Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach

Detalhes bibliográficos
Autor(a) principal: Santos, Pablo Leal Teixeira
Data de Publicação: 2020
Outros Autores: Lima, Fernanda Ferruzzi, Mazzetto, Marcelo Oliveira, Melchior, Melissa de Oliveira, Magri, Lais Valencise, Mori, Aline Akemi
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/10516
Resumo: Temporomandibular disorder (TMD) occurs when there is involvement of the temporomandibular joint (TMJ), masticatory muscles and associated structures. These disorders can result from pain and limitations of mandibular movements, difficulty in chewing, speaking and swallowing. Viscosupplementation of the TMJ with hyaluronic acid (HA) is a minimally invasive method and a therapeutic alternative in cases of pain and mandibular limitation. The aim of this study is to report the evolution of a clinical case of joint TMD refractory to conservative treatment, in a patient with bilateral TMJ pain during mandibular function, tinnitus and crepitation with difficulty opening the mouth. Multidisciplinary follow-up was performed, along with viscosupplementation therapy with hyaluronic acid (VAH) and oral motricity therapy based on mandibular strengthening. They were evaluated after 7 days, 30 days and 60 days, showing satisfactory improvement in 2 months. In conclusion, viscosupplementation associated with exercise-based therapy can be evaluated as effective therapeutic measures for the functional restoration of TMJ and pain reduction. Multidisciplinary treatment in refractory cases of TMD is of paramount importance for the control of signs and symptoms in the long term.
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spelling Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approachCaso clínico de trastorno de la articulación temporomandibular refractaria: la importancia de un abordaje multidisciplinarioRelato de caso de desordem temporomandibular articular refratária: a importância da abordagem multidisciplinarArticulación temporomandibularTrastornos de la articulación TemporomandibularTerapia combinada.Temporomandibular jointTemporomandibular joint disordersCombined modality therapy.Articulação temporomandibularTranstornos da articulação temporomandibularTerapia combinada.Temporomandibular disorder (TMD) occurs when there is involvement of the temporomandibular joint (TMJ), masticatory muscles and associated structures. These disorders can result from pain and limitations of mandibular movements, difficulty in chewing, speaking and swallowing. Viscosupplementation of the TMJ with hyaluronic acid (HA) is a minimally invasive method and a therapeutic alternative in cases of pain and mandibular limitation. The aim of this study is to report the evolution of a clinical case of joint TMD refractory to conservative treatment, in a patient with bilateral TMJ pain during mandibular function, tinnitus and crepitation with difficulty opening the mouth. Multidisciplinary follow-up was performed, along with viscosupplementation therapy with hyaluronic acid (VAH) and oral motricity therapy based on mandibular strengthening. They were evaluated after 7 days, 30 days and 60 days, showing satisfactory improvement in 2 months. In conclusion, viscosupplementation associated with exercise-based therapy can be evaluated as effective therapeutic measures for the functional restoration of TMJ and pain reduction. Multidisciplinary treatment in refractory cases of TMD is of paramount importance for the control of signs and symptoms in the long term.El trastorno temporomandibular (TMD) ocurre cuando hay afectación de la articulación temporomandibular (TMJ), con los músculos masticatorios y las estructuras asociadas. Estos trastornos pueden variar desde movimientos limitados de la mandíbula hasta dificultad para masticar, hablar y tragar. La viscosuplementación de la ATM con ácido hialurónico (AH) es un método mínimamente invasivo y una alternativa terapéutica en casos de dolor y limitación mandibular. El objetivo del estudio es reportar la evolución de un caso clínico de DTM articular refractario al tratamiento conservador, en el que la consulta del paciente fue dolor ATM bilateral durante la función mandibular, acúfenos y crepitaciones con dificultad para abrir la boca. Se realizó seguimiento multidisciplinario, junto con terapia de viscosuplementación con ácido hialurónico (VAH) y terapia de motricidad oral basada en el fortalecimiento mandibular. Las evaluaciones se realizaron a los 7 días, 30 días y 60 días, mostrando una mejoría satisfactoria en 2 meses. En conclusión, la viscosuplementación asociada con la terapia basada en ejercicio puede considerarse medidas terapéuticas eficientes para la restauración funcional de la ATM y la reducción del dolor. El tratamiento multidisciplinario en los casos refractarios de TTM es de suma importancia para el control de signos y síntomas a largo plazo.A disfunção temporomandibular (DTM) acontece quando há envolvimento da articulação temporomandibular (ATM), com músculos da mastigação e estruturas associadas. Essas desordens podem gerar desde limitação dos movimentos mandibulares, à dificuldade na mastigação, fala e deglutição. A viscossuplementação da ATM com ácido hialurônico (AH) é um método minimamente invasivo e uma alternativa terapêutica em casos de dor e limitação mandibular. O objetivo do trabalho é relatar a evolução de um caso clínico de DTM articular refratária ao tratamento conservador, o qual a queixa da paciente era dor bilateral na ATM durante função mandibular, zumbido e crepitação com dificuldade de abertura bucal. Foi realizado