ABSTRACT
PURPOSE: The aim of this study was to evaluate the effects of active mandibular exercise (AME) in patients with limited mouth opening after maxillomandibular fixation (MMF) release. METHODS: The study used a quasi-experimental, nonequivalent control group and a pre test-post test design. Sixty-two patients with Maxillomandibular Fixation Release were assigned to the experimental (n=31) or control group (n=31). The AME was performed in the experimental group for 4 weeks. The exercise AME consisted of maximal mouth opening, lateral excursion and protrusive movement. These movements were repeated ten times a day. After the final exercise of the day, the number of tongue blades used for mouth opening was noted. The effect of AME was evaluated after MMF release at different time intervals: a) immediately, b) after 1 week, c) after 2 weeks, d) after 4 weeks, and e) after 12 weeks. The exercise was assessed using the following criteria: a) mandibular movements, b) pain scores associated with maximal mouth opening, c) discomfort scores associated with range of movement, and d) daily life activities that involve opening the mouth. RESULTS: The experimental group showed significant improvement regarding the range of mandibular movements (maximal mouth opening (F=23.60, p < .001), lateral excursion to the right side (F=5.25, p=.002), lateral excursion to the left side (F=5.97, p=.001), protrusive movement (F=5.51, p=.001)), pain score (F=39.59, p < .001), discomfort score (F=9.38, p < .001). Daily life activities that involve opening the mouth were more favorable compared to those in the control group. CONCLUSION: The AME in patients after MMF release is helpful for increasing mandibular movement range, decreasing pain and discomfort, and improving day life activities that involve opening the mouth. Therefore, AME is highly recommended as an effective nursing intervention.
Subject(s)
Humans , Exercise Movement Techniques , Jaw Fixation Techniques , Mouth Rehabilitation , Mouth , Muscle Stretching Exercises , Nursing , Quality of Life , Tongue , TrismusABSTRACT
Los requerimientos esteticos en la odontología actual son bastante altos por parte de nuestros pacientes y los profesionales deben estar capacitados para ofrecer las mejores alternativas técnicas y procedimentales. Además el profesional debe de estar preparado en las diferentes áreas de la odontología para así identificar los procedimientos más adecuados a realizar. El objetivo de éste trabajo enfocó el manejo multidisciplinario en la rehabilitación del sector anterosuperior con la participación de las especialidades de endodoncia, periodoncia y rehabilitación oral. Los resultados obtenidos fueron satisfactorios para el paciente ya que se logró rehabilitar adecuadamente las piezas dentales involucradas desde un punto de vista estético y funcional. Concluimos que en la odontología actual en donde la estética prima en nuestros tratamientos el profesional debe de estar capacitado para poder saber elegír los materiales más adecuados para sus tratamientos sin descuidar los aspectos funcionales.
The current dental aesthetic requirements are quite high by our patients and professionals must be able to offer the best technical and procedural alternatives. Also the professional must be prepared in different areas of dentistry to thus identify the most appropriate procedures to carry out. The aim of this work focused on the multidisciplinary handling in the rehabilitation of the anterosuperior sector with the participation of the specialties of Endodontics, Periodontics and oral rehabilitation. The results obtained were satisfactory for the patient since it managed to properly rehabilitate the teeth involved from an aesthetic and functional point of view. We conclude that current dentistry where aesthetic prevails in our treatments professional must be able to to know how to choose the most appropriate materials for their treatments without neglecting functional aspects.