Literatura académica sobre el tema "Occlusal Splints. Temporomandibular Joint Disorders"
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Artículos de revistas sobre el tema "Occlusal Splints. Temporomandibular Joint Disorders"
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Chairunnisa, Ricca y Erna Kurnikasari. "Tinjauan tentang splin oklusal untuk terapi gangguan sendi temporomandibula A review about occlusal splint as a therapy for temporomandibular disorders". Journal of Dentomaxillofacial Science 12, n.º 1 (28 de febrero de 2013): 38. http://dx.doi.org/10.15562/jdmfs.v12i1.347.
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An occlusal splint is a removable appliance usually made of acrylic, that fits over the occlusal and incisal surfaces ofthe teeth in one arch, creating precise occlusal contact with the teeth of the opposing arch. Occlusal splint has severalfunctions, one of which is to temporarily provide an temporary occlusion that allows the temporomandibular joints(TMJ) to make the most othopedically stable joint position. Occlusal splint is also used to protect the teeth and itssupportive structure from abnormal forces that may create breakdown and/or tooth wear. Occlusal splint is reversibleand noninvasive treatment, which is most important in treating temporomandibular disorders (TMD) with manycausative factors involved. Many types of splints have been suggested for the treatment of TMD, but the most frequentlyused are the stabilization splint and the anterior positioning splint. The purpose of this paper is to describe the types ofocclusal splints and indication used for the treatment of TMD.
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Ettlin, D. A., H. Mang, V. Colombo, S. Palla y L. M. Gallo. "Stereometric Assessment of TMJ Space Variation by Occlusal Splints". Journal of Dental Research 87, n.º 9 (septiembre de 2008): 877–81. http://dx.doi.org/10.1177/154405910808700903.
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Occlusal splints are used for the management of temporomandibular disorders, although their mechanism of action remains controversial. This study investigated whether insertion of an occlusal splint leads to condyle-fossa distance changes, and to mandibular rotation and/or translation. By combining magnetic resonance images with jaw tracking (dynamic stereometry), we analyzed the intra-articular distances of 20 human temporomandibular joints (TMJs) before and after insertion of occlusal splints of 3 mm thickness in the first molar region. For habitual closure, protrusion, and laterotrusion in the contralateral joint, occlusal splints led to minor—yet statistically significant—increases of global TMJ space and to larger increases at defined condylar areas. Condylar end rotation and translation in habitual closure were reduced. Hence, the insertion of a 3-mm-thick occlusal splint led to a change in the topographical condyle-fossa relationship, and therefore to a new distribution of contact areas between joint surfaces.
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Kui, Andreea, Silvia Pop, Smaranda Buduru y Marius Negucioiu. "The use of occlusal splints in temporomandibular disorders - an overview." Acta Stomatologica Marisiensis Journal 3, n.º 2 (1 de diciembre de 2020): 3–8. http://dx.doi.org/10.2478/asmj-2020-0008.
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AbstractTemporomandibular disorders (TMD) affect the temporomandibular joints, the masticatory muscles, and surrounding tissues. Among symptoms such as jumps, joint noises, reduced mouth opening (closed lock), difficulties in closing the mouth (subluxation or open lock), pain is the most common symptom encountered among patients diagnosed with temporomandibular disorders. As literature on this topic is abundant and sometimes controversial, the authors focus on reviewing the state of art of occlusal splints indications. Therefore, the most common occlusal splints, like Lucia jig, nociceptive trigeminal inhibition (NTI), directive splints, etc., are being described, based on their design and therapeutic indications. Cases of malocclusions associated or not with parafunctions are usually manageable using the splints mentioned in this article. In case of disc displacements, occlusal appliances can be used, but as the etiology is multifactorial, there are some limitations, depending on the complexity of each clinical situation.
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Ferreira, Fabiane Maria, Paulo Cézar Simamoto-Júnior, Carlos José Soares, António Manuel de Amaral Monteiro Ramos y Alfredo Júlio Fernandes-Neto. "Effect of Occlusal Splints on the Stress Distribution on the Temporomandibular Joint Disc". Brazilian Dental Journal 28, n.º 3 (junio de 2017): 324–29. http://dx.doi.org/10.1590/0103-6440201601459.
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Abstract Conservative approach, including occlusal splint therapy, is the first option to treat temporomandibular disorders (TMD), because of its reversibility. The present study analyzed the effect of the articular disc position and occlusal splints use on the stress distribution on this disc. A two-dimensional (2D) finite element (FE) model of the temporomandibular joint with the articular disc at its physiologic position was constructed based on cone-beam computed tomography. Three other FE models were created changing the disc position, according to occlusal splint use and anterior disc displacement condition. Structural stress distribution analysis was performed using Marc-Mentat package. The equivalent von Mises stress was used to compare the study factor. Higher stress concentration was observed on the intermediate to anterior zone of the disc, with maximum values over 2MPa. No relevant difference was verified on the stress distribution and magnitude comparing disc positions and occlusal splint use. However, there was stress reduction arising from the use of the occlusal splints in cases of anterior disc displacement. In conclusion, based on the generated FE models and established boundary conditions, the stress increased at the intermediate zone of the TMJ disc during physiological mandible closure. The stress magnitude was similar in all tested situations
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Tanaka, Elisa Emi, Emiko Saito Arita y Bunji Shibayama. "Occlusal stabilization appliance: evaluation of its efficacy in the treatment of temporomandibular disorders". Journal of Applied Oral Science 12, n.º 3 (septiembre de 2004): 238–43. http://dx.doi.org/10.1590/s1678-77572004000300015.
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Occlusal stabilization appliances or splints are the most widely employed method for treatment of temporomandibular disorders (TMD). Magnetic Resonance Imaging (MRI) is the most indicated imaging modality to evaluate the components of the temporomandibular joint (TMJ). Forty patients with signs and symptoms of temporomandibular disorders were treated with splints for a mean period of 12 months, comprising regular semimonthly follow-ups. After stabilization of the clinical status, occlusal adjustments and MRI evaluation were performed. It was concluded that the success of this kind of treatment are related to the total (70%) or partial improvement (22.5%) of painful symptomatology and to the functional reestablishment of the craniomandibular complex. The MRI allowed evaluation and also the conclusion that the splints provide conditions for the organism to develop means to resist to the temporomandibular disorders by means of elimination of several etiologic factors. Moreover, after treatment the patients are able to cope with disc displacements with larger or smaller tolerance.
