Comparison of Pre- and Posttreatment Airway Volume in Patients with Temporomandibular Joint Disorders Treated with Ultra-Low Frequency Transcutaneous Electrical Nerve Stimulation Using Cone Beam Computed Tomography

Abstract Introduction Temporomandibular joint disorders (TMD) present with a multitude of symptoms that can range from headaches to shoulder pain. Patients frequently present with pain in the ear, dizziness, and vertigo. It is noted that some patients who report TMDs also have a history of sleep disturbances, which is noted in cone beam computed tomography (CBCT) as a reduction in the oropharyngeal airway volume. Objective To evaluate the airway volume in pre- and posttreatment of TMD with the use of neuromuscular orthotics made with ultra-low frequency transcutaneous electrical nerve stimulation (ULF-TENS). Methods A total of 15 patients were evaluated for TMDs using the related criteria. Those included were treated with ULF-TENS with evaluation of the airway volume both pre- and posttreatment using CBCT and the Dolphin 3D volume analysis software. Results While the symptoms were shown to be significantly reduced in patients who were treated with this particular modality, the airway volume varied in those who reported a reduction after a period of 3 months and those that reported after a period of 6 months. Conclusion Posttreatment evaluation of the airway should be done after a period of 6 months for a more objective evaluation. A multidisciplinary evaluation of the patient is required in such cases.

Allergic Contact Stomatitis (STOMATITIS Venenata): A Case Report Of Oral Hypersensitivity Reaction To Toothpaste

Allergic contact stomatitis (stomatitis venenata) might resemble oral lichen planus or oral lichenoid lesion clinically which can be acute or chronic in nature. Many offending agents have been attributed to their development and the most common being dental restorative materials, lipstick or flavouring agents in toothpaste or chewing gums. Allergic reactions can be in mild form to life-threatening anaphylaxis. The identification of the exact cause for allergy is difficult. Here, we report the case of a 37-year-old patient who presented with allergic contact stomatitis to a conventional daily routine product. Importance of history taking and awareness by the clinician about the contents of any new products being prescribed to the patient are emphasized by this case report.