Towards an optimal therapy strategy for myogenous TMD, physiotherapy compared with occlusal splint therapy in an RCT with therapy-and-patient-specific treatment durations

Appendix. Threshold of signs and symptoms. Post-hoc power analysis on measures of effectiveness. Two-way ANOVA statistical analysis for pain intensity. Rules for progressing and ending splint therapy. Rules for progressing and ending physiotherapy. A stepped-care model including two possible therapies. (PDF 86 kb

TMD and the problem of bruxism. A review

Objective To examine the phenomenon of bruxism and assess the current state of the literature regarding its role in temporomandibular disorder (TMD). Data sources A review of the literature contained in the CINAHL; Pubmed; COCHRANE; MANTIS and MEDLINE (ovid) database searches as well as hand searches was conducted between September 2005 and March 2006. Study selection Studies using the keywords bruxism, temporomandibular, jaw, randomised controlled trial, survey, epidemiological, longitudinal, were screened. Uncontrolled studies, case studies, case series and reviews were ignored. A total of 172 studies were identified and compared in terms of their definition of bruxism, TMD, and conclusions regarding the role of bruxism. Conclusion The majority of studies found a relationship between bruxism and TMD. However, inconsistency and equivocation of different parafunctional activities are common within the literature. The subject is further complicated by the lack of a universally accepted definition of both TMD and bruxism and an additional failure to standardise investigative variables such as frequency, duration and intensity of episodes. The role of bruxism as it is currently described can therefore be considered a controversial and unresolved issue. The authors suggest that the term bruxism be abandoned in favour of a set of diagnostically more appropriate descriptors

An artificial neural network model for the prediction of bruxism by means of occlusal variables

International Joint Conference SOCO'17- CISIS'17-ICEUTE'17 Proceedings (2017. Leon, España

Avaliação da eficácia do laser de baixa intensidade no tratamento das disfunções têmporo-mandibular: estudo clínico randomizado

OBEJTIVO: avaliar a eficácia do laser de baixa intensidade no tratamento da dor em pacientes com desordens temporomandibulares. MÉTODO:consistiu de um ensaio clínico randomizado divididos em dois grupos: Grupo 1: laser AsGaAl, Grupo 2: laser InGaAlP, do qual participaram 20 pacientes entre 19 e 35 anos de idade, com diagnóstico de sinais e sintomas de DTM. Os pacientes tinham a amplitude de movimento para abertura máxima da boca e lateralidade registados no início e no final do tratamento a laser. O Laser foi aplicado em quatro pontos pré-auriculares, totalizando 12 sessões três vezes por semana, durante um mês. Dor dos pacientes foi registrado com base na utilização da escala analógica visual (EAV) e também por exame físico dos pontos álgicos. RESULTADOS: observou-se redução significante (p<0,028) do nível de dor em ambos os grupos, porém no G1 a significância foi maior. A evolução do limiar de sensibilidade muscular evidenciou diferença estatisticamente significante (p<0,05) para G1 e G2. A laserterapia no Grupo 1 melhorou a abertura bucal em média de 4,643 mm, enquanto no Grupo 2, a média foi de 3,71 mm por paciente. CONCLUSÃO: houve eficácia em ambos os lasers no controle da dor e abertura bucal dos pacientes