Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report

Detalhes bibliográficos
Autor(a) principal: Melchior,Melissa de Oliveira
Data de Publicação: 2018
Outros Autores: Magri,Laís Valencise, Mazzetto,Marcelo Oliveira
Tipo de documento: Relatório
Idioma: eng
Título da fonte: BrJP (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2595-31922018000100080
Resumo: ABSTRACT BACKGROUND AND OBJECTIVES: The clinical association between painful temporomandibular disorder and orofacial myofunctional disorders is frequent and requires attention. The objective of this study was to describe a clinical case of painful temporomandibular disorder in association with orofacial myofunctional disorders that evidence the importance of dental and speech therapy approaches involving myofunctional orofacial limits, as well as to discuss whether the presence of orofacial myofunctional disorders can be a comorbidity that hinders the temporomandibular disorder management. CASE REPORT: Female patient, 35 years old, complaining of pain in the orofacial region and joint noises during high amplitude mandibular movements for 17 years. She was diagnosed with myofascial pain and arthralgia (RDC/TMD) and orofacial myofunctional disorders (phonoarticulation with deviations and lingual interposition, atypical swallowing, oromandibular incoordination and mandibular hyperexcursion with eminence noise). Complementary tests (electromyography and electrovibratography) were performed in the pre- and post-treatment moments (1 year after). The treatment consisted of self-management and mindfulness orientations, stabilizing occlusal splint and speech therapy. After the treatment, there was an improvement in pain and mandibular range of motion, with consequent reduction of noise, better electromyographic balance and reduction of orofacial myofunctional disorders scores. CONCLUSION: The case report has suggested that the presence of orofacial myofunctional disorders in association with painful temporomandibular disorder could interfere in the management of pain and the balance of the stomatognathic system because it seems to act as a worsening factor to the temporomandibular disorder signs and symptoms. In this sense, the importance of dental and speech therapy interventions in patients with orofacial myofunctional disorders as possible comorbidity to painful temporomandibular disorder is highlighted.
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spelling Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case reportComorbiditySpeech therapyTemporomandibular joint dysfunction syndromeABSTRACT BACKGROUND AND OBJECTIVES: The clinical association between painful temporomandibular disorder and orofacial myofunctional disorders is frequent and requires attention. The objective of this study was to describe a clinical case of painful temporomandibular disorder in association with orofacial myofunctional disorders that evidence the importance of dental and speech therapy approaches involving myofunctional orofacial limits, as well as to discuss whether the presence of orofacial myofunctional disorders can be a comorbidity that hinders the temporomandibular disorder management. CASE REPORT: Female patient, 35 years old, complaining of pain in the orofacial region and joint noises during high amplitude mandibular movements for 17 years. She was diagnosed with myofascial pain and arthralgia (RDC/TMD) and orofacial myofunctional disorders (phonoarticulation with deviations and lingual interposition, atypical swallowing, oromandibular incoordination and mandibular hyperexcursion with eminence noise). Complementary tests (electromyography and electrovibratography) were performed in the pre- and post-treatment moments (1 year after). The treatment consisted of self-management and mindfulness orientations, stabilizing occlusal splint and speech therapy. After the treatment, there was an improvement in pain and mandibular range of motion, with consequent reduction of noise, better electromyographic balance and reduction of orofacial myofunctional disorders scores. CONCLUSION: The case report has suggested that the presence of orofacial myofunctional disorders in association with painful temporomandibular disorder could interfere in the management of pain and the balance of the stomatognathic system because it seems to act as a worsening factor to the temporomandibular disorder signs and symptoms. In this sense, the importance of dental and speech therapy interventions in patients with orofacial myofunctional disorders as possible comorbidity to painful temporomandibular disorder is highlighted.Sociedade Brasileira para o Estudo da Dor2018-03-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2595-31922018000100080BrJP v.1 n.1 2018reponame:BrJP (Online)instname:Sociedade Brasileira para o Estudo da Dor (SBED)instacron:SBED10.5935/2595-0118.20180017info:eu-repo/semantics/openAccessMelchior,Melissa de OliveiraMagri,Laís ValenciseMazzetto,Marcelo Oliveiraeng2018-06-04T00:00:00Zoai:scielo:S2595-31922018000100080Revistahttps://sbed.org.br/publicacoes-publicacoes-bjp/ONGhttps://old.scielo.br/oai/scielo-oai.phpdkt@terra.com.br || dor@dor.org.br2595-31922595-0118opendoar:2018-06-04T00:00BrJP (Online) - Sociedade Brasileira para o Estudo da Dor (SBED)false
