RESUMEN
The successful management of patients with MPD syndrome is dependent on establishing an accurate diagnosis and using proper therapy based on an understanding of the etiology of the disorder. Establishing an accurate diagnosis is accomplished by taking a careful history, doing a thorough examination, and having a knowledge of the various other conditions that can produce signs and symptoms similar to those of MPD syndrome. Using proper therapy is related to recognition that MPD syndrome is a stress-induced psychophysiologic disease originating in the muscles of mastication and not an organic disease arising in the temporomandibular joint. Thus, therapy should be directed at reducing stress, relaxing tense jaw muscles, and creating an awareness by the patient of the causes of the problem, rather than at analyzing occlusion, measuring joint spaces, and producing irreversible structural changes in the dentition and the articulation. Because good results can be achieved with these uncomplicated, reversible forms of therapy, it is important that the clinician does not succumb to an unproven fad or use of an irreversible procedure that will not achieve better results.
Asunto(s)
Síndrome de la Disfunción de Articulación Temporomandibular , Adulto , Anestésicos/uso terapéutico , Aspirina/uso terapéutico , Benzodiazepinas/uso terapéutico , Terapia Combinada , Diagnóstico Diferencial , Terapia por Estimulación Eléctrica , Femenino , Humanos , Masculino , Modalidades de Fisioterapia , Psicoterapia , Terapia por Relajación , Férulas (Fijadores) , Síndrome de la Disfunción de Articulación Temporomandibular/diagnóstico , Síndrome de la Disfunción de Articulación Temporomandibular/tratamiento farmacológico , Síndrome de la Disfunción de Articulación Temporomandibular/psicología , Síndrome de la Disfunción de Articulación Temporomandibular/terapiaRESUMEN
The safety record of local anaesthetic agents is high but complications do occur. These may be systemic reactions to the local anaesthetic itself or to the vasoconstrictor. The former may be allergic or toxic in nature. Psychomotor reactions, often attributed erroneously to the vasoconstrictor, are more common. Regional complications, usually due to faulty technique, may be immediate or delayed. Among the former are pain, haematoma formation, tissue blanching, facial paralysis, amaurosis, diplopia and needle breakage. The delayed regional complications include pain, prolonged anaesthesia or paraesthesia, trismus, infection, sloughing and ulceration. The management of these complications is described.
Asunto(s)
Anestesia Dental/efectos adversos , Anestesia Local/efectos adversos , Anestésicos Locales/efectos adversos , Anafilaxia/inducido químicamente , Anestesia Dental/instrumentación , Anestesia Local/instrumentación , Anestésicos Locales/envenenamiento , Ceguera/inducido químicamente , Encéfalo/efectos de los fármacos , Hipersensibilidad a las Drogas/etiología , Parálisis Facial/inducido químicamente , Hematoma/etiología , Humanos , Enfermedades de la Boca/inducido químicamente , Agujas/efectos adversos , Dolor/etiología , Síncope/etiología , Trismo/inducido químicamente , Úlcera/inducido químicamente , Vasoconstrictores/efectos adversosRESUMEN
Electromyographic (EMG) biofeedback was used in a controlled situation to teach patients with myofascial pain-dysfunction syndrome to relax and masseter muscle. Those receiving biofeedback were able to reduce their mean masseter EMG levels significantly. Concurrently, there was a reduction of symptoms. Seventy-five percent of the successfully treated patients required no further therapy during one year of observation.