ABSTRACT
El presente texto expone los resultados de un estudio prospectivo, del tipo de intervención comunitaria aplicado en la Clínica Estomatológica Docente La Vigía, provincia Camagüey, con el objetivo de instrumentar una estrategia educativa en pacientes con bruxismo y disfunción temporomandibular en el período de enero de 2017 a enero de 2018. Se diseñó y aplicó una estrategia educativa según la metodología utilizada por la Maestría Nacional de Educación para la salud. Predominó el sexo femenino y las edades comprendidas entre los 24 y 29 años, así como el nivel escolar universitario. Al finalizar la intervención, el nivel de conocimientos fue evaluado de bueno en casi todos los pacientes, la apertura bucal limitada, el dolor muscular y articular aparecieron en menos de la mitad de los individuos; el nivel de satisfacción respecto a la intervención fue alto. Se concluyó que la estrategia generó un impacto positivo en los pacientes estudiados(AU)
The present text exhibits the results of a pilot study, of the type of community intervention applied in the Dentistry University Clinic La Vigía, Camagüey province, with the objective to arrange an educational strategy in patients with bruxism and temporomandibular dysfunction in the period from January, 2017 until January, 2018. It was designed and applied an educational strategy as the methodology used by the National Mastery of Education for the health. It predominated over the feminine sex and the ages understood between 24 and 29 years, as well as over the university school level. On having finished the intervention, the knowledge level was evaluated of good in almost all the patients, the limited mouth opening, the muscular pain and to articulate appeared in less than half of the individuals; the satisfaction level with regard to the intervention was high. It was concluded that the strategy generated a positive impact in the studied patients(AU)
Subject(s)
Humans , Bruxism/prevention & control , Temporomandibular Joint/abnormalities , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Remedial Teaching , Controlled Before-After Studies , Prospective StudiesABSTRACT
A disfunção temporomandibular (DTM) constitui um importante problema de saúde pública, já que é uma das causas mais relatadas de dor orofacial crônica que interfere nas atividades diárias. Aspectos biológicos e comportamentais como depressão e qualidade do sono, podem desempenhar um papel importante na adaptação à dor e recuperação desses pacientes. Objetivo: avaliar a influência das terapias conservadoras, placa, aconselhamento e terapia manual, sobre a intensidade de dor, nível depressão e qualidade do sono em pacientes portadores de DTM. Métodos: 85 pacientes diagnosticados com DTM através do RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders) foram incluídos nesse ensaio clinico randomizado. Aleatoriamente eles foram distribuídos em 4 grupos de tratamento distintos: placa oclusal-PO (n= 24), placa oclusal associada ao aconselhamento-PAC (n=24), terapia manual-TM (n=19) e aconselhamento-AC (n=18). Os pacientes foram avaliados quanto a intensidade de dor por meio da Escala Visual Analógica (EVA), nível de depressão pelo Inventário de Depressão de Beck (BDI) e pela Escala Hospitalar de Ansiedade e Depressão (HADSd) e qualidade do sono através do Índice de Qualidade de Sono de Pittsburgh (PSQI) no baseline e também nos períodos de um e três meses após realização do tratamento. Os dados foram analisados utilizando o teste Split Plot ANOVA, com o intuito de observar a diferença ao longo do tempo e entre grupos, com nível de confiança de 95%. Resultados: Ao analisar as variáveis ao longo do tempo todas as terapias se mostraram positivas, com redução da intensidade de dor (p=0,000), diminuição dos escores do nível de depressão avaliado pelo BDI (p=0,001) e também de qualidade do sono avaliada pelo PSQI (p=0,005). Exceto nos níveis de depressão avaliado pela HADSd não foi encontrada diferença significativa ao longo do tempo (p=0,106) e entre grupos (p=0,890). Diferença significativa também não foi evidenciada entre os grupos de tratamento, em nenhuma variável durante o período da pesquisa. Conclusão: As terapias PO, PAC, AC e TM possuem resultados positivos, quanto a intensidade de dor, níveis de depressão e qualidade do sono em pacientes portadores de DTM a curto prazo (1 e 3 meses), sem diferenças entre elas (AU).
