ABSTRACT
Background: Over the years functional disturbances of themasticatory system have been recognized by a variety ofterms.Objective: In this study our main goal is to evaluate the Effectof Occlusal Disharmony on Masticatory Muscle Pain.Methods: This observational study was conducted atDepartment of Prosthodontics, Faculty of Dentistry,Bangabandhu Sheikh Mujib Medical University, Shahbagh,Dhaka, Bangladesh from January 2005 to December 2006among 100 patients. During the study Total patients had beendivided into three groups (Group I, Group II & Group III). Ingroup I only the patients associated with Masticatory musclepain (MMP) were included. In group II the patients withMasticatory muscle pain (MMP) with temporomandibular jointdysfunction (TMD) were included and in group III patients wereselected who were suffering from pain only associated withtemporomandibular joint dysfunction (TMD).Results: In the experiment female percentage (68%) washigher than male and among the group I patients, 60.0% hadright side and 40.0% had left side local muscle soreness.Among group II patients local muscle soreness was 37.3% inright and 3.0% in left side. Among group III patients localmuscle soreness was none in right side and 7.1% in left side.Conclusion: After much analysis we can conclude thatocclusal disharmonies were positively associated withMasticatory Muscle Pain but not significant. Future studies isneeded for better outcome.
ABSTRACT
A pesar de las mejoras ocurridas en las condiciones de salud general de la población, aún es frecuente, con el proceso de envejecimiento, la de pérdida de piezas dentarias, acarreando disturbios en el sistema masticatorio y reflejándose en todo el organismo del anciano. De esta forma, este trabajo realizó una revisión de literatura al respecto de este sistema, sus funciones, peculiaridades y alteraciones especialmente relacionadas a la pérdida dentaria, enfatizando la importancia de las rehabilitaciones protésicas para restaurar la función y los cuidados necesarios en el planeamiento, instalación y manutención de las prótesis en los pacientes de la tercera edad. Fue posible concluir que, debido a la complejidad del sistema masticatorio y de todas las estructuras relacionadas, la reunión del mayor número posible de informaciones durante la anamnesis, examen clínico, radiográfico y de modelos de estudio montados en el articulador son de mucha importancia para el éxito de cualquier tratamiento que envuelve pacientes ancianos. Estos tratamientos, deben someterse a un planeamiento multidisciplinar donde cada especialidad siga una secuencia lógica e integrada de ejecución, para que sean alcanzados los resultados anhelados
Despite of the improvements happened in the general conditions of population health, it's frequent the occurrence of teeth loss with the aging. This phenomenon cause masticatory system disturbance and can be observed in all the elderly organism. By this way, this study realized a literature review about this system, its functions, peculiarities and alterations related to the loss of tooth, emphasizing the importance of prosthetic rehabilitations to restore the functions and the necessary care on treatment planning, installation and prosthesis maintenance in elderly people. In virtue of masticatory system complexity and its related structures, it can be concluded that the reunion of a great data number during the anamnesis, clinical and radiographic examination, and the mounting of diagnostic casts in semi-adjustable articulator are very important for a successful treatment involving elderly people. These treatments may involve a multidisciplinary planning where each involved specialty follow a logic and integrated sequence of execution to reach the desired results