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2.
Cranio ; 39(4): 280-286, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31195922

RESUMO

Objective: Nonrestorative sleep and sleep disorders are commonly reported in patients suffering from craniomandibular (CMD) and craniocervical dysfunctions (CCD). This study aimed to investigate polysomnographic characteristics and the reduction of pain before and after treatment in these patients.Methods: Seventy-four patients with sleep disorders and evident CMD and CCD were included. Manual therapy and an Aqualizer® were used in the therapeutic group. Polysomnographic measurements were conducted pre- and post-therapy.Results: The number of sleep stage alterations and the sleep stage index differed significantly between pre- and post-therapeutic measurements. Between both groups, these parameters were significantly different, as well (p = .001 and p = .012). The subjective perception of sleep quality improved in 81.6% post-therapy (p < .001).Discussion: Manual therapy and the application of an Aqualizer® may improve sleep quality in patients suffering from CMD and CCD. Pain may not be the main cause for the sleep disorders in CMD and CCD.


Assuntos
Transtornos Craniomandibulares , Manipulações Musculoesqueléticas , Transtornos do Sono-Vigília , Humanos , Dor , Sono , Transtornos do Sono-Vigília/etiologia , Transtornos do Sono-Vigília/terapia
3.
Praxis (Bern 1994) ; 109(12): 937, 2020 09.
Artigo em Alemão | MEDLINE | ID: mdl-32933394
5.
J Mol Neurosci ; 70(5): 790-795, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32008162

RESUMO

Cytokines are proteins secreted by diverse types of immune and non-immune cells and play a role in the communication between the immune and nervous systems. Cytokines include lymphokines, monokines, chemokines, interleukins, interferons, colony stimulating factors, and growth factors. They can be both pro- and anti-inflammatory and have autocrine, paracrine, and endocrine activities. These proteins are involved in initiation and persistence of pain, and the progress of hyperalgesia and allodynia, upon stimulating nociceptive sensory neurons, and inducing central sensitization. The objective of this review is to discuss several types of pro- and anti-inflammatory mediators and their relation with inflammatory pain in masticatory muscles.


Assuntos
Transtornos Craniomandibulares/metabolismo , Dor Facial/metabolismo , Mediadores da Inflamação/metabolismo , Interleucinas/metabolismo , Músculos da Mastigação/metabolismo , Animais , Humanos
6.
Behav Brain Res ; 379: 112327, 2020 02 03.
Artigo em Inglês | MEDLINE | ID: mdl-31697982

RESUMO

Patients with chronic pain and especially with craniomandibular disorder (CMD) show specific psychopathology in trait anxiety. In a previous longitudinal functional imaging study on CMD we found that the anterior insula was modulated by successful therapy intervention and pain relief. We here intended to investigate possible associations between anterior insula fMRI-activation during occlusal movements and trait anxiety over a splint therapy approach in patients with CMD. Three fMRI-investigations of a craniomandibular occlusion task were performed together with pain score evaluations and scoring of trait anxiety (State -Trait Anxiety Inventory; STAI) before, after two weeks and after three months of a DIR-mandibular splint therapy in a small group (n = 9) of CMD patients. Patients showed increased anxiety levels before therapy assessed with the STAI and the depression and anxiety scale (DASS). Besides of relevant reduction in pain the STAI decreased over time. Reduction in STAI was associated with anterior insular fMRI-activation reduction on both hemispheres. We conclude that the anxiety driven anticipation of pain related to occlusal trigger is processed in the anterior insula and might therefore be a main driver of therapeutic intervention by the splint therapy in CMD.