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Chaudhary, Poorna, Amit Khera, Shalu Jain y Pradeep Raghav. "Role of occlusal splints in temporomandibular joint disorder". International Journal of Applied Dental Sciences 7, n.º 2 (1 de abril de 2021): 18–21. http://dx.doi.org/10.22271/oral.2021.v7.i2a.1184.
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Awan, Uzma y Nadeem Tariq. "TEMPOROMANDIBULAR JOINT PAIN SYNDROME". Professional Medical Journal 23, n.º 01 (10 de enero de 2016): 081–84. http://dx.doi.org/10.29309/tpmj/2016.23.01.801.
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Introduction: The temporomandibular joint disorders TMD and theirmanagement is a problem in dentistry and complaints associated to this problem are painin the area of joint and associated muscles along with limitations and clicking sounds duringmandibular opening and closing. One of the popular method of treatment is splint therapy.Study design: It was longitudinal intervention study. Objectives: The purpose of this study is toassess about oral splint as an effective treatment for TMD patients. Period: Total study time forthis study was about two years. Setting: Study was carried out in prosthodontics department ofSharif medical and dental college Lahore. Methodology: In the present study 40 patients wereincluded the study. All patients were suffering from some psycho-social issue. Their maximummouth opening MMO was measured and all of them were treated with occlusal splints. Results:There was significant improvement in MMO and reduction in pain.75% patients responded totreatment very well, however, 22.5% responded moderately and 2.5% patients did not respondto treatment. Conclusion: Splint therapy is an effective way to treat TMD. Splint therapy alongwith some psychological rehabilitation of patients which may produce better results.
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Lazic, Vojkan, Igor Djordjevic y Ana Todorovic. "Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction". Serbian Dental Journal 58, n.º 3 (2011): 156–62. http://dx.doi.org/10.2298/sgs1103156l.
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Craniomandibular dysfunction (CMD) is a set of structural and functional disorders of different etiology that affects temporomandibular joint (TMJ) and orofacial muscles. The most common etiologic factors are psychogenic, occlusal, trauma and congenital anomalies of craniofacial structures. About 75% of the examined population have mild symptoms of CMD while 3-4% have more severe symptoms which require medical attention. The main symptoms why people seek for medical attention are: facial pain which increases with chewing and irradiates in surrounding areas and pain in TMJ which irradiates in the ear canal, temporal area or neck. Painful restriction of mandible during mouth opening and eccentric movements is frequent as well as mandible deviation or deflection. Sound effects in TMJ such as popping or clicking during mouth opening are common. Initial and least invasive therapeutic procedure is reversible occlusal therapy using splints. There are two main types of occlusal splints: stabilization and relaxation. First type of splints works on condyle stabilization in orthopedically stable position; it is superoanterior condylar position in articular fossa with position of intercondylar discs between condyle and articular fossa when working cusps of the antagonists are in maximal contact with the splint. Another type of splint causes disocclussion of posterior teeth and eliminates negative effects of occlusal interference in the intercuspal position or during eccentric mandibular movements. During therapy, occlusal splint temporarily changes occlusal relationships as well as relations within TMJ, causing reduction of CMD symptoms. The best therapeutic effect for reduction of CMD symptoms is achieved by combination of physical therapy and medication.
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Mazzeto, Marcelo Oliveira, Takami Hirono Hotta y Rafaela Galli Mazzetto. "Analysis of TMJ vibration sounds before and after use of two types of occlusal splints". Brazilian Dental Journal 20, n.º 4 (2009): 325–30. http://dx.doi.org/10.1590/s0103-64402009000400011.
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Temporomandibular joint (TMJ) sounds are important and common physical signs of temporomandibular disorders (TMD). The aim of this study was to evaluate the influence of the effect of the use of occlusal bite splints (stabilizing and repositioning) on the sounds produced in the TMJ, by means of the electrovibratography (EVG). Thirty-one patients with TMD from the Dental School of Ribeirão Preto, University of São Paulo, Brazil were selected for this study. Group 1 (n=23) wore stabilizing bite splints and Group 2 (n=8) used anterior repositioning splints. Before and after treatment with occlusal splints both groups were analyzed using the SonoPAK Q/S recording system (BioResearch System, Inc.). The treatments with stabilizing bite splints were satisfactory, since they reduced the total amount of the sound energies (p<0.05), but the use of anterior repositioning splints for no more than 4 weeks produced significantly better results (p<0.01). The total amount of vibration energy involved in the vibrating movements of the TMJ showed significant improvement using anterior repositioning splints.
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Makeev, V. F., Yu O. Rybert, V. Ya Shybinskyy, N. R. Kliuchkovska y O. S. Kyrmanov. "FEATURES OF OCCLUSAL THERAPY IN FUNCTIONAL DISORDERS OF TEMPOROMANDIBULAR JOINTS". Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 20, n.º 3 (12 de noviembre de 2020): 249–57. http://dx.doi.org/10.31718/2077-1096.20.3.249.
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Temporomandibular joint (TMJ) dysfunctions are known as being highly prevalent, having multifactorial etiology, progressive course, and high recurrence rate. This combination of features typical of this pathology places it among pressing medical issues nowadays. The variety of concepts and approaches to the analysis of the etiopathogenesis of TMJ dysfunction causes a particular interest in both highly informative diagnostic techniques and functional methods of treatment. A complex pathological morphofunctional syndrome involving parafunctions of masticatory muscles, dysfunctional TMJ states and occlusal disorders ultimately leads to deformation and a low functional disproportion in the TMJ kinetics. The work analyzes the reports on the research of various occlusal splints, and in particular, the mechanism of their action, classification of their effectiveness in various types of TMJ disorders, advantages, and disadvantages of splints, as well as materials used for their manufacturing. It is important to emphasize that the choice of the optimal therapeutic approach to internal TMJ disorders should be chosen taking into account the position of the mandibular condyle, the nature of the articular disk displacement, the presence or absence of pain, its possible causes, and concomitant local and general aggravating factors. The study was performed as a part of the research project of the Department of Orthopaedic Dentistry, Danylo Halytskyi Lviv National Medical University.