Temporomandibular disorders (TMDs) is a major public health problem, as they are the most commonly reported causes of pain that interfere with daily activities. Biological and behavioral aspects such as depression and sleep quality may play an important role in adapting to pain and canceling out patients. Objective: to evaluate the therapy of conservative therapies, occlusal splint, counseling and manual therapy on the intensity of pain, anxiety level and sleep quality in patients with temporomandibular disorders. Methods: 85 patients diagnosed with TMD through RDC / TMD (Diagnostic Criteria for Research in Temporomandibular Disorders) were included in this randomized clinical trial. They were randomly assigned to 4 different treatment groups: oclusal splint (n = 24), occlusal splint associated with counseling (n = 24), manual therapy (n = 19) and counseling (n = 18). The patients were evaluated for pain intensity by means of the Visual Analogue Scale (VAS), pressure level by the Beck Intelligence Inventory (BDI) and the Hospital Anxiety and Depression Scale (HADSd) and the quality of sleep through Pittsburgh Sleep Quality Index (PSQI) there is no baseline and also the last two weeks after the treatment. The data were used in the Split Plot ANOVA test, in order to observe the difference between time and groups, with a confidence level of 95%. Results: When analyzing how variables over time all therapies differ positively, with reduction of pain intensity (p = 0.000), decrease in depression levels by BDI (p = 0.001) and also sleep quality evaluated by PSQI (p = 0.005). Except for confidence levels at the same time that HADSd was not different over time (p = 0.106) and between groups (p = 0.890). Significant difference was not found between treatment groups in any of the variables during the study period. Conclusion: As therapy of occlusal splint, counseling therapy and manual terapy, have positive results regarding pain intensity, depression levels and sleep quality in patients with short-term MS (1 and 3 months) with no differences between them (AU).
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Facial Pain , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Occlusal Splints , Depression , Sleep Quality , Analysis of Variance , Counseling , Musculoskeletal Manipulations/methods , Dental Occlusion , Conservative Treatment/methodsABSTRACT
La presencia de desórdenes temporomandibulares (TTM) en el niño es un tema controversial. Algunos autores sostienen su ausencia en la población infantil; sin embargo, otros han observado signos y síntomas de TTM en poblaciones pediátricas. Nosotros creemos que tales desórdenes pasan inadvertidos con frecuencia por la falta de un examen clínico completo y minucioso que incluya el estudio de la ATM como parte del sistema estomatognático y como revisión rutinaria en la clínica odontopediátrica. Ante las reiteradas consultas que recibimos en la asignatura Odontología Niños de la FOLP, surgió la inquietud de profundizar en el tema y decidimos realizar un trabajo de investigación denominado : "Disfunciones temporomandibulares y su relación con trastornos de ansiedad en una población infantil". El objetivo general de este trabajo fue determinar los signos y síntomas de los TTM y su relación con los distintos niveles de trastornos emocionales en una población infantil, con el propósito de brindar información a odontólogos y odontopediatras acerca de la importancia de realizar un correcto examen clínico de la ATM que nos alerte sobre la posibilidad de aparición de TTM en niños, sin dejar de estar atentos a los miedos o los diferentes grados de ansiedad que los niños pueden desarrollar y que contribuyen en buen grado a agravar o desencadenar el cuadro.
Subject(s)
Male , Humans , Child , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/etiology , Anxiety Disorders/complications , Child Behavior/psychology , Dental Care for Children/methods , Temporomandibular Joint/physiopathology , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Clinical DiagnosisABSTRACT
A disfunção temporomandibular tem caráter multifatorial e merece uma abordagem diferenciada tanto para seu diagnóstico quanto seu tratamento, sendo frequentemente recomendada a atuação de uma equipe multidisciplinar. Várias são as manifestações que podem acometer as articulações temporomandibulares decorrentes de patologias sistêmicas. Dentre estas, a tuberculose raramente as acomete, mas a ocorrência de manifestações extrapulmonares vem crescendo nos últimos anos. Estima-se que a tuberculose acometa 8.8 milhões de pessoas ao ano, levando 1.45 milhões destas ao óbito. O objetivo desta revisão foi levantar dados e informações para profissionais da área da saúde, em especial os Cirurgiões Dentistas,para um correto e precoce diagnóstico, uma vez que a detecção correta da patologia possibilita tratamento adequado e previne o surgimento de alterações graves na forma e função das articulaçõesenvolvidas.
