrome Miastenica di Eaton-Lambert (SMEL)]. | ||
File:Post-polio.jpg|'''Figure 2:''' The patient was previously diagnosed with TMD and Occlusal-Postural disorder in reference to orofacial pain and vertigo phenomena despite the mandibular opening being greater than 40 mm. The anamnesis reported only an interesting correlation between the pain side and poliomyelitis contracted in childhood. On needle electromyographic examination of the temporal muscle, the recorded potentials showed a neuropathic picture with spontaneous activity, motor units of abnormal amplitude (> 2 mV) attributable to neuropathic suffering and reinnervation phenomena. The previous illness and the EMG examination led to a diagnosis of '[https://pubmed.ncbi.nlm.nih.gov/7783759/ Post-polio syndrome]'. | File:Post-polio.jpg|'''Figure 2:''' The patient was previously diagnosed with TMD and Occlusal-Postural disorder in reference to orofacial pain and vertigo phenomena despite the mandibular opening being greater than 40 mm. The anamnesis reported only an interesting correlation between the pain side and poliomyelitis contracted in childhood. On needle electromyographic examination of the temporal muscle, the recorded potentials showed a neuropathic picture with spontaneous activity, motor units of abnormal amplitude (> 2 mV) attributable to neuropathic suffering and reinnervation phenomena. The previous illness and the EMG examination led to a diagnosis of '[https://pubmed.ncbi.nlm.nih.gov/7783759/ Post-polio syndrome]'. | ||
File:Recovery cycle.jpeg|'''Figure 3:''' Bruxist patient classified in the RDC protocol in group I,2 Rifascial pain with limitation of mouth opening. Definitive diagnosis '[[Encrypted code: Hyperexcitability of the trigeminal system|Cavernosa Pineal]]' | |||
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The images shown are only a part of the clinical cases that will be presented during the drafting of masticationpedia so the reader should know that Masticationpadia is a dynamic encyclopaedia and, therefore, over time the chapters of other information useful for understanding the rationale of the project which is first of all to observe the epochal clinical reality in masticatory rehabilitation, to observe the anomalies and possibly the crisis of the paradigm to then propose a new paradigm denominated following the Khunian settings 'Extraordinary Science' in which the International Scientific Community can focus its attention and constructive criticism. | |||
{{q2|In the next chapters we will try to understand the real validity of imaging for temporomandibular joint disorders}} | |||