Background: The medial pterygoid muscle (MPM) is frequently implicated in pain and dysfunction in patients with temporomandibular disorders (TMDs), owing to its functional complexity, susceptibility to overload, and rich neuromuscular control. Paradoxically, in patients rehabilitated with tubero-pterygoid implants, whose apices often penetrate or traverse the MPM attachment, no pain, trismus, or TMD-related symptoms are typically observed. Objective: The aim of this study was to evaluate the impact of implant penetration into the medial pterygoid muscle using CBCT and clinical examination after surgery and during follow-up visits. Methods: A retrospective observational study was conducted on 56 patients receiving a total of 116 tubero-pterygoid implants protruding beyond the pterygoid process of the sphenoid bone. Patients were divided into two groups according to implant penetration depth (<2 mm and >2 mm), with a minimum follow-up period of 12 months. Clinical outcomes related to pain, muscle disorders, and TMD symptoms were assessed. Results: Throughout the observation period, all patients remained free of pain, muscular disorders, and signs or symptoms of TMD, regardless of the degree of muscular penetration. Statistical analysis revealed no association between penetration depth and adverse clinical outcomes. Conclusions: The combined clinical and statistical evidence indicates that transmuscular penetration of the MPM by tubero-pterygoid implants is safe and well tolerated. These findings challenge traditional assumptions regarding MPM sensitivity and provide important guidance for surgical planning and maxillary rehabilitation strategies.

IntroductionExisting literature lacks studies evaluating the role of health behaviors and Type D personality in relation to musculoskeletal disorder symptoms. This study is the first to analyze these factors, specifically targeting a group at heightened risk of motor system disorders in their future professional roles—physiotherapy students.AimTo assess health behaviors, prevalence of Type D personality, perceived stress levels, and depression in the context of musculoskeletal disorder symptoms among physiotherapy students.Materials and methodsThe study included 100 students (2nd- and 4th-year) and utilized a custom survey alongside standardized diagnostic tools: the Health Behavior Inventory, DS14, PSS10, and the Beck Depression Inventory.ResultsMen reported higher mean scores of unhealthy behaviors than women (Cohen’s d 0.72, moderate effect size; p = 0.006). A stronger Type D personality was associated with a decrease in healthy behaviors, while increased social inhibition correlated with a reduction in unhealthy behaviors. No statistically significant relationships were found between unhealthy behaviors and the presence of musculoskeletal disorder symptoms. Statistically significant positive relationships were found only between negative emotionality and the number of pain complaints (r = 0.20; p = 0.042; 95% CI [0.01, 0.39]) and the general level of musculoskeletal pain (r = 0.20; p = 0.048; 95% CI [<0.01, 0.38]). Perceived stress and depressive symptoms contributed to a reduction in healthy behaviors (0.30 < r < 0.50). Additionally, higher levels of Type D personality, particularly in negative emotionality and social inhibition dimensions, were associated with increased stress and greater severity of depressive symptoms (r > 0.50).ConclusionOur findings show that gender is associated with health behaviors among students, with male physiotherapy students exhibiting more unhealthy behaviors than female students. Type D personality is associated with health behaviors and may be important for the frequency and severity of musculoskeletal pain symptoms.

Background/Objectives: Advanced implant anchorage techniques are increasingly used to manage severe maxillary bone deficiency and to avoid extensive bone augmentation procedures. This case series report aimed to describe the canine bypass anchorage technique and to evaluate the short- to medium-term clinical outcomes and survival of implants placed using this approach. Materials and Methods: Thirteen patients presenting with missing maxillary premolars or posterior segments and insufficient alveolar bone height for conventional axial implant placement were treated using the canine bypass technique. A total of 19 long one-piece implants were inserted palatally to the canine root, engaging distant cortical bone of the nasal cavity and/or palatal alveolar process. Pre- and postoperative cone-beam computed tomography (CBCT) examinations were performed to assess implant positioning and anchorage. Patients were followed up to 3.5 years. Results: The mean follow-up period was 26.1 ± 10.8 months. Nasal cortical anchorage was achieved in 84.2% of implants, and palatal cortical anchorage in 73.7%; both anchorage types were obtained simultaneously in 57.9% of cases. The mean distance between the implant and canine root was 1.27 ± 1.4 mm (range: −1.0 to 4.5 mm), including cases of direct implant–tooth contact and periodontal ligament space transgression. All implants remained functional throughout the observation period, yielding a cumulative survival rate of 100%. Canine pulp vitality was preserved in all non-endodontically treated teeth. Conclusions: Within the limitations of this case series report, the canine bypass anchorage technique appears to be a feasible and minimally invasive treatment option for maxillary rehabilitation with implant-supported restoration in selected patients with severe bone deficiency, potentially allowing avoidance of sinus augmentation procedures. Further prospective studies with larger patient cohorts and longer follow-up periods are required to confirm the long-term safety, predictability, and clinical applicability of this approach.

