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[Key points for good clinical practice in the field of temporomandibular disorders]. [颞下颌疾病领域良好临床实践要点]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-06-10 DOI: 10.5177/ntvt.2025.06.24131
F Lobbezoo, C M Visscher, M Koutris, M C Verhoeff, A Al Jagshi, L Baad-Hansen, E Beecroft, T Bijelic, A Bracci, L Brinkmann, R Bucci, A Colonna, M Ernberg, N Giannakopoulos, S Gillborg, C S Greene, G Heir, A Kutschke, A Lövgren, A Michelotti, D R Nixdorf, L Nykänen, M Pigg, M Pollis, C C Restrepo, R Rongo, M Rossit, O I Saracutu, O Schierz, N Stanisic, M Val, U Voog-Oras, L Wrangstål, S D Bender, B Häggman-Henrikson, J Durham, D Manfredini
{"title":"[Key points for good clinical practice in the field of temporomandibular disorders].","authors":"F Lobbezoo, C M Visscher, M Koutris, M C Verhoeff, A Al Jagshi, L Baad-Hansen, E Beecroft, T Bijelic, A Bracci, L Brinkmann, R Bucci, A Colonna, M Ernberg, N Giannakopoulos, S Gillborg, C S Greene, G Heir, A Kutschke, A Lövgren, A Michelotti, D R Nixdorf, L Nykänen, M Pigg, M Pollis, C C Restrepo, R Rongo, M Rossit, O I Saracutu, O Schierz, N Stanisic, M Val, U Voog-Oras, L Wrangstål, S D Bender, B Häggman-Henrikson, J Durham, D Manfredini","doi":"10.5177/ntvt.2025.06.24131","DOIUrl":"10.5177/ntvt.2025.06.24131","url":null,"abstract":"<p><p>'Temporomandibular disorders' is an umbrella term for disorders of the temporomandibular joints, the masticatory muscles, and the adjacent anatomical structures. On behalf of the International Network for Orofacial Pain and Related Disorders Methodology, this article gives an overview of key points for good clinical practice in the field of temporomandibular disorders. During an annual conference in March 2024, members of the aforementioned network drew up a list of 10 core principles. These core principles include knowledge about the causes, diagnosis and treatment of temporomandibular disorders. They summarize the current standard of care for the treatment of such conditions and are in keeping with the need to help increase the expertise of dentists working in general practice and to prevent incorrect treatment. The core principles can be regarded as a starting point for other national and international organisations to use to develop guidelines and recommendations for the treatment of temporomandibular disorders.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 6","pages":"318-321"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The link between canine guidance and masticatory muscle activity: fact or fiction? 1]. 狗的引导和咀嚼肌活动之间的联系：事实还是虚构？1]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-06-10 DOI: 10.5177/ntvt.2025.06.24099
M M W Mir, M C F M de Kuijper
{"title":"[The link between canine guidance and masticatory muscle activity: fact or fiction? 1].","authors":"M M W Mir, M C F M de Kuijper","doi":"10.5177/ntvt.2025.06.24099","DOIUrl":"https://doi.org/10.5177/ntvt.2025.06.24099","url":null,"abstract":"<p><p>The relationship between occlusal and articulation concepts and masticatory muscle activity, especially during lateral articulation, has been discussed for decades. A distinction is made between canine guidance and group function. One theory suggests that mechanoreceptors in the periodontal ligament can trigger a muscle shutdown reflex when only the canine receives the lateral force. However, more recent theories suggest that muscle activity is centrally regulated and is not influenced by occlusion or articulation. An extensive literature review showed only limited reduction of masticatory muscle activity when canine guidance was applied, which also recovered to the previous level over time. In this part of the two-part article, the literature review is discussed.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 6","pages":"310-316"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Salivary glands: what was innervation again?] 唾液腺：什么是神经支配？］
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-06-10 DOI: 10.5177/ntvt.2025.06.24118
K Jacobs, J A M Korfage, F J Bikker, G E J Langenbach
{"title":"[Salivary glands: what was innervation again?]","authors":"K Jacobs, J A M Korfage, F J Bikker, G E J Langenbach","doi":"10.5177/ntvt.2025.06.24118","DOIUrl":"https://doi.org/10.5177/ntvt.2025.06.24118","url":null,"abstract":"<p><p>Saliva has many functions, including moistening, aiding digestion and protecting the mouth. Three pairs of major salivary glands-the parotid, submandibular and sublingual glands-produce saliva which is secreted into the mouth through excretory ducts. Additionally, numerous minor salivary glands are scattered throughout the mouth and throat. The salivary glands are autonomously innervated: the facial and glossopharyngeal nerves provide parasympathetic stimulation, while sympathetic fibres originate in the superior cervical ganglion. Saliva production is primarily regulated parasympathetically and can be increased by stimuli, chewing for example. Dry mouth (xerostomia) may be a result of medications inhibiting parasympathetic activity. Stimulation and medications such as saliva substitutes or mouth sprays can help alleviate symptoms. Accurate diagnosis and collaboration among healthcare professionals are essential for effective treatment.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 6","pages":"322-325"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A PhD completed. Is the customer King? Ethical and psychological considerations regarding tooth removal]. 博士学位完成。顾客是国王吗？关于拔牙的伦理和心理考虑]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-06-10 DOI: 10.5177/ntvt.2025.06.24130
