Functional evaluation after oclusal plate therapies and physiotherapy in patients with TMD: randomized clinical trial

• Autor(a) principal: Galvao, Cecilia Santos
• Data de Publicação: 2020
• Outros Autores: Barbosa, Gustavo Augusto Seabra, Almeida, Érika Oliveira de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/9688
• topic: Síndrome da Disfunção da Articulação Temporomandibular; Articulação temporomandibular; Fisioterapia; Placa oclusal.; Síndrome de disfunción de la articulación temporomandibular; Articulación temporomandibular; Fisioterapia; Placa oclusal.; Temporomandibular Joint Dysfunction Syndrome; Temporomandibular joint; Physiotherapy; Occlusal plaque.

Objective: To evaluate the amplitude and pattern of mouth opening in patients diagnosed with Temporomandibular Disorder (TMD) who underwent treatment with Occlusal Plaque (PO) and Physiotherapy (F) after 1 and 3 months of treatment. Methodology: The mouth opening pattern and the mouth opening amplitude of 48 patients submitted to a randomized clinical trial and divided into 2 treatment groups were evaluated: occlusal plaque (PO; N = 23) and physical therapy (F; N = 25) . All patients were diagnosed with TMD according to axis 1 of the RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders). The collected data were evaluated using the SPSS program using the Wilcoxon, Kruskal Wallis and Fisher's exact Chi Square tests. Results: PO and F showed similar performance in the opening pattern, maintaining the same pattern as the patient over the treatment time (P = 0.003). At the maximum opening amplitude without assistance, both therapies showed a significant improvement in amplitude gain in the initial time and after one month of therapy (P = 0.002), maintaining the amplitude until the third month, without presenting significant gain. Conclusion: PO and F showed similar performance for the treatment of TMD when analyzing the opening pattern and the mean maximum opening amplitude without assistance.