BACKGROUND:The biomimetic regeneration of the pulp-dentin complex is a modern approach involving the application of a bioactive substance. Bioactive substances (e.g., cement or stem cells) have been reported to be able to control the signaling and differentiation of the pulp cells, thus limiting the inflammatory reactions and enabling the repair and regeneration of tissues. One of such materials is MTA Repair HP (MTA HP) - a type of mineral trioxide aggregate (MTA) material characterized by high plasticity, composed of hydrophilic particles of mineral oxides. OBJECTIVES:The aim of the present study was to analyze the reaction of the pulp-dentin complex of human teeth to MTA HP using 2 radiological techniques - cone-beam computed tomography (CBCT) and micro-computed tomography (micro-CT). MATERIAL AND METHODS:In the study, 6 caries-free, intact maxillary and mandibular third molars or premolars from 6 patients aged 30-37 years were analyzed. The teeth were scheduled to be extracted for orthodontic or surgical reasons. RESULTS:No statistically significant differences in the examined parameters of the tertiary dentin were observed in the CBCT and micro-CT images (p < 0.05). CONCLUSIONS:The CBCT technique, similarly to micro-CT, proved to be effective in identifying and assessing the tertiary dentin. Furthermore, CBCT has the advantage of usability in clinical settings. Knowledge on the parameters of reparative dentin identified with radiological techniques is still insufficient, and further research is recommended.

Background/Objectives: Implant placement in cases of severe bone atrophy or compromised alveolar bone requires careful planning, especially in the anterior maxilla. The nasopalatine canal (NPC) and its cortical walls offer potential anchorage sites. This study evaluates the NPC’s anatomical characteristics using cone beam computed tomography (CBCT) to assess its suitability for implant anchorage. Methods: A retrospective analysis of 150 CBCT scans from three dental clinics in Poland was conducted. NPC measurements—including length, width, number of canals, and distances to adjacent anatomical structures—were taken in the sagittal, coronal, and axial planes. Statistical tests included Pearson correlation and Student’s t-test to explore relationships between NPC dimensions and gender. Results: The mean NPC length was 10.27 mm and mean width 3.55 mm. Significant gender differences were observed in the canal length, width, and distances to the labial and palatal plates (p < 0.05). Strong positive correlations were found between the canal width at the palate base and other parameters, such as the midpoint width (r = 0.58) and diameter (r = 0.44). The distance from the palatal opening to the labial plate showed the strongest correlation (r = 0.67), indicating enhanced cortical anchorage potential with increased canal dimensions. Discussion: NPC morphology varied (cylindrical, funnel-like, hourglass), aligning with prior studies. Larger diameters were linked to single-canal configurations. Implant placement strategies—such as direct canal insertion or lateralization—can be effective, especially with polished, single-piece implants that reduce soft tissue ingrowth and improve primary stability. Conclusions: Understanding NPC anatomy is crucial for implant planning in atrophic maxillae. With the proper technique, NPC use for cortical anchorage is a viable treatment option.

Background/Objectives: Primary implant stability depends on cortical bone thickness. While alveolar cortices are well studied, little is known about the nasal floor and lateral wall, which may provide alternative anchorage in atrophic maxillae. Methods: This retrospective, multicenter study analyzed 149 anonymized CBCT scans (83 women, 66 men; mean age 52.6 ± 13.5 years). Cortical thickness was measured at six reproducible anatomical points (A–F) defined by chosen landmarks. Measurements were taken on coronal planes aligned with implant anchorage point of interest (POI) using gray-value thresholding. Intra- and inter-observer reliability was excellent (ICC = 0.89 and 0.84). Post hoc power analysis confirmed >80% power to detect 0.15 mm differences. Non-parametric tests and mixed-effects models assessed variability and risk factors. Results: Thickness varied significantly by site (p < 0.001). The thickest cortices were at point A (median 1.36 mm, IQR 1.10–1.61) and point F (1.35 mm, 1.14–1.57), the thinnest at point B (1.15 mm, 0.96–1.32). Cortical thickness was slightly lower in men (p = 0.048) and decreased with age (−0.005 mm/year, p = 0.010). No significant associations were detected with smoking, diabetes, or thyroid disease. Conclusions: The anterior nasal spine and lateral wall near the sinus junction provide the greatest cortical thickness, supporting their use as potential implant anchorage sites in atrophic maxillae.

