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1.
Rev. Círc. Argent. Odontol ; 79(229): 5-8, abr. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1253185

ABSTRACT

El propósito de este trabajo cualtitativo fue aplicar el método de Bioneuroemoción en individuos que, estando en tratamiento por bruxismo, continuaban con dolor y sintomatología asociada. El análisis de las creencias limitantes en común de los individuos, las resonancias familiares y la emoción primaria desencadenada, permitieron obtener desde dónde percibían dichos individuos las situaciones de mayor estrés. Para ello, se consideró un diseño muestral centrado en un grupo de cinco pacientes que concurrían al Servicio de ATM (Articulación Temporomandibular) de un hospital odontológico de la Ciudad de Buenos Aires, donde estaban siendo tratados por bruxismo con placas miorrelajantes (AU)


Subject(s)
Psychotherapy, Rational-Emotive , Temporomandibular Joint/physiopathology , Bruxism/therapy , Emotion-Focused Therapy , Patient Escort Service , Argentina , Facial Pain , Occlusal Splints , Interview , Culture , Dental Service, Hospital , Evaluation Studies as Topic
2.
Rev. odontopediatr. latinoam ; 11(1): e-319156, 2021. graf, tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1379322

ABSTRACT

El bruxismo infantil es una condición definida por la acción de apretar o rechinar los dientes involuntariamente, siendo así de etiologia multifactorial. Cuando no es tratado tempranamente, puede causar daño al sistema estomatognático, causando cambios orofaciales. De esta forma, este artículo tiene como objetivo abordar las diferentes opciones de tratamiento para el bruxismo en niños. Esta es una revisión integradora realizada a través de las bases de datos SciELO y PubMed, la cual incluye un total de 14 artículos, respetando los criterios de inclusión y exclusión. En general, el tratamiento debe ser cumplido realizado de manera multidisciplinaria, incluyendo la incorporación del cirujano dentista, doctor, psicólogo, fisioterapeuta y logopeda para mejorar la calidad de vida del individuo. A través de la exclusión de los posibles factores que determinan la enfermedad, tiene como objetivo promover la reducción de la actividad parafuncional. Para lograr eso, podemos usar placas oclusales, medicamentos como analgésicos, antiinflamatorio, benzodiacepinas, relajantes musculares, además de las hierbas medicinales, así como también, terapia de masaje, criolipólisis, acupuntura, entre otros. Sin embargo, mas estudios son necesarios para probar la efectividad de estas terapias. Se puede concluir que hasta el momento presente, lo que se puede ofrecer es un tratamiento paliativo y multidisciplinario que permite la reducción de complicaciones patológicas, favoreciendo así, la salud del niño.


O bruxismo infantil é uma condição definida pela ação de apertar ou ranger os dentes de forma involuntária sendo de etiologia multifatorial. Quando não interferida precocemente pode gerar danos ao sistema estomatognático, ocasionando alterações orofaciais. Dessa forma, o presente artigo tem como objetivo abordar as diferentes opções de tratamento para o bruxismo em crianças. Trata-se de uma revisão integrativa realizada por meio das bases de dados SciELO e PubMed, foram incluídos um total de 14 artigos, respeitando os critérios de inclusão e exclusão. De forma geral, o tratamento deve ser realizado multidisciplinarmente, englobando a adição do cirurgião-dentista, médico, psicólogo, fisioterapeuta e fonoaudiólogo, com intuito de proporcionar melhora da qualidade de vida ao indivíduo. Através da exclusão dos possíveis fatores determinantes da doença, visa-se a promoção da redução da atividade parafuncional. Para isso, pode-se lançar mão de placas oclusais, medicamentos, como analgésicos, anti-inflamatórios, benzodiazepínicos, relaxantes musculares, além de fitoterápicos, bem como, massagem terapêutica, criolipólise, acupuntura, entre outros. Contudo, é necessário que mais estudos comprovem a eficácia dos referidos terapêuticos. Assim sendo, conclui-se que até o presente momento, o que se pode oferecer é um tratamento paliativo e multidisciplinar que possibilite a diminuição das complicações patológicas e desta forma favorecendo o estado de saúde da criança.


The bruxism in the childhood is a multifactorial condition defined by the act of involuntarily clenching or grinding the teeth. When not interfered early can cause damage to the stomatognathic system, causing orofacial changes. Thus, this article aims to address the different treatment options for bruxism in children, this is an integrative review conducted through the SciELO and PubMed databases, a total of 14 articles were included, respecting the inclusion and exclusion criteria. In general, the treatment should be performed in a multidisciplinary manner, including the addition of the dental surgeon, physician, psychologist, physiotherapist and speech therapist, in order to improve the quality of life of the individual. By excluding possible determinants of the disease, the aim is to promote the reduction of parafunctional activity. For this, it can use occlusal plaques, medications such as analgesics, anti-inflammatory drugs, benzodiazepines, muscle relaxants, as well as herbal medicines, as well as massage therapy, cryolipolysis, acupuncture, among others. However, further studies need to prove the effectiveness of such therapies. Therefore, it can be concluded that, until now, what can be offered is a palliative and multidisciplinary treatment thatenables the reduction of pathological complications and thus favoring the child's health status.


