RESUMO
BACKGROUND: This article aims to demonstrate the importance of the TMJ (Temporomandibular Joint) decompression in the treatment of degenerative processes and disc displacements, reporting two clinical cases treated with orthopedic and decompressive correction of TMJ. MATERIAL AND METHODS: The studies reported in this article show patients with muscle and joint pain who were evaluated pre and post-treatment through MRI (Magnetic Resonance Irradiation) to follow-up bone marrow regeneration and TMJ disc placement. Transcutaneous electrical stimulation (TENS), measurement equipment and IO (Intraoral Orthotic) were used to evaluate and treat the patients. A critical review of literature has also been conducted to confront clinical outcomes. RESULTS: Marrow bone regeneration and disc placement were observed in both patients. CONCLUSIONS: The use of measurement equipment associated with TENS to find the correct rest position of the Jaw an the use of IO to decompress the TMJ was an effective way to promote bone marrow regeneration and disc placement, consequently improving function and quality of life.
Assuntos
Medula Óssea/fisiologia , Descompressão Cirúrgica , Regeneração , Transtornos da Articulação Temporomandibular/cirurgia , Adulto , Idoso , Feminino , Humanos , Aparelhos Ortopédicos , Disco da Articulação TemporomandibularRESUMO
La Artritis Reumatoidea suele comprometer, en su curso a la Articulación Temporomandibular. El presente trabajo muestra los hallazgos encontrados al explorar 118 articulaciones temporomandibulares, obteniendo signosintomatología de cada paciente, imágenes radiográficas de manos y de la articulación mencionada, interrelacionando estos datos con la eritrosedimentación (ERS), HAQ y el DAS 28.
Assuntos
Artrite Reumatoide , Côndilo Mandibular , Síndrome da Disfunção da Articulação TemporomandibularAssuntos
Cefalometria , Má Oclusão/fisiopatologia , Músculos da Mastigação/fisiopatologia , Desenvolvimento Maxilofacial , Terapia Miofuncional/instrumentação , Adolescente , Criança , Eletromiografia , Face/anatomia & histologia , Feminino , Humanos , Registro da Relação Maxilomandibular , Masculino , Má Oclusão/complicações , Aparelhos Ortodônticos Funcionais , Transtornos da Articulação Temporomandibular/etiologia , Estimulação Elétrica Nervosa Transcutânea , Dimensão VerticalRESUMO
A 14-year-old who had suffered from a beta-hemolytic streptococcus infection presented with serious temporomandibular disorders, including a reabsorption of the condyle head on the right side, and reabsorption in the cavern of the left side. Her masticatory muscles were electronically deprogramed, achieving a mandibular position supported by a relaxed musculature. The patient's signs and symptoms subsequently disappeared. Study of the magnetic resonance image a year later clearly showed a regeneration ad integrum of the condyle head and a spontaneous reinsertion of the articular disk. The results suggest the need for use of electronic elements in order to treat patients with temporomandibular disorders effectively.