Background: Individuals with maxillofacial deformities are concerned not only with their facial appearance but also experience dysfunctions of the stomatognathic system, including mastication, swallowing, speech, and breathing. These impairments may lead to negative psychological responses and a reduced quality of life. Aim: The aim of this study was to assess the quality of life and analyse reported dysfunctions of the stomatognathic system in orthognathic patients prior to surgical intervention. Material and methods: The study group (SG) comprised 63 patients with maxillofacial deformities scheduled for orthognathic surgery. The control group (CG) consisted of 70 patients with malocclusions undergoing orthodontic treatment who did not meet the criteria for surgical intervention. Quality of life was assessed in all participants using the Orthognathic Quality of Life Questionnaire (OQLQ), along with a self-reported questionnaire evaluating the presence of stomatognathic system dysfunctions (SS). Results: Significant differences were observed between the study groups regarding all quality-of-life indicators for orthodontic and orthognathic patients. Patients in the SG more frequently reported difficulties in the specified stomatognathic system functions compared to those in the CG. No statistically significant differences were found between SG patients with Class II and Class III malocclusions in terms of OQLQ scores or the frequency of reported SS dysfunctions. Regarding sex differences, women reported a lower overall quality of life and scored lower in social dimensions related to facial deformity and aesthetics compared to men. No significant correlations were observed between the age of orthognathic patients and quality-of-life assessment. Conclusions 1. Orthognathic patients exhibit a poorer quality of life and a higher prevalence of stomatognathic system dysfunctions compared to patients with malocclusions who do not require surgery. The type of skeletal deformity in surgical patients does not influence quality of life or the frequency of stomatognathic dysfunctions. 2. Unlike age, the patient’s sex is a significant factor in the quality of life before orthognathic surgery.

Spirulina (Arthrospira spp.) is attracting increasing interest due to numerous reports on its valuable composition and health-promoting properties. The growing popularity of this blue-green microalgae has led to more intensive production and greater availability of various commercial spirulina products. Spirulina is a valuable source of complete protein, vitamins, minerals, essential unsaturated fatty acids, and phytochemicals with powerful antioxidant properties. Its valuable composition results in a number of health-promoting effects in the consumer’s body, such as antioxidant, anti-inflammatory, anti-allergic or antiviral activity. In addition to evaluating the benefits of spirulina consumption, it is equally important to identify the toxic substances it contains. There are many interactions between different factors and changes in the quality of spirulina biomass that are not yet fully understood. For this reason, this study was carried out to determine the antioxidant potential, the polyphenol and flavonoid content, and to determine the concentrations of the mycotoxins: deoxynivalenol (DON) and ochratoxin A (OTA) in 33 spirulina supplements, taking into account their place of origin, dosage form and price. The aim of the study was to determine the influence of individual factors on the antioxidant properties and content of selected mycotoxins in spirulina supplements. Commercially available spirulina supplements have been shown to have a high antioxidant potential and significant levels of polyphenolic compounds. On the other hand, they were also found to contain toxic substances in the form of deoxynivalenol and ochratoxin A. These parameters were influenced by factors such as place of origin, dosage form and price of the product. It appears that spirulina supplements from North America, in powder form and at a higher price, are a valuable addition to a balanced diet. However, more research is needed to further explore the relationships shown.