Temporomandibular disorders are a multifactorial disease, that deserves a special approachfor its diagnosis and treatment, and a multidisciplinary team is suggested. Various systemic pathologies have a TMJ manifestation. Among these diseases, tuberculosis rarely has a temporomandibularjoint occurrence, but extra pulmonary manifestation is increasing in the last years.About 8,8 million people are affected by tuberculosis each year, and 1,45 million die because ofit. The objective of this review is collect data and information for health professional, in special Dentists, in order to clarify the relationship between TMD and tuberculosis, early diagnosis and correct treatment, once that the correct identification of this patology can provide adequate treatment and prevents for more severe complications.
Subject(s)
Humans , Male , Female , Temporomandibular Joint/anatomy & histology , Temporomandibular Joint/abnormalities , Temporomandibular Joint/growth & development , Temporomandibular Joint/injuries , Temporomandibular Joint Dysfunction Syndrome/complications , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Tuberculosis/complications , Tuberculosis/pathology , Tuberculosis/prevention & controlABSTRACT
Introdução: A disfunção temporomandibular caracteriza-se por um conjunto de alterações clínicas envolvendo os músculos mastigatórios, a articulação temporomandibular e outras estruturas associadas. Objetivo: A estimulação proprioceptiva condicionada pelo uso do hiperboloide diminui o quadro álgico e aumenta a amplitude do movimento mandibular. Métodos: Apresentamos o caso de uma jovem de 22 anos com diagnostico de Disfunção temporomandibular, que recebeu o tratamento fisioterapêutico utilizando hiperboloide mastigador apparatus 3 vezes por semana durante 8 semanas sendo realizadas duas avaliações específicas: extensão vertical do movimento mandibular e mensuração do limiar de dor por pressão sobre o músculo masseter, pré atendimento, pós imediato e pós tratamento. Resultados: Observou-se aumento expressivo na abertura mandibular e no aumento de limiar de dor. Conclusão: O uso do hiperboloide levou a um aumento mobilidade mandibular e diminuição de dores nos músculos masseteres e consequente melhora na mastigação.
Introduction: temporomandibular dysfunction is characterized by a set of clinical changes involving the masticatory muscles, the temporomandibular joint and other associated structures. Goal: proprioceptive stimulation conditioned by the use of the hyperboloid influences on pain and mandibular movement pattern. Methods: we present the case of a young man of 22 years with diagnosis of temporomandibular joint Dysfunction, which received physiotherapy treatment using hyperboloid Cruncher apparatus 3 times per week for 8 weeks being held two specific reviews: vertical extension of the mandibular movement and measurement of pressure pain threshold on the masseter muscle, pre care, immediate post and post treatment. Results: it was observed significant increase in mandibular opening and increased pain threshold. Conclusion: the use of hyperboloid has led to an increase in mandibular mobility and decrease of myalgia masseteres and consequent improvement in chewing.
