Uso da placa miorrelaxante e da fisioterapia caseira no controle dos sintomas da disfunção temporomandibular: resultados preliminares

Abstract

Temporomandibular dysfunction (TMD) refers to various diseases involving the chewing muscles and / or temporomandibular joint (TMJ). The treatment for temporomandibular disorders increasingly represents a challenge for the professional who propose to treat this joint alteration. Thus, the aim of this study was evaluate by a randomized clinical trial compare the effect of two treatments on the paind reduction of patients with TMD. Initially all patients were submitted to clinical analysis. After that were applied the RDC/TMD, Fonseca Anamnse Index (FAI), Visual Analogic Scale (VAS) and OHIP-14 to the patients. If patients attempt the inclusion criterias, the sample were randomly allocated on two groups: occlusal splint and occlusal splint associated with manual home terapy. Both treatments were performed during 30 days and after that the FAI, VAS and OHIP-14 were applied againd. The data were analyzed with Quisquarde test and Mann-Whitney test at 5%. Results showed reduction on the levels of pain and severity of TMD after both treatments, but was not observed statistically differences between them (p=0.94 and p=0.87). These results showed that both treatments could be indicated.