BACKGROUND:Kinesio Taping (KT) is a non-invasive therapy commonly used in physiotherapy (PT). However, the available data on its effectiveness in patients with symptomatic temporomandibular disorders (TMD) remains scarce and contradictory. OBJECTIVES:The aim of the study was to evaluate the analgesic and myorelaxant effects of KT in TMD patients with limited mandibular mobility. MATERIAL AND METHODS:A single-blind randomized controlled trial was conducted among female patients aged 20-45 years with Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) group Ib, using a parallel group design and equal randomization (1:1). All patients underwent surface electromyography (sEMG) of the masseter muscle (MAS), pain intensity was assessed using a Numeric Rating Scale (NRS), and temporomandibular joint mobility was measured before and after 6 and 12 days of treatment. The Perceived Stress Scale (PSS-10) questionnaire was administered on the first and last days of treatment. Statistical analysis was performed using analysis of variance (ANOVA). Mauchly's sphericity test determined changes over time and between groups for variables with a normal distribution. Bonferroni's correction was used for post hoc multiple comparisons. Variables with a non-normal distribution were analyzed using the nparLD package and multiple comparison post hoc test, while correlations were assessed using Spearman's coefficient. RESULTS:Each treatment had a significant effect on the bioelectrical sEMG parameters (p = 0.05). Kinesio Taping had a superior analgesic effect compared to the controls (p < 0.001). The combination of KT with therapeutic exercise (TE) proved to be a more effective therapy for improving the maximal mouth opening (MMO) and reducing perceived stress than monotherapy (p < 0.001). Minimally significant clinical differences were observed for sEMG, MMO and PSS-10 parameters after both therapies. CONCLUSIONS:Kinesio Taping combined with TE may be considered an effective complementary noninvasive treatment modality for TMD, either as a stand-alone or as part of the therapeutic process in patients experiencing pain and limited mandibular ROM. Additionally, the use of KT and TE was found to have a beneficial effect on perceived stress levels.

BACKGROUND:Temporomandibular disorders (TMDs) and cervical spine problems are a growing public health issue, as they increase the risk of disability in people with hypermobility joint syndrome (HJS).OBJECTIVES:The present study aimed to assess the prevalence of TMD symptoms, and cervical spine and TMJ disability in HJS patients.MATERIAL AND METHODS:A survey was conducted among physical therapy students (mean age: 21 years). The study comprised 2 stages. The 1st one was HJS assessment (the Beighton scale and the Brighton criteria). Based on the assessment, 56 HJS subjects were enrolled for the study. The control group (CG) consisted of 60 HJS-free subjects, according to the aforementioned criteria. The 2nd stage of the study involved conducting a self-administered questionnaire on the prevalence of TMD symptoms. Both the TMD disability questionnaire (TMD-Q) and the neck disability index (NDI) scores were recorded. Pain intensity was assessed using the numeric rating scale (NRS).RESULTS:The HJS group showed higher NRS scores (p < 0.001). Headache, neck and shoulder girdle pain, and temporomandibular joint (TMJ) pain were found to be more severe in almost each patient from the HJS group as compared to CG. Those individuals had a greater degree of disability on the TMD-Q and the NDI scales (p < 0.001). The HJS group showed significant positive correlations between the TMD-Q and NDI scores (p = 0.0035), and between the TMD-Q and TMJ symptom questionnaire scores (p = 0.0047). A significant positive correlation between the NDI and TMJ symptom questionnaire scores was found both in the HJS group (p < 0.001) and CG (p < 0.001).CONCLUSIONS:The HJS bearers tended to obtain higher TMJ and cervical spine disability scores, at the same time reporting increased headache, neck and shoulder girdle pain, and TMJ pain intensity. Therefore TMJs should be carefully examined for possible signs of dysfunction in HJS subjects prior to dental or prosthetic treatment. According to our data, TMJ and cervical spine disability assessment should be included as a routine practice in the case of HJS patients, who should remain under the long-term care of a multidisciplinary team of doctors and therapists.

Background. Headaches (HAs) and temporomandibular joint dysfunction (TMD) are common comorbidities, and the presence of one of them in a patient increases the incidence of the other. The relationship between these 2 conditions may involve common pathophysiological processes. Considering the topicality of the problem, it is justified to conduct research in this field. In this study, we assessed HA type and severity in people with TMD. Objectives. The aim of the study was to conduct qualitative and quantitative assessments of HAs in people with temporomandibular joint (TMJ) disorders. Materials and methods. The study group consisted of 51 subjects of both sexes with a TMD diagnosed using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) test. A self-report questionnaire was utilized to self-assess the presence of TMD symptoms, while the standardized Short-Form of the McGill Pain Questionnaire was used to qualitatively and quantitatively assess HAs. Results. People with TMD were significantly more likely to report HA occurrences (p < 0.001). Pain intensity was statistically significantly higher among individuals with TMD compared to those without TMD symptoms (p < 0.001). Most often, the HA was associated with a pressing pain (r = 0.82) and least often, it was described as cutting (r = 0.30). Neck and shoulder girdle pain (p = 0.059; 82.9%) and clenching and/or grinding of teeth (p = 0.021; 92.7%) were significantly more common among patients who declared HAs than among those without HAs. The results obtained so far may indicate a significant relationship between HA and TMD. Conclusions. We have described the relationship between the occurrence of HAs and TMD. Headaches are more frequent and more severe in people with TMD.