Subject(s)
Humans , Male , Female , Palliative Care , Therapeutics , Bruxism , Plants, Medicinal , Psychology , Quality of Life , Benzodiazepines , Stomatognathic System , Anti-Inflammatory Agents, Non-Steroidal , Occlusal Splints , Acupuncture , Physical Therapists , Analgesics , Anti-Inflammatory Agents
3.
Braz. dent. sci ; 24(4, suppl 1): 1-8, 2021. tab, ilus
Article in English | LILACS, BBO | ID: biblio-1349287

ABSTRACT

Objective: was to evaluate the effect of four conservative treatment modalities on the pain level of patients with temporomandibular joint (TMJ) anterior disc displacement with reduction (ADDwR). Material and methods:100 subjects (64 females and 36 males) were selected, divided into four groups, 25 patients of each. Subjects of Group I have been treated with behavioral therapy. Subjects of Group II had been treated with Photobiomodulation therapy (PBMT). Subjects of Group III had been treated by anterior repositioning splint (ARS). Subjects of Group IV had been treated by a stabilization splint. The pain was evaluated by visual analog score (VAS) from 0 to 10. Statistical analysis was done using one-way ANOVA test for comparison between groups. Within each group, a comparison between baseline and after treatment was done using paired t-test (p<0.05). Results: There was a statistical difference between the pain scores of the different groups after treatment (p≤0.05). Also, there were statistical differences between all groups (p≤0.05) except that between group II and group III (p˃0.05). Conclusion: The use of stabilization splint and ARS are effective non-invasive methods for reducing the pain level in the treatment of TMJ ADDwR cases.(AU)


Objetivo: avaliar o efeito de quatro modalidades de tratamento conservador no nível de dor de pacientes com deslocamento anterior do disco articular com redução. Material e Métodos: foram selecionados 100 indivíduos(64 mulheres e 36 homens), divididos em quatro grupos, 25 pacientes cada. Os indivíduos do Grupo I foram tratados com terapia comportamental. Os indivíduos do Grupo II foram tratados com terapia de fotobiomodulação. Os indivíduos do Grupo III foram tratados com placa de reposicionamento anterior. Os indivíduos do Grupo IV foram tratados com uma placa de estabilização. A dor foi avaliada pelo escala visual analógica (EVA) de 0 a 10. A análise estatística foi feita usando o teste ANOVA de uma via para comparação entre os grupos. Dentro de cada grupo, uma comparação entre a linha de base e após o tratamento foi feita usando o teste t pareado (p <0,05). Resultados: Houve diferença estatística entre os escores de dor dos diferentes grupos após o tratamento (p ≤ 0,05). Além disso, houve diferenças estatísticas entre todos os grupos (p ≤0,05), exceto entre o grupo II e o grupo III (p˃0,05). Conclusão: O uso de placa de estabilização e reposicionadora anterior são métodos não invasivos eficazes para reduzir o nível de dor no tratamento de casos de deslocamento anterior de disco articular sem redução.(AU)


Subject(s)
Humans , Male , Female , Occlusal Splints , Temporomandibular Joint Disc , Low-Level Light Therapy
4.
Rev. Ciênc. Méd. Biol. (Impr.) ; 19(3): 507-513, dez 5, 2020. fig
Article in Portuguese | LILACS | ID: biblio-1358030

ABSTRACT

A dor miofascial orofacial vem sendo tratada com analgésicos, anti-inflamatórios, relaxantes musculares, fisioterapia, laserterapia e placas oclusais. Contudo, muitas vezes, tais condutas falham em amenizar o quadro doloroso, havendo a necessidade de testar outras estratégias de tratamento. Metodologia: Uma opção para avaliação experimental dessas terapias seria o teste de dor induzido pela carragenina, associado ao teste de avaliação do limiar nociceptivo, originalmente desenvolvido para avaliar a ação de drogas nas patas de roedores. Sendo assim, o presente estudo analisou a nocicepção causada pela carragenina em masseteres de ratos, através do teste de Von Frey, correlacionando-a com alterações teciduais produzidas por esta droga. A carragenina foi injetada no músculo masseter de ratos, enquanto o grupo controle recebeu soro fisiológico. O limiar nociceptivo foi mensurado com um analgesímetro digital antes da administração da carragenina e 5 horas, 1, 3 e 7 dias após o seu uso. Decorridos 8 dias da intervenção, os animais foram eutanasiados, sendo seus masseteres encaminhados para processamento histológico e coloração H&E. Resultados: Observou-se uma diminuição do limiar da resposta nociceptiva em todos os períodos no grupo com carragenina, quando comparado com o grupo controle, havendo diferença estatisticamente significante nas 5 horas. A análise histológica do grupo experimental mostrou a presença de espaços perimisial e endomisial alargados e preenchidos por uma matriz com alguns linfócitos, muitos macrófagos e raros mastócitos. Conclusão: Os resultados indicaram que a associação de uma droga inflamatória com o método Von Frey pode ser uma opção para o estudo do efeito de terapias de dor miofascial.


Myofascial orofacial pain has been treated with analgesics, anti-inflammatories, muscle relaxants, physiotherapy, laser therapy and occlusal plaques. However, many times, such behaviors fail to alleviate the painful condition, with the need to test other treatment strategies. Methodology: An option for experimental evaluation of these therapies would be the pain test induced by carrageenan associated with the nociceptive threshold assessment test, originally developed to assess the action of drugs on the rodents' feet. Thus, the present study analyzed the nociception caused by carrageenan in rat masseter using the Von Frey test, correlating it with tissue changes produced by this drug. Carrageenan was injected into the masseter muscle of rats, while the control group received saline. The nociceptive threshold was measured with a digital analgesometer before administration of carrageenan and 5 hours, 1, 3 and 7 days after its use. After 8 days of the intervention, the animals were euthanized, and their masseters were sent for histological processing and H&E staining. Results: There was a decrease in the nociceptive response threshold in all periods in the group treated with carrageenan when compared to the control group, with a statistically significant difference at 5 hours. Histological analysis of the experimental group showed the presence of enlarged perimisial and endomisial spaces, filled by a matrix with some lymphocytes, many macrophages and rare mast cells. Conclusion: Results indicated that the association of an inflammatory drug with the Von Frey method may be an option for studying the effect of therapies on myofascial pain.


