RESUMO
Fundamento: el enfoque científico del bruxismo resulta, en no pocas ocasiones, incongruente y obedece en lo particular a tres aspectos pendientes para la ciencia en el siglo XXI. Primero la ausencia de esquemas diagnósticos y terapéuticos definitivos, segundo la necesidad del empleo de específicos y depurados métodos de evaluación epidemiológica y clínica. Por último la integración tangente y activa de los profesionales de las Ciencias Médicas para desarrollar en un orden secuencial documentos científicos. Objetivo: diseñar un protocolo de procedimientos clínicos interdisciplinarios para un nuevo enfoque del bruxismo desde la integración médica en Cuba. Métodos: se realizó una investigación de desarrollo en el período de marzo de 2019 a marzo de 2020. Se conformó el universo del grupo de trabajo por nueve estomatólogos de alta especialización y el universo de investigaciones lo integraron 41, de ellas con una subsiguiente muestra de 19 investigaciones, destacadas por sus aportes y fortalezas con relación a la integración interdisciplinaria, seleccionadas por muestreo intencional. Se estructuró el documento en tres acápites que desglosan momentos, acciones específicas y condicionantes conformes a la valoración del grupo de trabajo; a través de la técnica de consenso del grupo nominal. Resultados:se establecieron consultas de evolución periódicas, valoración por etapas y procedimientos terapéuticos. Además procedimientos clínicos interdisciplinarios, según el momento de integración médica que se precisa. Se asumió el diagnóstico integral del bruxismo desde un concepto sistémico-neurológico. Conclusiones: se diseñó un documento científico que protocoliza procedimientos clínicos interdisciplinarios para un nuevo enfoque del bruxismo desde la integración médica en Cuba (AU)
Background: the scientific approach to bruxism is, on many occasions, incongruous and obeys in particular three pending aspects for science in the 21st century. Firstly, the absence of definitive diagnostic and therapeutic schemes, secondly, the need to use specific and refined epidemiological and clinical evaluation methods. Finally, the tangent and active integration of professionals in Medical Sciences to develop scientific documents in a sequential order. Objective: to design a protocol of interdisciplinary clinical procedures for a new approach to bruxism from medical integration in Cuba. Methods: a development research was carried out in the period from March 2019 to March 2020. The universe of the work group was formed by nine highly specialized dentists and the universe of investigations was made up of 41 of them with a subsequent sample of 19 researches, highlighted by its contributions and strengths in relation to interdisciplinary integration, selected by intentional sampling. The document was structured into three sections that break down moments, specific actions and conditioning factors in accordance with the assessment of the working group; through the nominal group consensus technique.Results: periodic evolution consultations were established, assessment by stages and therapeutic procedures. Besides interdisciplinary clinical procedures, according to the time of medical integration that is required. It was assumed the comprehensive diagnosis of bruxism from a systemic-neurological concept. Conclusions: a scientific document was designed that protocolizes interdisciplinary clinical procedures for a new approach to bruxism from medical integration in Cuba (AU)
Assuntos
Humanos , Protocolos Clínicos , Procedimentos Clínicos , Bruxismo/diagnóstico , Bruxismo/epidemiologia , Bruxismo/prevenção & controle , Bruxismo/reabilitação , Bruxismo/terapia , Projetos de PesquisaRESUMO
El presente texto expone los resultados de un estudio prospectivo, del tipo de intervención comunitaria aplicado en la Clínica Estomatológica Docente La Vigía, provincia Camagüey, con el objetivo de instrumentar una estrategia educativa en pacientes con bruxismo y disfunción temporomandibular en el período de enero de 2017 a enero de 2018. Se diseñó y aplicó una estrategia educativa según la metodología utilizada por la Maestría Nacional de Educación para la salud. Predominó el sexo femenino y las edades comprendidas entre los 24 y 29 años, así como el nivel escolar universitario. Al finalizar la intervención, el nivel de conocimientos fue evaluado de bueno en casi todos los pacientes, la apertura bucal limitada, el dolor muscular y articular aparecieron en menos de la mitad de los individuos; el nivel de satisfacción respecto a la intervención fue alto. Se concluyó que la estrategia generó un impacto positivo en los pacientes estudiados(AU)
