Mastigação unilateral : uma modalidade de tratamento

AUTOR(ES)
DATA DE PUBLICAÇÃO

2001

RESUMO

The temporomandibular disorders or functional disturbances of the stomatognathic system affect a great percentage of the adult population. It has a multifactoríal etíology involving local, systemic and psychogenic factors. The objective of thís study was to relate the influence of the unilateral chewing over occlusion, muscles of mastication and temporomandibular joint. It was utilized a treatment modality based on the "Rules of growth and deve-Iopment" elaborated by PLANAS72, in 1987. It was reviewed one hundred and twenty patients having unilateral chewing and presenting signs and symptons of functional disturbances of the stomatognathic system. The related symptons were localized headache and pain in some "masticatory muscles". The more evident signs were: midline deviation of mandible, articular noises and unilateral chewing. The patients were first treated with bite plane devices, having canine disocclusion for a period of 60 days. After this period, an occlusal equilibrium by selective grinding was performed and then a functional adjustment of the masticatory function, through the Ladjustment of the height of disocclusion, bilaterally, during lateroprotrusive movements of the mandible, using adjustment of the BULL cuspids, recovering the functional movements of the mandible. The results showed a possibility of a direct relationship between fun-ctional and structural alterations with a functional mastigação unilateral: uma modalidade de tratamento masticatory unbalance kept during years. The flat occlusal splint, with canine disocclusion, was clinically effective in recovering muscular tonus and to reach mandibular stability. The physiotherapeutic exercises performed on the patients were also useful during the treatment. Following the use of a flat occlusal splint device, the occlusal equilibration by selective grinding and the functional chewing balance were essentials for the efficacy of the treatment

ASSUNTO(S)

oclusão (odontologia) protese dentaria dental prosthesis dental occlusion

ACESSO AO ARTIGO

Documentos Relacionados