Subject(s)
Animals , Male , Rats , Rats, Inbred Strains , Carrageenan , Nociception , Myofascial Pain Syndromes , Physical Therapy Modalities , Occlusal Splints , Analgesics , Anti-Inflammatory Agents , Muscle Relaxants, Central
5.
Rev. ADM ; 77(5): 261-266, sept.-oct. 2020. ilus
Article in Spanish | LILACS | ID: biblio-1147137

ABSTRACT

Una de las consecuencias de la desprogramación neuromuscular es la rotación mandibular en sentido horario, evidenciando el punto prematuro de contacto y aumentando la dimensión vertical del paciente. En pacientes clase II con componente vertical, es un problema realizar este tipo de tratamiento, ya que por lo general este efecto de posterorrotación mandibular hace el perfil más convexo, y en algunos casos genera mordida abierta anterior, la cual se debe corregir posteriormente con el tratamiento de ortodoncia, cirugía o prótesis, lo que alarga el tiempo total de tratamiento por la necesidad de control vertical. El presente caso se trata de una mujer de 45 años de edad, dolicofacial, con tendencia a mordida abierta, mordida dual, sobremordida vertical y horizontal disminuidas, motivo de consulta dolor articular, el cual no le permite continuar con sus labores diarias, el tratamiento realizado fue desprogramación neuromuscular con un guarda oclusal inferior con el propósito de aliviar sintomatología articular y control vertical con microtornillos palatinos previo a tratamiento ortodóncico (AU)


One of the effects of the neuromuscular deprogramming treatment is the mandibular clockwise rotation, making the light premature occlusal contact more evident and increasing the patient vertical dimension. In Class II patients with vertical component is difficult to treat them due to profile worsening as an effect of the clockwise rotation creating in some patient's anterior open bite, this has to be corrected later in treatment with orthodontic intrusion, surgery or prosthodontic treatment, increasing the total time of treatment with the vertical control necessity. This case report is a 45 years old patient, dolichofacial, with anterior open bite tendency, dual bite, decreased overjet and overbite, her chief complaint was temporomandibular joint dysfunction which dont allow her to do her daily duties, the treatment for her was neuromuscular deprogramming splint for the temporomandibular joint pain, and vertical control with temporary anchorage devices (miniscrews) before the orthodontic treatment (AU)


Subject(s)
Humans , Middle Aged , Vertical Dimension , Temporomandibular Joint Dysfunction Syndrome/therapy , Dental Implants , Open Bite/therapy , Rotation , Occlusal Splints , Neuromuscular Manifestations , Overbite/therapy , Mandible/physiology , Mexico
6.
Rev. ADM ; 77(4): 209-215, jul.-ago. 2020. tab
Article in Spanish | LILACS | ID: biblio-1129997

ABSTRACT

A continuación se presenta un caso de un paciente de 12 años de edad, con antecedente de bruxismo, con biotipo mesofacial, tercio inferior dolicofacial, hipertonicidad muscular en maseteros, cierre labial forzado con incompetencia labial de 4 milímetros con dolor en sinoviales anteriores inferiores. Los objetivos de tratamiento consistieron en lograr relajación muscular y promover un posicionamiento condilar ortopédicamente funcional y estable, realizar control vertical para disminuir gap interlabial, alinear líneas medias, mantener clase I molar bilateral, clase I canina bilateral y clase I incisiva, crear overjet y overbite adecuados, con recuperación estética y función del segmento anterior. Debido a eventos adversos durante la etapa de cierre de espacios, la clase molar y canina I no se logró, pero se aseguró mediante ameloplastias positivas la función y estética adecuadas para tener un tratamiento de ortodoncia estable a largo plazo (AU)


The following is a case of a 12-year-old patient, with a history of bruxism, with a mesofacial biotype, lower third of the facial area, muscular hypertonicity in the masseters, a forced labial closure with a 4-millimeter labial incompetence with pain in inferior anterior synoviums. Treatment objectives consisted of achieving muscle relaxation and promoting orthopedically functional and stable condylar positioning, perform vertical control to decrease interlabial gap, align midlines, maintain bilateral molar class I, bilateral canine class I and incisive class I, create adequate overjet and overbite, with aesthetic recovery and function of the anterior segment. Due to adverse events during the closing phase of spaces, the molar and canine I class was not achieved, but positive function and aesthetics were ensured by positive ameloplasties in order to have a long-term stable orthodontic treatment (AU)


Subject(s)
Humans , Female , Child , Orthodontics, Corrective , Bruxism , Centric Relation , Dental Enamel/surgery , Esthetics, Dental , Orthodontic Appliances , Patient Care Planning , Occlusal Splints , Composite Resins , Mexico , Muscle Relaxation
7.
Rev. ADM ; 77(4): 216-221, jul.-ago. 2020. ilus, tab
Article in Spanish | LILACS | ID: biblio-1130113