The present text exhibits the results of a pilot study, of the type of community intervention applied in the Dentistry University Clinic La Vigía, Camagüey province, with the objective to arrange an educational strategy in patients with bruxism and temporomandibular dysfunction in the period from January, 2017 until January, 2018. It was designed and applied an educational strategy as the methodology used by the National Mastery of Education for the health. It predominated over the feminine sex and the ages understood between 24 and 29 years, as well as over the university school level. On having finished the intervention, the knowledge level was evaluated of good in almost all the patients, the limited mouth opening, the muscular pain and to articulate appeared in less than half of the individuals; the satisfaction level with regard to the intervention was high. It was concluded that the strategy generated a positive impact in the studied patients(AU)
Assuntos
Humanos , Bruxismo/prevenção & controle , Articulação Temporomandibular/anormalidades , Síndrome da Disfunção da Articulação Temporomandibular/prevenção & controle , Ensino de Recuperação , Estudos Controlados Antes e Depois , Estudos ProspectivosRESUMO
The aim of this study was to describe the treatment used in an elderly patient presenting with bruxism and dental erosion, with good gingival health and bone support, but with decreased occlusal vertical dimension (OVD). The oral rehabilitation of elderly patients presenting with bruxism in association with tooth erosion has been a great challenge for dentists. The loss of OVD, the presence of occlusal instability and the absence of an effective anterior guide due excessive dental wear, can damage stomatognathic system (SS) biology, the function and the aesthetics. In the first treatment stage, an overlay removable partial denture (ORPD) was fabricated for the immediate re-establishment of function and aesthetics. After a 2-month follow up, with the patient presenting no symptoms, a second rehabilitation stage was accomplished, with fixed and removable prostheses. Oral rehabilitation with an ORPD was able to re-establish the SS biology, but a correct diagnosis and treatment plan are essential for success. The ORPD is a non-invasive and reversible restoring modality for general dentists that allow the re-establishment of the patient's immediate aesthetics and function at low cost.
Assuntos
Revestimento de Dentadura , Placas Oclusais , Desgaste dos Dentes/reabilitação , Dimensão Vertical , Bruxismo/complicações , Bruxismo/prevenção & controle , Prótese Parcial Removível , Humanos , Masculino , Pessoa de Meia-Idade , Erosão Dentária/complicações , Erosão Dentária/reabilitação , Desgaste dos Dentes/etiologiaRESUMO
AIM: This study aims to present both the features of 124 consecutive patients with temporomandibular disorders (TMDs) and the results of a reversible, conservative, and low-tech treatment. METHODS AND MATERIALS: One hundred fifty-eight records of consecutive patients treated in School of Dentistry at the Univag-University Center in Várzea Grande-MT, Brazil, 124 of whom were considered TMD patients, were examined. The following data were obtained: gender, age, main complaint, diagnosis, co-morbidities, type of treatment performed, and treatment results. The patients who received a successful treatment were contacted for reevaluation four to six years after the conclusion of treatment. RESULTS: Pain was the main complaint for 92.7 percent of the patients. The majority of patients were female (female:male ratio of 4.1:1), with a peak age range between 20 and 30 years. Roughly 59.7 percent of the patients were diagnosed as having a muscular TMD, 12.9 percent as an articular TMD, and 27.4 percent as a mixed TMD. The success rate for treatment was 91.7 percent, and there was a tendency toward the long-term maintenance of good results. CONCLUSION: The features of the 124 TMD patients treated were similar to those reported in the literature with regard to gender, age, and diagnostic prevalence. Most of the disorders were of a muscular origin, and there was a predominance of women between 20 and 30 years of age. The conservative, reversible, and low-tech treatment success rate for TMD can reach values above 90 percent. Therefore, there is no need for invasive, irreversible, expensive, or high-tech treatments for the majority of patients. CLINICAL SIGNIFICANCE: The majority of TMD patients can benefit from reversible, conservative, and low-tech treatments such as parafunction control and therapeutic exercises that can be performed by any clinician once an accurate diagnosis has been made.