Assuntos
Ansiedade/fisiopatologia , Córtex Cerebral/fisiopatologia , Transtornos Craniomandibulares/fisiopatologia , Transtornos Craniomandibulares/terapia , Dor Musculoesquelética/fisiopatologia , Dor Musculoesquelética/terapia , Personalidade/fisiologia , Contenções , Adulto , Antecipação Psicológica/fisiologia , Mapeamento Encefálico , Córtex Cerebral/diagnóstico por imagem , Dor Crônica , Transtornos Craniomandibulares/complicações , Transtornos Craniomandibulares/diagnóstico por imagem , Humanos , Estudos Longitudinais , Imageamento por Ressonância Magnética , Dor Musculoesquelética/diagnóstico por imagem , Dor Musculoesquelética/etiologia , Avaliação de Resultados em Cuidados de Saúde , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/fisiopatologia , Transtornos da Articulação Temporomandibular/terapia , Adulto Jovem
8.
Rofo ; 191(10): 924-931, 2019 Oct.
Artigo em Inglês, Alemão | MEDLINE | ID: mdl-30754055

RESUMO

PURPOSE: The purpose of the present study was to investigate the degree and clinical relevance of synovitis in craniomandibular dysfunction. MATERIALS AND METHODS: In total, 140 temporomandibular joints were examined using a 3 T MRI scanner. Quantitative analysis of synovial enhancement was performed and interrelated with arthrosis deformans, degenerative disc disease, joint effusion, bone marrow edema and restriction of motion. RESULTS: We found a statistically high and significant correlation between the degenerative changes as mentioned above and the intensity of synovial enhancement. CONCLUSION: The study shows that typical MRI findings in CMD patients are often combined with signs of synovitis. Presumably joint inflammation has an effect on the clinical signs and symptoms and also the prognosis of CMD. These results should be taken into consideration when selecting treatment. KEY POINTS: · 3T-MRI using a dedicated coil is the method of first choice in the examination of CMD syndrome.. · MR imaging allows quantification of increased synovial enhancement.. · There is a highly significant correlation between degenerative changes of the disc or cartilage and synovitis.. · Results of the study are relevant for the clinical assessment and therapy of CMD syndrome.. CITATION FORMAT: · Stimmer H, Ritschl L, Goetz C et al. What Role Does Synovitis Play in Craniomandibular Dysfunction (CMD)? A 3T-MRI Study. Fortschr Röntgenstr 2019; 191: 924 - 931.


Assuntos
Transtornos Craniomandibulares/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Sinovite/diagnóstico por imagem , Articulação Temporomandibular/diagnóstico por imagem , Adolescente , Adulto , Idoso , Medula Óssea/diagnóstico por imagem , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Amplitude de Movimento Articular/fisiologia , Estudos Retrospectivos , Sensibilidade e Especificidade , Membrana Sinovial/diagnóstico por imagem , Disco da Articulação Temporomandibular/diagnóstico por imagem , Adulto Jovem
10.
Vet J ; 231: 30-32, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29429484

RESUMO

This study investigated familial relationships among Deutsch Drahthaar dogs with craniomandibular osteopathy and examined the most likely mode of inheritance. Sixteen Deutsch Drahthaar dogs with craniomandibular osteopathy were diagnosed using clinical findings, radiography or computed tomography. All 16 dogs with craniomandibular osteopathy had one common ancestor. Complex segregation analyses rejected models explaining the segregation of craniomandibular osteopathy through random environmental variation, monogenic inheritance or an additive sex effect. Polygenic and mixed major gene models sufficiently explained the segregation of craniomandibular osteopathy in the pedigree analysis and offered the most likely hypotheses. The SLC37A2:c.1332C>T variant was not found in a sample of Deutsch Drahthaar dogs with craniomandibular osteopathy, nor in healthy controls. Craniomandibular osteopathy is an inherited condition in Deutsch Drahthaar dogs and the inheritance seems to be more complex than a simple Mendelian model.