ABSTRACT

Los pacientes con problemas esqueléticos clase II que han terminado su crecimiento, generalmente, se tratan con cirugía ortognática o extracciones de piezas dentarias. Un objetivo del tratamiento es obtener estabilidad a largo plazo. El presente caso clínico es de un paciente masculino de 15 años de edad con clase II esquelética sagital que se realizó desprogramación neuromuscular con un plano de acrílico, que permitió determinar la verdadera discrepancia intermaxilar y obtener que la articulación temporomandibular estuviera en una posición estable en relación céntrica del paciente previo a su tratamiento ortodóncico prequirúrgico (AU)


In patients with class II skeletal problems who have finished their growth; they are treated with orthognathic surgery or dental extractions usually. One treatment goal is to obtain long-term stability. The present case report is of a 15 years old male patient with skeletal sagittal class II who underwent neuromuscular deprogramming with an acrylic plane, which allowed to determine the true skeletal discrepancy and achieve a stable position of the temporomandibular joint in centric relation before the orthodontic treatment (AU)


Subject(s)
Humans , Male , Adolescent , Centric Relation , Occlusal Splints , Orthognathic Surgery , Malocclusion, Angle Class II/therapy , Patient Care Planning , Temporomandibular Joint/physiopathology , Cephalometry , Neuromuscular Manifestations , Mexico
8.
Odontoestomatol ; 22(36): 15-23, 2020. tab, graf
Article in Spanish | LILACS, BNUY | ID: biblio-1143361

ABSTRACT

Resumen: El presente estudio evaluó la eficacia comparativa entre la actividad física aeróbica (AFA) y los dispositivos ortopédicos estabilizadores(DOE) en el manejo del dolor orofacial de origen músculo esqueletal en individuos con trastornos temporomandibulares (TTM). Participaron voluntarios dentados bimaxilar con dolor de origen músculo esqueletal con edades comprendidas entre 18 y 40 años. Para la evaluación de la variable dolor el instrumento de medición fue la escala verbal análoga. Cada uno de los grupos de tratamientos estuvo compuesto por siete individuos, los cuales fueron evaluados durante ocho (AFA) y seis (DOE) semanas respectivamente. La AFA se caracterizó por un descenso semanal significativo de 0.155 puntos en la medición del dolor. En tanto con DOE la tendencia fue aún más pronunciada que en el tratamiento con AFA, siendo esta diferencia significativa. El presente estudio demostró que, tanto la intervención con DOE como con AFA contribuyeron a la disminución del dolor orofacial de origen músculo esqueletal en voluntarios con TTM.


Resumo: O presente estudo avaliou a eficácia da atividade física aeróbica (AFA) no tratamento da dor orofacial de origem muscular esquelética em indivíduos com disfunção temporomandibular em comparação ao tratamento com dispositivo ortopédico estabilizador (DOE). Participaram voluntários com dor muscular esquelética com idade entre 18 e 40 anos e dentes bimaxilares. Para a avaliação da variável dor, o instrumento de medida foi a escala verbal analógica. Cada um dos grupos de tratamento foi composto por sete indivíduos, avaliados por oito (AFA) e seis (DOE) semanas, respectivamente. AFA foi caracterizada por uma diminuição semanal significativa de 0,155 pontos na medição da dor. Quanto ao DOE, a tendência foi ainda mais acentuada do que no tratamento com AFA, sendo essa diferença significativa. O presente estudo demonstrou que a intervenção do DOE e do AFA contribuiu para a redução da dor musculoesquelética orofacial em voluntários com TTM.


Abstract This study evaluated the efficacy of aerobic physical activity (APA) in managing musculoskeletal orofacial pain in individuals with temporomandibular disorders (TMD) compared to treatment with an occlusal stabilization appliance (OSA). Volunteers with musculoskeletal pain aged between 18 and 40 and with bimaxillary teeth involved. The analog verbal scale was used to evaluate the pain variable. Each treatment group included seven individuals evaluated for eight (APA) and six (OSA) weeks, respectively. APA showed a significant weekly decrease of 0.155 points in pain measurement. As for the OSA, the trend was even stronger than in the APA treatment-the difference was substantial. This study demonstrated that both the OSA and APA contributed to reducing musculoskeletal orofacial pain in volunteers suffering from TMD.


Subject(s)
Temporomandibular Joint Disorders/therapy , Occlusal Splints , Endurance Training , Musculoskeletal Pain/therapy
9.
Braz. j. oral sci ; 19: e200119, jan.-dez. 2020. ilus
Article in English | LILACS, BBO | ID: biblio-1177445

ABSTRACT

Masticatory muscle pain (MMP) is a common type of orofacial pain.Occlusal appliance (OA) is contemplated as a first-line conservative approach for chronic MMP, however, integrated biopsychosocial approaches such as counseling and self-care therapies (CSG) are also considered essential. Aim: This pilot study aimed to compare the use of a combined therapy (GSG + OA) and solely OA treatment on pain intensity related to chronic MMP over a 6-month follow-up. Methods:For this, 20 patients diagnosed with chronic MMP using the Diagnostic criteria for temporomandibular disorders (DC/TMD) were divided into 2 groups (n=10) and treated with OA or combined therapy (CoT; OA + CSG). Electromyographic muscle activity (EMG), visual analogue scale (VAS) and pressure pain threshold (PPT) were recorded at baseline, 1, 3 and 6 months after treatment. Data was collected and statistical analysis were applied at a significance level of 5%. Results:Results showed no significant differences at baseline among groups for any assessment. VAS showed that both treatments decreased subjective pain in volunteers over time, but no significant differences among both groups were observed at any evaluation time. For electromyography, CoT and OA presented no significant differences throughout the experiment neither on relaxed muscle position or maximum volunteer contraction. Finally, a significantly higher PPT for CoT was found for all muscles at the last assessment point (p<0.05). Conclusion: These findings suggest that both treatments are effective for the reduction of pain perception (VAS) in patients with chronic MMP. However, the addition of CSG to an OA therapy may be more beneficial for the improvement of tenderness on the same patients, at least in a long-term basis (> 3 months). Notwithstanding, a larger study should be performed to substantiate these findings