Tesis sobre el tema "Occlusal Splints. Temporomandibular Joint Disorders"
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Owais, Zaidoon Rakad Glaros Alan G. "Impact of instructions on the pain-reducing ability of mouth guards for the treatment of temporomandibular disorders". Diss., UMK access, 2005.
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Thesis (M.S.)--School of Dentistry. University of Missouri--Kansas City, 2005."A thesis in oral biology." Advisor: Alan G. Glaros. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed March 12, 2007. Includes bibliographical references (leaves 109-114 ). Online version of the print edition.
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Oliveira, Milene de 1981. "Avaliação eletromográfica dos músculos trapézio, esternocleidomastoideo e supra-hioideos, em pacientes desdentados totais portadores de disfunção temporomandibular tratados com aparelhos oclusais planos". [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289070.
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Orientador: Frederico Andrade e SilvaTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: O objetivo deste trabalho foi avaliar a atividade eletromiográfica dos músculos supra-hioideos, esternocleidomastoideo e trapézio em 15 voluntários desdentados totais, com dimensão vertical de oclusão (DVO) baixa, portadores de disfunção temporomandibular (DTM) e tratados com aparelhos oclusais planos. Foram submetidos ao exame clinico, de acordo com o protocolo clínico do CETASE (Centro de Estudos e Tratamento das Alterações Funcionais do Sistema Estomatognático) da FOP - Unicamp, e a exames radiográficos complementares. As avaliações eletromiográficas foram realizadas simultânea e bilateralmente, no período inicial e aos 30, 60 e 90 dias de tratamento, com a mandíbula nas posições de repouso e fechamento isométrico com resistência. Os resultados obtidos foram avaliados pelos testes t de Student e pela Correlação de Spearman. Na situação de repouso houve um aumento significante na atividade eletromiográfica do músculo esternocleidomastoideo direito, quando comparados os períodos inicial e após 60 e 90 dias (p=0,03), e nos músculos trapézio médio direito após 60 dias (p=0,03), e esquerdo, após 90 dias de tratamento (p=0,04). Na situação de fechamento isométrico com resistência resultados significantes foram encontrados pelo teste t para as atividades eletromiográficas dos músculos suprahioideos direito (p=0,04) e trapézio médio direito (p=0,04) e esquerdo (p=0,02), após 90 dias de tratamento. Uma correlação significante pôde ser observada quando comparamos bilateralmente todos os músculos avaliados, nas duas situações (p<0,05). Após a terapia com aparelhos oclusais planos ocorreu uma equalização funcional significativa na atividade eletromiográfica dos músculos cervicais e supra-hioideos, podendo sugerir que a alteração na posição mandibular influencia na atividade elétrica dos músculos cervicais
Abstract: The aim of this study was to evaluate the electromyographic activity of the suprahyoid, sternocleidomastoid and trapezius muscles in 15 edentulous volunteers, with a low vertical dimension of occlusion (VDO), temporomandibular disorder (TMD) and treated with plan occlusal splints. Patients were undergone to clinical examination, according to the clinical protocol of CETASE (Functional Stomatognathic Disorders Study Center) FOP - Unicamp, and additional radiographic exams. Electromyographic evaluations were performed simultaneously and bilateral, before the beginning of the treatment and at 30, 60 and 90 days of treatment, with the jaw at rest position and isometric closure with resistance. The results were evaluated by Student's t-test and Spearman's correlation. In the resting position there was a significant increase in EMG activity of right sternocleidomastoid muscle comparing to the beginning and after 60 and 90 days of treatment (p=0.03), and in right middle trapezius after 60 days of treatment (p=0.03), and left after 90 days of treatment (p=0.04). Relating to isometric closure with resistance significant results were found by t-test for the electromyographic activity of the right suprahyoid muscles (p=0.04) and right (p=0.04) and left middle trapezius (p=0.02) at 90 days after treatment. A significant correlation was observed when comparing bilaterally all muscles in both conditions (p<0.05). After the plan occlusal splint therapy, there was a significant functional equalization of the electromyographic activity of neck and suprahyoid muscles, suggesting that changes in mandible position can influence the electrical activity of cervical muscles
Doutorado
Protese Dental
Doutor em Clínica Odontológica
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Hamata, Marcelo Matida. "Avaliação comparativa da efetividade das placas oclusais confeccionadas em relação central ou máxima intercuspidação em pacientes com DTM /". Araçatuba : [s.n.], 2006. http://hdl.handle.net/11449/97391.
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Orientador: Paulo Renato Junqueira ZuimBanca: Alício Rosalino Garcia
Banca: Osvaldo Luiz Bezzon
Resumo: A posição de relação central (RC) para a confecção de placas oclusais é muito discutível. Dessa forma, quando existe estabilidade oclusal, a máxima intercuspidação (MI) poderia ser utilizada como ponto de referência, eliminando a necessidade de registro interoclusal. O presente trabalho tem por objetivo comparar a efetividade de placas oclusais confeccionadas a partir de modelos articulados nessas duas posições. Para isso, 20 pacientes com desordens temporomandibulares (DTM) e dor de origem muscular foram divididos em dois grupos de 10 e tratados com placas confeccionadas nas posições de MI ou RC. Estes foram avaliados por meio de exame clínico, eletrognatográfico e eletromiográfico, antes e após três meses de terapia. Os resultados permitiram verificar que os dois tipos de placa atuaram de forma semelhante. Entretanto, a confecção de placas oclusais a partir da MI mostrou ser uma técnica mais fácil e menos onerosa do que a de RC.
Abstract: Centric relation (CR) position to fabricate occlusal splints is very discussable. In this way, when there is occlusal stability, intercuspal position (IP) could be used as a reference point, eliminating the interocculsal record necessity. The purpose of the present study was to compare the effectiveness of occlusal splints fabricated from models articulated in these two positions. Twenty patients with temporomandibular disorders (TMD) of myogenous origin were divided in two groups with 10 each, which were treated with splints fabricated in the CR or IP. The patients were evaluated by clinical, electrognathographic and electromyographic examinations, before and tree months after the therapy. Results showed similar levels of effectiveness of both kinds of splint. However, the fabrication of the splints from IP technique is easier and less onerous than the CR.
