Limited mandibular movements after removal of the mandibular third-molar: use of the anterior bite plane and complementary therapies
Regina Maura Arantes Nassar (University of São Paulo)
Mariangela Salles Pereira Nassar (University of São Paulo)
Solange Aparecida Bataglion (University of São Paulo)
César Bataglion (University of São Paulo)
Cássio Edvard Sverzut (Department of Oral and Maxillofacial Su)
Takami Hirono Hotta (University of São Paulo)
Simone Cecilio Hallak Regalo (University of São Paulo)
Abstract
The traumatic removal of the mandibular third molar may promote post chirurgic consequences such as orofacial pain and limited mandibular movements. The aim of this case report is to describe the use of an anterior bite plane and complementary therapies (low level laser therapy and acupuncture) to treat the muscular dysfunction and the painful symptoms. A 33 year-old male patient who had a severe malocclusion and signs and symptoms of temporomandibular dysfunction was submitted to an initial clinical examination: electromyography of the masticatory muscles and IRM of the temporomandibular joint. After treatments, the results showed reduced pain symptoms and an increase of the mandibular movements and adequated electromiographic activities. The authors concluded that the combination therapies may be used as an alternative treatment because it satisfied the functional requirements of the patient and provided an asymptomatic clinical condition.
- keywords
- mandibular movements, anterior bite plane, acupuncture, low level laser therapy, electromyography
참고문헌
Amarillas-Escobar ED, Toranzo-Fernández JM, Martínez-Rider R, Noyola-Frías MA, Hidalgo-Hurtado JA, Serna VM, Gordillo-Moscoso A, Pozos-Guillén AJ. Use of therapeutic laser after surgical removal of impacted lower third molars. J Oral Maxillofac Surg. 2010;68:319-324.
Cecílio FA, Regalo SC, Palinkas M, Issa JP, Siéssere S, Hallak JE, Machado-de-Sousa JP, Semprini M. Ageing and surface EMG activity patterns of masticatory muscles. J Oral Rehabil. 2010;37:248-255.
Cetiner S, Kahraman SA, Yuceta S. Evaluation of lowlevel laser therapy in the treatment of temporomandibular disorders. Photomed Laser Surg. 2006;24:637-641.
Cho SH, Whang WW. Acupuncture for temporomandibular disorders: a systematic review. J Orofac Pain. 2010;24:152-162.
Coluzzi DJ, Convissar RA. Laser in clinical dentistry. Dent Clin North Am. Dent Clin North Am. 2004;48:10-12.
Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, Truelove E, Sommers E. Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. J Am Dent Assoc. 1990;120:273-281.
Grossi GB, Maiorana C, Garramone RA, Borgonovo A, Creminelli L, Santoro F. Assessing postoperative discomfort after third molar surgery: a prospective study. J Oral Maxillofac Surg. 2007;65:901-917.
Hotta PT, Hotta TH, Bataglion C, Bataglion SA, de Souza Coronatto EA, Siéssere S, Regalo SC. Emg analysis after laser acupuncture in patients with temporomandibular dysfunction (TMD). Implications for practice. Complement Ther Clin Pract. 2010;16:158-160.
Hotta TH, Bataglion A, Bataglion C, Bezzon OL. Involvement of dental occlusion and trigeminal neuralgia: a clinical report. J Prosthet Dent. 1997;77:343-345.
Hotta TH, Vicente MF, dos Reis AC, Bezzon OL, Bataglion C, Bataglion A. Combination therapies in the treatment of temporomandibular disorders:A clinical report. J Prosthet Dent. 2003;89:536-539.
Huang GJ, Drangsholt MT, Rue TC, Cruikshank DC, Hobson KA. Age and third molar extraction as risk factors for temporomandibular disorder. J Dent Res. 2008;87:283-287.
Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res. 2002;81:284-288.
Huang GJ, Rue TC. Third-molar extraction as a risk factor for temporomandibular disorder. J Am Dent Assoc. 2006;137:1547-1554.
Juhl GI, Jensen TS, Norholt SE, Svensson P. Incidence of symptoms and signs of TMD following third molar surgery: a controlled, prospective study. J Oral Rehabil. 2009;36:199-209.
Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M. Effectiveness of low-level laser therapy in temporomandibular disorder. Scand J Rheumatol. 2003;32:114-118.
Land MF, Peregrina A. Anterior deprogramming device fabrication using a thermoplastic material. J Prosthet Dent. 2003;90:608-610.
LeResche L, Saunders K, Von Korff MR, Barlow W, Dworkin SF. Use of exogenous hormones and risk of temporomandibular disorder pain. Pain. 1997;69:153-160.
Lievens P. Effects of laser treatment on the lymphatic system and woudhealing. Laser. 1988;1:12-13.
Mazzetto MO, Carrasco TG, Bidinelo EF, Pizzo RCA, Mazzetto RG. Low intensity laser application in temporomandibular disorders: a phase I double blind study. Cranio. 2007;25:186-192.
Mazzetto MO, Hotta TH, Pizzo RAC. Measurements of jaw movements and TMJ pain intensity in patients treated with GaAlAs laser. Braz Dent J. 2010;21:356-360.
Phillips C, White RP Jr, Shugars DA, Zhou X. Risk factors associated with prolonged recovery and delayed healing after third molar surgery. J Oral Maxillofac Surg. 2003;61:1436-1448.
Plesh O, Gansky SA, Curtis DA, Pogrel MA. The relationship between chronic facial pain and a history of trauma and surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88:16-21.
Rancan SV, Bataglion C, Bataglion SA, Bechara OM, Semprini M, Siéssere S, Sousa JP, Crippa JA, Hallak JE, Regalo SC. Acupuncture and temporomandibular disorders: a 3-month follow-up EMG study. J Altern Complement Med. 2009;15:1307-1310.
Siéssere S, de Sousa LG, Issa JP, Iyomasa MM, Pitol DL, Barbosa AP, Semprini M, Sebald W, Bentley MV, Regalo SC. Application of low-level laser irradiation (LLLI) and rhBMP-2 in critical bone defect of ovariectomized rats: histomorphometric evaluation. Photomed Laser Surg. 2011;29:453-458.
Smith P, Mosscrop D, Davies S, Sloan P, Al-Ani Z. The efficacy of acupuncture in the treatment of temporomandibular joint myofascial pain: a randomised controlled trial. J Dent. 2007;35:259-267.
Torii K, Chiwata I. A case report of the symptom-relieving action of an anterior flat plane bite plate for temporomandibular disorder. Open Dent J. 2010;21:218-222.
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수