Métodos de tratamento da disfunção temporomandibular: revisão sistemática

Autores

  • Laio da Costa Dutra Universidade Estadual da Paraíba
  • Eduardo José Guerra Seabra Universidade do Estado do Rio Grande do Norte
  • Gláucya Raquel Souza da Fonseca Dutra Universidade do Estado do Rio Grande do Norte
  • Alexandre Policarpo da Silva Universidade Federal do Rio Grande do Norte
  • Yuri Victor de Medeiros Martins Universidade do Estado do Rio Grande do Norte
  • Gustavo Augusto Seabra Barbosa Universidade Federal do Rio Grande do Norte

DOI:

https://doi.org/10.13037/ras.vol14n50.3784

Palavras-chave:

conduta do tratamento medicamentoso, síndrome da disfunção da articulação temporomandibular, oclusão dentária, aconselhamento, revisão.

Resumo

Introdução: A disfunção temporomandibular (DTM) é uma alteração gerada por meio de vários distúrbios e que pode afetar os músculos mastigatórios, a articulação temporomandibular, ou ambos. Objetivo: Abordar formas de tratamento para a DTM, como também o seu manejo clínico interdisciplinar, na condução de um quadro de DTM sintomático à reabilitação definitiva. Materiais e Métodos: Trata-se de um estudo teórico, do tipo revisão sistemática, fundamentado em pesquisa bibliográfica de artigos da base de dados eletrônicos PubMed e Biblioteca Cochrane, conduzida por três revisores independentes. Incluiu artigos entre o período de janeiro de 2009 e janeiro de 2014. Resultados: Foram encontrados 929 registros, sendo selecionados treze estudos. A verificação do material permitiu identificar que os dispositivos interoclusais efetivos e mais utilizados foram a placa oclusal, seguido do front platô. Dentro das medicações, o ibuprofeno e o diazepam foram os fármacos encontrados e utilizados nos estudos. O aconselhamento, como mudanças de comportamento, postura de sono, orientações sobre dieta e inibição de hábitos orais nocivos foram encontrados. Na abordagem multiprofissional pode-se verificar a acupuntura e a laserterapia, os quais podem gerar alívio da dor. Conclusão: Percebe-se que as modalidades de tratamento para a DTM são acessíveis e diversas, cabendo ao profissional a escolha da terapia que mais se encaixa no perfil do paciente após um correto planejamento.

 

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Publicado

23-11-2016

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