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1.
Acta Odontol Scand ; 78(7): 515-521, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32286898

RESUMO

Objective: To assess the prevalence of clinical signs and pain symptoms of temporomandibular disorders (TMD) and associated factors in the Finnish adult population, as well as the association between self-reported TMD pain symptoms and clinical signs.Material and methods: The sample consisted of 1577 Finnish adults who participated in the Health 2011 Survey (BRIF8901). Signs of TMD were assessed using clinical examination, and TMD pain symptoms were inquired using validated questions.Results: Of the study subjects, 35% showed at least one sign of TMD, 8% reported weekly facial pain and 6% weekly pain when biting or jaw opening. According to logistic regression, female gender, poor general health and low level of education increased the risk for most TMD signs and TMD pain symptoms. Muscle or TMJ pain on palpation associated significantly with self-reported weekly facial pain or pain when biting or jaw opening.Conclusion: Over a third of the population showed clinical signs of TMD and less than one-tenth reported TMD pain symptoms. An assessment of a patient's general health needs to be a part of TMD diagnosis and treatment. The Finnish versions of the validated questions are applicable for screening of TMD pain.


Assuntos
Transtornos da Articulação Temporomandibular , Adulto , Dor Facial/diagnóstico , Dor Facial/epidemiologia , Feminino , Finlândia/epidemiologia , Humanos , Palpação , Prevalência , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/epidemiologia
2.
J Oral Facial Pain Headache ; 33(4): 389­398, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31247061

RESUMO

AIMS: To investigate whether an international consensus exists among TMD experts regarding indications, performance, follow-up, and effectiveness of jaw exercises. METHODS: A questionnaire with 31 statements regarding jaw exercises was constructed. Fourteen international experts with some geographic dispersion were asked to participate in this Delphi study, and all accepted. The experts were asked to respond to the statements according to a 5-item verbal Likert scale that ranged from "strongly agree" to "strongly disagree." The experts could also leave free-text comments, which was encouraged. After the first round, the experts received a compilation of the other experts' earlier responses. Some statements were then rephrased and divided to clarify the essence of the statement. Subsequently, the experts were then asked to answer the questionnaire (32 statements) again for the second round. Consensus was set to 80% agreement or disagreement. RESULTS: There is consensus among TMD experts that jaw exercises are effective and can be recommended to patients with myalgia in the jaw muscles, restricted mouth opening capacity due to hyperactivity in the jaw closing muscles, and disc displacement without reduction. The patients should always be instructed in an individualized jaw exercise program and also receive both verbal advice and written information about the treatment modality. CONCLUSION: This Delphi study showed that there is an international consensus among TMD experts that jaw exercises are an effective treatment and can be recommended to patients with TMD pain and disturbed jaw function.


Assuntos
Transtornos da Articulação Temporomandibular , Consenso , Técnica Delfos , Terapia por Exercício , Humanos , Mialgia
3.
Acta Odontol Scand ; 76(3): 175-182, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29124991

RESUMO

OBJECTIVE: To study the outcome of oral appliance treatment in myofascial Temporomandibular disorder (TMD) patients with and without comorbid pain using pain site drawings. MATERIAL AND METHODS: This randomized, controlled multicentre study comprised 65 myofascial TMD patients diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders. Pain-site drawings were filled in at the baseline examination. The patients were treated with oral appliances. Treatment outcome was followed up for 1 year and analysed according to the recommendations by the Initiative on Methods, Measurement and Pain assessment in Clinical Trials (IMMPACT) on an intent-to-treat basis. The data were analysed for two pain profiles, localized pain (face and head, n = 26) versus widespread pain group (pain sites outside the face and head, n = 39). RESULTS: Statistically significant improvement was registered within both groups for all outcome variables (characteristic pain intensity, 30% pain reduction of worst reported pain, graded chronic pain, depression, and somatization scores) during the follow-up with only small differences between the groups. CONCLUSIONS: Oral appliance treatment had a positive effect on all outcome measures during the 1-year follow-up in patients suffering from myofascial TMD pain, regardless of whether the pain was localized or widespread. Multiple pain sites seemed to have surprisingly little influence on the outcome variables. However, some indications of more challenges when treating patients with widespread pain compared to local pain could be observed. Pain-site drawings seem to be useful in the clinical situation and could support the clinicians in decision-making regarding treatment planning.