Subject(s)
Humans , Male , Female , Facial Pain , Occlusal Splints , Myofascial Pain Syndromes
11.
Rev. cuba. estomatol ; 56(2): e1801, abr.-jun. 2019. graf
Article in Spanish | LILACS | ID: biblio-1093222

ABSTRACT

RESUMEN Introducción: El bruxismo del sueño es una parafunción que afecta a más del 20 por ciento de la población en general, produce trastornos en el aparato estomatognático y el resto del organismo. Su multicausalidad dificulta su diagnóstico, control y tratamiento, sobre todo cuando está asociado con el hábito de respiración bucal. Existen aditamentos que son utilizados como coadyuvantes del tratamiento en ambas entidades por separado, pero se torna aún más difícil cuando están combinadas. Objetivo: Comprobar la efectividad de una férula multifunción en el bruxismo del sueño asociado al hábito de respiración bucal. Caso clínico: Paciente masculino de 42 años de edad, con antecedentes de faringitis a repetición y de hipertrofia de adenoides, que acude a la consulta de Trastornos Témporo Mandibulares de la Facultad de Estomatología "Raúl González Sánchez", quien refiere apretamiento de las mandíbulas cuando duerme y dolores en músculos de la cara al despertar. A través de la anamnesis, el examen clínico intrabucal y extrabucal y de diferentes maniobras clínicas, se observó sintomatología relacionada con bruxismo del sueño céntrico combinado con hábito de respiración bucal. Conclusiones: Con la colocación de la férula multifunción se logró disminuir la sintomatología por la cual asistió a consulta el paciente(AU)


ABSTRACT Introduction: Sleep bruxism, a parafunctional habit affecting more than 20 percent of the general population, causes disorders in the stomatognathic system and the rest of the body. Its multicausality makes its diagnosis, control and treatment difficult, particularly when it is associated with mouth breathing. Devices have been created which may be used for the treatment of either condition separately, but therapy becomes more complicated when the two are present. Objective: Verify the effectiveness of a multifunction splint for the treatment of sleep bruxism associated with mouth breathing. Clinical case: A male 42-year-old patient with a history of recurrent pharyngitis and adenoid hypertrophy presents at the temporomandibular disorders service of Raúl González Sánchez Dental School and reports tightening of his jaws during sleep and facial muscle pain upon awakening. Anamnesis, intraoral and extraoral clinical examination, and various clinical maneuvers reveal symptoms of centric sleep bruxism combined with mouth breathing. Conclusions: Placement of a multifunction splint reduced the symptoms that had prompted the patient to attend consultation(AU)


Subject(s)
Humans , Male , Adult , Occlusal Splints/adverse effects , Sleep Bruxism/epidemiology , Mouth Breathing/etiology
12.
Rev. cient. odontol ; 7(1): 157-167, ene.-jun. 2019.
Article in Spanish | LILACS, LIPECS | ID: biblio-1006104

ABSTRACT

El uso de las férulas oclusales en la actualidad, en el vasto campo de la odontología, es de gran importancia para el tratamiento de trastornos témporo mandibulares (TTM), así como en el tratamiento de otras para funciones relacionadas con la articulación témporo mandibular (ATM). Actualmente, existe variedad en cuanto al diseño de férulas oclusales, hechas con diferentes materiales, con diferentes resistencias y utilizadas para cada tipo de disfunción temporomandibular que se presente, así como para las parafunciones existentes. Dentro de esta variedad son solo cinco tipos de férulas las que se conocen ampliamente, según la evidencia científica. Cada una de ellas tiende a considerar diversas características en la forma de fabricación y sus indicaciones; así mismo, el clínico debe ejecutar una buena elección, un plan de control adecuado para cada caso, con un diagnóstico acertado que llevará al éxito de los resultados. Se debaten diferentes aspectos en cuanto el uso de las férulas en el tratamiento de rehabilitación oral, incluyendo su uso para desprogramar la ATM, correcciones en la relación cóndilo fosa, eliminación de desarmonías oclusales para aliviar el dolor en la ATM, su influencia en la eficiencia muscular y su efecto en la carga muscular. Se debe diseñar un tipo de férula para cada tras-torno en específico y evaluar su verdadero valor terapéutico. En esta revisión crítica, se busca describir y analizar el uso de las férulas oclusales, sus principales funciones y aplicaciones en pacientes con diferentes trastornos. (AU)