Assuntos
Doenças Ósseas/genética , Transtornos Craniomandibulares/genética , Doenças do Cão/genética , Animais , Doenças Ósseas/diagnóstico por imagem , Transtornos Craniomandibulares/diagnóstico por imagem , Doenças do Cão/diagnóstico por imagem , Cães , Feminino , Masculino , Modelos Genéticos , Linhagem , Radiografia/veterinária , Tomografia Computadorizada por Raios X/veterinária
11.
Cranio ; 36(5): 318-326, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28580880

RESUMO

OBJECTIVE: Craniomandibular dysfunction (CMD) and craniocervical dysfunction (CCD) are clearly defined musculoskeletal pain syndromes. Relationships with fibromyalgia syndrome (FMS) have not yet been investigated. The aim of the present study is to establish possible relationships between FMS and CMD/ CCD. METHODS: In a retrospective study, 555 patients with CCD and CMD were investigated with respect to the diagnostic criteria of FMS. In addition to otolaryngologic and dental examination, an instrumental functional analysis for the diagnosis of CMD/CCD was performed. RESULTS: Three hundred fifty-one (63%) of the 555 patients evaluated met the diagnostic criteria for FMS. Seventy-two percent of the patients had a widespread pain index of at least 7 and a severity scale score of at least 5. Twenty-nine percent had a widespread pain index of 3-6 and a severity scale score of at least 9. Using myocentric bite splint therapy and therapy with oral orthesis in combination with neuromuscular relaxation measures, a good to very good improvement of physical symptoms was seen in 84% of CMD-FMS patients, and an improvement of the symptoms in the jaw was achieved in 77% of cases. DISCUSSION: The substantial proportion of CMD and CCD patients who meet the criteria for FMS emphasizes the complexity of the two diseases. It must be assumed that FMS is a crucial factor for the formation of CMD and CCD. Conversely, CMD/ CCD could also be responsible for diverse clinical pictures of the FMS. FMS patients with synchronous CCD/CMD benefit from an interdisciplinary CMD/CCD treatment.


Assuntos
Transtornos Craniomandibulares , Fibromialgia , Dor Musculoesquelética , Transtornos Craniomandibulares/diagnóstico , Transtornos Craniomandibulares/etiologia , Transtornos Craniomandibulares/terapia , Humanos , Dor Musculoesquelética/epidemiologia , Dor Musculoesquelética/etiologia , Dor Musculoesquelética/terapia , Placas Oclusais , Ortodontia Corretiva/métodos , Estudos Retrospectivos , Índice de Gravidade de Doença , Síndrome , Resultado do Tratamento
12.
Rev. estomat. salud ; 25(1): 10-15, 2017.
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-883169

RESUMO

Objetivo: Establecer la prevalencia de los trastornos temporomandibulares (TTM) presentados por los pacientes que acudieron a las clínicas odontológicas de noveno y décimo semestre de la Universidad Santo Tomás en el segundo período de 2016. Materiales y Métodos: Se realizó un estudio observacional descriptivo de corte transversal, con una muestra de 113 historias clínicas, se recolectó la muestra de historias clínicas ya diligenciadas de las clínicas de noveno y décimo semestre de la Universidad Santo Tomás en el segundo periodo del año 2016. Usando estadística descriptiva para el análisis Univariado. En el análisis bivariado, se estableció relación entre TTM y las variables de interés mediante la prueba t-student y Chi-cuadrado donde un valor de p≤0,05 fue considerado estadísticamente significativo. Resultados: De las 113 historias clínicas se obtuvieron 131 diagnósticos, la prevalencia de uno o más TTM fue del 55,7%, de los cuales el 30,1% fueron mujeres diagnosticadas con TTM; el TTM más prevalente fue la subluxación unilateral en el 11,4% de los casos. De los factores asociados, predominó el ruido articular con 43,4% donde el tipo predominante de ruido fue el clic con 91,8%, seguido por el dolor muscular. Conclusiones: La prevalencia de TTM fue alta, representada en el 55,7% de la población. El TTM más común fue la Subluxación unilateral con un 11,4%. Se encontró asociación estadísticamente significativa entre al menos un factor de tipo signo y síntoma, los factores dentales y uno o más TTM.