dc.title.none.fl_str_mv Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report
title Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report
spellingShingle Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report
Melchior,Melissa de Oliveira
Comorbidity
Speech therapy
Temporomandibular joint dysfunction syndrome
title_short Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report
title_full Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report
title_fullStr Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report
title_full_unstemmed Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report
title_sort Orofacial myofunctional disorder, a possible complicating factor in the management of painful temporomandibular disorder. Case report
author Melchior,Melissa de Oliveira
author_facet Melchior,Melissa de Oliveira
Magri,Laís Valencise
Mazzetto,Marcelo Oliveira
author_role author
author2 Magri,Laís Valencise
Mazzetto,Marcelo Oliveira
author2_role author
author
dc.contributor.author.fl_str_mv Melchior,Melissa de Oliveira
Magri,Laís Valencise
Mazzetto,Marcelo Oliveira
dc.subject.por.fl_str_mv Comorbidity
Speech therapy
Temporomandibular joint dysfunction syndrome
topic Comorbidity
Speech therapy
Temporomandibular joint dysfunction syndrome
description ABSTRACT BACKGROUND AND OBJECTIVES: The clinical association between painful temporomandibular disorder and orofacial myofunctional disorders is frequent and requires attention. The objective of this study was to describe a clinical case of painful temporomandibular disorder in association with orofacial myofunctional disorders that evidence the importance of dental and speech therapy approaches involving myofunctional orofacial limits, as well as to discuss whether the presence of orofacial myofunctional disorders can be a comorbidity that hinders the temporomandibular disorder management. CASE REPORT: Female patient, 35 years old, complaining of pain in the orofacial region and joint noises during high amplitude mandibular movements for 17 years. She was diagnosed with myofascial pain and arthralgia (RDC/TMD) and orofacial myofunctional disorders (phonoarticulation with deviations and lingual interposition, atypical swallowing, oromandibular incoordination and mandibular hyperexcursion with eminence noise). Complementary tests (electromyography and electrovibratography) were performed in the pre- and post-treatment moments (1 year after). The treatment consisted of self-management and mindfulness orientations, stabilizing occlusal splint and speech therapy. After the treatment, there was an improvement in pain and mandibular range of motion, with consequent reduction of noise, better electromyographic balance and reduction of orofacial myofunctional disorders scores. CONCLUSION: The case report has suggested that the presence of orofacial myofunctional disorders in association with painful temporomandibular disorder could interfere in the management of pain and the balance of the stomatognathic system because it seems to act as a worsening factor to the temporomandibular disorder signs and symptoms. In this sense, the importance of dental and speech therapy interventions in patients with orofacial myofunctional disorders as possible comorbidity to painful temporomandibular disorder is highlighted.
publishDate 2018
dc.date.none.fl_str_mv 2018-03-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.5935/2595-0118.20180017
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dc.publisher.none.fl_str_mv Sociedade Brasileira para o Estudo da Dor
publisher.none.fl_str_mv Sociedade Brasileira para o Estudo da Dor
dc.source.none.fl_str_mv BrJP v.1 n.1 2018
reponame:BrJP (Online)
instname:Sociedade Brasileira para o Estudo da Dor (SBED)
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instname_str Sociedade Brasileira para o Estudo da Dor (SBED)
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reponame_str BrJP (Online)
collection BrJP (Online)
repository.name.fl_str_mv BrJP (Online) - Sociedade Brasileira para o Estudo da Dor (SBED)
repository.mail.fl_str_mv dkt@terra.com.br || dor@dor.org.br
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