Assuntos
Dor Facial/terapia , Desenho de Aparelho Ortodôntico , Síndrome da Disfunção da Articulação Temporomandibular/terapia , Adulto , Depressão/etiologia , Dor Facial/complicações , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Síndrome da Disfunção da Articulação Temporomandibular/complicações , Fatores de Tempo , Resultado do Tratamento
4.
J Oral Facial Pain Headache ; 30(4): 287-295, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27792795

RESUMO

AIMS: To assess drawings of pain sites and self-reported comorbid pains as a part of the biopsychosocial profiling of tertiary care referral patients with temporomandibular disorder (TMD) pain. METHODS: A total of 135 consecutive patients referred to tertiary care for TMD pain participated. Patients drew all the sites where they had pain on whole-body pain drawings. Other assessments included self-reported comorbid pains in the head and body regions, the Finnish Research Diagnostic Criteria for TMD (RDC/TMD_FIN Axis II), and additional biopsychosocial and treatment-related variables. Patients were grouped into pain drawing profiles (localized, regional, and widespread) and the associations between these profiles and the biopsychosocial variables were statistically evaluated using Bonferroni adjusted P values and with logistic regression using SAS 9.3. RESULTS: A total of 21% of the patients reported localized TMD pain, 20% reported regional pain (headaches and neckaches), and the majority, 59%, reported widespread pain (local/regional and multiple bodily pain sites). Patients with widespread pain profiles formed a heterogenous group in which 28.2% reported severe and 30.8% reported moderate pain-related disability. The widespread pain patients reported significantly higher levels of depression and somatization, lower levels of general health, more sleep dysfunction, decreased ability to control pain, and greater health care needs compared to patients with localized pain (P < .05). Patients with regional pain profiles reported moderate scores on psychosocial functioning compared to the patients with localized or widespread pain. CONCLUSION: The majority of tertiary care referral patients with TMD pain reported comorbid pains. Pain drawings were found a useful adjunctive tool for screening and as a part of comprehensive biopsychosocial assessment and treatment planning for patients with TMD pain.


Assuntos
Autoavaliação Diagnóstica , Medição da Dor/métodos , Dor/etiologia , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
5.
J Oral Facial Pain Headache ; 29(2): 126-34, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25905530

RESUMO

AIMS: To use the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis II and additional pain-related and psychosocial variables to identify subtypes of TMD patients in a primary health care setting based on pain-related disability. METHODS: Consecutive TMD pain patients (n = 399) seeking treatment in a primary care setting completed a multidimensional pain questionnaire. Subtyping was based on the Graded Chronic Pain Scale (GCPS), and the patients were divided into a no-disability group (0 disability points), lowdisability group (1-2 disability points), and high-disability group (3-6 disability points). Psychosocial variables included RDC/TMD Axis II variables, anxiety, tension and stress, worry, catastrophizing, coping ability, general health, and other pain problems. Subtype differences were analyzed with t test, Wilcoxon rank-sum test, ANOVA, or Kruskal-Wallis test. A further analysis with multivariable logistic model was applied. All P values from pairwise comparisons were Bonferroni adjusted. RESULTS: Most (61%) of the patients belonged to the no-disability group, 27% to the low-disability group, and 12% to the high-disability group. When subtypes were compared, patients in the no-disability group appeared psychosocially well-functioning, with fewer symptoms related to psychosocial distress, better ability to control pain, and fewer jaw functional limitations and other pain problems. Patients in the high-disability group reported the highest levels of symptoms of depression and somatization, sleep dysfunction, worry, and catastrophizing thoughts. The low-disability patients formed an intermediate group between the no-disability and high-disability groups. CONCLUSION: The results suggest that GCPS-related disability scoring can be used as a simple screening instrument in primary care settings to identify individuals with different, clinically relevant psychosocial subtypes.


