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1994: Examen und Approbation im Studiengang Zahnmedizin, Frankfurt am Main. Seit 1994: Zahnärztin und wissenschaftliche Mitarbeiterin in der Poliklinik für Zahnärztliche Prothetik am Zentrum der Zahn-, Mund- und Kieferheilkunde (Carolinum) der Johann Wolfgang Goethe-Universität Frankfurt am Main. Seit 2007: Leitung der Kiefergelenk-Ambulanz am Zentrum der Zahn-, Mund- und Kieferheilkunde (Carolinum) der Johann Wolfgang Goethe-Universität Frankfurt am Main. Seit 2014: Spezialistin für Funktionsdiagnostik und -therapie der Deutschen Gesellschaft für Funktionsdiagnostik und -therapie (DGFDT).
Events
Deutscher Zahnärztetag 2018
MISSERFOLGE - erkennen, beherrschen, vermeiden9. Nov 2018 — 10. Nov 2018Congress Center Messe Frankfurt
Speakers: Karl-Ludwig Ackermann, Sarah Al-Maawi, Bilal Al-Nawas, Kurt Werner Alt, Anna Greta Barbe, Tobias Bauer, Daniel Bäumer, Marco Baz Bartels, Grietje Beck, Katrin Bekes, Christoph Benz, Dirk Bleiel, Johannes Boesch, Martin Boost, Wolfgang Buchalla, Oskar Bunz, Fabian Cieplik, Monika Daubländer, Sybille David-Hebgen, Andreas Dehler, Renate Deinzer, Sonja H. M. Derman, Konstanze Diekmeyer, Ingmar Dobberstein, Heike Dyrna, Thomas Eger, Guido Elsäßer, Anne Sophie Engel, Peter Engel, Norbert Enkling, Susanne Fath, Stefan Fickl, Michael Frank, Roland Frankenberger, Rene Franzen, Kerstin Galler, Carolina Ganß, Roland Garve, Christian Ralf Gernhardt, Werner Geurtsen, Shahram Ghanaati, Petra Gierthmühlen, Christiane Gleissner, Werner Götz, Susanne Grässel, Dominik Groß, Stefan Grümer, Claus Grundmann, Martin Guffart, Heinz-Michael Günther, Norbert Gutknecht, Peter Hahner, Elmar Hellwig, Christian Henrici, Katrin Hertrampf, Fabian Huettig, Michael Hülsmann, Bruno Imhoff, Steffani Janko, Holger Jentsch, A. Rainer Jordan, Ana Elisa Kauling, Moritz Kebschull, Christian Kirschneck, Joachim Klimek, Andrea Klink, Thomas Klinke, Birte Koch, Thomas Kocher, Eva Köllensperger, Heike Maria Korbmacher-Steiner, Bernd Kordaß, Hannah Kottmann, Pablo Krämer-Fernandez, Gabriel Krastl, Birgit Krause, Till Kreutzer, Conrad Kühnöl, Stefanie Kurzschenkel, Thorsten Kuypers, Günter Lauer, Hans-Christoph Lauer, Elfi Laurisch, Tina Lawall, Karl Martin Lehmann, Silke Lehmann-Binder M.Sc., Dirk Leisenberg, Ulrike Lübbert, Michael Lüpke, Thomas Malik, Jutta Margraf-Stiksrud, Lorenz Meinel, Gudrun Mentel, Wibke Merten, Louisa Mewes, Johanna Isabel Moosmüller, Martin U. Müller, Wolfgang Müller, Nicole Nicklisch, Ina Nitschke, Michael J. Noack, Marina Nörr-Müller, Karina Obreja, Dietmar Oesterreich, Puria Parvini, Ingrid Peroz, Waldemar Petker, Oksana Petruchin, Andree Piwowarczyk, Peter Pospiech, Peter Proff, Sven Reich, Katharina Reichenmiller, Katharina Reinecke, Bernd Reiss, Svenja Rink, Christiane Rinnen, Jerome Rotgans, Sebastian Ruge, Didem Sahin, Sonja Sälzer, Petra Santander, Heidrun Schaaf, Jürgen Schäffer, Elisabeth Schiffner, Ulrich Schiffner, Markus Schlee, Maximiliane Amelie Schlenz, Peter Schmidt, Andrea-Maria Schmidt-Westhausen, Claas Ole Schmitt, Sigmar Schnutenhaus, Jörg Schröder, Gerd Schröter, Andreas Schulte, Philipp Schwaab, Frank Schwarz, Falk Schwendicke, Clemens Schwerin, Sinan Sen, Önder Solakoglu, Hansmartin Spatzier, Christian H. Splieth, Norbert Staab, Bernd Stadlinger, Sabine Steding, Marcus Stoetzer, Giorgio Tabanella, Gisela Tascher, Hendrik Terheyden, Valentina A. Tesky, Jan Tetsch, Juliane von Hoyningen-Huene, Maximilian Voß, Michael Walter, Alexander Welk, Dietmar Weng, Hans-Jürgen Wenz, Jens Westemeier, Lotta Westphal, Annette Wiegand, Karl Frederick Wilms, Michael M. Wolf, Diana Wolff, Anne Wolowski, Johann-Dietrich Wörner, Sylvia Wuttig, Mohamed Younis, Stefan Zimmer, Lisa Zumpe
Quintessenz Verlags-GmbH
This author's journal articles
International Poster Journal of Dentistry and Oral Medicine, 1/2015
Introduction: Along with clinical examination Magnetic Resonanz Imaging (MRI) has become a standard tool in Temporomandibular joint disorder diagnosis. Even though MRI diagnosis usually focuses on pathologies of the joint directly, pathological alterations of the muscles can be found as well.