D L M Broers, A de Jongh, J de Lange, L Dubois
{"title":"[A PhD completed. Is the customer King? Ethical and psychological considerations regarding tooth removal].","authors":"D L M Broers, A de Jongh, J de Lange, L Dubois","doi":"10.5177/ntvt.2025.06.24130","DOIUrl":"https://doi.org/10.5177/ntvt.2025.06.24130","url":null,"abstract":"<p><p>Typically, tooth extractions are carried out on the basis of clinical necessity. In some cases, however, non-dental reasons, such as aesthetic ones, financial problems or psychological factors, play a role. This raises complex ethical and legal questions. For this PhD study, the experiences and perspectives of both patients and practitioners were examined, in addition to the reasons for and frequency of such requests for extraction. It also sheds light on ethical guidelines, systematically analyses reasons for extractions, and compares the approaches of dentists to those of oral and maxillofacial surgeons in the Netherlands. Furthermore, the role of psychological factors in orthognathic surgery and their influence on patient satisfaction were examined. The results showed that extraction requests without dental necessity are rare, but require a clear ethical and professional approach. The research presented in this thesis also provides a valuable basis for the careful consideration of such irreversible treatments.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 6","pages":"302-305"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Behavioural management techniques in oral care of girl with autism spectrum disorder and mild intellectual disability]. [行为管理技术在自闭症谱系障碍和轻度智力障碍女孩口腔护理中的应用]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-06-10 DOI: 10.5177/ntvt.2025.06.24079
E P W Penningnieuwland, F L Duvekot, C C Bonifácio
{"title":"[Behavioural management techniques in oral care of girl with autism spectrum disorder and mild intellectual disability].","authors":"E P W Penningnieuwland, F L Duvekot, C C Bonifácio","doi":"10.5177/ntvt.2025.06.24079","DOIUrl":"10.5177/ntvt.2025.06.24079","url":null,"abstract":"<p><p>In a young patient with a mild intellectual disability and an autism spectrum disorder, adequate cooperation in a dental setting initially seemed unattainable. However, with the investment of time and energy by the dentist, parents, and patient to build a relationship of trust as well as an individual treatment plan, much progress was achieved. The application of behavioural management techniques, such as the 5W1H-principle, the 'tell-show-feel-do'-method and successive approximations provide perspective for non-sedation treatment of this patient population in the general dental practice.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 6","pages":"294-300"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[When words fail]. [说不出话来]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24106
H Algra
{"title":"[When words fail].","authors":"H Algra","doi":"10.5177/ntvt.2025.05.24106","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.24106","url":null,"abstract":"<p><p>Patients with a cognitive impairment and/or autism often process information differently from or more slowly than other patients. They may interpret certain words very literally. This requires special attention from the dental care provider for the way in which signals are perceived and information can be shared. The use of language is a pitfall: patients use concepts they do not understand themselves. In addition, it takes them more time to understand intentions. The capabilities of patients are often overestimated. Acknowledging a patient s impairment sometimes literally requires translation during treatment, in which the use of language must be supported by visual aids, such as pictures.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"226-230"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Practical guidelines for promoting oral health in people with a disability]. [促进残疾人口腔健康的实用指南]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24128
S M Kalf-Scholte, G A van der Weijden, C Valkenburg, D E Slot
{"title":"[Practical guidelines for promoting oral health in people with a disability].","authors":"S M Kalf-Scholte, G A van der Weijden, C Valkenburg, D E Slot","doi":"10.5177/ntvt.2025.05.24128","DOIUrl":"10.5177/ntvt.2025.05.24128","url":null,"abstract":"<p><p>People with a cognitive impairment or a developmental disorder often have poorer oral health than the general population due to factors such as inadequate oral hygiene, untreated caries and periodontal issues. Primary oral healthcare providers play an important role in improving the oral health of people with a disability. They can provide continuity of care, ranging from prevention and monitoring to restorative treatment and, if necessary, referral to specialized care. However, people with a disability often face barriers accessing primary care, partly due to a lack of knowledge and skills among oral healthcare providers. On the basis of 6 studies, various aspects of oral healthcare for people with a disability were analysed. The findings of these analyses can help primary oral healthcare providers expand their knowledge; they also offer practical guidelines for better oral healthcare for people with a disability. This article is an adaptation of the dissertation of the same name.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"240-246"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Bruxism and neurodegenerative diseases, is there a connection?] 磨牙症和神经退行性疾病有联系吗？］
