RESUMEN
Objective: To analyze the influence of tongue exercise and myofunctional status on the electromyographic activity (EMG) and pain perception in individuals with chronic painful TMDs.Methods: Twenty-four subjects diagnosed according to the DC/TMD (18-52 years old) were assessed: EMG on the masseter and anterior temporalis; myofunctional orofacial conditions underwent clinical assessment (OMES); and questionnaire for self-perception of TMD signs and symptoms (ProTMDMulti). The 50th percentile was calculated to establish a cutoff value based on OMES scores related to the functional variables of the tongue.Results: The compared groups showed no differences (p > 0.05) in self-perception of their TMD signs and symptoms or in the EMG activity during tongue exercises.Discussion: The myofunctional status of the tongue showed no impact on the painful TMD or on the activity of the masticatory muscles (captured during tongue exercise). The indication of tongue exercises in TMD cases is a safe and adequate possibility.
Asunto(s)
Dolor Crónico , Trastornos de la Articulación Temporomandibular , Adolescente , Adulto , Electromiografía , Humanos , Músculo Masetero , Persona de Mediana Edad , Músculo Temporal , Lengua , Adulto JovenRESUMEN
OBJECTIVE: To analyze the influence of orofacial myofunctional condition (OMC) on pain perception, temporomandibular disorders (TMD) severity, and the response to low-level laser therapy (LLLT) in women with painful TMD. METHODS: Seventy-eight women, 59 with TMD, received active laser (30) or placebo (29), with 19 controls. OMC, TMD severity, pain intensity, and pressure pain threshold (PPT) were assessed at different times during the masticatory test: before treatment (LLLT dose: 780nm), during, and after 30 days. RESULTS: No correlation was found between OMC and pain perception or TMD severity (p > 0.05). The active and placebo LLLT showed reduction of pain during chewing and better recovery levels during the rest period (p > 0.05), without differences between OMC groups. DISCUSSION: The perception of pain and severity of TMD are not correlated with the OMC, and the response of analgesia promoted by active LLLT or placebo is not associated with OMC.
Asunto(s)
Analgesia , Terapia por Luz de Baja Intensidad , Manejo del Dolor , Trastornos de la Articulación Temporomandibular , Femenino , Humanos , DolorRESUMEN
OBJECTIVE: To verify if the maximal molar bite force (BF) and the electromyographic activity (EMG) are altered in TMD patients with abfraction lesions (AL) when compared to those without AL. METHODS: The sample was composed of 45 patients (18-60 years old), 30 diagnosed with TMD (RDC/TMD) (15 with AL and 15 without AL) and 15 controls. The BF and the EMG of the masticatory muscles (maximal voluntary contraction (MVC) and chewing gum) were measured. RESULTS: TMD patients showed decreased BF (p < 0.001), without differences between patients with and without AL. The electromyographic activity during MVC was similar among all groups (p > 0.05), although there was a greater trend of muscular balance for the control group (percentage overlapping coefficient and electromyographic indexes). The TMD group without AL showed a lower number of cycles and masticatory frequency. DISCUSSION: TMD patients with and without AL exhibited similar results in the analysis of the BF and EMG, without differences.
Asunto(s)
Trastornos de la Articulación Temporomandibular , Enfermedades Dentales , Adolescente , Adulto , Fuerza de la Mordida , Electromiografía , Humanos , Músculo Masetero , Músculos Masticadores , Persona de Mediana Edad , Contracción Muscular , Músculo Temporal , Adulto JovenRESUMEN
OBJECTIVE: To compare the amplitude of mandibular movement measurements obtained by two different methods: the ultrasound JAM system and digital caliper rule in individuals with temporomandibular disorder (TMD) vs. METHOD: Sixty individuals, without distinction between sex and age were evaluated: 30 with diagnosis of TMD (RDC/TMD) and 30 controls. Mandibular movements of opening, protrusion, and left and right laterality were measured by means of two Instruments: Digital caliper rule and 3D ultrasonic Jaw Motion Analyzer (JMA-Zebris Medizintechnik, Isny/Allgäu, Germany). Data obtained were analyzed by descriptive analysis and compared by parametric statistics (Student's t-test), adopting a 5% level of significance. RESULTS: When comparing the digital caliper rule with JMA, no significant differences were found for any of the movements evaluated (p > 0.05). In the comparison between groups, a difference was found in protrusion for both instruments used: JMA (p = 0.004) and digital caliper rule (p = 0.003), with the TMD group presenting reduced movement of protrusion when compared with the control group. DISCUSSION: This study found no differences in obtaining the amplitude of mandibular movements when using the digital caliper rule or JMA system; both methods are effective. However, the ultrasonic system allows other types of analyses to be performed, such as the trajectory and speed of movement. Among the mandibular movements analyzed, protrusion was shown to be more compromised and limited in TMDs.