Subject(s)
Humans , Female , Adult , Young Adult , Facial Pain/therapy , Temporomandibular Joint Dysfunction Syndrome/rehabilitation , Physical Therapy Modalities/instrumentation , Temporomandibular Joint/pathology , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Masticatory Muscles/pathologyABSTRACT
Introducción: El síndrome de disfunción temporomandibular tiene alta incidencia a nivel mundial. Estudios epidemiológicos en relación con su prevalencia indican que más del 50 por ciento de la población ha padecido esta entidad. A la consulta del Servicio de Máximo-Facial del Hospital Docente Territorial Dr Mario Muñoz, de Colón, provincia de Matanzas, acuden pacientes con síntomas y signos relacionados con esta enfermedad. Objetivo: determinar el conocimiento teórico en los médicos de la familia sobre el síndrome de disfunción de la articulación temporomandibular.Materiales y métodos: el universo estuvo constituido por 171 médicos de la familia de los tres policlínicos comunitarios del municipio de Colón, y la muestra la conformaron 35 médicos. Se realizó en el período comprendido de septiembre a noviembre de 2012. El programa contó con tres fases de ejecución: inicial, de intervención y final. Resultados: el nivel de capacitación del personal médico se elevó a un 95,4 por ciento(AU)
Background: The temporomandibular dysfunction syndrome has high incidence around the world. Epidemiologic studies related with its prevalence show that more than 50 percent of the population has suffered this entity. Patients with symptoms and signs related with this disease assist the consultation of the Maxilla-Facial Service of the Teaching Territorial Hospital Dr. Mario Muñoz of Colon, province of Matanzas. Aim: To determine family physicians theoretical knowledge on the temporomandibular joint dysfunction syndrome. Materials and methods: the universe was formed by 171 family physicians form the three community polyclinics of the municipality of Colon, and the sample were 35 physicians. The study was carried out in the period from September to November 2012. The program had three phases: initial, interventional and final.Outcomes: The medical staff training level reached 95,4 percent(AU)
Subject(s)
Humans , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Physicians, Family , Health Knowledge, Attitudes, PracticeABSTRACT
La articulación temporomandibular constituye una de las estructuras faciales más complejas y ha sido reconocida como una causa de dolor y disfunción desde principios del siglo pasado. Su complicado funcionamiento determina que las mínimas alteraciones produzcan en ellas una gran diversidad de problemas funcionales, a los que se les conoce como trastornos temporomandibulares, que pueden originarse muy temprano con relación a las etapas de crecimiento y desarrollo craneofacial. El objetivo de este trabajo fue determinar la prevalencia de disfunción de la articulación temporomandibular e identificar los factores de riesgo asociados a estos trastornos en el grupo estudiado. Esta investigación fue de tipo descriptiva y transversal, cuyo universo de trabajo estuvo conformado por 320 niños, con edades comprendidas entre 7 y 11 años, pertenecientes a la Escuela primaria urbana Sofiel Riverón. El diagnóstico de disfunción fue realizado mediante la aplicación del Test de Krogh Paulsen. Los resultados mostraron que 6 de cada 100 niños encuestados presentaba disfunción temporomandibular y los factores de riesgo identificados con mayor frecuencia fueron: interferencias oclusales (45 por ciento), hábitos parafuncionales (35 por ciento), bruxismo (15 por ciento), estrés (5 por ciento). Fue apreciado un incremento de estos factores conjuntamente con las edades, aunque no de manera uniforme. Se hace necesario enfatizar en el examen funcional de la articulación temporomandibular en niños, ante la manifestación precoz de desórdenes temporomandibulares y mediante actividades de promoción, prevención e intervención clínicas oportunas, actuar sobre estos factores de riesgo y contribuir a disminuir las cifras de afectados(AU)