Platelet-rich plasma (PRP) has become an increasingly popular alternative or additional method in treating androgenic alopecia (AGA). AGA is a multifactorial disease, in which testosterone plays a significant role in influencing hair growth. The aim of this study was to evaluate the effectiveness of PRP treatment in AGA affecting men and women. The research was performed using the following databases: PubMed, Embase, and Cochrane Library. The effects were measured with a TrichoScan by comparing the initial and final hair density. A significant difference was observed between the areas of the scalp where PRP injections were made and those where saline was administered. Compared to conventional minoxidil 5% topical PRP, PRP is more effective in treating alopecia. A beneficial outcome of combined therapy with PRP and minoxidil 5% was observed. Therefore, PRP is not only an excellent alternative for patients in whom the minoxidil 5% topical monotherapy did not bring the expected effects or who experienced unacceptable side effects, but can also be used as a complementary therapy.

Spirulina is a microalga cultivated in many countries. It is a source of valuable protein, polyunsaturated fatty acids, vitamins, antioxidants and elements. We have not found studies that address the effect of supplement form or cultivation method on the mineral content of spirulina supplements. The aim of this study was to determine whether supplement form (tablet and powder) and cultivation method (organic and conventional) of spirulina have a bearing on the mineral nutrients content. Such an approach accounts for the innovation of our research. The material used in the study was spirulina in tablets and powder form, marketed as a dietary supplement. Samples were analyzed using inductively coupled plasma optical emission spectrometry (ICP-OES). In turn, selenium (Se) content was determined by spectrofluorimetry. Overall, in terms of mean values, the most abundant mineral in spirulina supplements was phosphorus (P) (15,149 mg/kg) and the least abundant was Se (0.31 mg/kg). Our findings show that both supplement form and cultivation method affect the mineral content of spirulina. Supplements in powder form had a significantly higher content of important elements, such as iron (Fe) (673 mg/kg), magnesium (Mg) (4151 mg/kg) and potassium (K) (16,686 mg/kg), while at the same time containing significantly less sodium (Na) (9868 mg/kg). In terms of the cultivation method, organic spirulina supplements turned out to be a richer dietary source of Fe (703 mg/kg) and K (14,893 mg/kg). In turn, conventionally grown supplements had higher contents of calcium (Ca) (11,269 mg/kg), phosphorus (P) (16,314 mg/kg) and strontium (Sr) (47 mg/kg). Spirulina can therefore be a valuable addition to the daily diet, helping people to achieve the required intake of micronutrients.

Background. Recent scientific reports in dentistry and psychology tend to emphasize the role of various personality traits in temporomandibular joint dysfunction (TMD) multimodal etiology. Since type D personality is a new construct, there has not been much research published regarding this subject. It encompasses both the tendency to experience negative emotions and the tendency to refrain from expressing them. The impact of this combined effect on the increase in stress intensity and the development of somatic and psychiatric illnesses is clearly highlighted. The data presented in the scientific report complement previous insights during ongoing research on Type D personality in people with TMD predisposing factors. Aim. The aim of this article was to assess the influence of type D personality and its two dimensions on the prevalence of symptoms located in TMJ and adjacent tissues, predisposing factors, depression, and levels of perceived stress. Material and methods. The study was conducted on a group of 240 physiotherapy students. The study group (G1) comprised of 120 students with DS. 14 type D personality. The control group (G2) consisted of the same number of people without Type D personality. Data obtained included symptoms of TMJ symptoms, and predisposing factors according to original questionnaire form developed for the study; PSS10 stress severity questionnaire and the Beck Depression Inventory (BDI) were also used. Results. In the study group, TMD symptoms significantly positively correlate with type D personality (with NE a stronger correlation than with SI), PSS10 and BDI, and negatively correlate with age. Students with type D personality had significantly more frequent and higher TMD symptoms than those without stress personality (p = 0.000). The exception was the symptom of increased muscle tension which showed no statistical difference (p = 0.222). People with Type D personality are more than 6 times more likely to clench their teeth (OR = 6.76) and 3 times more likely to have TMJ acoustic symptoms (OR = 3.35) and teeth grinding (OR = 3.27). In the study group, as the level of perceived stress and degree of depression increased, the number of TMJ and preauricular area complaints reported were also on the rise. In the group of students with type D personality, depression was significantly more frequent than in the group without stress personality (p = 0.000). Conclusion. Students with Type D personality risk experiencing more TMJ and preauricular area issues, while coping with more stress and depressed mood.

