AUCTORES
Globalize your Research
Chat with us
Case Report | DOI: https://doi.org/10.31579/2694-0248/032
1 Central Mexican University in Stomatology, Specialty of Orthodontics and degree in Stomatology Campus Veracruz, Mexico.
2 University of Stomatological Sciences of Havana. Faculty of Stomatology. Havana Cuba.
3 University of Medical Sciences of Havana. Faculty of Medical Sciences "Finlay-Albarrán". Department of Medicine. Havana Cuba.
*Corresponding Author: Agustín Arano Hernández, Av. Juárez 603-A col centro, C.P. 95100 Tierra Blanca, Veracruz Central Mexican University in Stomatology. Department of Orthodontics. Veracruz, Ver. (Mexico).
Citation: Agustín A. Hernández, C Ileana Bárbara Grau León, Marisel I. Carreras, (2022). Evaluation and Multidisciplinary Treatment of a Patient with Temporomandibular Disorder. J. Clinical Orthopedics and Trauma Care, 4(2); DOI:10.31579/2694-0248/032
Copyright: © 2022 Agustín Arano Hernández, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 02 February 2022 | Accepted: 15 February 2022 | Published: 21 February 2022
Keywords: temporomandibular joint; temporomandibular disorder; position
Background
Demonstrate that patients with signs and symptoms of the temporomandibular joint, prior to orthodontic treatment, should be treated multidisciplinary
A 31-year-old female, a student at the Mexican Center for Stomatology, with a personal and family health history and orthodontic treatment who came to the clinic for presenting symptoms of pain in the face over the region of the bilateral temporomandibular joint, with alterations of the function, which radiated to the neck and back of several months of evolution. The clinical findings presented by the patient were: wear on the upper anterior teeth. The pain map diagnostic index was used, photographs of the face, whole body from the front and sides, panoramic radiography, lateral skull, anteroposterior and spine, articulated models in semi-adjustable articulator, this facilitated us to diagnose joint disorders. The proposed treatment was multidisciplinary treatment: Neuro-muscular rehabilitation and the use of physical agents, massage therapy, Kinesiology and manual therapy.
The multidisciplinary treatment of occlusal guard by stomatology and the combination of physical agents, Kinesiology and manual therapy by physiotherapy, demonstrated excellent results with the disappearance of the symptoms in the patient, improved her expectations. Giving you a better quality of life.
The temporomandibular joint (TMJ) is a synovial joint that connects the jaw with the skull through the temporal bone. It is one of the most complex in the body, it is part of the masticatory system. There are two joints, one right and one left, they are located on both sides of the face at the level of the base of the skull, it can be easily palpated in front of the external auditory meatus. [1] The stomatognathic system is closely related to the control of posture. It is a functional unit, characterized by various structures, such as skeletal components (maxilla and mandible), dental arches, soft tissues (salivary glands, nerve and vascular supplies). [2]
This joint system includes jaw movements for chewing food, interferes with swallowing and phonation, as well as intervening in breathing and the sense of taste. [1] The etiology of temporomandibular joint dysfunction constitutes one of the most controversial issues, and it can be assured that it is multifactorial in nature. [3]
Orthodontics is an irreversible procedure that corrects dental defects and bad positions, improves function, aesthetics, and everything that refers to oral health. This treatment produces an important impact on the soft tissues of the TMJ, which is why they manifest pain, the literature shows some alternatives to reduce the associated pain. [3] There are such as that relate orthodontics to TMJ alterations, as a cause of this, but also to be the solution for the treatment of these alterations [1], making a diagnosis with tools such as diagnostic indices; like the map of pain [4], the assembly of the articulated models in semi-adjustable articulators, in this way our treatment will be carried out based on the findings of our patients with alterations in the TMJ joint, a multidisciplinary treatment with stomatological and medical specialties. Demonstrate that patients with signs and symptoms of the temporomandibular joint, prior to orthodontic treatment, should be treated multidisciplinary
A female patient, 31 years old, Latino origin, student of the orthodontic specialty at the Mexican Center in Stomatology Campus Veracruz, with personal and family health history and orthodontic treatment who came to the consultation for presenting symptoms of pain in the face over the region of the bilateral temporomandibular joint, which radiated to the neck and back for several months of evolution. Upon questioning, he referred, in addition to the aforementioned symptoms, stiffness when walking and pain in his hips and knees. Anteroposterior, lateral skull and lateral lumbosacral spine radiographic studies were requested, as well as extraoral and intraoral photographs. As a treatment plan, the orthodontic appliances were removed. The need for interconsultations with the physiotherapist and chiropractor was explained to him, in order to start a multidisciplinary treatment and thus reduce the symptoms of pain that occur in the posterior region of the neck, back, hips and knees.