acompanhamento multidisciplinar, juntamente com terapia de viscossuplementação com ácido hialurônico (VAH) e terapia de motricidade oral baseado em fortalecimento mandibular. Foram realizadas avaliações após 7 dias, 30 dias e 60 dias, demonstrando melhora satisfatória em 2 meses. Em conclusão, a viscossuplementação associada à terapia baseada em exercícios podem ser consideradas medidas terapêuticas eficientes para o restabelecimento funcional da ATM e diminuição da dor. O tratamento multidisciplinar em casos refratários de DTM são de suma importância para o controle dos sinais e sintomas a longo prazo. Research, Society and Development2020-12-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1051610.33448/rsd-v9i11.10516Research, Society and Development; Vol. 9 No. 11; e77191110516Research, Society and Development; Vol. 9 Núm. 11; e77191110516Research, Society and Development; v. 9 n. 11; e771911105162525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/10516/9334Copyright (c) 2020 Pablo Leal Teixeira Santos; Fernanda Ferruzzi Lima; Marcelo Oliveira Mazzetto; Melissa de Oliveira Melchior; Lais Valencise Magri; Aline Akemi Morihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Pablo Leal Teixeira Lima, Fernanda FerruzziMazzetto, Marcelo Oliveira Melchior, Melissa de OliveiraMagri, Lais ValenciseMori, Aline Akemi2020-12-10T23:37:57Zoai:ojs.pkp.sfu.ca:article/10516Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:32:34.356619Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach
Caso clínico de trastorno de la articulación temporomandibular refractaria: la importancia de un abordaje multidisciplinario
Relato de caso de desordem temporomandibular articular refratária: a importância da abordagem multidisciplinar
title Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach
spellingShingle Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach
Santos, Pablo Leal Teixeira
Articulación temporomandibular
Trastornos de la articulación Temporomandibular
Terapia combinada.
Temporomandibular joint
Temporomandibular joint disorders
Combined modality therapy.
Articulação temporomandibular
Transtornos da articulação temporomandibular
Terapia combinada.
title_short Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach
title_full Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach
title_fullStr Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach
title_full_unstemmed Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach
title_sort Case report of refractory temporomandibular joint disorder: the importance of a multidisciplinary approach
author Santos, Pablo Leal Teixeira
author_facet Santos, Pablo Leal Teixeira
Lima, Fernanda Ferruzzi
Mazzetto, Marcelo Oliveira
Melchior, Melissa de Oliveira
Magri, Lais Valencise
Mori, Aline Akemi
author_role author
author2 Lima, Fernanda Ferruzzi
Mazzetto, Marcelo Oliveira
Melchior, Melissa de Oliveira
Magri, Lais Valencise
Mori, Aline Akemi
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Santos, Pablo Leal Teixeira
Lima, Fernanda Ferruzzi
Mazzetto, Marcelo Oliveira
Melchior, Melissa de Oliveira
Magri, Lais Valencise
Mori, Aline Akemi
dc.subject.por.fl_str_mv Articulación temporomandibular
Trastornos de la articulación Temporomandibular
Terapia combinada.
Temporomandibular joint
Temporomandibular joint disorders
Combined modality therapy.
Articulação temporomandibular
Transtornos da articulação temporomandibular
Terapia combinada.
topic Articulación temporomandibular
Trastornos de la articulación Temporomandibular
Terapia combinada.
Temporomandibular joint
Temporomandibular joint disorders
Combined modality therapy.
Articulação temporomandibular
Transtornos da articulação temporomandibular
Terapia combinada.
description Temporomandibular disorder (TMD) occurs when there is involvement of the temporomandibular joint (TMJ), masticatory muscles and associated structures. These disorders can result from pain and limitations of mandibular movements, difficulty in chewing, speaking and swallowing. Viscosupplementation of the TMJ with hyaluronic acid (HA) is a minimally invasive method and a therapeutic alternative in cases of pain and mandibular limitation. The aim of this study is to report the evolution of a clinical case of joint TMD refractory to conservative treatment, in a patient with bilateral TMJ pain during mandibular function, tinnitus and crepitation with difficulty opening the mouth. Multidisciplinary follow-up was performed, along with viscosupplementation therapy with hyaluronic acid (VAH) and oral motricity therapy based on mandibular strengthening. They were evaluated after 7 days, 30 days and 60 days, showing satisfactory improvement in 2 months. In conclusion, viscosupplementation associated with exercise-based therapy can be evaluated as effective therapeutic measures for the functional restoration of TMJ and pain reduction. Multidisciplinary treatment in refractory cases of TMD is of paramount importance for the control of signs and symptoms in the long term.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-03
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/10516
10.33448/rsd-v9i11.10516
url https://rsdjournal.org/index.php/rsd/article/view/10516
identifier_str_mv 10.33448/rsd-v9i11.10516
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/10516/9334
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 11; e77191110516
Research, Society and Development; Vol. 9 Núm. 11; e77191110516
Research, Society and Development; v. 9 n. 11; e77191110516
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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