Exercise protocol and occlusal splint as an alternative for muscle temporomandibular disorder: case report
DOI:
https://doi.org/10.34019/1982-8047.2020.v46.30307Keywords:
Temporomandibular Joint Disorders, Bruxism, Facial PainAbstract
Introduction: Temporomandibular muscle dysfunction requires a multidisciplinary approach to consolidate comprehensive treatment. Objective: To report a case where the effects of an 8-week protocol of muscle resistance exercises to fatigue controlled by biofeedback associated with the use of an interocclusal device in the treatment of muscle temporomandibular disorder were evaluated. Case Report: The Diagnostic Criteria for Research on Temporomandibular Disorder (RDC/TMD), Visual Analog Scale (VAS) and Electromyographic Assessment (EMG) were used for screening and diagnosis. Female patient, 25 years old, leucoderma, attended the Dental Prosthesis Clinic complaining of jaw pain upon waking. He reported the nocturnal habit of grinding his teeth and symptoms such as: sporadic noises in the ear and pain in the cervical region. After diagnosis of temporomandibular muscle dysfunction, by RDC/TMD, a physiotherapeutic treatment based on weekly progression exercises performed twice a week was used, totaling 16 sessions, including assessments of fatigue time and perceived pain in the first 24 hours and after 4 and 8 weeks after the beginning of the protocol. In association, an interocclusal device was used at night with intervals of 7, 15, 30, 60 and 90 days in dental follow-up consultations for reexamination and occlusal adjustments of the device. At the end of the instituted therapy, the patient was again submitted to RDC/TMD, EVA and EMG. Results: A significant reduction in painful symptoms was found when comparing the values obtained in the pre and post-treatment evaluations, corresponding to a rate of approximately 89%. Conclusion: The association of dental and physical therapy therapies has shown effectiveness in reducing symptomatic pain, promoting comfort to the patient and greater range of motion of the temporomandibular joint.
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