At present, the use of the occlusal splints in the vast field of dentistry is of great importance for the treatment of temporo mandibular disorders (TMD) as well as in the treatment of other functions related to the temporo-mandibular joint (ATM). The design of occlusal splints varies, involving different materials, different resistances and according to the type of temporomandibular dysfunction as well as existing parafunctions. To date 5 types of splints have been described, each of which considers different characteristics related to manufacturing and their indications. Likewise, to ensure adequate results, clinicians must select the splint to be used according to the characteristics of each patient. We discuss different aspects such as the use of splints in the treatment of oral rehabilitation, including their use to deprogram TMD, corrections in the condyle fossa relationship, elimination of occlusal disharmony to relieve TMJ pain, the influence of splints on muscle efficiency and their effect on muscle load. Splints must be designed individually to assess their real therapeutic value, taking into account the specific conditions of each patient. This critical review, seeks to describe and analyze the use of occlusal splints and their main functions and applications in patients with different oral disorders. (AU)


Subject(s)
Humans , Temporomandibular Joint , Bruxism , Temporomandibular Joint Disorders , Occlusal Splints
13.
Rev. ADM ; 76(2): 109-112, mar.-abr. 2019. ilus
Article in Spanish | LILACS | ID: biblio-1009264

ABSTRACT

La desprogramación neuromuscular juega un papel importante en el tratamiento de la disfunción temporomandibular, uno de los principales inconvenientes es el periodo prolongado del tratamiento, lo cual influye en la aceptación del paciente o el abandono del tratamiento. El diagnóstico es crucial para planificar el tratamiento ya que cubre una amplia gama de variables para tratarlo, por lo que en este caso es un paciente dolicofacial, con problemas de disfunción temporomandibular de origen muscular, por lo cual se optó por utilizar laserterapia de bajo nivel como coadyuvante de tratamiento, dando como resultado una mejor aceptación y colaboración de la desprogramación del paciente en un periodo de tiempo más corto (AU)


Neuromuscular deprogramming plays an important role in the treatment of temporomandibular dysfunction, one of the main drawbacks is the prolonged period of treatment, which influences the acceptance of the patient or the abandonment of treatment. The diagnosis is crucial to plan the treatment since it covers a wide range of variables to treat it, so in this case it is a dolichofacial patient, with problems of temporomandibular dysfunction of muscular origin, which is why we chose to use low-level laser therapy, level as a coadjutant of treatment, resulting in a better acceptance and collaboration of the deprogramming of the patient in a shorter period of time (AU)


Subject(s)
Humans , Male , Adolescent , Temporomandibular Joint Dysfunction Syndrome/therapy , Dental Occlusion, Centric , Lasers, Semiconductor/therapeutic use , Occlusal Splints , Dental Articulators , Mexico
14.
Clin. biomed. res ; 39(3): 230-243, 2019.
Article in English | LILACS | ID: biblio-1053114

ABSTRACT

Introduction: As a multifactorial disease, temporomandibular disorders (TMD) require a complex therapeutic approach, being noninvasive therapies the first option for most patients. The aim of this study was to perform a systematic review to analyze the most common non-invasive therapies used for TMD management. Methods: The review was done by searching electronic databases to identify controlled clinical trials related to pharmacologic and non-invasive treatments. Of all potential articles found, 35 were included in this review. Results: Low-level laser therapy (LLLT), occlusal splints (OS) and oral exercises/ behavior education (OE/BE) were the most common therapies used. LLLT showed significant results in pain and movement improvement in most studies. OS was usually combined to other therapies and resulted in improvement of pain. OE/BE showed significant results when combined with ultrasound, LLLT, and manual therapy. Conclusions: Non-invasive treatments can provide pain relief and should be prescribed before surgical procedures. LLLT was the therapy with the higher number of studies showing positive results. Based in heterogeneity of treatment protocols, diagnostic and outcomes criteria used, new well-designed randomized controlled trials (RCT) are necessary. (AU)


Subject(s)
Humans , Temporomandibular Joint Disorders/therapy , Facial Pain/drug therapy , Facial Pain/therapy , Temporomandibular Joint Disorders/drug therapy , Treatment Outcome , Occlusal Splints , Musculoskeletal Manipulations , Low-Level Light Therapy , Exercise Therapy
15.
Rev. Fac. Odontol. (B.Aires) ; 34(78): 37-48, 2019. ilus
Article in Spanish | LILACS | ID: biblio-1116632

ABSTRACT

En personas con discapacidad se presentan las enfermedades prevalentes de la cavidad bucal con mayor frecuencia. Dentro de éstas, las alteraciones oclusales, como el apiñamiento dentario, son muy frecuentes y se considera responsable de exacerbar la patología gingival, periodontal y la estética, con impacto en la salud bucodental y la calidad de vida de estos pacientes. La técnica basada en el uso de placas alineadoras es sencilla, no invasiva y fundamentalmente preventiva de la enfermedad buco-dental (AU)


Subject(s)
Humans , Female , Adult , Orthodontics, Corrective , Quality of Life , Dental Care for Disabled , Malocclusion/therapy , Oral Hygiene , Arthrogryposis/therapy , Beckwith-Wiedemann Syndrome/therapy , Occlusal Splints , Williams Syndrome/therapy , Esthetics, Dental , Mouth Rehabilitation/methods
16.
Article in English | WPRIM | ID: wpr-766344

ABSTRACT

Patients with masticatory muscle tendon-aponeurosis hyperplasia (MMTAH) experience limited mouth opening due to restricted muscle extension. Hyperplastic aponeurosis and tendons lead to the restriction of muscle extension. The criteria for the diagnosis of MMTAH are limited mouth opening that progresses very slowly from adolescence, intraoral palpation reveals a hard cord-like structure along the overhang of the anterior border of the masseter muscle on maximum mouth opening, and a square mandible. Conservative treatment, including pharmacotherapy, occlusal splint and physical therapy are ineffective. The standard therapy is surgical treatment, such as anterior partial aponeurectomy of the masseter muscle and coronoidectomy. The long-term results are very satisfying.


