Terapia manual no controle das disfunções temporomandibulares: revisão de literatura
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Data
2023-06-12
Tipo de documento
Monografia
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Rech, Carolina Santos
Orientador
Oenning, Evandro
Coorientador
Resumo
A articulação temporomandibular, em seu funcionamento normal, realiza os movimentos de abertura, lateralidade e a protrusão da mandíbula. Faz parte do sistema estomatognático, portanto é extremamente importante para o equilíbrio e para o desempenho adequado das funções orofaciais. E a Disfunção Temporomandibular (DTM) são essas funções em desequilíbrio. A etiologia da DTM é multifatorial e na odontologia podemos, partir do quadro clínico, realizar aconselhamento e, de acordo com a necessidade, prescrever medicação como relaxantes musculares, analgésicos, reposições vitamínicas, anti-inflamatórios. Podemos também confeccionar placas oclusais para o controle de DTMs e indicar o paciente para outro profissional, permitindo avaliação e tratamento integrados para cada situação e realizando o diagnóstico diferencial, além da aplicação de técnicas especiais em que a Escala Visual Analógica (EVA) e o índice analgésico são utilizados para mensurar a dor. O tratamento integrado de várias áreas demostrou uma diminuição evidente na intensidade da dor, e o uso da terapia manual são definidos como manipulação dos tecidos moles, com finalidade de produzir efeitos sobre vários sistemas, caráter reversível e com o intuito de devolver a função da articulação comprometida. Com base na literatura pesquisada, a sua grande maioria afirma que há eficácia quanto à terapia manual aplicada a DTM, com e sem terapias associadas, sendo que com terapias associadas sua eficácia é maior. Os autores pesquisados são praticamente unânimes em afirmar que a terapia multidisciplinar é o mais recomendado para o tratamento individualizado e obtenção de resultados eficazes na terapia e controle das DTMs.
The temporomandibular joint, in its normal functioning, performs the movements of opening, laterality and protrusion of the mandible. It is part of the stomatognathic system, therefore it is extremely important for balance and for the proper performance of orofacial functions. And Temporomandibular Dysfunction (TMD) are these functions out of balance. The etiology of TMD is multifactorial and in dentistry we can, from the clinical picture, provide counseling and, according to the need, prescribe medication such as muscle relaxants, analgesics, vitamin replacements, anti-inflammatories. We can also make occlusal splints to control TMDs and refer the patient to another professional, allowing integrated evaluation and treatment for each situation and carrying out the differential diagnosis, in addition to the application of special techniques in which the Visual Analog Scale (VAS) and the index analgesics are used to measure pain. The integrated treatment of several areas has shown an evident decrease in pain intensity, and the use of manual therapy is defined as manipulation of soft tissues, with the purpose of producing effects on several systems, reversible character and with the intention of restoring joint function compromised. Based on the researched literature, the vast majority affirm that manual therapy applied to TMD is effective, with and without associated therapies, and with associated therapies its effectiveness is greater. The researched authors are practically unanimous in stating that multidisciplinary therapy is the most recommended for individualized treatment and obtaining effective results in the therapy and control of TMDs.
The temporomandibular joint, in its normal functioning, performs the movements of opening, laterality and protrusion of the mandible. It is part of the stomatognathic system, therefore it is extremely important for balance and for the proper performance of orofacial functions. And Temporomandibular Dysfunction (TMD) are these functions out of balance. The etiology of TMD is multifactorial and in dentistry we can, from the clinical picture, provide counseling and, according to the need, prescribe medication such as muscle relaxants, analgesics, vitamin replacements, anti-inflammatories. We can also make occlusal splints to control TMDs and refer the patient to another professional, allowing integrated evaluation and treatment for each situation and carrying out the differential diagnosis, in addition to the application of special techniques in which the Visual Analog Scale (VAS) and the index analgesics are used to measure pain. The integrated treatment of several areas has shown an evident decrease in pain intensity, and the use of manual therapy is defined as manipulation of soft tissues, with the purpose of producing effects on several systems, reversible character and with the intention of restoring joint function compromised. Based on the researched literature, the vast majority affirm that manual therapy applied to TMD is effective, with and without associated therapies, and with associated therapies its effectiveness is greater. The researched authors are practically unanimous in stating that multidisciplinary therapy is the most recommended for individualized treatment and obtaining effective results in the therapy and control of TMDs.
Palavras-chave
Massagem, Articulação temporo mandibular, Manipulações musculoesqueléticas