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Double-puncture arthrocentesis in arthrogenous TMJ disorders: bioviscosupplemen...

Ângelo, David; Cardoso, Henrique José; Sanz, David; Maffia, Francesco; Sarkis, Marcella; Mota, Beatriz; Salvado, Francisco

Background/Objectives: Intra-articular injections of hyaluronic acid (HA) or platelet-rich plasma (PRP) have been used in the treatment of temporomandibular joint (TMJ) arthrocentesis to improve lubricative properties and influence regenerative processes. This study aimed to evaluate the potential clinical benefits of complementary bioviscosupplementation with hyaluronic acid (HA) and platelet-rich plasma (PRP)...


Gender differences in mouth opening on temporomandibular disorder patients: imp...

Ângelo, David; Cardoso, Henrique José; João, Ricardo São; Brás-Geraldes, Carlos; Sanz, David; Maffia, Francesco; Salvado, Francisco

Background/Objectives: Temporomandibular disorder (TMDs) patients often present limited mouth opening (LMO). A key diagnostic cutoff is a mouth opening threshold >40 mm. However, this universal cutoff may not accurately reflect gender anatomical variations. This study investigates gender-specific differences in maximum mouth opening (MMO) to propose revised diagnostic criteria for LMO. Methods: A five-year pros...


Association of malocclusion with temporomandibular disorders:a cross-sectional ...

Ângelo, David Faustino; Teixeira, Maria Cristina Faria; Maffia, Francesco; Sanz, David; Sarkis, Marcella; Marques, Rute; Mota, Beatriz

Background/Objectives: Temporomandibular disorders (TMD) encompass a range of musculoskeletal and neuromuscular conditions affecting the temporomandibular joint (TMJ) and associated structures. This cross-sectional study, conducted in a Portuguese TMD department, aimed to assess the relationship between malocclusion and TMD severity. Methods: Data on demographic variables, TMD clinical symptoms, and malocclusio...


F-Chin/Feminizing the chin: a genioplasty technique with virtual planning for m...

Sanz, David; Ângelo, David; Marques, Rute; Maffia, Francesco; Cardoso, Henrique José

The chin is an essential structure in facial harmony and an important gender marker. Advancing a receding chin is fundamental to improve the facial appearance, particularly in male-to-female transgender patients. However, in patients with microgenia and/or retrognathia, desiring a more feminine appearance, a chin advancement can result in a wider, square shape; an undesirable effect. Genioplasty is a versatile ...


Association of malocclusion with temporomandibular disorders: a cross-sectional...

Ângelo, David; Faria-Teixeira, Maria Cristina; Maffia, Francesco; Sanz, David; Sarkis, Marcella; Marques, Rute; Mota, Beatriz; João, Ricardo São

Abstract: Background/Objectives: Temporomandibular disorders (TMD) encompass a range of musculoskeletal and neuromuscular conditions affecting the temporomandibular joint (TMJ) and associated structures. This cross-sectional study, conducted in a Portuguese TMD department, aimed to assess the relationship between malocclusion and TMD severity. Methods: Data on demographic variables, TMD clinical symptoms, and m...


Temporomandibular joint minimally invasive procedures in the pediatric populati...

Ângelo, David; Lopes, Cláudia Sacramento; Sanz, David; Faria-Teixeira, Maria Cristina; Marques, Rute; Maffia, Francesco; Cardoso, Henrique José

Over recent years, temporomandibular joint (TMJ) minimally invasive procedures, such as arthrocentesis and arthroscopy, have been appointed as an initial TMJ intra-articular treatment. Both procedures present safe and effective clinical results in managing temporomandibular disorders (TMD) by reducing pain and improving mouth opening. The use of these techniques in adults is validated in the literature. However...


Outcomes of bilateral temporomandibular joint arthroscopy: an international mul...

Ângelo, David; Ono, Helcio Yogi; de Barros, Romualdo Cardoso Monteiro; Maffia, Francesco; Sanz, David; Cardoso, Henrique José

Purpose This study aimed to evaluate the efficacy of bilateral TMJ arthroscopy in patients with different Wilkes stages, comparing the results obtained in different arthroscopic levels on a larger scale, unifying similar populations. Methods A multicentric prospective clinical study was conducted in three TMJ departments performing temporomandibu- lar joint surgery in Portugal and Brazil, with an enrolling wind...


Considerations for the use of alloplastic temporomandibular joint replacement i...

Ângelo, David; Maffia, Francesco; Teschke, Marcus; Sanz, David; Galrito, Marta; Cardoso, Henrique; Marques, Rute; Nabuco, Carlos

Abstract: Background: Custom-made alloplastic temporomandibular joint replacement (ATMJR) is not validated in irradiated patients. However, in specific situations, after previous reconstructive surgical failures, the authors hypothesized the role of a customized ATMJR after radiotherapy. Methods: A 65-year-old male patient was referred to Instituto Português da Face—Lisbon, Portugal— after failed attempts of ma...


Outcomes of IncobotulinumtoxinA injection on myalgia and arthralgia in patients...

Ângelo, David; Sanz, David; Maffia, Francesco; Cardoso, Henrique José

Background: Several studies have considered Botulinum Neurotoxin Type A injections effective in treating temporomandibular joint disorder (TMD) symptoms. A double-blind, randomized, controlled clinical trial investigated the benefit of complementary incobotulinumtoxinA (inco-BoNT/A) injections in the masticatory muscles of patients submitted to bilateral temporomandibular joint (TMJ) arthroscopy. Methods: Fifte...


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