Non-invasive approach is gaining an increasing recognition in the TMD patients management. It is therefore reasonable to conduct RCTs evaluating the effectiveness of both physical and manual physiotherapy interventions. The aim of this study was to evaluate the short-term efficacy of selected physiotherapeutic interventions and their effect on the bioelectrical function of the masseter muscle in patients with pain and limited TMJ mobility. The study was conducted on a group of 186 women (T) with the Ib disorder diagnosed in DC/TMD. The control group consisted of 104 women without diagnosed TMDs. Diagnostic procedures were performed in both groups. The G1 group was randomly divided into 7 therapeutic groups in which the therapy was carried out for 10 days: magnetostimulation (T1), magnetoledotherapy (T2), magnetolaserotherapy (T3), manual therapy- positional release and therapeutic exercises (T4), manual therapy - massage and therapeutic exercises (T5), manual therapy - PIR and therapeutic exercises (T6), self therapy - therapeutic exercises (T7). In the T4 and T5 groups, the treatments led to complete resolution of pain after the 10th day of therapy and to the largest minimal clinically significant difference in the MMO and LM parameter. GEE model for PC1 values using treatment method and time point showed that T4, T5 and T6 treatments had the strongest effect on the parameters studied. Therefore, it may be concluded that SEMG testing is a helpful indicator to assess the therapeutic effectiveness of physiotherapeutic interventions.BACKGROUND:Non-invasive approach is gaining an increasing recognition in the TMD patients management. It is therefore reasonable to conduct RCTs evaluating the effectiveness of both physical and manual physiotherapy interventions in a qualitative and quantitative manner. However, there were numerous controversies reported regarding the use of surface electromyography (SEMG) in Orofacial Pain patients. Therefore, we wanted to assess the effectiveness of physiotherapy interventions in TMD patients using SEMG.PURPOSE:Evaluation of the short-term efficacy of selected physiotherapeutic interventions and their effect on the bioelectrical function of the masseter muscle in patients with pain and limited TMJ mobility.MATERIAL AND METHODS:The study was conducted on a group of 186 women (T) with the Ib disorder diagnosed in DC/TMD (Ib - myofascial pain with restricted mobility). The control group consisted of 104 women without diagnosed TMDs (normal reference values for TMJ ROM and masseter muscle SEMG bioelectric activity). Diagnostic procedures were performed in both groups (SEMG of the masseter muscles at baseline and during exercise, measurement of TMJ mobility, assessment of pain intensity - NRS scale). The G1 group was randomly divided into 7 therapeutic groups in which the therapy was carried out for 10 days: magnetostimulation (T1), magnetoledotherapy (T2), magnetolaserotherapy (T3), manual therapy- positional release and therapeutic exercises (T4), manual therapy - massage and therapeutic exercises (T5), manual therapy - PIR and therapeutic exercises (T6), self-therapy - therapeutic exercises (T7). Each time after therapy, the intensity of pain and TMJ mobility were assessed. Sealed, opaque envelopes were used for randomization. After 5 and 10 days of therapy, bilateral SEMG signals of the masseter muscles were acquired. PC1 factor analysis was performed. A score of 99% in the PC1 parameter, demonstrates the clinical relevance of electromyography (MVC).RESULTS:Synergism of physical factors will lead to a higher MID on the NRS scale. Evaluating the MID of the therapeutic interventions used showed a better therapeutic effect of manual interventions over physical and self-therapy. In the T4 and T5 groups, the treatments led to complete resolution of pain after the 10th day of therapy and to the largest minimal clinically significant difference in the MMO and LM parameter. GEE model for PC1 values using treatment method and time point showed that T4, T5 and T6 treatments had the strongest effect on the parameters studied.CONCLUSIONS:1. Exercise SEMG testing is a helpful indicator to assess the therapeutic effectiveness of physiotherapy interventions. 2. Manual therapy treatments are superior to physical treatments in their relaxation and analgesic efficacy and should therefore be prescribed as a first line non-invasive intervention for TMD pain patients.