Mestre
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Hamata, Marcelo Matida [UNESP]. "Avaliação comparativa da efetividade das placas oclusais confeccionadas em relação central ou máxima intercuspidação em pacientes com DTM". Universidade Estadual Paulista (UNESP), 2006. http://hdl.handle.net/11449/97391.
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hamata_mm_me_araca.pdf: 1154614 bytes, checksum: aeddf157add6e91da7b73e35970a0b5f (MD5)A posição de relação central (RC) para a confecção de placas oclusais é muito discutível. Dessa forma, quando existe estabilidade oclusal, a máxima intercuspidação (MI) poderia ser utilizada como ponto de referência, eliminando a necessidade de registro interoclusal. O presente trabalho tem por objetivo comparar a efetividade de placas oclusais confeccionadas a partir de modelos articulados nessas duas posições. Para isso, 20 pacientes com desordens temporomandibulares (DTM) e dor de origem muscular foram divididos em dois grupos de 10 e tratados com placas confeccionadas nas posições de MI ou RC. Estes foram avaliados por meio de exame clínico, eletrognatográfico e eletromiográfico, antes e após três meses de terapia. Os resultados permitiram verificar que os dois tipos de placa atuaram de forma semelhante. Entretanto, a confecção de placas oclusais a partir da MI mostrou ser uma técnica mais fácil e menos onerosa do que a de RC.
Centric relation (CR) position to fabricate occlusal splints is very discussable. In this way, when there is occlusal stability, intercuspal position (IP) could be used as a reference point, eliminating the interocculsal record necessity. The purpose of the present study was to compare the effectiveness of occlusal splints fabricated from models articulated in these two positions. Twenty patients with temporomandibular disorders (TMD) of myogenous origin were divided in two groups with 10 each, which were treated with splints fabricated in the CR or IP. The patients were evaluated by clinical, electrognathographic and electromyographic examinations, before and tree months after the therapy. Results showed similar levels of effectiveness of both kinds of splint. However, the fabrication of the splints from IP technique is easier and less onerous than the CR.
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Ribeiro, Adriana Barbosa. "Avaliação da atividade elétrica e limiar de dor à pressão dos músculos masseter e temporal anterior com placas de diferentes espessuras /". Araçatuba : [s.n.], 2010. http://hdl.handle.net/11449/97388.
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Resumo: A hiperatividade muscular associada ou não a alterações oclusais pode ser um fator desencadeante das desordens temporomandibulares (DTMs). Qualquer alteração nas estruturas do aparelho estomatognático pode promover um desequilíbrio funcional da mandíbula. A algometria por pressão bem como a eletromiografia tem sido utilizadas como métodos de diagnóstico e controle da evolução terapêutica dos músculos da mastigação. Diversos tratamentos buscam diminuir os sintomas característicos das DTMs pelo restabelecimento do equilíbrio, dentre os quais vale citar a terapia oclusal por meio da placa interoclusal. Uma das dificuldades durante a confecção dos dispositivos interoclusais é determinar a sua espessura. Este critério pode influenciar a eficiência, o desempenho da função de relaxamento e o tratamento da dor muscular. O objetivo deste estudo foi avaliar o efeito da espessura da placa, da consistência do alimento e do gênero, na atividade elétrica e no limiar de dor à pressão (LDP) nos músculos masseter e temporal anterior. Para verificar o efeito de diferentes espessuras de placas interoclusais foram selecionados 20 pacientes assintomáticos que utilizaram placas com espessuras 3 e 6 mm. Foram obtidas médias a partir dos valores encontrados em cada paciente, sendo avaliados lados de trabalho e não-trabalho, por meio de registros da atividade elétrica durante a mastigação de dois tipos diferentes de látex e limiar de sensibilidade dos músculos masseter e temporal anterior. Após sua obtenção, os dados foram tabulados e submetidos à análise estatística, a um nível de 5% de significância (p<0,05). Pode-se concluir que as placas de diferentes espessuras (tratamentos) e o gênero não alteraram a atividade elétrica, porém a maior consistência do alimento proporcionou atividades elétricas mais elevadas. O limiar de dor à pressão... (Resumo completo, clicar acesso eletrônico abaixo)Abstract: The muscular hyperactivity with or without occlusal changes can is a trigger of temporomandibular disorders (TMD). Any change in the structures of the stomatognathic system can promote a functional imbalance of the jaw. The algometry pressure and electromyography has been used as methods of diagnosis and therapy control of the evolution of the muscles of mastication. Several treatments seek to reduce the symptoms characteristic of TMD by restoring the occlusal, among which worth mentioning the occlusal therapy through the plate interocclusal. One of the difficulties during the construction of the splint device is to determine its thickness. This criterion can influence the efficiency, performance of the function of relaxation and treatment of muscle pain provided by interocclusal devices. The objective of this study was to evaluate the thickness of the plate, consistency of the food and gender, in the electric activity and threshold of pain to the pressure (LDP) in the muscles to masseter and anterior temporal. patients in whom signs were established with thickness 3 and 6 mm. Medium were obtained from each side to work and working from records of electrical activity during mastication of two latex sensitivity threshold of the masseter and anterior temporal of all patients. After obtaining the data, the data were tabulated and subjected to statistical analysis, a 5% level of significance (p <0.05). It It was observed that the plates of different thicknesses (treatments) and the gender had not modified the electric activity, however the biggest consistency of the food provided higher electric activities. The threshold of pain to the pressure was modified with the use of the plates of different thicknesses only for the temporal muscle of the work side, as well as was superior for the men in all the muscles evaluated, however the mastication activity did not influence in the LDP
Orientador: Paulo Renato Junqueira Zuim
Coorientador: Alicio Rosalino Garcia
Banca: Karina HelgaTúrcio de Carvalho
Banca: Vinícius Pedrazzi
Mestre
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Crosio, Daniel Mazzetto. "Eletromiografia dos músculos temporais e masseteres em pacientes com disfunção temporomandibular tratados com placa interoclusal". Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/58/58133/tde-19102010-083418/.