Clinical Findings.
The diagnosis of the proportions of the face and face; Vertical as well as horizontal, as well as the midface alignment by means of the extraoral photographs from the front shows us that there is a very marked asymmetry, where the right side of the patient is less developed than the left side. (Figure. 1)
In the photos standing from the front, scapular asymmetry is observed, the right shoulder is higher than the left shoulder, the right side and the left side show a very marked lordosis, (Figure. 2) corroborated with the spinal radiographs that the physiatrist requested.
B. X-ray (very marked lordosis).
In the occlusal analysis, it is observed that the patient presented wear of the cusps of the upper canines on the right and left sides, the midline deviated to the right, with the absence of the lower right first molar, there is a discrepancy where there is not a good occlusion from the incisors central to the second molars on the right side, with Angle class II of canines and molars. On the left side, a good usual Angle class I occlusion is maintained. (Figure. 3). This analysis was carried out in habitual occlusion and reported very different data in the models mounted on a semi-adjustable articulator in Centric Relationship (CR).
In the occlusal analysis of models mounted in centric relation (CR) in a semi-adjustable articulator, it is observed that there are only contact points in the second molars; type B contacts on the right side and type C contacts on the left side, canine and molar class II on both sides, deviation from the midline to the right (Figure. 4).
In the record of the condylar position (CPI) it is observed that the condyle on the right side 5 mm downwards and on the left side 4 mm down and 3 mm backwards. With this diagnosis, it is confirmed that temporomandibular disorders (TMD) are the cause of pain in the chewing muscles and muscle stiffness in the head, neck and back that the patient presents (Figure. 4B).
In the posteroanterior radiography (PA) we observed that there is a rotation of the second cervical downward on the left side and upward on the right side, which corroborates the asymmetry and more marked facial development on one side than the other. Figure. 6A In the lateral radiograph of the skull, rectification of the cervical vertebrae is observed, which is the cause of pain in the posterior region of the neck. Figure. 6B
When palpating the chewing muscles; temporal in its anterior portion, superficial and deep masseter, the posterior parts of the neck and the upper trapezius on both sides, the symptoms were of intense pain, as well as in the TMJ pain map [4] five pain points on the right side; inferior and superior anterior synovium, lateral collateral ligament, temporomandibular ligament, superior posterior ligament and four pain points on the left side, inferior anterior synovium, lateral collateral ligament, temporomandibular ligament and inferior postero-mandibular synovium, they had severe pain, therefore, With the condylar distraction marked by the ICC of the semi-adjustable articulator of five mm on the right side downwards, four mm downwards and three mm backwards on the left side, we found that the patient had a very severe temporomandibular dysfunction. [4]
Therapeutic intervention
Stomatological therapy was started with the prior consent of the patient, who expressed his disposition through informed consent, for this treatment with neuro-muscular rehabilitation (MRI), using a stabilizing upper 4.5 mm occlusal guard. thick in the anterior part, made of heat-cured acrylic, the use of the occlusal guard is recommended for 24 hours for 4 months, with monthly adjustment of the contact points.
Adjustments were made to obtain bilateral contact points of the same intensity in posterior teeth and anterior teeth with soft contact points with sliding of the articulating role.