Background: Personality traits are one of the major factors influencing the behavior and functioning of an individual, and they play a crucial role in the development of psychosomatic disorders and diseases. This paper aimed to evaluate the importance of personality traits in temporomandibular disorder (TMDs) development using the NEO-FFI Personality Inventory by Paul Costa and Robert McCrae (the Five-Factor Model of Personality, known as the Big Five). Moreover, the relationship between personality type and the intensity of dysfunctional changes in the stomatognathic system was assessed using the NEO-FFI Personality Inventory by Paul Costa and Robert McCrae (the Five-Factor Model of Personality, known as the Big Five). Material and Methods: The study included a group of 75 adult participants (aged 19–52) with TMD diagnosed according to DC/TMD criteria and a control group of 75 participants without symptoms of dysfunction. The study consisted of a questionnaire and clinical study; the questionnaire included the NEO-FFI psychological questionnaire and a self-authored one. The clinical part consisted of extra- and intraoral dental examinations. Results: Participants who clenched their teeth showed a greater degree of conscientiousness than those who did not exhibit this symptom (p = 0.048). Presence of headaches was correlated with greater severity of neuroticism (p = 0.001). Moreover, participants with enamel cracks showed a lower intensity of extraversion (p = 0.039), and those with worn hard dental tissues showed a higher intensity of neuroticism (p = 0.03), a lower intensity of conscientiousness (p = 0.01), and a lower intensity of extroversion (p = 0.046). Acoustic symptoms during mandibular movements were found to be linked with a higher level of neuroticism (p = 0.020), a lower level of extraversion (p = 0.035), and a lower level of conscientiousness, whereas pain upon mandibular movements were linked to a lower level of conscientiousness (p = 0.025). Participants with pain upon palpation of the masticatory muscles showed a lower level of conscientiousness (p = 0.01) compared to those without pain symptoms. Episodes of mandibular blockage or problems with its adduction depend on the intensity of conscientiousness (p = 0.007). Moreover, people from the study group with high levels of neuroticism showed lower protrusion values (p = 0.016). Conclusion: The intensity of individual personality traits was found to be associated with some TMDs in comparison to healthy controls.

Summary Introduction Physical therapy (PT) methods applied in dentistry are increasingly discussed nowadays. Taking into account a rapidly growing number of temporomandibular disorders (TMDs) and orofacial pain patients, it is reasonable to determine which of the available physiotherapeutic (PT) methods are more effective than others, especially in terms of their possible analgesic and myorelaxant effects. Objective To assess manual and physical factors influencing pain reduction or elimination and increased muscle tension in patients with TMD; yet the influence of the applied forms of PT on the range of motion (ROM) of temporomandibular joints (TMJ). Material and methods A randomized, parallel-group, RCT, single-blind, equi-randomized (1:1) study was conducted in DC/TMD Group Ib patients (20–45 years of age). An experimental group (G1, n = 104) and a control group without TMD (G2, n = 104) were created according to CONSORT guidelines. Diagnostic measurements were performed in both groups (mass sEMG, temporomandibular joint range of motion-ROM, pain intensity - NRS). Group G1 was randomly divided (envelope method) into 4 therapeutic groups, in which therapy was carried out for 10 days: magnetostimulation (MS), magnetoledotherapy (MLE), magnetolaserotherapy (MLA), manual therapy (MT). Each time after the therapy, ROM and NRS measurements were performed, and after the 5th and 10th day sEMG. Results Statistically significant differences were found in the sEMG values of the masseter muscles, TMJ ROM and the pain intensity in G1 and G2 (p < 0.00). The largest decrease in sEMG (% MVC) of the masseter muscle occurred in the subgroup in which the manual therapy (MT) procedures were applied, p < 0.000. There was no clinically significant difference in and between other subgroups. There was a distinct mandible ROM increase noted in the MT group, with minimal changes in the MLA and MLE groups and no changes in the MS group. There was a clear increase in the lateral mobility of both right and left TMJ in the MT group. There were no differences in the course of the study in the MS group, and slight increases in the MLA and MLE groups. In the case of pain measurements, the greatest decrease in pain intensity was observed in the MT subgroup. Conclusions According to our results manual therapy is an effective form of treatment in patients with pain, increased masticatory muscle tension and limitation in mandible ROM. Dental physiotherapy should become an integral part of multimodal TMD patients’ treatment.

As pharmacology and science progress, we discover new generations of medicines. This relationship is a response to the increasing demand for medicaments and is powered by progress in medicine and research about the respective entities. However, we have questions about the efficiency of pharmacotherapy in individual groups of patients. The effectiveness of therapy is controlled by many variables, such as genetic predisposition, age, sex and diet. Therefore, we must also pay attention to the microbiota, which fulfill a lot of functions in the human body. Drugs used in psychiatry, gastroenterology, diabetology and other fields of medicine have been demonstrated to possess much potential to change the composition and probably the function of the intestinal microbiota, which consequently creates long-term risks of developing chronic diseases. The article describes the amazing interactions between gut microbes and drugs currently used in healthcare.