The temporomandibular joint is one of the most complex facial structures and has been recognized as a pain and dysfunction source since the beginning of the last century. Its complicated functioning determines that the minimal alterations produce a great diversity of functional problems, known as temporomandibular disorders that may be originated very early with relation to the cranio-facial growing and development stages. The aim of this work was determining the prevalence of the temporomandibular joint dysfunction and identifying the risk factors associated to these disorders in the studied group. This was a cross- sectional descriptive research; the working universe was formed by 320 children aged 7-11 years, assisting the urban primary school Sofiel Riverón. The dysfunction diagnosis was made applying the Krogh Paulsen test. The results showed that 6 of every 100 inquired children had temporomandibular dysfunctions and the risk factors more frequently identified were: oclusal interferences (45 percent), parafunctional habits (35 percent), bruxism (15 percent), and stress (5 percent). It was appreciated these factors increment with the age, although not in an even way. It is necessary to emphasize in the functional examination of the children temporomandibular joint in the presence of precocious temporomandibular disorders and, through opportune activities of promotion, prevention and clinical intervention, influence on these risk factors and contribute to diminishing the number of affected children(AU)
Subject(s)
Humans , Male , Female , Child , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/epidemiology , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Occlusal Splints , Bruxism/etiology , Epidemiology, Descriptive , Cross-Sectional StudiesABSTRACT
La articulación temporomandibular constituye una de las estructuras faciales más complejas y ha sido reconocida como una causa de dolor y disfunción desde principios del siglo pasado. Su complicado funcionamiento determina que las mínimas alteraciones produzcan en ellas una gran diversidad de problemas funcionales, a los que se les conoce como trastornos temporomandibulares, que pueden originarse muy temprano con relación a las etapas de crecimiento y desarrollo craneofacial. El objetivo de este trabajo fue determinar la prevalencia de disfunción de la articulación temporomandibular e identificar los factores de riesgo asociados a estos trastornos en el grupo estudiado. Esta investigación fue de tipo descriptiva y transversal, cuyo universo de trabajo estuvo conformado por 320 niños, con edades comprendidas entre 7 y 11 años, pertenecientes a la Escuela primaria urbana Sofiel Riverón. El diagnóstico de disfunción fue realizado mediante la aplicación del Test de Krogh Paulsen. Los resultados mostraron que 6 de cada 100 niños encuestados presentaba disfunción temporomandibular y los factores de riesgo identificados con mayor frecuencia fueron: interferencias oclusales (45 por ciento), hábitos parafuncionales (35 por ciento), bruxismo (15 por ciento), estrés (5 por ciento). Fue apreciado un incremento de estos factores conjuntamente con las edades, aunque no de manera uniforme. Se hace necesario enfatizar en el examen funcional de la articulación temporomandibular en niños, ante la manifestación precoz de desórdenes temporomandibulares y mediante actividades de promoción, prevención e intervención clínicas oportunas, actuar sobre estos factores de riesgo y contribuir a disminuir las cifras de afectados.
The temporomandibular joint is one of the most complex facial structures and has been recognized as a pain and dysfunction source since the beginning of the last century. Its complicated functioning determines that the minimal alterations produce a great diversity of functional problems, known as temporomandibular disorders that may be originated very early with relation to the cranio-facial growing and development stages. The aim of this work was determining the prevalence of the temporomandibular joint dysfunction and identifying the risk factors associated to these disorders in the studied group. This was a cross- sectional descriptive research; the working universe was formed by 320 children aged 7-11 years, assisting the urban primary school Sofiel Riverón. The dysfunction diagnosis was made applying the Krogh Paulsen test. The results showed that 6 of every 100 inquired children had temporomandibular dysfunctions and the risk factors more frequently identified were: oclusal interferences (45 percent), parafunctional habits (35 percent), bruxism (15 percent), and stress (5 percent). It was appreciated these factors increment with the age, although not in an even way. It is necessary to emphasize in the functional examination of the children temporomandibular joint in the presence of precocious temporomandibular disorders and, through opportune activities of promotion, prevention and clinical intervention, influence on these risk factors and contribute to diminishing the number of affected children.