Assuntos
Placas Oclusais , Modalidades de Fisioterapia , Transtornos da Articulação Temporomandibular/terapia , Adulto , Distribuição por Idade , Anti-Inflamatórios não Esteroides/uso terapêutico , Bruxismo/prevenção & controle , Dor Facial/etiologia , Dor Facial/terapia , Feminino , Humanos , Masculino , Medição da Dor , Satisfação do Paciente , Estudos Retrospectivos , Distribuição por Sexo , Transtornos da Articulação Temporomandibular/complicações , Resultado do Tratamento , Adulto JovemRESUMO
OBJECTIVE: To conduct a systematic review to assess and analyze the scientific evidence about the available therapies for bruxism in children. METHOD AND MATERIALS: The literature was searched using Medline, PubMed, Ovid, Biomed Central, EBSCOhost, ISI, Cochrane Library, Embase, LILACS, Scielo, Scirus, the Internet at large, and databases of universities from March 1985 to the end of September 2007. Studies had to be intervention studies for bruxism in children, and the children included in the studies had to be 3 to 10 years old. RESULTS: From 52 records found, 2 fulfilled the inclusion criteria. In 1 study, bruxism was treated by widening the upper airway through adenoidectomy, and the other study proposed to treat bruxism in children with psychologic techniques. When analyzed, the 2 considered studies did not fully accomplish the requirements to treat the etiology of bruxism in children. CONCLUSION: The available literature does not provide adequate support to treat bruxism in children, as the diagnosis methods in the studies are insufficient and are not comparable to confirm the presence of bruxism. Very few studies about therapies for bruxism in children meet the quality criteria required for the evidence-based practice. Treatment for bruxism in children requires further study.
Assuntos
Bruxismo/terapia , Adenoidectomia , Bruxismo/prevenção & controle , Criança , Pré-Escolar , Humanos , Técnicas PsicológicasRESUMO
Acute transverse myelitis (ATM) is an inflammatory disorder that affects the spinal cord. It is characterized by signs and symptoms of neurologic dysfunction in the motor and sensory tracts of the spinal cord bilaterally, resulting in weakness, sensory loss, and autonomic dysfunction with acute or subacute onset. We report on a child who had ATM and respiratory distress requiring ventilatory assistance who presented with severe self-mutilation involving his lips. Other findings included bruxism that had caused mobility of the primary teeth. Comprehensive dental care was carried out under sedation. The management of the lip trauma was achieved by the use of a soft, plastic mouth guard, and corticosteroid ointment.
Assuntos
Mordeduras Humanas/etiologia , Assistência Odontológica para a Pessoa com Deficiência , Lábio/lesões , Mielite/complicações , Automutilação/etiologia , Mordeduras Humanas/prevenção & controle , Bruxismo/etiologia , Bruxismo/prevenção & controle , Traumatismos Faciais/prevenção & controle , Humanos , Lactente , Masculino , Protetores BucaisRESUMO
Fundamento: El bruxismo, hábito perjudicial muy frecuente en niños, se asocia a menudo con conflictos emocionales, ansiedad, estrés o frustración, que bien pueden darse en el entorno familiar Objetivo: Caracterizar el funcionamiento de familias con niños de 5 a 11 años que padecen de ruxismo. Métodos: Estudio con diseño analítico de caso y control, desarrollado de marzo a junio del 2007, que incluyó niños de 5 a 11 años de 3 escuelas primarias urbanas del Área II del municipio de Cienfuegos. Se seleccionó la totalidad deniños con bruxismo como casos y los controles por pareamiento de 2 a 1. Mediante la prueba FFSIL se percibió el funcionamiento familiar. Resultados: Elbruxismo en la muestra de estudio no dependió del sexo, se evidenciaron diferencias significativas entre losgrupos de caso y control respecto al comportamiento de los componentes del funcionamiento familiar, en los queresultaron la afectividad y la cohesión las de mayor resultado y en menor grado la armonía. En las familiasestudiadas predominaron las funcionales y las moderadamente funcionales. La mayor cantidad de niños con bruxismo proceden de familias en las cualesno existe un funcionamiento familiar adecuado, además las familias disfuncionales y severamente disfuncionales son mayores en el grupo de niños con bruxismo. Conclusiones: En la muestra estudiada el bruxismo estuvo relacionado, en gran medida, con elfuncionamiento familiar inadecuado(AU)