The symptoms decreased month by month until they disappeared, a map of muscle and joint pain [4] was made at each monthly appointment to obtain information and thus be able to evaluate the decrease in pain in the chewing muscles and TMJ. A diet free of sugar, caffeine, alcoholic beverages or any stimulant of the central nervous system (CNS) is also recommended [2,4]. Reduced use of cell phones and computers, so as not to maintain bad posture for a long time and to trigger muscle pain in the posterior muscles of the neck and upper trapezius [2,4]. Therefore, specialists in the medical area of physiotherapy are referred to attend and continue with their therapy until giving the patient quality of life.
From the point of view of physiotherapy, this patient begins with global postural re-education and education that includes a soft diet, avoiding wide yawning, as well as singing and chewing gum.
All these treatments were performed on a daily basis for 2 weeks. It was suggested to maintain self-massage, stretching, and self-assisted exercises for 4 weeks to achieve changes in posture, asymmetries, muscle dominance, increase joint range, and improve biopsychosocial well-being [7, 8].
Clinical outcomes
With the use of the occlusal guard, the patient manifested from the first month of therapy, decreased pain and muscle stiffness in the posterior region of the neck and back, in addition to mobility and pain in the TMJ, with neuromuscular rehabilitation and Physiotherapy is obtained the total remission of the symptoms, during the treatment there were no complications or adverse effects.
Among the most common symptoms in TMJ disorders is pain over the region of the temporomandibular joint, in our patient bilateral pain and its radiation to the neck and back with alteration of her posture is evidenced. It is proven that a posture with a shoulder push and neck flexion promotes propulsion of the jaw. [9] In a study carried out, it was shown that women with TMJ disc displacement presented pain and postural alterations in the pelvis, lumbar spine, thoracic spine, head and mainly pain in the jaw, [10] which coincided with our patient.
In another study it was shown that there are interactions between locomotion and occlusion after studying 30 adult women, a cotton roll was placed unilaterally in each dental arch while they were walking. It was the percentage and the load surface of the foot (right and left) significantly lower than in the usual occlusion. [11] In a last study, in which occlusal alterations and their relationship with TMJ dysfunctions were treated, it was observed how headaches and neck pain decreased, which coincided with our patient. It is the alignment of said joint important in the postural alterations of the body since ergonomics is influenced by the relationship that the chewing muscles maintain with the head and neck. [11]
Gallardo (12) and other collaborators carried out a study to evaluate the results obtained in patients treated with occlusal guards who present signs or symptoms of some TMD; a study in which the sample comprised 10 patients with limitations in their jaw movements and treated with occlusal splints showed that of the total sample, 80% had some kind of pain. The end of the treatment only 10% reported pain, the mean maximum initial opening was 35.7 mm and the final average was 44.8 mm for desoclusiones and contact the occlusal splint. [12] Obtaining improvement in pain relief as in our patient.
The treatment of these disorders is conservative, where the results obtained in this clinical case agree with those reflected by these authors Shousha and others, [13] van Grootel and others, [14] Calixtre and others, [15] Ucar and others, [7] Gil-Martínez and others, [8] used physiotherapy techniques (US, mobilizations, neuromuscular techniques, stretching, massage therapy, laser and therapeutic exercise), and the use of occlusal splints [5, 6] in the treatment of temporomandibular disorders, improvement is obtained in his patients.
In addition, some authors take into account in their results some less common variables such as Viana and others [5] and Kraus and Prodoehl, [17] who evaluate the quality of life after a physiotherapy treatment and van Grootel and others [14], the duration of the treatments either with physical therapy or with splints. All of them obtain good results in favor of physiotherapy, despite the fact that the authors consider that there is not much literature with which to compare them, therefore, it is suggested to carry out more research in this field to confirm the results presented.
There was improvement in the symptoms that the patient manifested, after carrying out the multidisciplinary treatment of occlusal guard and the combination of physical agents, massage therapy, Kinesiology and manual therapy. Multidisciplinary treatment proved to be an excellent alternative in this patient, which allowed her to improve her expectations and provide her with a better quality of life.
Appendix 1
Map of joint pain by Dr. Mariano Rocabado Seaton
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