Subject(s)
Humans , Male , Female , Child , Bruxism/etiology , Occlusal Splints , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/epidemiology , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Epidemiology, Descriptive , Cross-Sectional StudiesABSTRACT
CONTEXT: The association between myofascial temporomandibular disorder (TMD) and nonrestorative sleep supports the investigation of therapies that can modulate the sleep/wake cycle. In this context, melatonin becomes an attractive treatment option for myofascial TMD pain. OBJECTIVES: To investigate the effects of melatonin on pain (primary aim) and sleep (secondary aim) as compared with placebo in a double-blind, randomized, parallel-group trial. METHODS: Thirty-two females, aged 20-40 years, with myofascial TMD pain were randomized into placebo or melatonin (5mg) treatment groups for a period of four weeks. RESULTS: There was a significant interaction (time vs. group) for the main outcomes of pain scores as indexed by the visual analogue scale and pressure pain threshold (analysis of variance; P<0.05 for these analyses). Post hoc analysis showed that the treatment reduced pain scores by -44% (95% CI -57%, -26%) compared with placebo, and it also increased the pressure pain threshold by 39% (95% CI 14%, 54%). The use of analgesic doses significantly decreased with time (P<0.01). The daily analgesic doses decreased by -66% (95% CI -94%, -41%) when comparing the two groups. Additionally, melatonin improved sleep quality, but its effect on pain was independent of the effect on sleep quality. CONCLUSION: This study provides additional evidence supporting the analgesic effects of melatonin on pain scores and analgesic consumption in patients with mild-to-moderate chronic myofascial TMD pain. Furthermore, melatonin improves sleep quality but its effect on pain appears to be independent of changes in sleep quality.
Subject(s)
Melatonin/administration & dosage , Pain Measurement/drug effects , Pain/diagnosis , Pain/prevention & control , Sleep Initiation and Maintenance Disorders/prevention & control , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Adult , Analgesics, Non-Narcotic/administration & dosage , Central Nervous System Depressants/administration & dosage , Double-Blind Method , Female , Humans , Hypnotics and Sedatives/administration & dosage , Placebo Effect , Sleep Initiation and Maintenance Disorders/diagnosis , Treatment OutcomeABSTRACT
Objective: This study investigated the most common features of the signs and symptoms of temporomandibular joint disorder and patient profile, including age and gender. The study was done at the First Master Level temporomandibular joint disorder and Orofacial Pain Clinic of São Leopoldo Mandic School of Dentistry, in Campinas, São Paulo, Brazil, to better familiarize general dental surgeons and experts with this disorder. Methods: This cross-sectional, retrospective study collected data from the records of the first consecutive 200 patients seen at the abovementioned clinic. The collected data included gender, age, main complaints and duration of each complaint. If pain was the main complaint, the affected region and pain intensity were also included. Results: Most (81%) patients were females with a mean age of 36.5 years, ranging from 9 to 82. Pain was the most common complaint referred by 86% of the sample. The complaint bruxism/clenching had the longest mean duration (82.9 months). Pain was most common in the parotideomasseteric region, referred by 53% of the cases. Conclusion: Individuals seeking treatment for temporomandibular joint disorder are usually middle-aged females complaining of pain, especially in parotideomasseteric region.
Objetivo: Avaliar as características dos sinais e sintomas relatados como queixa principal pelos pacientes da clínica do I Curso de Mestrado em Disfunção Temporomandibular e Dor Orofacial da Faculdade São Leopoldo Mandic, correlacionando com sexo, idade e tempo de duração da queixa. Dessa forma, contribuindo com informações que permitam ao cirurgião-dentista, clínico ou especialista, conhecer o perfil destes pacientes. Métodos: Estudo transversal do tipo retrospectivo onde foram coletados nas fichas dos 200 primeiros pacientes a contar do início das atividades do referido curso os dados referentes ao sexo, idade, queixa principal (podendo haver mais de uma) e duração de cada queixa. Nos casos em que a queixa principal foi dor, foram colhidos na história pregressa da doença atual os dados referentes à região afetada e intensidade da dor.Resultados: Na amostra estudada 81% dos pacientes que procuraram tratamento foram do sexo feminino; a idade média foi 36,5 anos variando de nove a 82 anos; dor foi a queixa mais frequente, sendo o motivo de procura para tratamento de 86% dos pacientes; a queixa bruxismo/apertamento foi a que apresentou maior tempo médio de duração (82,9 meses); a região dolorosa mais frequentemente citada foi a parotídeo-massetérica, que apareceu em 53% dos pacientes que se queixaram de dor. Conclusão: Os dados obtidos a partir dessa análise permitem traçar o perfil do paciente que procura atendimento para disfunção temporomandibular como sendo em sua maioria do sexo feminino, adulto jovem, queixando-se de dor, principalmente na região parotídeo-massetérica.
