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1.
Rev. ADM ; 75(4): 187-195, jul.-ago. 2018. ilus
Article in Spanish | LILACS | ID: biblio-914912

ABSTRACT

El sueño es un requerimiento biológico para la vida, sus alteraciones o su ausencia pueden disminuir la calidad de vida, el estado anímico y funcional, afectando seriamente la salud. Un sueño placentero y reparador implica cursar por facetas de profundidad diversa y actividad neuronal compleja. En este artículo se intentan explicar las generalidades del proceso del sueño y algunos de sus trastornos que lo relacionan con aumento de la actividad de los músculos masticatorios (bruxismo). Son presentados aspectos clínicos y neuronales que inducen a un incremento de microdespertares como alteración del sueño, estimulando bruxismo nocturno y bruxismo asociado a apnea nocturna. Son discutidas las posibles relaciones bidireccionales entre bruxismo diurno y nocturno secundarias a modifi caciones en la cantidad y calidad del proceso del sueño. De la misma manera, son sugeridas algunas consideraciones semiológicas y nosológicas para el mejor manejo y control del bruxismo asociado a las alteraciones del sueño, bajo el diagnóstico, atención y supervisión de equipos de atención multi- e interdisciplinarios (AU)


Sleep is a biological requirement for life, its alterations or privation thereof may reduce a person's quality of life, his or her state of mind and physical functions, which signifi cantly aff ects their health. Pleasant and repairing sleep implies going through variable deepness sleep stages, and a complex neuronal activity. This article intends to explain the generalities of the sleep process and certain disorders, particularly those in connection with the activity of the mastication muscles (bruxism). Clinical and neuronal aspects are presented inducing an increase in micro-awakenings such as sleep alterations stimulating nocturnal and bruxism associated with sleep apnea. Bidirectional connections between diurnal and nocturnal bruxism are argued as secondary to changes in the amount and quality of the sleep process. In the same manner, certain considerations associated to semiology and nosology of the diverse bruxism manifestations are considered for the better handling and control of the bruxism associated with sleep alterations under the diagnosis attention and supervision of multi- and interdisciplinary teams (AU)


Subject(s)
Humans , Sleep Arousal Disorders , Sleep Bruxism , Sleep Stages , Dyssomnias , Neurotransmitter Agents , Parasomnias , Patient Care Team , Sleep Apnea Syndromes , Sleep, REM , Stress, Psychological
2.
Rev. odonto ciênc ; 27(1): 20-25, 2012. tab
Article in English | LILACS | ID: lil-625030

ABSTRACT

PURPOSE: This study aimed to verify the influence of hormonal fluctuations on chewing movement in women with disc displacement (DD). METHODS: Fourteen women with DD taking oral contraceptives (OC); 12 DD-free controls taking OC; 12 normally cycling women with DD; and 14 DD-free normally cycling women were included. The Research Diagnostic Criteria for Temporomandibular Disorders diagnosed DD, and subjects without pain were selected. Chewing movements were recorded using a kinesiograph. Dependent variables were: vertical, lateral, and anterior-posterior amplitudes (mm), opening and closing velocity (mm/s), which was evaluated in 4 phases of 3 menstrual cycles, identified by ovulation test. Data were submitted to Mauchly's sphericity test, Proc Mixed for repeated measures, and Tukey-Kramer test (P ≤ 0.05). RESULTS: Comparisons among menstrual cycle phases showed no differences in vertical (P = 0.25), lateral (P = 0.12), and anterior-posterior amplitudes (P = 0.61); as well as opening (P = 0.57) or closing velocity (P = 0.73). The OC use or presence of DD did not influence the variables (P > 0.05). CONCLUSION: Hormonal fluctuation did not influence chewing mandibular movement of women with DD.