Aim: To establish the prevalence of temporomandibular disorders (TMD) presented by patients who attended the dental clinics of the ninth and tenth semester of the Santo Tomas University in the second period of 2016. Materials and Methods: A cross - sectional, observational, descriptive study was carried out, with a sample of 113 clinical records. The sample was collected from clinical records already completed from the clinics of ninth and tenth semester of the University Santo Tomas in the second period of the 2016. Using descriptive statistics for the univariate analysis. In the bivariate analysis, a relationship between TMD and the variables of interest was established using the t-student and Chi-square test, where a value of p≤0.05 was considered statistically significant. Results: Of the 113 clinical records, 131 diagnoses were obtained. The prevalence of one or more TMD was 55.7%, of which 30.1% were women diagnosed with TMD. The most prevalent TTM was the unilateral subluxation in 11.4% of the cases. Of the associated factors, joint noise predominated with 43.4% where the predominant type of noise was the click with 91.8%, followed by muscle pain. Conclusions: The prevalence of TMD was high, represented in 55.7% of the population. The most common TMD was unilateral Subluxation with 11.4%. We found a statistically significant association between at least one sign and symptom type factor, dental factors and one or more TMD.


Assuntos
Humanos , Transtornos Craniomandibulares , Odontologia , Fatores de Risco , Articulação Temporomandibular , Transtornos da Articulação Temporomandibular
13.
Ned Tijdschr Tandheelkd ; 123(11): 528-532, 2016 Nov.
Artigo em Holandês | MEDLINE | ID: mdl-27834407

RESUMO

Painful temporomandibular disorders (TMD pain) are common among the general population. The most common sub diagnoses are myalgia (jaw-muscle pain) and arthralgia (temporomandibular joint pain). The aetiology of TMD pain has a multifactorial nature, and its diagnosis and possible treatment often require a multidisciplinary approach. The most recent insights in the diagnosis and treatment of TMD pain are based on the multidisciplinary guideline 'Chronic Orofacial Pain' that was developed by the Dutch Society of Headache Patients and was published in 2013. Dentists are required to follow the recommendations of this guideline. The authorisation of the guideline by the relevant academic and professional associations in the Netherlands implies that restraint is advised when adopting diagnostic procedures and treatment modalities that are not or are insufficiently based on solid evidence.


Assuntos
Transtornos Craniomandibulares/diagnóstico , Transtornos Craniomandibulares/terapia , Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/terapia , Odontologia Baseada em Evidências , Humanos , Países Baixos , Guias de Prática Clínica como Assunto
14.
Med. oral patol. oral cir. bucal (Internet) ; 21(6): e766-e775, nov. 2016. tab, graf
Artigo em Inglês | IBECS | ID: ibc-157758

RESUMO

BACKGROUND: Temporo-Mandibular Joint (TMJ) replacement has been used clinically for years. The objective of this study was to evaluate outcomes achieved in patients with two different categories of TMJ prostheses. MATERIAL AND METHODS: All patients who had a TMJ replacement (TMJR) implanted during the study period from 2006 through 2012 were included in this 3-year prospective study. All procedures were performed using the Biomet Microfixation TMJ Replacement System, and all involved replacing both the skull base component (glenoid fossa) and the mandibular condyle. RESULTS: Fifty-seven patients (38 females and 19 males), involving 75 TMJs with severe disease requiring reconstruction (39 unilateral, 18 bilateral) were operated on consecutively, and 68 stock prostheses and 7 custom-made prostheses were implanted. The mean age at surgery was 52.6 ± 11.5 years in the stock group and 51.8 ± 11.7 years in the custom-made group. In the stock group, after three years of TMJR, results showed a reduction in pain intensity from 6.4 ±1.4 to 1.6 ± 1.2 (p < 0.001), and an improvement in jaw opening from 2.7±0.9 cm to 4.2 ± 0.7 cm (p < 0.001). In the custom-made group, after three years of TMJR, results showed a reduction in pain intensity from 6.0 ± 1.6 to 2.2 ± 0.4 (p < 0.001), and an improvement in jaw opening from 1.5 ± 0.5 cm to 4.3 ± 0.6 cm (p < 0.001). No statistically significant differences between two groups were detected. CONCLUSIONS: The results of this three-year prospective study support the surgical placement of TMJ prostheses (stock prosthetic, and custom-made systems), and show that the approach is efficacious and safe, reduces pain, and improves maximum mouth opening movement, with few complications. As such, TMJR represents a viable technique and a stable long-term solution for cranio-mandibular reconstruction in patients with irreversible end-stage TMJ disease. Comparing stock and custom-made groups, no statistically significant differences were detected with respect to pain intensity reduction and maximum mouth opening improvement


