Efeito da alteração comportamental cognitiva e do alongamento dos músculos elevadores da mandíbula no tratamento das dores orofaciais de origem músculo esquelética

  • José Mário Netto Soares Universidade Federal de Minas Gerais- UFMG
  • Luiz Thadeu de Abreu Poletto Universidade Federal de Minas Gerais-UFMG
  • Marcelo Drummond Naves Universidade Federal de Minas Gerais-UFMG
  • Leandro Lúcio da Costa Braga Universidade Federal de Minas Gerais-UFMG

Resumo

O objetivo deste trabalho foi estabelecer protocolo clínico para tratamento de disfunção
temporomandibular de origem muscular pela alteração comportamental cognitiva. A amostra de 144 indivíduos, diagnosticados como portadores de disfunção temporomandibular de origem muscular segundo o protocolo de
avaliação do Research Diagnostic Criteria for Temporomandibular Disorders, foi avaliada por um período de oito semanas. A média de comparecimento às consultas, durante este período, foi de 75 (52%). Os músculos masseter superficial (insserção, corpo e origem), masseter profundo e temporal anterior foram avaliados por palpação, utilizando-se a escala visual análoga para quantificação da sensibilidade. A cada avaliação semanal realizada pelo pesquisador, os pacientes foram estimulados à cognição dos hábitos bucais, alteração da posição de dormir e alongamento dos músculos elevadores da mandíbula. Houve diminuição estatisticamente significativa da sensibilidade à palpação dos músculos avaliados a partir da segunda semana após o primeiro exame, independentemente do lado avaliado (p<0,05). Em 68% dos pacientes houve o desaparecimento de sintomas associados à dor muscular, tais como dor de cabeça, dor de ouvido, dor na região cervical. O protocolo
terapêutico descrito pode ser recomendado como tratamento inicial de pacientes portadores de disfunção temporomandibular de origem muscular. Os resultados também demonstraram ser imprescindível um diagnóstico preciso para a otimização do protocolo utilizado.
Descritores: Transtornos da articulação temporomandibular. Terapia cognitiva. Exercícios de alongamento muscular.

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Biografia do Autor

José Mário Netto Soares, Universidade Federal de Minas Gerais- UFMG
Professor Assistente da FO-UFMG
Luiz Thadeu de Abreu Poletto, Universidade Federal de Minas Gerais-UFMG
Professor Associado da FO-UFMG
Marcelo Drummond Naves, Universidade Federal de Minas Gerais-UFMG
Professor Associado da FO-UFMG
Leandro Lúcio da Costa Braga, Universidade Federal de Minas Gerais-UFMG
Cirurgião Dentista - Especialista em Radiologia

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Publicado
2016-03-14
Como Citar
Soares, J. M. N., Poletto, L. T. de A., Naves, M. D., & Braga, L. L. da C. (2016). Efeito da alteração comportamental cognitiva e do alongamento dos músculos elevadores da mandíbula no tratamento das dores orofaciais de origem músculo esquelética. Arquivos Em Odontologia, 43(4). Recuperado de https://periodicos.ufmg.br/index.php/arquivosemodontologia/article/view/3448
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