Assuntos
Pessoas com Deficiência/classificação , Planejamento de Assistência ao Paciente , Atenção Primária à Saúde , Transtornos da Articulação Temporomandibular/classificação , Atividades Cotidianas , Adaptação Psicológica , Adolescente , Adulto , Idoso , Ansiedade/psicologia , Catastrofização/psicologia , Dor Crônica/classificação , Dor Crônica/psicologia , Depressão/psicologia , Pessoas com Deficiência/psicologia , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor/métodos , Amplitude de Movimento Articular/fisiologia , Transtornos do Sono-Vigília/psicologia , Transtornos Somatoformes/psicologia , Estresse Psicológico/psicologia , Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/psicologia , Adulto Jovem
6.
J Oral Facial Pain Headache ; 28(2): 128-37, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24822236

RESUMO

AIMS: To evaluate the effectiveness of a prefabricated appliance and compare it to the effectiveness of a stabilization appliance in patients with temporomandibular joint (TMJ) pain. METHODS: This randomized, controlled multicenter study comprised 48 patients diagnosed with TMJ arthralgia according to the Research Diagnostic Criteria for Temporomandibular Disorders. The effectiveness of a prefabricated appliance (Relax), worn by half of the patients (referred to as the R group), was compared to the effectiveness of a stabilization appliance, worn by the other half of patients (S group). Treatment outcome was assessed according to the recommendations by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) on an intent-to-treat basis. To analyze the differences between groups, the chi-square test and the Mann-Whitney U test were used, while the Friedman analysis of variance (ANOVA) on ranks was used for the analyses between baseline data and follow-up measurements, all with a significance level set at P < .05. RESULTS: There were no differences between the groups at baseline. A 30% reduction of pain intensity was reported by 62.5% of the R group and 58.3% of the S group at the 10-week follow-up; 58% and 50.3%, respectively, at the 6-month follow-up; and 41.7% in both groups at 12 months. At the 12-month follow-up, pain intensity had decreased and physical function had improved in both groups (P < .005 and P < .016, respectively), without significant group differences. Emotional function (depression and nonspecific physical symptoms) did not change. Overall improvement of "better" to "symptom-free" was observed in 67% of the R group and 58% of the S group. No side effects occurred. CONCLUSION: The effectiveness of the prefabricated appliance seems to be similar to that of the stabilization appliance in alleviating TMJ pain. Since the prefabricated appliance requires only one visit for construction, it is convenient for both the general practitioner and for the patient.


Assuntos
Artralgia/terapia , Placas Oclusais , Desenho de Aparelho Ortodôntico , Transtornos da Articulação Temporomandibular/terapia , Adulto , Idoso , Depressão/psicologia , Emoções , Dor Facial/psicologia , Dor Facial/terapia , Feminino , Seguimentos , Humanos , Masculino , Mastigação/fisiologia , Pessoa de Meia-Idade , Medição da Dor , Amplitude de Movimento Articular/fisiologia , Transtornos da Articulação Temporomandibular/psicologia , Resultado do Tratamento , Adulto Jovem
7.
J Orofac Pain ; 27(4): 314-24, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24171181

RESUMO

AIMS: To assess Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis II variables in an initial psychosocial screening and as a part of biopsychosocial subtyping of Finnish referral patients with TMD pain for adjunct multidisciplinary assessment. METHODS: Consecutive Finnish referral patients with TMD pain (n = 135) participated in this questionnaire-based survey. Psychosocial screening was based on Graded Chronic Pain Scale (GCPS) and culturally adjusted Symptom Checklist 90-revised (SCL-90R) depression scale scores and subtyping on GCPS pain-related interference in accordance with previous treatment tailoring studies. Biopsychosocial subtyping variables included symptoms of depression and somatization, general health, pain-related worry, sleep dysfunction, and coping ability. Subtype comparisons were analyzed with Bonferroni adjusted P values and multivariable logistic regression (SAS 9.3). RESULTS: Based on psychosocial screening, 44% of the patients were psychosocially uncompromised (TMD subtype 1), 33% moderately, and 23% severely compromised (TMD subtypes 2 and 3). Compared to TMD subtype 1, TMD subtype 2 patients reported intermediate scores, and the most vulnerable TMD subtype 3 had the poorest general health, most elevated depression, somatization, worry and sleep dysfunction, and poor coping ability (P < .05). According to multivariable logistic regression, depression and worry levels were significantly higher in TMD subtype 3 compared to TMD subtype 1, whilst patients in TMD subtypes 1 and 2 reported significantly better coping ability compared to TMD subtype 3 (P < .05). CONCLUSION: The Finnish RDC/TMD Axis II was found reliable in initial TMD pain patient screening and with further biopsychosocial assessment identified three main TMD subtypes, two with compromised psychosocial profiles for adjunct multidisciplinary assessment.