Background: Bruxism, a common negative habit in children, is often linked with emotional conflicts, anxiety, stress, or frustration, which could be originated in the familiar environment. Objective: To characterize the familiar environment of children between 5 and 11 yearssuffering from bruxism. Methods: Analytical control case design, developed from March to June, 2007,including children between 5 and 11 years from three urban elementary schools included in Health Area II ofCienfuegos municipality. All the children with bruxism were selected as cases and the controls were selected through pairing 2 to 1. The test FF-SIL was used to assess familiar functioning. Results: Bruxism was not associated with gender. There were significant differences between both groups regarding familiar functioning, in which affectivity and cohesion had higherresults and harmony was less significant. Most of the studied families were functional or half-functional. Mostof children with bruxism come from families with inadequate functioning; besides, dysfunctional and severely dysfunctional families and more frequent in the group of children with bruxism. Conclusion: In the studied sample, bruxism was associated, to a large extent, with inadequate familiar functioning(AU)
Assuntos
Humanos , Criança , Bruxismo/etiologia , Bruxismo/prevenção & controle , Bruxismo/psicologia , Relações FamiliaresRESUMO
OBJECTIVE: To assess different approaches to the dental management of lip injuries caused by self-inflicted oral trauma in 7 patients. METHOD AND MATERIALS: The patients were grouped based on 3 treatment approaches: group 1, placement of an oral appliance; group 2, botulinum toxin type A neuromuscular block; and group 3, oral surgery. RESULTS AND CONCLUSION: Neuromuscular block can be the first choice of treatment for patients with self-injurious behavior since botulinum toxin A injection is a well-tolerated, safe, and effective procedure, permitting improvement in muscle spasticity, bruxism, range of mouth opening, oral hygiene, and lip trauma. The second option would be the use of the oral appliance, and the last choice is oral surgery. Laser therapy was also found to be effective when applied to traumatic injuries in patients who present self-inflicted oral trauma.
Assuntos
Toxinas Botulínicas Tipo A/uso terapêutico , Lábio/lesões , Protetores Bucais , Fármacos Neuromusculares/uso terapêutico , Procedimentos Cirúrgicos Bucais/métodos , Comportamento Autodestrutivo/prevenção & controle , Bruxismo/prevenção & controle , Paralisia Cerebral/complicações , Criança , Coma/complicações , Feminino , Humanos , Terapia a Laser , Lábio/cirurgia , Masculino , Pessoa de Meia-Idade , Higiene Bucal , Amplitude de Movimento Articular/fisiologia , Espasmo/prevenção & controle , Língua/lesõesRESUMO
O bruxismo é caracterizado pelo ato parafuncional de apertar ou ranger dos dentes, que pode ocorrer de maneira consciente ou inconsciente, durante o sono ou em vigília. Fatores psicossociais, os distúrbios do sono, o uso crônico de drogas de ação central, desarmonias oclusais e distúrbios na via neuronal dopaminérgica são comumente considerados na sua gênese. Por ser de etiologla complexa e ainda obscura, é impossível estabelecer um tratamentopadrão para todos os pacientes. Entretanto, medidas importantes baseadas na educação do paciente, controle consciente do bruxismo, melhora na qualidade do sono e terapias de suporte podem ter sucesso no controle da parafunção e resolução da maioria dos sintomas. O presente trabalho retrata os mais prováveis fatores desencadeantes do bruxismo hoje conhecidos, desconsiderando antigos conceitos, e expõe as alternativas terapêuticas disponíveis. Os autores deste trabalho concluem que ainda é impossível garantir a cura total, contudo o controle da parafunção com ênfase na conscientização e na melhora da qualidade de vida parece ser a abordagem mais prudente para o bruxismo.