Objectives: Is there evidence for correlations between MRI muscle findings and clinical symptoms of TMD?
Material and Methods: Digital MR- Images of 65 patients treated for TMD at the dental clinic of Goethe University Frankfurt, Germany between 2004- 2012 have been evaluated. One patient showing noticeable alterations in MR muscle appearance between right and left muscles was defined as reference for the muscle alterations of interest. Fibrous, lipomatic and edematic alterations were recorded and the width of the masseter, medial and lateral pterygoid muscle was measured in the axial plane. Those findings were then matched with clinical findings of palpation, limitation or hypermobility in jaw opening and klicking, deviation and deflexion.
Results: Just like in the clinical examinations most alterations in MR signaling were found in the masseter muscle. 93% showed at least one of the alterations of interest while 46% of the masseter were painful on palpation. Still, statistically this was not significant (p> 0,05). With 17% alterations in MR signaling and 13% of clinical symptoms, findings in the medial pterygoid muscle were less frequent. Here as well, there was no proof of correlation between MR - and clinical findings (p> 0,05). Most of the MR- findings in lateral pterygoid muscles (42%) were of lipomatic nature. They were correlated with clinical findings of klicking, limitation or hypermobility in jaw opening and deviation or deflexion but no statistically significant correlations were found (p> 0,05).
Conclusion: Although MR findings of muscle alteration such as fibrosis, liposis or edema can be detected quite frequently in patients with TMD, there is no evidence of correlations between MR signaling and clinical symptoms. Therefore a thoroughly performed clinical examination is inevitable.
Since no differenciation has been made between severeties of muscle alterations, further investigation is needed to determine if the severness of signal alterations correlates with clinical symptoms.
Keywords: MRI pathologies, TMD, masticatory muscles
Aims: To carry out a systematic review and meta-analysis comparing the effects of occlusal splint therapy ("usual treatment") and psychosocial interventions for the treatment of myofascial temporomandibular disorder (TMD) pain in adult patients.
Methods: Independent screening and evaluation of randomized clinical trials included comparisons between "usual treatment" based on splint therapy and psychosocial interventions for TMD treatment within electronic databases (PubMed/MEDLINE, CENTRAL, EMBASE), ongoing trials databases (Current Controlled Trials, ClinicalTrials.gov), and additional sources. The outcomes selected for the systematic review were self-reported pain, pain interference, unassisted jaw opening without pain, muscle pain upon palpation, depression, and somatization. The effect measures were analyzed using a random-effect model (Review Manager computer program).
Results: The outcomes "longterm self-reported pain" and "long-term depression" were significantly different for the comparisons of "usual treatment" and psychosocial interventions, and they favored the latter (P < .005 and P < .05, respectively). These results must be viewed with caution due to the limited number of studies available. A tendency toward greater improvements of psychological outcomes was observed for psychosocial interventions, while physical functioning was slightly more responsive to "usual treatment."
Conclusion: No evidence was found to distinguish the clinical effectiveness between "usual treatment" and psychosocial interventions for myofascial TMD pain. Future studies of TMD and related subdiagnoses should be reported according to core standardized outcomes to facilitate comparisons.
Keywords: meta-analysis, myofascial pain, oral myofascial pain, systematic review, temporomandibular disorders
Thesis: Aim of this study was to compare newly developed and conventional retention systems by objective measurements of the clinical adhesion force of prostheses.
Material and methods: The adhesion force was measured for each prosthesis with a specially developed device. Therefore the prosthesis was connected with a plate at the occlusal surface. A centered fastened loop served as a loose coupling with a dynamometer-box (Fa. Typ U2A, Hottinger Baldwin Measurements, Marlborough, USA), which avoids the prosthesis to stand on edge during the pull-off phase. The device was calibrated prior to each series of measurements. 10 consecutive measurements for each prosthesis were performed in a prospective clinical trial. Mean values were calculated and defined as adhesion force.
Test group: 8 metal-free tapered crown prostheses (primary crown: ceramic, Empressâ 2; frame: fibre composite, Vectrisâ: Fa. Ivoclar Schaan-Liechtenstein) on 28 abutments (6 teeth, 22 implants).
Control group: 12 conventional tapered crown prostheses on 58 abutments (24 teeth, 34 implants).
Results: The relative standard deviation of the 10 single-measurements was 3,9 % on average. The average adhesion force of the test group (4,8N±1,7N) did not significantly differ from the control group (5,1N±2,9N); (Anova, p