Subject(s)
Adolescent , Diagnosis , Drug Therapy , Humans , Hyperplasia , Mandible , Masseter Muscle , Masticatory Muscles , Mouth , Occlusal Splints , Palpation , Tendons
17.
Rev. Asoc. Odontol. Argent ; 106(4): 136-141, dic. 2018. ilus
Article in Spanish | LILACS | ID: biblio-981831

ABSTRACT

El objetivo de esta comunicación es divulgar el uso de las placas de protectoras de mucosa (PPM) en el ámbito de la patología bucal, así como en la consulta odontológica diaria. Tomando como antecedente los primitivos protectores bucales diseñados para deportes de contacto, se desarrolló su uso en odontología con un diseño particular para el tratamiento de los desórdenes temporomandibulares. Describimos aquí la aplicación de las PPM en estomatología en el contexto de coadyuvancia terapéutica para diferentes entidades de muy frecuente consulta. Asimismo, se detallan la técnica de confección y las indicaciones de uso y cuidado para los pacientes (AU)


The aim of this report is to emphasize the usefulness of oral splints for mucosa protection in oral pathology as well as in every day dental practice. There is substantial evidence that mouthguards were first developed for use in boxing. The most common therapeutic use of occlusal splints in dentistry is the treatment of temporomandibular joint disorders. The present work describes the use of oral splints for mucosa protection in the context of adjuvant therapy as a protective device for many common disorders of the oral mucosa. At the same time it explains the fabrication technique and provides proper use and handling guidelines (AU)


Subject(s)
Humans , Occlusal Splints , Mouth Diseases , Mouth Mucosa , Acrylic Resins , Mouth Neoplasms , Temporomandibular Joint Disorders , Epoxy Resins
18.
Rev. Círc. Argent. Odontol ; 77(227): 13-17, dic. 2018. ilus, tab
Article in Spanish | LILACS | ID: biblio-1122775

ABSTRACT

La osteoartrosis es una enfermedad degenerativa que, instalada en la articulación temporomandibular, genera efectos deletéreos en los tejidos blandos y óseos que la constituyen. En los tejidos duros se destaca la aparición de procesos osteolíticos a nivel condilar y de la cavidad glenoidea con cambios morfológicos importantes. Estas modificaciones están íntimamente relacionadas con el debilitamiento y/o destrucción de los tejidos blandos que ocurren previamente. Los síntomas que se presentan con mayor frecuencia en esta afección son la alteración del rango de movimiento, el dolor y, el más característico, la crepitación durante el examen con estetoscopio. La frecuencia de aparición alcanza entre un 8% y un 18%. Las causas para su documentación son variables y están vinculadas al desplazamiento discal, el trauma, hormonales y la inestabilidad oclusal, siendo el aumento de carga (bruxismo) la de mayor significación. El examen imagenológico puede documentar aplanamiento de los componentes óseos, disminución del espacio articular, discontinuidad de las corticales, esclerosis subcondral, osteofitos, quistes subcondrales y cuerpos libres periarticulares. En ocasiones la radiografía panorámica puede ser poco demostrativa para la documentación de esas particularidades; por el contrario, la tomografía computada es un excelente procedimiento diagnóstico. El aporte de la IRM es relevante en la ubicación del disco articular; asimismo, posibilita la observación de colección de fluido en los espacios articulares, generando una señal hiperintensa. Tratamiento: actuar principalmente para disminuir la carga sobre la ATM y,`por lo tanto, concientizar al paciente de la presencia del bruxismo, instalar un dispositivo oclusal miorrelajante (DOM) y suplementar con analgésicos, antiinflamatorios y antiartrósicos. Cuando la OA está asociada al desplazamiento discal, debe indicarse un dispositivo oclusal de desplazamiento anterior mandibular (DODAM) (AU)


Osteoarthrosis is a degenerative disease. When is located in the TMJ produces deleterious effects in its soft and hard tissues, osteolytic processes on condyle and glenoid cavity in the latter, with significant morphological changes, closely related to weakening and destruction of the tissues that had happened previously. Symptoms most frequent are alteration of the range of movement, pain and,the most characterystic, cracking while examination through stethoscope. Its frequency is between 8 and 18%.Causes for its documentation are variable and related to disc displacement, trauma, hormones and occlusal unsteadiness, being de increase of charge (clenching) the most relevant. Imaging can show flattening on osseusparts,, the articular space, discontinuation of cortexes, subchondral sclerosis, osteophytes, subchondral cysts,and loose particular bodies. Sometimes orthopantomograph may be barely demonstrative to document these phenomena, conversely CT is an excellent diagnostic procedure. The contribution of MRI is relevant to locate articular disc, and facilitate visualize fluid collection within the articular spaces, producing a hiperintense signal. Treatment: to act mainly for diminishing charge on the TMJ, so to raise patients conscience of the presence of clenching, install a myorelaxant occlusal device (DOM) and additionally analgesics, antiinflamatories and antiarthrosis When osteoarthrosis is associated with disc displacement and occlusal device for anterior mandibular displacement (DODAM) is suitable(AU)


