Abstract
Aim of the work.
The aim of the work is to present a new and di!erent
protocol for the management of the bite in patients
su!ering from neuromuscular pain and temporo
mandibular disorders, by means of a bite that involves
the patient to perform active physical, cognitive and reeducational oral exercises.
Materials and methods.
From a consecutive series of 536 patients with
neuromuscular pain and temporo mandibular disorders
“TMD”, 200 subjects were selected: 100 for the control group
(CG) and 100 for the patient group (PG). The (CG) was not
subjected to any treatment but was given a calendar in
which to record the spontaneous evolution of symptoms to
be shown to scheduled checks.
The (PG) was treated only with a new immediate device
to be used at night and during the day to perform specific
exercises at home. This device was chosen because it has
particular characteristics:
1) it is universal, easy and immediate to use.
2) it has no hooks, so it involves the patient directly in
managing the bite with the tongue and perioral muscles.
3) it is a slight mandibular-condylar protrusor therefore
modifies the levers and muscle forces.
4) it is minimally invasive and well tolerated.
5) it has low costs and therefore balanced between costs
and benefits.
Results and conclusions.
In the (PG) was achieved remission of the most important
symptoms in 94 patients, equal to 94%.
In contrast, in the control group (CG) the symptoms
worsened in intensity and frequency in 51 patients, 51%,
and remained stationary in 37 patients, 37%, while only 12
subjects, 12%, reported a slight improvement. Our study
has therefore confirmed that the bite is an important
aid in the therapy of Neuromuscular Pain and Temporo
Mandibular Disorders, but above all it has confirmed that the
bite can be used actively by patients to perform cognitive
and rehabilitative oral physical exercises to stimulate
reorganization, functional dynamic and probably over time
also brain neuroplasticity
Titolo tradotto del contributo | [Autom. eng. transl.] UPDATE IN THE MANAGEMENT OF BITE IN TEMPOROMANDIBULAR DISORDERS |
---|---|
Lingua originale | Italian |
pagine (da-a) | 60-74 |
Numero di pagine | 15 |
Rivista | IL DENTISTA MODERNO |
Volume | 2024 |
Stato di pubblicazione | Pubblicato - 2024 |
Keywords
- disturbi temporo mandibolari (DTM)
- neuroplasticità
- dispositivi medici