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Abstract

Temporomandibular disorder (TMD) is a disease of multifactorial etiology and a complex of symptoms, related to disorders of the masticatory muscles, temporomandibular joints and the surround-ing orofacial structures. One of the main problems in the course of TMD disorders is the systematic increase in the tension of the masticatory muscles (masseter muscles, temporalis and medial and lateral pterygoid muscles), what is the cause of many damages and the development of pathological conditions in the stomatognathic system.
The article discusses the differences in the structure of the masticatory and skeletal muscles, as well as the different nature and isoforms of myosin, which determines the much faster generation of contraction in the masticatory muscles and consequently easier generation of excessive, harmful tensions in the masti-catory muscles.
The article describes the causes of increased tension in the masticatory muscles and methods of their relaxation used in the basic and supportive treatment of temporomandibular disorders. The use of occlusal splints, physiotherapeutic procedures and TMD treatment with botulinum toxin type A were character-ized. A role of psychological support and the methods used for patients with TMD were emphasized.
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Authors and Affiliations

Małgorzata Pihut
1
Magdalena Orczykowska
1
Piotr Ceranowicz
2
Ilona Korzonek
3
Andrzej Gala
1

  1. Prosthodontic and Orthodontic Department Dental Institute, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Physiology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland
  3. Department of Nutrition-Related Disease Prevention, Medical University of Silesia, Katowice, Poland
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Abstract

Background: Despite advanced research and great progress in understanding the chronic pancreatitis (CP) pathogenesis, no current causal treatment for the condition is available. For preclinical studies, the existence of a well-characterized CP animal model is essential.
The aim of the study was to assess the impact of chronic pancreatitis on the antioxidant enzymes activity in rat blood serum and on the level of glutathione (intracellular antioxidant) in rat pancreas.
Methods: The experiments were carried out on the Wistar Kyoto rats in two groups: control and study group (CP), in which chemical induction of pancreatitis with dibutyl dichloride was performed. Serum enzyme activities of amylase, lipase, catalase and superoxide dismutase were analyzed. The levels of the following biochemical parameters were also investigated: total protein, albumin, calcium, magnesium, and triglycerides. Levels of low-molecular-weight thiols: reduced (GSH) and oxidized (GSSG) glutathione, were determined in pancreatic homogenates.
Results: Histopathological imaging of rat pancreatic parenchyma with induced inflammation confirmed focal lymphocytic interstitial chronic pancreatitis with fibrosis features and mild parenchymal atrophy, as well as pancreatic islets degeneration. In the CP group, we observed a statistically significant decrease in serum amylase and lipase activities and in total protein/albumin levels. Also, the elevated catalase activity was registered. In CP rats’ tissues, we observed a 15-fold reduction in GSH levels. The other examined parameters remained unchanged. Clinically relevant are hypoalbuminemia and a moderate decrease in lipase activity. The described changes are most probably indicative of the impaired exocrine pancreas function, however without organ failure features.
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Authors and Affiliations

Patrycja Bronowicka-Adamska
1
Tomasz Hutsch
2
Dominika Szlęzak
1
Anna Bentke-Imiolek
1
Kinga Kaszuba
1
Piotr Ceranowicz
3
Beata Kuśnierz-Cabala
1

  1. Chair of Medical Biochemistry, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Pathology and Veterinary Diagnostics, Institute of Veterinary Medicine, Warsaw University of Life Sciences, Warsaw, Poland
  3. Department of Physiology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland

Authors and Affiliations

Mateusz Sporek
Paulina Dumnicka
Jerzy Walocha
Beata Kuśnierz-Cabala
Agnieszka Gala-Błądzińska
Małgorzata Mazur-Laskowska
Piotr Ceranowicz
Zygmunt Warzecha
Artur Dembiński
Marek Kuźniewski
Rafał Olszanecki

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