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Os objetivos do presente estudo foram analisar os efeitos do tratamento de pacientes com Desordem temporomandibular (DTM) articular crônica com a placa interoclusal estabilizadora modelo Michigan por meio dos índices eletromiográficos POC dos temporais, POC dos masseteres, TORS, ASSIM, Ativação, Ativação absoluta, TORQUE, Impacto, em máximo apertamento dental voluntário (MCV) em máxima intercuspidação habitual (MIH) e máximo apertamento voluntário com algodão entre os dentes (MAA). Foram também analisados os sinais e sintomas de DTM. Participaram do estudo 20 sujeitos, jovens e adultos, sendo 10 com DTM articular crônica, que receberão tratamento com placa oclusal modelo Michigan (Grupo DTM) e 10 sujeitos sem sinais e sintomas de DTM (Grupo Controle). Os sujeitos passarão por exame clínico e responderão ao Protocolo para Determinação dos Sinais e Sintomas de DTM para Centros Multiprofissionais (Felício et al., 2006). Os registros e cálculos dos índices eletromiográficos serão realizados com o Eletromiógrafo Freely de oito canais (De Götzen srl; Legano, Milano, Italy). Foram comparados os dados do grupo DTM na fase de diagnóstico (FD) e na fase final (FF) de tratamento, bem como os dados deste grupo com os do grupo controle. Para os dados expressos em nível intervalar de mensuração, como os dos exames clínicos, foi empregada estatística não-paramétrica. Os dados em nível de razão, isto é os dados eletromiográficos, foram analisados por meio de estatística paramétrica. O nível de significância estabelecido foi de 5%.The objectives of this study were to analyze the effects of treatment of patients with temporomandibular disorder (TMD) joint with chronic plaque-stabilizing model interocclusal Michigan through electromyographic indices of temporal POC, the POC masseter, TORS, SO, Activation, Activation absolute TORQUE, Impact, for maximum voluntary tooth clenching (MCV) in maximum intercuspal usual (MHI) and maximum voluntary clenching with cotton between teeth (MAA). We also analyzed the signs and symptoms of TMD. The study included 20 subjects, young people and adults, and 10 with chronic articular TMD, which would be treated with occlusal splints Michigan model (DTM Group) and 10 subjects without signs and symptoms of TMD (control group). The subjects will undergo clinical examination and respond to the Protocol for the Determination of the signs and symptoms of TMD for multi Centers (Felicio et al., 2006). Records and calculations of indices electromyographic out with the electromyograph Freely eight channels (De Götzen srl; Legano, Milano, Italy). We compared the data from the DTM group stage of diagnosis (FD) and the final stage (FF) treatment, as well as data from this group with the control group. For data expressed as interval level of measurement, such as clinical examination, was used non-parametric statistics. Data on level of reason, ie electromyographic data were analyzed using parametric statistics. The significance level was set at 5%.
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Costa, Yuri Martins. "Caracterização diagnóstica de cefaleia secundária à disfunção temporomandibular em músculos mastigatórios: um estudo controlado". Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/25/25146/tde-15102013-160036/.
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Dores miofasciais mastigatórias (DMF) frequentemente encontram-se associadas com cefaleia. Porém, é incerto se esta relação acontece com cefaleias primárias ou secundárias. O objetivo do presente estudo foi descrever as características da cefaleia secundária à DMF considerada como tal aquela que melhorou após o tratamento da DMF. O efeito de diferentes tipos de tratamento na melhora da cefaleia associado à DMF, e o impacto da presença da cefaleia na melhora da intensidade de dor facial e limiar de dor à pressão (LDP) também foram avaliados. A amostra foi composta por adultos com DMF segundo o RDC/TMD, com (n=60) e sem (n=20) queixa de cefaleia. Os 60 participantes com cefaleia foram divididos em 2 grupos (1a e 1b). O grupo 1a recebeu tratamento que envolvia orientações para mudanças de hábitos. Os grupos 1b e 2 (sem cefaleia), além das orientações, receberam placa oclusal. O período de acompanhamento foi de 5 meses, com avaliações no início, após 2 meses e ao final do 5o mês. As intensidades das dores faciais e da cefaleia (EAV), além do limiar de dor a pressão (LDP) dos músculos temporal anterior, masseter e antebraço, foram analisados. ANOVA de medidas repetidas, teste de Friedman e de Wilcoxon foram usados para as comparações intra e intergrupos considerando um nível de significância de 5%. Ocorreu uma redução significativa da intensidade e frequência da cefaleia em ambos os grupos. A média inicial foi de 7,55 ± 2,24 para o grupo 1a e de 6,52 ± 1,63 para o grupo 1b. Ao final essa média foi, respectivamente, 3,13 ± 2,19 e 2,5 ± 2,33. Não houve diferença entre os grupos. Houve também uma redução na frequência da cefaleia entre o início e o final do tratamento nos grupos 1a e 1b, porém sem diferença entre os grupos. Ocorreu uma redução na intensidade da dor facial em todos os grupos. A média inicial foi de 6,34 ± 2 no grupo 1a, 6,14 ± 1,94 para o grupo 1b e 4,77 ± 1,57 para o grupo 2. Ao final os valores foram, respectivamente 1,66 ± 1,29, 2,3 ± 2,53 e 2,17 ± 1,17 e sem diferença entre os grupos. Houve um aumento no LDP para o temporal anterior no grupo 1b (p=0,01) e para o masseter no grupo 2 (p=0,01). Na comparação intergrupos, houve diferença entre o grupo 1a e 2 no acompanhamento de 2 meses para o temporal anterior (p=0,02). Conclui-se que o tratamento da DMF é eficaz na melhora da cefaleia secundária a DTM, independente do uso da placa oclusal, e que esta cefaleia tem como principais características a duração maior que 4 horas, localização bilateral e qualidade de pressão/peso.Masticatory myofascial pain (MMF) is often associated with headache. Nevertheless, it is unclear whether this relationship occurs with primary or secondary headaches. The purpose of this study was to describe the characteristics of headache attributed to MMF, considered as such, one that improved after treatment of muscle condition. The effect of different treatments types in the improvement of headache associated with MMF, and the impact of the presence of headache on the improvement of facial pain intensity were also evaluated. The sample was comprised of