Assuntos
Dor Facial/etiologia , Transtornos da Articulação Temporomandibular/classificação , Transtornos da Articulação Temporomandibular/complicações , Adaptação Psicológica , Adulto , Distribuição de Qui-Quadrado , Dor Crônica , Depressão/etiologia , Dor Facial/classificação , Dor Facial/diagnóstico , Finlândia , Nível de Saúde , Humanos , Modelos Logísticos , Pessoa de Meia-Idade , Medição da Dor , Equipe de Assistência ao Paciente , Psicologia , Transtornos do Sono-Vigília/etiologia , Transtornos Somatoformes/etiologia , Estatísticas não Paramétricas , Inquéritos e Questionários , Transtornos da Articulação Temporomandibular/diagnóstico
8.
J Orofac Pain ; 22(3): 209-18, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18780534

RESUMO

AIMS: To compare the short-term effectiveness of a stabilization appliance with a prefabricated occlusal appliance in myofascial pain patients in a randomized controlled trial. METHODS: Sixty-five patients at 2 centers were assigned to a stabilization appliance group (S group, n = 33) or a prefabricated appliance (Relax) group (R group, n = 32). The patients had been suffering from temporomandibular disorder (TMD) pain for 3 months to 40 years. The patients were examined for symptoms and signs of temporomandibular disorders according to the Research Diagnostic Criteria for TMD and treated by a general practitioner. Treatment outcomes regarding pain, registered on a visual analog scale, and overall ratings of pain, registered on a verbal scale, were evaluated at 6- and 10-week follow-up appointments, and the data from the groups were compared statistically. RESULTS: The main treatment outcome in the 2 groups was a positive improvement of overall symptoms without any statistically significant differences between groups at either 6 or 10 weeks. At the 6-week follow-up, 72% of all patients reported a 30% reduction of the worst pain, and 55% of the patients reported a 50% reduction of the worst pain, whereas at the 10-week follow-up, the percentages were 69% and 61%, respectively. According to the verbal scale, 85% of all patients reported themselves to be "better," "much better," or "symptom-free" at the 6-week follow-up, and 83% reported this at the 10-week follow-up. CONCLUSION: The effectiveness of the prefabricated occlusal appliance seemed to be the same as that of the stabilization appliance. The prefabricated appliance can therefore be recommended as a short-term therapy in adult patients with myofascial pain.


Assuntos
Placas Oclusais , Desenho de Aparelho Ortodôntico , Síndrome da Disfunção da Articulação Temporomandibular/terapia , Adolescente , Adulto , Idoso , Dor Facial/fisiopatologia , Dor Facial/terapia , Feminino , Seguimentos , Humanos , Masculino , Músculo Masseter/fisiopatologia , Registros Médicos , Pessoa de Meia-Idade , Medição da Dor , Limiar da Dor/fisiologia , Satisfação do Paciente , Amplitude de Movimento Articular/fisiologia , Músculo Temporal/fisiopatologia , Síndrome da Disfunção da Articulação Temporomandibular/fisiopatologia , Fatores de Tempo , Resultado do Tratamento
9.
Acta Odontol Scand ; 64(5): 300-5, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16945896

RESUMO

OBJECTIVE: It has often been suggested that psychological factors play a role in temporomandibular disorders (TMD). However, reports on psychological factors in TMD patients and controls have been equivocal. In a previous double-blind randomized controlled study, subjects with a TMD history showed more clinical signs and subjective symptoms and adapted less well to the artificial interferences than subjects without an earlier TMD history. In the present study, we analyzed the associations of psychological factors with symptom responses and adaptation to interferences. MATERIAL AND METHODS: Before the intervention, the subjects filled in questionnaires dealing with personality traits, level of psychological and somatic stress symptoms, coping strategies, and health beliefs. Every day during the 2-week follow-up period, the subjects rated the intensity of their symptoms on 9 modified visual analog scales (VAS). RESULTS: Health hardiness, positive socialization history and inhibition of aggression were associated with weaker symptom responses and better adaptation to true artificial interferences. Some personality characteristics in subjects with an earlier TMD history tended to associate with higher symptom reporting despite the type of intervention. CONCLUSIONS: Psychological factors appeared significant for the symptom responses to artificial interferences, and they seem to play a different role in responses in subjects with an earlier TMD history compared to those without.