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.25009
T Kurpez, M C Verhoeff, M Thymi, R de Vries, F Lobbezoo
{"title":"[Bruxism and neurodegenerative diseases, is there a connection?]","authors":"T Kurpez, M C Verhoeff, M Thymi, R de Vries, F Lobbezoo","doi":"10.5177/ntvt.2025.05.25009","DOIUrl":"10.5177/ntvt.2025.05.25009","url":null,"abstract":"<p><p>Bruxism, characterized by grinding teeth and clenching jaws, may be associated with various neurodegenerative diseases. This study aimed to systematically investigate the prevalence of bruxism in patients with neurodegenerative diseases. A systematic review of the literature was carried out across 4 databases. Original studies reporting the prevalence and related factors of bruxism in patients with neurodegenerative diseases were included. The literature search yielded 3,722 references, 43 of which fully met the inclusion criteria. Parkinson’s disease showed the highest prevalence rates, followed by multiple sclerosis, Alzheimer’s disease, chorea-acanthocytosis and frontotemporal dementia. This systematic review indicates a potential association between bruxism and neurodegenerative diseases. However, the available literature on the presence and characteristics of bruxism in this patient group is limited. Further research is needed to improve support for dental care providers in order to effectively assist this vulnerable group of patients in preventing and mitigating the adverse effects of bruxism.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"274-279"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Special dentistry according to the rules: how?] 【特殊牙科按规则：怎么做？】］
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24112
W Ph L van Ouwerkerk, G van der Heijden
{"title":"[Special dentistry according to the rules: how?]","authors":"W Ph L van Ouwerkerk, G van der Heijden","doi":"10.5177/ntvt.2025.05.24112","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.24112","url":null,"abstract":"<p><p>Since 2006, the special dentistry scheme applies to everyone. Before that, privately insured persons were dependent on a limited list of deviations and were obliged to have the necessary care provided in a Centre for Special Dentistry (CBT). For health insurance policyholders, the general dentist had primacy for all special dentistry. However, many general dentists were unable (in terms of time, knowledge and experience) to apply the special care in practice. As a result, CBTs were soon established where dentists with a special affinity could provide the care. Nowadays, mainly specialized dentists work at the various larger CBTs. What is the current situation regarding the entitlement to and claiming special dentistry?</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"232-238"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Orthodontics in Down Syndrome]. [唐氏综合症的正畸治疗]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2025-05-06 DOI: 10.5177/ntvt.2025.05.24096
P L Carvajal Monroy, M M Visser, T G M Zuidgeest
{"title":"[Orthodontics in Down Syndrome].","authors":"P L Carvajal Monroy, M M Visser, T G M Zuidgeest","doi":"10.5177/ntvt.2025.05.24096","DOIUrl":"https://doi.org/10.5177/ntvt.2025.05.24096","url":null,"abstract":"<p><p>People with Down syndrome present unique dental and orthodontic challenges due to abnormalities in growth, craniofacial development, and oral motor function. This article summarizes the specific characteristics of Down syndrome and how they can impact orthodontic care. Children with Down syndrome exhibit growth delays starting from pregnancy and experience delayed, limited craniofacial development, often resulting in Class III malocclusions and a narrow maxilla. Additionally, dental anomalies such as microdontia, agenesis, and taurodontism are more common in this population. Orthodontic treatment is further complicated by comorbidities such as hypotonic muscles, obstructive sleep apnea, gastrointestinal and hematologic disorders, and behavioral challenges. The use of desensitization techniques and a multidisciplinary approach is essential for providing effective care. Early diagnosis, careful monitoring, and the use of appropriate orthodontic appliances are crucial for achieving optimal outcomes. Timely referral to specialized care providers can significantly improve both orthodontic outcomes and the quality of life for individuals with Down syndrome.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"132 5","pages":"254-260"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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