Editor, Editors, USER, admin, Bureaucrats, Check users, dev, editor, founder, Interface administrators, oversight, Suppressors, Administrators, translator
10,784
edits
Difference between revisions of "Research Diagnostic Criteria (RDC)"
→Conclusions
| Line 220: | Line 220: | ||
In the next chapters, therefore, the basic elements of the 'RDC' will be discussed individually in order to be able to better evaluate the limits and advantages of this diagnostic model but before starting we present two emblematic clinical cases for the continuation of the chapters on the 'RDC' which induce a deep reflection on the subject.<center> | In the next chapters, therefore, the basic elements of the 'RDC' will be discussed individually in order to be able to better evaluate the limits and advantages of this diagnostic model but before starting we present two emblematic clinical cases for the continuation of the chapters on the 'RDC' which induce a deep reflection on the subject.<center> | ||
<gallery widths="350" heights="282" perrow="2" mode="slideshow"> | <gallery widths="350" heights="282" perrow="2" mode="slideshow"> | ||
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 | 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 makeover more mobile 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]]' | 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]]' | ||