Abstract Summary The limited number of randomized controlled trials (RCTs) comparing the efficacy of soft tissue manual therapy and self-therapy interventions prompted the authors to focus on the analgesic and myorelaxant use of massage, post-isometric muscle relaxation (PIR) and therapeutic exercise in TMD patients. Objectives To evaluate the effectiveness of soft tissue therapy and therapeutic exercises in female patients with pain, increased masseter muscle tension and limited mandibular mobility. Material and methods The study was conducted on a group of 82 women (G1) with the Ib disorder diagnosed in DC/TMD (Ib—myofascial pain with restricted mobility). The control group (G2) consisted of 104 women without diagnosed TMDs (normal reference values for TMJ ROM and masseter muscle sEMG bioelectric activity). Diagnostic procedures were performed in both groups (sEMG of the masseter muscles at baseline and during exercise, measurement of TMJ mobility, assessment of pain intensity—NRS scale). The G1 group was randomly divided into 3 therapeutic groups in which the therapy was carried out for 10 days: therapeutic exercises (TE), manual therapy – massage and therapeutic exercises (MTM_TE), manual therapy – PIR and therapeutic exercises (MTPIR_TE). Each time after therapy, the intensity of pain and TMJ mobility were assessed. Sealed, opaque envelopes were used for randomization. After 5 and 10 days of therapy, bilateral sEMG signals of the masseter muscles were acquired. Results Massage, PIR and self-therapy led to a decrease in sEMG at rest as well as in exercise. After day 6 of therapy, the groups obtained a significant difference (p = 0.0001). Each of the proposed forms of therapy showed a minimal clinically significant difference (MID) in the sEMG parameter at the endpoint, with the most considerable difference in the MTM_TE group. The forms of MT used were effective in reducing the patients’ pain intensity; however, a significant difference between therapies occurred after 4 treatments (p = 0.0001). Analyzing the MID between methods, it was observed that self-therapy had an analgesic effect only after 8 treatments, while PIR after 3 and massage after 1 treatment. After day 7, the mean pain score in the MTM_TE group was 0.889 and in the TMPIR_TE group was 3.44 on the NRS scale. In terms of MMO, a significant difference was obtained between monotherapy and each form of TM, i.e. massage (p = 0.0001) and PIR (p = 0.0001). Analyzing mandibular lateral movements, the authors got a significant difference in the proposed MT forms, of which massage treatments exceeded the effectiveness of PIR. Conclusions Soft tissue manual therapy and therapeutic exercise are simple and safe interventions that can potentially benefit patients with myogenic TMDs, with massage showing better analgesic effects than PIR.

BACKGROUND:a type D personality is a factor in a person's susceptibility to general mental stress, especially during the COVID-19 pandemic. Although many studies were conducted on the relationships among stressful situations, an individual's personality, depression, and the occurrence of various diseases, e.g., cardiovascular disease or cancer, there are no analogous data on people with temporomandibular disorders (TMDs).AIM:the assessment of TMDs and depression symptoms in students with type D personality.MATERIAL AND METHODS:the research was carried out with the participation of 240 physiotherapy students. The study group (G1) consisted of 120 participants with type D personalities, the control group (G2) consisted of the same number of participants, without "stress" personalities. All subjects were assessed for the occurrence of TMD symptoms, as well as for depression and anxiety symptoms, using the Beck Depression Inventory (BDI), based on the proprietary questionnaire.RESULTS:in students with type D personality symptoms, TMDs occurred significantly more often and in greater number (p = 0.00) than in those without stress personalities. The exception was the symptom of increased muscle tension, which showed no statistical difference (p = 0.22). Among the 240 respondents, depression was found in 128 people (53.3%). In the group of students with type D personalities, depression was significantly more frequent than in the group without type D personalities (p = 0.00). In participants with depression, TMD symptoms were more common, i.e., headaches, neck, and shoulder girdle pain, TMJ acoustic symptoms, increased masticatory muscle tension, teeth clenching, and teeth grinding. There was no significant difference between the incidence of depression and TMJ pain and jaw locking. There was a significant interaction between the occurrence of headaches and acoustic symptoms and the occurrence of depression. For headache and depression interactions, the OR was >1; based on the results, we may assume that a headache depends more on the occurrence of depression rather than it being a symptom of a TMJ disorder in people with type D personalities.CONCLUSION:type D personality and depression may contribute to the development of TMD symptoms.