MMF adults according to the RDC / TMD, with (n = 60) and without (n = 20) headache complaints. The 60 subjects with headache were divided into two groups (1a and 1b). The first group received only counseling for behavioral changes. Groups 1b and 2 (without headache), besides counseling, also received occlusal splint. Evaluations were done at baseline, 2 months and after the end of the 5th month. The intensities of facial pain and headache (VAS), and the pressure pain threshold (PPT) of the anterior temporalis, masseter and forearm were recorded. Repeated measures ANOVA, Friedman test and Wilcoxon test were used for comparisons within and between groups considering a 5% significance level. There was a significant reduction in headache intensity and frequency in both groups. The baseline mean was 7.55 ± 2.24 for the group 1a and 6.52 ± 1.63 for group 1b. In the final evaluation these values was respectively, 3.13 ± 2.19 and 2.5 ± 2.33. There was not difference between groups. There was also a reduction in headache frequency between baseline and final evaluation in groups 1a and 1b. There was a reduction in facial pain intensity in all groups. The baseline mean was 6.34 ± 2 in group 1a, 6.14 ± 1.94 for group 1b and 4.77 ± 1.57 for group 2. In the final evaluation these values were 1.66 ± 1.29, 2.3 ± 2.53 and 2.17 ± 1.17 with no difference between groups. There was an increase in the anterior temporalis PPT values for the group 1b (p = 0.01) and the masseter in group 2 (p = 0.01). The between groups comparison showed differences between the group 1a and 2 in the 2 months evaluation for anterior temporalis (p = 0.02). It is concluded that MMF treatment is effective in the improvement of headache attributed to TMD, regardless of the use of occlusal splint. Indeed the main characteristics of this headache were the long duration (more than 4 hours), bilateral location and pressure/tight quality.
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Ribeiro, Adriana Barbosa [UNESP]. "Avaliação da atividade elétrica e limiar de dor à pressão dos músculos masseter e temporal anterior com placas de diferentes espessuras". Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/97388.
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ribeiro_aab_me_araca.pdf: 786499 bytes, checksum: 4b1b56c756fa2615cf0ffe909377f642 (MD5)A hiperatividade muscular associada ou não a alterações oclusais pode ser um fator desencadeante das desordens temporomandibulares (DTMs). Qualquer alteração nas estruturas do aparelho estomatognático pode promover um desequilíbrio funcional da mandíbula. A algometria por pressão bem como a eletromiografia tem sido utilizadas como métodos de diagnóstico e controle da evolução terapêutica dos músculos da mastigação. Diversos tratamentos buscam diminuir os sintomas característicos das DTMs pelo restabelecimento do equilíbrio, dentre os quais vale citar a terapia oclusal por meio da placa interoclusal. Uma das dificuldades durante a confecção dos dispositivos interoclusais é determinar a sua espessura. Este critério pode influenciar a eficiência, o desempenho da função de relaxamento e o tratamento da dor muscular. O objetivo deste estudo foi avaliar o efeito da espessura da placa, da consistência do alimento e do gênero, na atividade elétrica e no limiar de dor à pressão (LDP) nos músculos masseter e temporal anterior. Para verificar o efeito de diferentes espessuras de placas interoclusais foram selecionados 20 pacientes assintomáticos que utilizaram placas com espessuras 3 e 6 mm. Foram obtidas médias a partir dos valores encontrados em cada paciente, sendo avaliados lados de trabalho e não-trabalho, por meio de registros da atividade elétrica durante a mastigação de dois tipos diferentes de látex e limiar de sensibilidade dos músculos masseter e temporal anterior. Após sua obtenção, os dados foram tabulados e submetidos à análise estatística, a um nível de 5% de significância (p<0,05). Pode-se concluir que as placas de diferentes espessuras (tratamentos) e o gênero não alteraram a atividade elétrica, porém a maior consistência do alimento proporcionou atividades elétricas mais elevadas. O limiar de dor à pressão...
The muscular hyperactivity with or without occlusal changes can is a trigger of temporomandibular disorders (TMD). Any change in the structures of the stomatognathic system can promote a functional imbalance of the jaw. The algometry pressure and electromyography has been used as methods of diagnosis and therapy control of the evolution of the muscles of mastication. Several treatments seek to reduce the symptoms characteristic of TMD by restoring the occlusal, among which worth mentioning the occlusal therapy through the plate interocclusal. One of the difficulties during the construction of the splint device is to determine its thickness. This criterion can influence the efficiency, performance of the function of relaxation and treatment of muscle pain provided by interocclusal devices. The objective of this study was to evaluate the thickness of the plate, consistency of the food and gender, in the electric activity and threshold of pain to the pressure (LDP) in the muscles to masseter and anterior temporal. patients in whom signs were established with thickness 3 and 6 mm. Medium were obtained from each side to work and working from records of electrical activity during mastication of two latex sensitivity threshold of the masseter and anterior temporal of all patients. After obtaining the data, the data were tabulated and subjected to statistical analysis, a 5% level of significance (p <0.05). It It was observed that the plates of different thicknesses (treatments) and the gender had not modified the electric activity, however the biggest consistency of the food provided higher electric activities. The threshold of pain to the pressure was modified with the use of the plates of different thicknesses only for the temporal muscle of the work side, as well as was superior for the men in all the muscles evaluated, however the mastication activity did not influence in the LDP
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Oliveira, Simone Saldanha Ignacio de. "Efeitos do uso da placa oclusal sobre o equilíbrio postural em indivíduos dentados, não reprogramados, com sinais e sintomas de desordem temporomandibular diagnosticados pelo RDC/TMD e ressonância magnética". Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/23/23150/tde-13092013-183828/.
