Tratamento de DTM muscular com placa não oclusal

• Autor(a) principal: Silva, Priscila Mary [UNESP]
• Data de Publicação: 2017
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/156590; http://www.athena.biblioteca.unesp.br/exlibris/bd/capelo/2018-05-10/000899942.pdf
• topic: Medição da dor; Eletromiografia; Transtornos da articulação temporomandibular

This study evaluated the treatment of patients with TMD of muscular origin, a functional alteration that affects the masticatory function, and may or may not be associated with pain. Twenty-eight individuals aged 18-44 years, classified according to the RDC, were selected according to pre-established inclusion and exclusion criteria, among those enrolled for treatment in the COAT of the ICT-UNESP, formed two groups: G1 treatment with 2 mm thick occlusal plates and G2 treatment with a 4 mm thick occlusal plate that should be used during nighttime sleep. For the analysis of the electrical activity of the anterior temporal and masseter muscles of the left and right sides of the face, electromyographic examinations were performed; and ICM and algometer (objective pain analysis) were used to assess the signs and symptoms that characterize the clinical evolution, and for VAS, subjective pain was assessed. All parameters were performed at four times: at the beginning and after 1, 2 and 4 months of use of the plaque. Statistical analysis of the data was performed using the Wilcoxon paired test (between the times) and the unpaired Wilcoxon test (between groups). VAS decreased in G1 (84.4%) and G2 (98.8%), ICM (60.5%) in G1, and G2 (73.9), LDP increased in both groups in m. (50% in G1 and 26% in G2) and in m. masseter (53.3 in G1, and 35.2% in G2). Resting EMG showed alteration only of m. masseter in G2 in T1; in MVC in m. masseter in G1 in T1 and T4. The two plaques were effective and statistically similar in relieving muscular TMD