Assuntos
Bruxismo/etiologia , Bruxismo/fisiopatologia , Bruxismo/prevenção & controleRESUMO
Bruxism occurs in nearly 60% of children between 3 and 5 years, with important repercussions to the different components of the stomatognathic system. Nevertheless, there is little information in the literature about this topic. The aim of this study was to compare two groups of children with bruxism. One group was not submitted to treatment, serving as a control. To the other group, nocturnal bite plate was made. Cast models were made for both groups, to evaluate the progression of wear facets, during 8 months. The results are as follows: The 4 children of the control group displayed increased wear facets during the study period. On the other hand, of the 5 children that used nocturnal bite plate, showed no increase of wear facets, even after the removal of the device. From this study, we can conclude that the use of nocturnal bite plate is efficient against bruxism in 3- to 5-year-old children.
Assuntos
Bruxismo/prevenção & controle , Placas Oclusais , Abrasão Dentária/prevenção & controle , Bruxismo/complicações , Pré-Escolar , Humanos , Sono , Abrasão Dentária/etiologiaAssuntos
Humanos , Masculino , Feminino , Pré-Escolar , Adolescente , Má Oclusão/diagnóstico , Má Oclusão/terapia , Dente Decíduo , Má Oclusão Classe II de Angle/diagnóstico , Má Oclusão Classe II de Angle/terapia , Má Oclusão Classe III de Angle/diagnóstico , Má Oclusão Classe III de Angle/terapia , Aparelhos de Tração Extrabucal , Hábitos , Técnica de Expansão Palatina , Anormalidades Maxilofaciais/terapia , Aparelhos Ortodônticos Funcionais , Hábitos Linguais/terapia , Prognatismo/terapia , Anormalidades Craniofaciais/terapia , Retrognatismo/terapia , Bruxismo/terapia , Bruxismo/prevenção & controle , Ortodontia Interceptora/métodos , Ortodontia Corretiva/métodos , Extração Dentária , Dentição Mista , Dentição PermanenteAssuntos
Humanos , Masculino , Feminino , Pré-Escolar , Adolescente , Má Oclusão/diagnóstico , Má Oclusão/terapia , Anormalidades Craniofaciais/terapia , Anormalidades Maxilofaciais/terapia , Aparelhos Ortodônticos Funcionais , Bruxismo/prevenção & controle , Bruxismo/terapia , Dentição Mista , Dentição Permanente , Extração Dentária , Aparelhos de Tração Extrabucal , Hábitos Linguais/terapia , Hábitos , Má Oclusão Classe II de Angle/diagnóstico , Má Oclusão Classe II de Angle/terapia , Má Oclusão Classe III de Angle/diagnóstico , Má Oclusão Classe III de Angle/terapia , Ortodontia Corretiva , Ortodontia Interceptora , Técnica de Expansão Palatina , Prognatismo/terapia , Retrognatismo/terapia , Dente DecíduoRESUMO
Se presentó una investigación descriptiva de asociación en 113 sujetos con Síndrome de Down (58 niños y 55 niñas), cuyas edades oscilaban entre 2 a 17 años para determinar la prevalencia del Bruxismo y su posible asociación con: edad, sexo, etapa de dentición, relación molar, mordidas cruzadas, presencia y severidad del desgaste, movilidad mandibular (máxima apertura) y problemas posturales (cabeza, troco, pelvis). De los 113 sujetos un 68.1 por ciento presentoó Bruxismo encontrándose una asociación estadísticamente significativa con: etapa de dentición mixta (32.74 por ciento), mordida cruzada anterior (29,20 por ciento), presencia y severidad del desgaste, presentándose con más frecuencia en molares (27,43 por ciento), con una severidad moderada. Un alto porcentaje (60,18 por ciento) de los sujetos con Bruxismo mostró una apertura superior a los 40 mm. El rechinamiento que fué el que determinó la presencia del Bruxismo, estuvo distribuído de tal forma que fué mayor la frecuencia del rechinamiento diurno (31.86 por ciento) que el nocturno (7.08 por ciento). Los datos se tabularon en tablas y se analizaron mediante las pruebas de significancia estadística chi cuadrado.