Subject(s)
Male , Female , Adult , Middle Aged , Aged , Young Adult , Epidemiology , Signs and Symptoms , Signs and Symptoms , Temporomandibular Joint Dysfunction Syndrome/complications , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/pathology , Temporomandibular Joint Dysfunction Syndrome/prevention & controlSubject(s)
Facial Pain/therapy , Health Knowledge, Attitudes, Practice , Temporomandibular Joint Dysfunction Syndrome/therapy , Facial Pain/etiology , Facial Pain/prevention & control , Humans , Middle Aged , Pain Measurement , Patient Education as Topic , Temporomandibular Joint Dysfunction Syndrome/prevention & controlABSTRACT
O objetivo desse trabalho foi avaliar as características dos sinais e sintomas relatados como queixa principal pelos pacientes da clínica do I Curso de Mestrado em Disfunção Temporomandibular e Dor Orofacial (DTM e DOF) da Faculdade de Odontologia e Centro de Pesquisas Odontológicas São Leopoldo Mandic (CPO SLM), correlacionando com gênero, idade e tempo de duração da queixa. Dessa forma, contribuindo com informações que permitam ao Cirurgião Dentista, clínico ou especialista, conhecer o perfil destes pacientes, fornecendo dados úteis ao diagnóstico da DTM. Em um estudo transversal do tipo retrospectivo foram coletados nas fichas dos 200 primeiros pacientes a contar do início das atividades do referido curso os dados referentes ao gênero, idade, queixa principal (podendo haver mais de uma) e duração de cada queixa. Nos casos em que a queixa principal foi dor, foram colhidos na história pregressa da moléstia atual (HPMA) os dados referentes à região afetada, tipo de dor e intensidade da dor. Na amostra estudada concluiu-se que 81% dos que procuraram tratamento foram do gênero feminino; a idade média foi 36,5 anos variando de nove a 82 anos; dor foi a queixa mais freqüente, sendo o motivo de procura para tratamento de 86% dos pacientes; a queixa bruxismo/apertamento foi a que apresentou maior tempo médio de duração (82,9 meses); a região dolorosa mais freqüentemente citada foi a parotídeo-massetérica, que apareceu em 53% dos pacientes que se queixaram de dor.
The purpose of this study was to evaluate the features of signs and symptoms stated as chief complaint by the patients attended at the Clinic of the first Masters degree course in TMD (temporomandibular disorders) and Orofacial Pain at the University of Dentistry São Leopoldo Mandic (CPO SLM), in Campinas, São Paulo, Brazil, correlating to gender, age and time of duration of the complaint. In that way, contributing with information that allow to the dentist, clinical or specialist, to know these patients' profile, supplying useful data for the TMD diagnosis. In a retrospective transversal study, data were obtained from the records of the first 200 patients starting from the beginning of the activities of the referred course, regarding gender, age, chief complaint (could have more than one) and duration of each complaint. When pain was chief complaint, were collected in the past history of the current disease data regarding affected area, pain type and intensity of the pain. 81% of the ones that looked for treatment were of the feminine gender; were nine to 82 years old, mean value: 36,5 years; pain was more frequent chief complaint, being reason to look for treatment in 86% of the cases; the habit to grind or press the teeth was the complaint that presented larger medium time of duration (82,9 months); in 53% of the cases wherein chief complaint was pain the painful area more frequently stated was parotid-masseteric.
Subject(s)
Male , Female , Adult , Middle Aged , Aged , Epidemiology , Signs and Symptoms , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/prevention & controlABSTRACT
As disfunções temporomandibulares (DTM) compreendem um largo espectro de distúrbios articulares e/o musculares na região orofacial, com caráter etiológico multifatorial e de ocorrência cíclica. Reconhecem-se atualmente muitas formas de diagnóstico e de tratamento, o que exige, muitas vezes, uma intervenção multidisciplinar. Diante de um paciente com DTM é possível se ter controle da sintomatologia dolorosa e melhora na limitação dos movimentos mandibulares apenas através de medidas informativas e de autocuidados. Neste trabalho são apresentadas orientações de aconselhamento que têm se mostrado efetivas na prevenção, controle e tratamento de pacientes com DTM. Os autores concluem que a intervenção cognitiva, por ser verdadeiramente uma modalidade terapêutica, é imprescindível como tratamento de todos os casos de disfunção temporomandibular.