Assuntos
Adaptação Psicológica , Conhecimentos, Atitudes e Prática em Saúde , Transtornos da Articulação Temporomandibular/psicologia , Adulto , Agressão/psicologia , Métodos Epidemiológicos , Feminino , Humanos , Personalidade
10.
Acta Odontol Scand ; 64(1): 59-63, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16428185

RESUMO

In a previous double-blind randomized controlled study, subjects with a history of temporomandibular disorder (TMD) reacted to artificial interference with more signs of TMD than did subjects with no TMD history. In the present study, we analysed the subjective reactions of these individuals on several symptom scales. Every day during the 2-week follow-up period, the subjects rated the intensity of their symptoms on 9 VAS scales (occlusal discomfort, chewing difficulties, tender teeth, fatigue in the jaws, headache, facial pain, opening difficulty, bruxism, ear symptoms). Subjects with a history of TMD and true interferences reported stronger symptoms than subjects with no TMD history and placebo interferences. The most prominent symptoms were occlusal discomfort and chewing difficulties. The difference in outcome between the groups with and without a TMD history suggests that there are individual differences in vulnerability to occlusal interferences. It is likely that the etiological role of occlusal interferences in TMD has not been correctly addressed in previous studies on artificial interferences.


Assuntos
Transtornos da Articulação Temporomandibular/psicologia , Adulto , Análise de Variância , Oclusão Dentária Traumática/psicologia , Feminino , Humanos , Placas Oclusais , Medição da Dor , Análise de Regressão , Transtornos da Articulação Temporomandibular/terapia
11.
Int J Audiol ; 44(3): 164-70, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15916117

RESUMO

This study aimed to reveal in general population the prevalence, associations, and statistical model of recurrent tinnitus by means of a mailed questionnaire. The study sample consisted of 1720 randomly selected adults who were classified into three subgroups: recurrent (once a month or more often), occasional (less often than once a month), and no tinnitus. According to age and gender standardized prevalence, recurrent tinnitus was reported in 15% of the sample. It was statistically highly significantly associated with earache, fullness of ears shoulder pain, the 25-years age group, and visits to a physician. The strongest predictor of recurrent tinnitus was fullness of ears followed by earache, shoulder ache, and temporomandibular disorder pain. We conclude that recurrent tinnitus seems to be quite common in adults and associated with earache and fullness of ears In patients with tinnitus without clinical findings, the examination of the stomatognathic system and cervical spine is recommended.


Assuntos
Dor de Orelha/epidemiologia , Transtornos da Articulação Temporomandibular/epidemiologia , Zumbido/epidemiologia , Adulto , Dor de Orelha/diagnóstico , Feminino , Humanos , Masculino , Prevalência , Recidiva , Índice de Gravidade de Doença , Zumbido/diagnóstico
12.
J Orofac Pain ; 18(3): 226-34, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15509002

RESUMO

AIMS: To investigate whether secondary otalgia is associated with cervical spine disorder (CSD), temporomandibular disorders (TMD), or both, and to describe the pain characteristics and the comorbidity of secondary otalgia in subjects with and without CSD and TMD. METHODS: A mailed questionnaire was sent to a random sample of 2,500 people aged 25 to 65 years. Altogether 1,720 recipients responded. Inclusion criteria were pain inside or around the ear without infection, tumor, or trauma, of 6 or more months duration, and a pain frequency of at least once a month. Altogether 152 respondents fulfilled the criteria, and of these 100 participated in the clinical examinations and interviews. RESULTS: Based on standardized examinations and interviews, 91 subjects had secondary otalgia and 9 had primary otalgia. Most (85%) of the 91 subjects with secondary otalgia also had signs and symptoms of TMD and/or CSD and were therefore classified into 3 groups: CSD (35%), TMD (20%), or "Combination," ie, signs and symptoms of both TMD and CSD (30%). Subjects without CSD or TMD (15%) reported the same level of intensity and impact of otalgia on daily living and psychological distress as the others but less frequent head and neck pain and fewer sleep-related problems. CONCLUSIONS: Most of the subjects reporting secondary otalgia also suffered from CSD or TMD or both. Thus, in patients with secondary otalgia, an examination of the cervical spine and the stomatognathic system should be routinely performed.