Assuntos
Humanos , Transtornos da Articulação Temporomandibular/cirurgia , Artroplastia de Substituição/métodos , Substitutos Ósseos/uso terapêutico , Implantação de Prótese/métodos , Prótese Articular , Transtornos Craniomandibulares/cirurgia , Estudos Prospectivos
15.
PLoS Genet ; 12(5): e1006037, 2016 05.
Artigo em Inglês | MEDLINE | ID: mdl-27187611

RESUMO

One to two percent of all children are born with a developmental disorder requiring pediatric hospital admissions. For many such syndromes, the molecular pathogenesis remains poorly characterized. Parallel developmental disorders in other species could provide complementary models for human rare diseases by uncovering new candidate genes, improving the understanding of the molecular mechanisms and opening possibilities for therapeutic trials. We performed various experiments, e.g. combined genome-wide association and next generation sequencing, to investigate the clinico-pathological features and genetic causes of three developmental syndromes in dogs, including craniomandibular osteopathy (CMO), a previously undescribed skeletal syndrome, and dental hypomineralization, for which we identified pathogenic variants in the canine SLC37A2 (truncating splicing enhancer variant), SCARF2 (truncating 2-bp deletion) and FAM20C (missense variant) genes, respectively. CMO is a clinical equivalent to an infantile cortical hyperostosis (Caffey disease), for which SLC37A2 is a new candidate gene. SLC37A2 is a poorly characterized member of a glucose-phosphate transporter family without previous disease associations. It is expressed in many tissues, including cells of the macrophage lineage, e.g. osteoclasts, and suggests a disease mechanism, in which an impaired glucose homeostasis in osteoclasts compromises their function in the developing bone, leading to hyperostosis. Mutations in SCARF2 and FAM20C have been associated with the human van den Ende-Gupta and Raine syndromes that include numerous features similar to the affected dogs. Given the growing interest in the molecular characterization and treatment of human rare diseases, our study presents three novel physiologically relevant models for further research and therapy approaches, while providing the molecular identity for the canine conditions.


Assuntos
Anormalidades Múltiplas/genética , Aracnodactilia/genética , Blefarofimose/genética , Fissura Palatina/genética , Contratura/genética , Exoftalmia/genética , Hiperostose Cortical Congênita/genética , Microcefalia/genética , Osteosclerose/genética , Anormalidades Múltiplas/patologia , Animais , Antiporters/genética , Aracnodactilia/patologia , Blefarofimose/patologia , Doenças Ósseas/genética , Doenças Ósseas/patologia , Caseína Quinase I/genética , Fissura Palatina/patologia , Contratura/patologia , Transtornos Craniomandibulares/genética , Transtornos Craniomandibulares/patologia , Modelos Animais de Doenças , Cães , Exoftalmia/patologia , Proteínas da Matriz Extracelular/genética , Predisposição Genética para Doença , Estudo de Associação Genômica Ampla , Humanos , Hiperostose Cortical Congênita/patologia , Microcefalia/patologia , Osteosclerose/patologia , Receptores Depuradores Classe F/genética
16.
Cranio ; 34(5): 343-7, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27077260