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A desordem temporomandibular (DTM) de origem multifatorial pode estar associada a fatores oclusais e também a alterações posturais. O objetivo desse estudo foi investigar os efeitos do uso da placa sobre o equilíbrio postural em indivíduos dentados, não reprogramados, com sinais e sintomas de desordem temporomandibular (DTM). Colaboraram com a pesquisa 70 pacientes (59 placa e 21 controle), entre 18e 84 anos, de ambos os gêneros, diagnosticados com DTM por meio do questionário do RDC/TMD além de ressonância magnética da articulação temporomandibular. O estudo foi de ensaio clínico, randomizado, controlado, prospectivo e de intervenção. Foram respondidos os questionários de risco de quedas - FES-I e de qualidade de vida - SF-36 antes que fosse realizada a avaliação do equilíbrio postural por meio da plataforma de força. Cumprida estas etapas eram feita a randomização: o grupo da amostra recebia placa oclusal com critérios de estabilidade oclusal além de orientação para que fizesse exercícios terapêuticos, enquanto o grupo controle era orientado para fazer apenas exercícios terapêuticos. Após 12 semanas, os dois grupos eram reavaliados. A análise estatística foi feita por frequências, avaliação da associação entre grupos por teste de Fisher; medidas quantitativas considerando por média, mediana, desvio padrão, percentis 25 e 75 além de valores máximo e mínimo; as comparações entre os tempos fez uso de teste não paramétrico de Wilcoxon enquanto a entre grupos usou o teste de Mann-Whitney, com nível de significância de 5%. O total de pacientes, que completou o estudo de risco de queda e qualidade de vida, era composto por 77% de mulheres, com média de idade de 42,5 anos. Os itens significantes do risco de queda contribuíram para reduzir a preocupação em cair da mesma forma que os de qualidade de vida auxiliaram o aumento dos domínios saúde mental, dor e vitalidade. Dos setenta pacientes, 64 completaram o RDC/TMD (47 placa e 17 controle), com diferenças significativas no que diz respeito ao diagnóstico de dor miofascial, deslocamento do disco, artralgia direita e esquerda, grau de dor crônica, depressão esomatização relacionada a placa. Dentre os mesmos 70 pacientes, 49 completaram o estudo sobre o equilíbrio postural (36 placa e 13 controle), que apresentou aumento significante na velocidade anteroposterior do CP nas condições olhos abertos e fechados (VAPoa e VAPof), durante a postura em pé no grupo placa. Concluiu-seque o uso da placa foi eficaz no tratamento da DTM sendo que seu efeito pode ser observado no equilíbrio postural a ponto de diminuir a preocupação em cair além de melhorar os domínios de saúde mental e dor, com consequente repercussão sobre a qualidade de vida.Temporomandibular disorder (TMD) of multifactorial origin may be associated with occlusal factors but also with changes in posture. The objective of this study was to investigate the effects of the use of the occlusal splint on the postural equilibrium of non-reprogrammed, dentate individual with signs and symptoms of temporomandibular disorder. The research group consisted of 70 patients (59 with occlusal splints, 21 in the control group) between 18 and 84 years of age, of both genders, diagnosed with TMD by way of the RDC/TMD questionnaire and magnetic-resonance imaging of the temporomandibular joint. The research was performed via a randomized, controlled, prospective clinical study and intervention. The questionnaires regarding risk of falls - FES-I and quality of life - SF-36 were filled out before evaluating postural equilibrium by way of a force platform. In the randomization, the sample group received occlusal splint, occlusal-stability criteria, and advice about therapeutic exercises; the control group only received advice about therapeutic exercises. After 12 weeks, the groups were re-evaluated qualitatively by frequency, evaluation of the association between the group via Fisher testing; quantitatively via average, median, standard deviation, 25 and 75 percentiles, and minimum and maximum values; comparison between the times via non-parametric Wilcoxon testing and between the groups via Mann-Whitney testing with a threshold of significance of 5 %. Of the universe of the patients who completed the risk-of-fall and quality-of-life study, 77 % were women with an average of of 42.2 years. The items that were significant to the risk of falling contributed to reducing fear of falling, and those significant to quality of life to increasing the domains of mental health, pain, and vitality. Out of the 70 participants, 64 completed the RDC/TMD (47 occlusal splint and 17 controls) with differences that were significant to the diagnosis of miofascial pain, slipped disc, left and right arthralgia, degree of chronic pain, depression, and somatization related to the oclusal splint. Of the 70, 49 completed the postural-equilibrium study (36 occlusal splint and 13 controls), a significant increase in anteroposterior speed of the COP with eyes open and eyes closed (AVPeo and AVPec) occurring in the oclusal splint group while standing. It is therefore concluded that use of the oclusal splint was efficacious in the treatment of TJM and that there was an effect on the postural equilibrium, with improvement occurring in regards to fear of falls and in the domains of mental health, pain, and the quality of life.
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Filho, Deícola Coelho. "Avaliação da posição condilar em pacientes com DTM antes e após terapia com placa interoclusal estabilizadora por meio de tomografia computadorizada de feixes cônicos". Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/58/58133/tde-11122014-160459/.