OBJETIVO: Este estudo objetivou verificar a influência das flutuações hormonais nos movimentos mastigatórios de mulheres com deslocamento de disco (DD). METODOLOGIA: Foram selecionadas 14 mulheres com DD usuárias de contraceptivos orais (CO), 12 mulheres sem DD usuárias de OC (controle); 12 mulheres com DD e ciclos menstruais regulares e 14 mulheres sem DD e ciclos menstruais regulares. O Research Diagnostic Criteria para Desordens Temporomandibulares diagnosticou o DD, e voluntárias sem dor foram selecionadas. Os movimentos mastigatórios foram registrados usando um cinesiógrafo. Variáveis ​dependentes foram: amplitudes vertical, lateral e ântero-posterior (mm), velocidade de abertura e fechamento (mm/s), sendo avaliadas nas 4 fases de 3 ciclos menstruais, identificado por teste ovulatório. Os dados foram submetidos ao teste de esfericidade de Mauchly, Proc Mixed para medidas repetidas e Tukey-Kramer (P ≤ 0,05). RESULTADOS: Comparações entre as fases do ciclo menstrual não mostraram diferenças nas amplitudes vertical (P = 0,25), lateral (P = 0,12), e ântero-posterior (P = 0,61), bem como na velocidade de abertura (P = 0,57) ou fechamento (P = 0,73). O uso OC e a presença de DD não influenciaram as variáveis (P > 0,05). CONCLUSÃO: A flutuação hormonal não influenciou o movimento mandibular mastigatório de mulheres com DD.


Subject(s)
Humans , Female , Menstrual Cycle , Intervertebral Disc Displacement , Temporomandibular Joint Disc , Mastication
3.
Braz. dent. j ; Braz. dent. j;21(4): 356-360, 2010. ilus, graf, tab
Article in English | LILACS | ID: lil-562099

ABSTRACT

The aim of this study was to evaluate the effectiveness of low-level laser therapy (LLLT) on the improvement of the mandibular movements and painful symptoms in individuals with temporomandibular disorders (TMD). Forty patients were randomly divided into two groups (n=20): Group 1 received the effective dose (GaAlAs laser ? 830 nm, 40 mW, 5J/cm2) and Group 2 received the placebo application (0 J/cm2), in continuous mode on the affected condyle lateral pole: superior, anterior, posterior, and posterior-inferior, twice a week during 4 weeks. Four evaluations were performed: E1 (before laser application), E2 (right after the last application), E3 (one week after the last application) and E4 (30 days after the last application). The Kruskal-Wallis test showed significant more improvements (p<0.01) in painful symptoms in the treated group than in the placebo group. A significant improvement in the range of mandibular movements was observed when the results were compared between the groups at E4. Laser application can be a supportive therapy in the treatment of TMD, since it resulted in the immediate decrease of painful symptoms and increased range of mandibular movements in the treated group. The same results were not observed in the placebo group.


O objetivo deste estudo foi avaliar a eficácia da terapia com laser de baixa intensidade na melhora dos movimentos mandibulares e dos sintomas dolorosos em pacientes com disfunção temporomandibular (DTM). Quarenta pacientes foram aleatoriamente divididos em dois grupos (n=20): Grupo 1 recebeu a dose efetiva (laser de AsGaAl 830 nm, 40 mW, 5 J/cm2) e Grupo 2 recebeu a aplicação placebo (0 J/cm2), no modo contínuo no pólo lateral do côndilo afetado: superior, anterior, e posterior-posterior e inferior, 2 vezes por semana, por 2 meses. Quatro avaliações foram feitas: A1 (antes da aplicação), A2 (imediatamente após a última aplicação), A3 (uma semana após a última aplicação) e A4 (um mes após a última aplicação). O teste estatístico de Kruskal-Wallis mostrou melhoras significativas (p<0,01) nos sintomas dolorosos no grupo 1, diferentemente do grupo 2. Uma melhora significativa na extensão dos movimentos mandibulares foi observada quando os resultados foram comparados entre os dois grupos na A4. A aplicação do laser é uma terapia de suporte no tratamento da DTM, uma vez que resultou em imediata redução dos sintomas dolorosos e aumento na extensão dos movimentos mandibulares no grupo experimental. Os mesmos resultados não foram observados no grupo placebo.


Subject(s)
Humans , Facial Pain/radiotherapy , Low-Level Light Therapy/methods , Lasers, Semiconductor/therapeutic use , Range of Motion, Articular , Temporomandibular Joint Disorders/radiotherapy , Facial Pain/etiology , Low-Level Light Therapy/instrumentation , Pain Measurement , Treatment Outcome , Temporomandibular Joint Disorders/complications
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