Assuntos
Dor de Orelha/epidemiologia , Atividades Cotidianas , Adulto , Idoso , Vértebras Cervicais , Distribuição de Qui-Quadrado , Feminino , Finlândia/epidemiologia , Cefaleia/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Cervicalgia/epidemiologia , Vigilância da População , Dor de Ombro/epidemiologia , Doenças da Coluna Vertebral/epidemiologia , Estresse Psicológico/epidemiologia , Inquéritos e Questionários , Transtornos da Articulação Temporomandibular/epidemiologia , Fatores de Tempo
13.
Acta Odontol Scand ; 60(4): 219-22, 2002 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12222646

RESUMO

Studies on artificial interferences in subjects with no temporomandibular (TMD) history have shown adaptation to the interference within a fairly short period of time. The role of occlusal factors in the etiology of TMD has therefore been questioned. The results might have been different, however, if subjects with a prior TMD history had been included in the study groups. To test this assumption in a randomized double-blind clinical set-up, we included healthy women without (n = 26) as well as with (n = 21) an earlier TMD history. Both groups were randomly divided into true and placebo interference groups. Artificial interferences were introduced in the true interference groups and simulated in the placebo groups. The subjects were followed for 2 weeks, after which the interferences were removed. The subjects without a TMD history showed fairly good adaptation to the interferences, but the subjects with a TMD history and true interferences showed a significant increase in clinical signs compared to the other groups. We suggest that the etiological role of occlusal interferences in TMD may not have been correctly addressed in previous studies with artificial interferences and allow no conclusions as regards TMD etiology.


Assuntos
Oclusão Dentária Traumática/complicações , Transtornos da Articulação Temporomandibular/etiologia , Adaptação Fisiológica , Adulto , Distribuição de Qui-Quadrado , Método Duplo-Cego , Feminino , Humanos , Anamnese , Recidiva
14.
Acta Odontol Scand ; 60(4): 248-54, 2002 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12222651

RESUMO

In clinical practice, it is commonly assumed that occlusal splints have therapeutic value in the treatment of temporomandibular disorders CTMD), but the evidence based on randomized controlled trials is scarce. This study evaluated the short-term (10-week) efficacy of a stabilization splint in subjects with recurrent secondary otalgia and active TMD treatment need using a randomized, controlled, double-blind design. Thirty-six subjects were randomly allocated to the two treatment groups: the stabilization splint and the control splint group. After 10 weeks' treatment, the intensity of secondary otalgia, measured on a VAS scale (from 0 to 100 mm), decreased statistically significantly in the stabilization splint group (t 2.12; P 0.006), but not in the control group. Improvement in active TMD treatment need in subjects showing moderate or severe signs and symptoms of TMD was reported significantly more often in the stabilization splint group than in the control splint group (chi2 5.71; P.017). A statistically significant decrease in the Helkimo clinical dysfunction index was seen in the subjects with stabilization splint (Z-2.63; P.009), but not in the subjects with control splint. The results indicate that the use of a stabilization splint is beneficial with regard to secondary otalgia and active TMD treatment need.


Assuntos
Dor de Orelha/etiologia , Dor de Orelha/terapia , Placas Oclusais , Contenções , Síndrome da Disfunção da Articulação Temporomandibular/complicações , Síndrome da Disfunção da Articulação Temporomandibular/terapia , Adulto , Idoso , Distribuição de Qui-Quadrado , Método Duplo-Cego , Dor Facial/terapia , Feminino , Cefaleia/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Estatísticas não Paramétricas , Inquéritos e Questionários
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