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O objetivo deste estudo foi avaliar a posição condilar em pacientes com DTM articular antes e após tratamento com placa interoclusal estabilizadora por meio de tomografia computadorizada de feixes cônicos. Foram avaliados e tratados 22 pacientes com algum sinal ou sintoma de DTM articular, triados nas Clínicas do Curso de Odontologia da Universidade Estadual de Montes Claros, que preencheram os critérios de inclusão e exclusão. O diagnóstico de DTM foi realizado com o Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Os pacientes foram submetidos a terapia com placa interoclusal estabilizadora durante 90 dias. Foram realizados três exames de tomografia computadorizada de feixes cônicos na região das ATM direita e esquerda, sendo: a primeira no início do tratamento, com o paciente na posição de MIH (G1); a segunda após 90 dias de tratamento, com o paciente ocluindo na placa interoclusal estabilizadora (G2); e a terceira após 90 dias de tratamento, com o paciente na posição de MIH (G3). Foram realizadas medidas dos espaços articulares anterior, superior e posterior em cortes sagitais das ATM. Os dados coletados foram analisados estatisticamente por meio do teste t: amostras pareadas ao nível de 5% de significância para a comparação entre dois grupos. Na comparação entre G1 e G2, e entre G3 e G2, houve aumento estatisticamente significante para o espaço articular superior e para o posterior, e não significante para o espaço articular anterior. Para a comparação entre G1 e G3 foi possível verificar aumento estatisticamente significante no espaço articular anterior e no superior, e não significante no espaço articular posterior. Os resultados da análise do RDC/TMD mostraram uma significante melhora na dor relatada pelos pacientes e aumento estatisticamente significante na abertura bucal máxima ao final da terapia com placa interoclusal estabilizadora. Considerando o método utilizado e os dados amostrais, foi possível verificar aumento espacial entre o côndilo e a cavidade articular durante o uso de placa interoclusal estabilizadora e, também, que esta terapia melhorou a dor relatada pelos pacientes e aumentou a amplitude do movimento de abertura mandibular.The aim of this study was to evaluate the condylar position in patients with articular TMD before and after treatment with occlusal splints by cone beam computed tomography. Were evaluated and treated 22 patients with signs or symptoms of TMD joint, screened in the Clinical School of Dentistry, Universidade Estadual de Montes Claros, who met the inclusion and exclusion criteria. The diagnosis of TMD was conducted with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD). The patients were subjected to therapy for occlusal splints for 90 days. Three cone beam computed tomography scans in the region of the TMJ right and left, were being conducted: the first at the beginning of treatment, with the patient in the position of MIH (G1); the second after 90 days of treatment with the patient occluding the occlusal splint (G2); and the third after 90 days of treatment with the patient in the position of MIH (G3). Measures of joint spaces were performed in front, superior and posterior in sagittal cuts of the TMJ. The collected data were analyzed statistically using the t test: paired samples at the 5 % significance level for the comparison between two groups. In the comparison between G1 and G2 and between G2 and G3, a statistically significant increase for the superior joint space and the posterior, but there was no statistically significant difference in the front joint space. For the comparison between G1 and G3, was observed a statistically significant increase in front joint space and superior, and not significant in the posterior joint space. The results of the analysis of the RDC / TMD showed a significant improvement in pain reported by patients and statistically significant increase in maximal mouth opening at the end of therapy with occlusal splints. Considering the method used and the sample data, it was possible to increase the space between the condyle and the articular cavity during use of occlusal splints and also that this therapy improved pain reported by patients and increased range of motion of mandibular opening.
Libros sobre el tema "Occlusal Splints. Temporomandibular Joint Disorders"
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Grandhe, Radhika P., Matthew Valeriano y Dmitri Souza. Mechanical Chronic Jaw Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0003.
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Mechanical jaw pain and temporomandibular joint (TMJ) disorders are the most common causes of nondental orofacial pain. The pain can originate from the joint structures or from the muscles of mastication. Diagnosis is based predominantly on the clinical history and exam findings, but imaging is indicated in certain circumstances. Secondary causes of chronic jaw pain must be sought out and meticulously ruled out. Patients presenting with TMJ pain have a high prevalence of fibromyalgia and other chronic pain conditions. Multidisciplinary treatment involving medications, minimizing parafunctional habits, oral splints, physical therapy, psychotherapy, and injections forms the cornerstone of management of this complex condition. Surgery is indicated in select conditions, such as ankylosis of the joint or tumors.
Capítulos de libros sobre el tema "Occlusal Splints. Temporomandibular Joint Disorders"
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Kulshrestha, Rohit. "Changes in The Temporomandibular Joint after Occlusal Deprogramming". En Bulletin of Medical and Clinical Research, 1–21. IOR INTERNATIONAL PRESS, 2020. http://dx.doi.org/10.34256/br2011.
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Common signs and symptoms of TMD include masticatory muscle pain, TMJ sounds, limited mouth opening, and deviations in mandibular movements. Treatment generally involves some combination of occlusal splints, physiotherapy, relaxation therapy, pharmacological intervention, arthroscopic surgery, education, and behavioural counselling. One randomized controlled trial indicated that an occlusal deprogramming splint is more effective than other methods in treating TMD, although another study produced contradictory results. Measurements of the radiographic joint space a radiolucent area between the mandibular condyle and the temporal bone were introduced by Ricketts to describe condylar position. The clinical significance of condyle-fossa relationships in the TMJ is controversial, but several studies have suggested an association between eccentric condylar position and TMD. This chapter describes key changes in the condyle-fossa relationship after the use of an occlusal deprogramming splint in patients with TMD.
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Kulshrestha, Rohit. "Changes in The Temporomandibular Joint after Occlusal Deprogramming". En Bulletin of Medical and Clinical Research, 1–21. IOR INTERNATIONAL PRESS, 2020. http://dx.doi.org/10.34256/br2011.
Texto completoResumen
Common signs and symptoms of TMD include masticatory muscle pain, TMJ sounds, limited mouth opening, and deviations in mandibular movements. Treatment generally involves some combination of occlusal splints, physiotherapy, relaxation therapy, pharmacological intervention, arthroscopic surgery, education, and behavioural counselling. One randomized controlled trial indicated that an occlusal deprogramming splint is more effective than other methods in treating TMD, although another study produced contradictory results. Measurements of the radiographic joint space a radiolucent area between the mandibular condyle and the temporal bone were introduced by Ricketts to describe condylar position. The clinical significance of condyle-fossa relationships in the TMJ is controversial, but several studies have suggested an association between eccentric condylar position and TMD. This chapter describes key changes in the condyle-fossa relationship after the use of an occlusal deprogramming splint in patients with TMD.
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Gözler, Serdar. "JVA, Mastication and Digital Occlusal Analysis in Diagnosis and Treatment of Temporomandibular Disorders". En Temporomandibular Joint Pathology - Current Approaches and Understanding. InTech, 2018. http://dx.doi.org/10.5772/intechopen.72528.
Texto completoInformes sobre el tema "Occlusal Splints. Temporomandibular Joint Disorders"
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He, Kai-Xun. Efficacy of Occlusal Splints in the Treatment of Temporomandibular Disorders: a Systematic Review of Randomized Controlled Trials. INPLASY - International Platform of Registered Systematic Review Protocols, abril de 2020. http://dx.doi.org/10.37766/inplasy2020.4.0060.
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