RESUMO

OBJECTIVES: The aim of this research summary is to introduce the current and ongoing work using smartphone video, tracking markers to measure musculoskeletal disorders of cranial and mandibular origin, and the potential significance of the technology to doctors and therapists. METHOD: The MPA™ biomechanical measuring apps are in beta trials with various doctors and therapists. The technique requires substantial image processing and statistical analysis, best suited to server-side processing. A smartphone environment has enabled a virtual laboratory, which provides automated generation of graphics and in some cases automated interpretation. The system enables highly accurate real-time biomechanics studies using only a smartphone and tracking markers. RESULT: Despite the technical challenges in setting up and testing of the virtual environment and with interpretation of clinical relevance, the trials have enabled a demonstration of real-time biomechanics studies. The technology has prompted a lot of discussion about the relevance of rapid assessment tools in clinical practice. It seems that a prior bias against motion tracking and its relevance is very strong with occlusion related use cases, yet there has been a general agreement about the use case for cranial movement tracking in managing complex issues related to the head, neck, and TMJ. DISCUSSION: Measurement of cranial and mandibular functions using a smartphone video as the input have been investigated. Ongoing research will depend upon doctors and therapists to provide feedback as to which uses are considered clinically relevant.


Assuntos
Automação , Fenômenos Biomecânicos/fisiologia , Gráficos por Computador , Transtornos Craniomandibulares/fisiopatologia , Interpretação de Imagem Assistida por Computador , Aplicativos Móveis , Interface Usuário-Computador , Gravação em Vídeo , Transtornos Craniomandibulares/diagnóstico , Humanos
17.
Ned Tijdschr Tandheelkd ; 123(3): 138-44, 2016 Mar.
Artigo em Holandês | MEDLINE | ID: mdl-26973986

RESUMO

The disorders temporomandibular dysfunction and craniomandibular dysfunction are still being discussed intensely in the literature 25 year after the publication of the dissertation 'Prevalence and etiology of craniomandibular dysfunction. An epidemiological study of the Dutch adult population'. Attention is especially being devoted to occlusion and its relationship with this disorder; the conclusions reached are often contradictory. In addition to the definitions of temporomandibular and craniomandibular dysfunction and of occlusion, a possible explanation for this controversy can be found in the methodological shortcomings of the studies. On the basis of the most important results in the dissertation of 25 years ago and the scientific discussion since, 7 guidelines are formulated that are illustrated with clinical examples for an evidence-based treatment of patients with this disorder in a general dental practice.


Assuntos
Transtornos Craniomandibulares/epidemiologia , Mastigação/fisiologia , Transtornos da Articulação Temporomandibular/epidemiologia , Transtornos Craniomandibulares/etiologia , Odontologia Baseada em Evidências , Humanos , Países Baixos/epidemiologia , Guias de Prática Clínica como Assunto , Prevalência , Transtornos da Articulação Temporomandibular/etiologia
18.
Vet Radiol Ultrasound ; 57(3): E27-9, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26466748

RESUMO

An Airedale Terrier was presented for evaluation of depression and reluctance to be touched on the head. Magnetic resonance (MR) imaging of the head was performed. The images revealed bone lesions affecting the calvarium at the level of the coronal suture and left mandibular ramus, with focal cortical destruction, expansion, and reactive new bone formation. Skull lesions were hypointense on T1-weighted sequences, hyperintense on T2-weighted sequences, and showed an intense and homogeneous enhancement after gadolinium administration. Reactive new bone formation and periosteal proliferation were confirmed histopathologically. The clinical signs, imaging findings, and histopathological examination were consistent with craniomandibular osteopathy.