Subject(s)
Humans , Male , Female , Osteoarthritis/pathology , Temporomandibular Joint Disorders/diagnostic imaging , Osteoarthritis/drug therapy , Signs and Symptoms , Bruxism , Magnetic Resonance Imaging , Radiography, Panoramic , Tomography Scanners, X-Ray Computed , Chronic Disease , Chondroitin Sulfates/therapeutic use , Occlusal Splints , Age and Sex Distribution , Analgesics/therapeutic use , Anti-Inflammatory Agents
19.
J. oral res. (Impresa) ; 7(7): 279-286, sept. 22, 2018. tab
Article in English | LILACS | ID: biblio-1120997

ABSTRACT

Aim and objective: bruxism is defined by The american sleep disorders association as "tooth grinding during sleep plus tooth wear, sounds or jaw muscle discomfort in absence of medical disorder. people are obtaining over the counter splints (OTC) as a possible alternative to manage bruxism without the need for dental assessment. the aim of this study is survey OTC bruxism splints available in Chile through the internet or other commercial outlets, categorize their characteristics, claims, safety warnings and contrast it with scientific evidence. materials and methods: an internet search was made for OTC bruxism splints available in Chile. only chilean domains were evaluated. information recorded was manufacture, name of the device, splint design, material, adjustability, price, claims and safety warnings. results: five devices were found in our search. only one is from a chilean laboratory, being the most accessible. all devices have a full coverage splint design. the material made of is only described in one and their prices in the market are very dissimilar. the most usual advertising was "eliminate bruxism. stop night-time Grinding & Clenching". two manufactures suggest that the device will help to sleep better. no manufacture provided a guide for how long each day the splint must be worn. conclusion: dentists should be aware to keep this market in mind when reviewing patients if there have been unexplained occlusal changes or other problems. bruxism is often a long-term problem and with any type of bruxism appliance the importance of regular review by a professional is critical.


Subject(s)
Humans , Occlusal Splints/adverse effects , Commerce , Internet , Sleep Bruxism/therapy , Chile , Epidemiology, Descriptive , Cross-Sectional Studies , Patient Safety
20.
Rev. ADM ; 75(4): 228-236, jul.-ago. 2018. ilus
Article in Spanish | LILACS | ID: biblio-916343

ABSTRACT

Los trastornos temporomandibulares (TTM) constituyen un problema en la población en general cuyos signos y síntomas tienen un carácter multifactorial que debe ser abordado de manera interdisciplinaria para poder brindar una mejor oportunidad de éxito y estética en los tratamientos. Las guardas oclusales forman parte del tratamiento en los TTM, se deben conocer sus indicaciones, contraindicaciones, ventajas y desventajas, debido a que las guardas oclusales cumplen ciertas funciones y objetivos. La guarda oclusal elaborada por la técnica de polimerización en microondas (GOTMI) reduce signifi cativamente el tiempo de elaboración en el laboratorio, proporciona un aparato de alta calidad y baja porosidad. La GOTMI es un aparato que proporciona un método indirecto y no invasivo modifi cando la oclusión, recuperando el tejido u órganos dentales perdidos, reorganiza la actividad refl eja neuromuscular, relaja la musculatura, promueve el reposicionamiento del disco articular, protege los dientes, oclusión y estructuras de sostén periodontal, además de mejorar la estética y la autoestima del paciente. La GOTMI disminuye el dolor en la ATM y la neuromusculatura, proporciona alivio a las cefaleas tensionales, elimina las interferencias oclusales, es un distribuidor de fuerzas oclusales, además de provocar un mayor número de contactos de igual intensidad de fuerza contra la superfi cie oclusal en todos los dientes. Existen varios métodos para la confección de las guardas oclusales, en el presente trabajo se describe la elaboración de una guarda oclusal programada con los principios de oclusión orgánica. La técnica de polimerización por microondas es innovadora debido a que este proceso consiste en la generación de calor dentro de la resina mediante ondas electromagnéticas producidas por un generador llamado magnetrón. Las moléculas de metilmetacrilato son capaces de orientarse por el campo electromagnético a una frecuencia de 2,450 MHz, y cambian su dirección cinco billones de veces por segundo aproximadamente, lo que implica numerosas colisiones intermoleculares y causa una rápida polimerización (AU)


Temporomandibular disorders (TMD) are a problem in the general population whose signs and symptoms have a multifactorial character that must be addressed by an interdisciplinary team to provide a better chance of success and aesthetic treatments. Occlusal guards are part of TMD treatment, you should know the indications, contraindications, advantages, and disadvantages, because the occlusal guards perform certain functions and objectives. The occlusal guard by Iztacala modifi cation provides an indirect and noninvasive method modifying occlusion, recovering the lost dental tissue or organs, reorganizes the neuromuscular refl ex activity, relaxes the muscles, promotes articular disc repositioning, protecting the teeth and supporting occlusion structures, it also improves aesthetics and self-esteem. The occlusal guard Iztacala modifi cation has the advantage of decreasing TMJ pain, provides relief to tension headaches, elimination of occlusal interferences, is a distributor of occlusal forces as well as causing a greater number of contacts equal intensity of force against the occlusal surface of all teeth. There are several methods for the fabrication of occlusal guards, in this paper the development of an occlusal guard programmed with the principles of organic occlusion is described, using as a basis a rigid acetate and acrylic for programming, in addition to providing your cosmetic use and function. The acquisition or denial of treatment with an occlusal splint depends on the choice, preparation, occlusal guard adjustment and patient cooperation (AU)


Subject(s)
Humans , Dental Occlusion , Microwaves , Occlusal Splints , Polymerization , Temporomandibular Joint Disorders , Acetates , Dental Articulators , Models, Dental , Polymers
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