Temporomandibular disorders (TMD) may be of both from muscle or joint nature and recent studies have proved its multifactorial and ciclic character. Many ways of diagnosing and treating them have been used and a multidisciplinary staff may be required sometimes. Based only on rational and self-care measures it is possible to controI the symptoms and improve the limitation of mandibular movements. This paper proposes a series of orientations which have been effectively used on prevention, controI and treatment of TMD-patient. The authors conclude that the cognitive intervention must be understood as the very therapy and it is so much important to treat every cases of TMD.
Subject(s)
Humans , Male , Female , Cognitive Behavioral Therapy , Temporomandibular Joint Dysfunction Syndrome/prevention & controlABSTRACT
En nuestro entorno se incorporaron cada día más pacientes portadores del Síndrome del Dolor Disfunción de la Articulación Temporomandibular (ATM), algunos son tratados y otros hasta desconocen su afección, por la importancia que reviste el tema se realizó la revisión bibliográfica con el objetivo de conocer el comportamiento de esta afección mostrando los aspectos fundamentales, detectando que la misma es un problema con elevada incidencia que presenta un componente emocional elevado que muchos pacientes lo presentan y lo desconocen o lo conocen y no se tratan, además que el odontólogo no concientiza la importancia que tiene la detección y tratamiento precoz de la afección y un tratamiento adecuado lo que constituye un problema a reflexionar. Palabras Claves. Síndrome del dolor disfunción de la ATM(AU)
Subject(s)
Humans , Male , Female , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/prevention & controlABSTRACT
Scuba divers may suffer from temporomandibular joint dysfunction and related problems associated with the use of commercially available diving mouthpieces. Several authors have recommended that custom diving mouthpieces be fabricated for relieving the symptoms of diver's mouth syndrome. The lost wax technique is commonly used for this purpose but may be time-consuming and is technically complicated. This article describes a simplified technique using thermoforming material for fabricating a custom diving mouthpiece.
Subject(s)
Diving , Mouth Protectors , Sports Equipment , Temporomandibular Joint Dysfunction Syndrome/prevention & control , Equipment Design , Hot Temperature , Humans , Mouth Protectors/adverse effects , Sports Equipment/adverse effects , Temporomandibular Joint Dysfunction Syndrome/etiologyABSTRACT
This article describes the diagnosis and treatment of a patient exhibiting nonodontogenic tooth pain. A 25-yr-old female patient presented to postgraduate endodontics, SUNY at Stony Brook, for evaluation and treatment of pain associated with the upper and lower left quadrants. After thorough intraoral and extraoral examinations, it was determined that the pain was referred to the dentition from a trigger point in the masseter muscle. An extraoral injection of 3% Carbocaine was administered into the trigger point, and the pain abated within 5 min. The patient has experienced no recurrence of this pain for 12 months. Consideration of nonodontogenic dental pain should be included in a differential diagnosis.
Subject(s)
Temporomandibular Joint Dysfunction Syndrome/complications , Toothache/etiology , Adult , Anesthetics, Local/therapeutic use , Facial Pain/etiology , Female , Follow-Up Studies , Humans , Injections, Intramuscular , Mepivacaine/therapeutic use , Temporomandibular Joint Dysfunction Syndrome/prevention & controlABSTRACT
iomandibular. Este relato de caso tem como principal objetivo demonstrar os benefícios proporcionados pela intervenção da Fisioterapia, juntamente com a Odontologia em uma paciente do sexo feminino com 43 anos de idade, com diagnóstico de DTM. Os recursos utilizados para o tratamento foram técnicas de terapia manual e cadeias musculares associadas ao uso de uma placa de acrílico miorrelaxante. Os resultados obtidos foram uma melhora da postura global e a regressão da sintomatologia