Assuntos
Doenças Ósseas/veterinária , Transtornos Craniomandibulares/veterinária , Doenças do Cão/diagnóstico por imagem , Imageamento por Ressonância Magnética/veterinária , Animais , Doenças Ósseas/diagnóstico por imagem , Doenças Ósseas/tratamento farmacológico , Doenças Ósseas/etiologia , Transtornos Craniomandibulares/diagnóstico por imagem , Transtornos Craniomandibulares/tratamento farmacológico , Transtornos Craniomandibulares/etiologia , Doenças do Cão/tratamento farmacológico , Doenças do Cão/etiologia , Cães , Feminino , Gadolínio , Resultado do Tratamento
19.
Orv Hetil ; 156(4): 122-34, 2015 Jan 25.
Artigo em Húngaro | MEDLINE | ID: mdl-25597316

RESUMO

The practising physician often meets patients with pain located in different parts of the face and facial skull, mouth opening restriction or other motion disorder of the mandible. It is not always easy to identify and explain the cause. It is not widely known among doctors that most of these problems are due to masticatory dysfunction. There is a special group of patients showing functional disorders and there are some others who present a variety of different symptoms and visit several doctors. The masticatory organ, a functional unit of the human organism has a definite and separate task and function. In the early years of life it is capable of adaptation, while later on it tends to compensation. The authors outline the functional anatomy of the masticatory organ and the characteristics of multicausal pathology, the dynamics of the process of the disease and their interdisciplinary aspects. They discuss the basic elements of craniomandibular dysfunction. Based on the diagnostic algorithm, they summarize treatment options for masticatory function disorders. They emphasize the importance that physicians should offer treatment, especially an irreversible treatment, without a diagnosis. It occurs very often that the causes are identified after the patients become symptom-free due to treatment. The aim of this report is to help the general practitioners, dentists, neurologists, ear-nose-throat specialists, rheumatologists or any other specialists in the everyday practice who have patients with different symptoms such as pain in the skull, acoustic phenomenon of the joint or craniomandibular dysfunction.


Assuntos
Transtornos Craniomandibulares/diagnóstico , Transtornos Craniomandibulares/terapia , Procedimentos Cirúrgicos Ortognáticos , Modalidades de Fisioterapia , Transtornos Craniomandibulares/complicações , Transtornos Craniomandibulares/etiologia , Transtornos Craniomandibulares/patologia , Transtornos Craniomandibulares/fisiopatologia , Oclusão Dentária , Humanos , Dor/etiologia , Dor/prevenção & controle , Transtornos Psicofisiológicos/diagnóstico , Transtornos Psicofisiológicos/terapia , Psicoterapia
20.
Rev. Assoc. Paul. Cir. Dent ; 69(4): 405-409, 2015. ilus
Artigo em Português | LILACS | ID: lil-778744

RESUMO

A hiperplasia do processo coronoide mandibular (HPCM) é uma condição rara, caracterizada pela limitação de abertura de boca. Causada pela impactação do processo coronoide na porção posterior do osso zigomático. Os autores apresentam um caso de uma criança de dois anos de idade em que a coronoidectomia por ser inviável, estimulou a busca por novos recursos terapêuticos para o tratamento e controle da condição. Sendo a coronoidectomia o tratamento de eleição sugerido pela literatura e não passível de realização, optou-se pela fisioterapia. Mediante uma revisão de literatura, foi possível concluir que os recursos fisioterápicos utilizados para as disfunções crâniomandibulares podem ser de grande ajuda para o controle da HPCM, tendo em vista que o principal sintoma da doença corresponde a um dos sintomas das DTMs...


The mandibular coronoid process hyperplasia (MCPH) is a rare condition characterized by the mouth opening limitation. Caused by an impaction of the coronoid process in the posterior portion of the zygomatic bone. The authors present a case of a child, 2 years old, which coronoidectomy treatment is unfeasible, therefore, stimulated the search for new therapeutic resources for the treatment and control the condition. Being the coronoidectomy the treatment of choice suggested by the literature and not possible to apply, we opted for the physiotherapy. Through a literature review, it was concluded that the physiotherapy resources used for craniomandibular dysfunctions can be a great help to control the MCPH, given that the main symptom of the disease corresponds to one of the symptoms of TMD...


Assuntos
Humanos , Feminino , Lactente , Criança , Modalidades de Fisioterapia/métodos , Hiperplasia/diagnóstico , Hiperplasia/prevenção & controle , Transtornos Craniomandibulares/diagnóstico
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