Abordagem terapêutica nas desordens temporomandibulares: técnicas de fisioterapia associadas ao tratamento odontológico
Abstract: Responsáveis por amplo e variado quadro de sinais e sintomas de difícil diagnóstico, as desordens da articulação temporomandibular exigem tratamento complexo e multifatorial, já que envolvem ruptura do equilíbrio biomecânico e a forte presença de componentes emocionais. Em razão de etiologia multifatorial (fatores oclusais, alterações esqueléticas, musculares, problemas degenerativos, hábitos nocivos, estresse e/ou problemas emocionais) exige abordagem terapêutica interdisciplinar por vários especialistas (cir… Show more
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Bruxism is the harmful habit of clenching or grinding the teeth during the day and / or night, with unconscious pattern, with particular intensity and frequency, outside the functional movements of chewing and swallowing. It is accepted that bruxism is a response controlled by the neurotransmitters dopamine system associated with emotional component. The proposed of treatment of bruxism with acupuncture aims to stimulate sensory fibers of the peripheral nervous system leading to electrical transmission by neurons sufficient to produce changes in the central nervous system. As a consequence there is the release of substances (cortisol, endorphins, dopamine, noradrenaline and serotonin) that promote wellness and restoration of harmony, be it psychological, biological and / or behavioral.Descriptors: Acupuncture Therapy; Acupuncture Points; Temporomandibular Joint Disorders .ReferencesAlves-Rezende MCR, Silveira BASV, Bertoz APM, Dekon SFC, Verri ACG, Alves-Rezende LGR, et al. Parafunctional activities in brazilian children and adolescent. Rev Odontol Araçatuba. 2011; 32: 62-6.Alves-Rezende MCR, Soares BMS, Silva JS, Goiato MC, Turcio KHL, Zuim PRJ, et al. Frequência de hábitos parafuncionais: estudo transversal em acadêmicos de Odontologia. Rev Odontol Araçatuba. 2009; 30: 59-62.Alves-Rezende MCR, Silva JS, Soares BMS, Bertoz FA, Oliveira DTN, Alves-Claro APR. Estudo da prevalência de sintomatologia temporomandibular em universitários brasileiros de Odontologia. Rev Odontol Araçatuba. 2009; 30: 9-14.Cortiglio S, Alves-Rezende MCR, Alves-Rezende LGR, Montanher IS, Alves-Rezende ALR. Estudo da associação entre bruxismo, consumo de álcool e tabaco em universitários brasileiros. Arch Health Invest. 2012; 1 (Spec):36Alves-Rezende MCR, Bertoz APM, Aguiar SMHCA, Alves-Rezende LGR, Alves-Rezende ALR, Montanher IS, et al. Abordagem terapêutica nas desordens temporomandibulares: técnicas de fisioterapia associadas ao tratamento odontológico. Arch Health Invest. 2012; 1: 18-23Tomé MC, Farret MMB, Jurach EM. Hábitos orais e maloclusão. In: Marchesan, I. Tópicos em fonoaudiologia. São Paulo: Lovise; 1996. p.97-109.Okeson JP. Tratamento das desordens temporomandibulares e oclusão. 4. ed. São Paulo: Artes Médicas; 2000.Cerqueira JAO, Borel KC, Coelho KCC, Barbosa FS, Silva VCC. Prevalência de hábitos parafuncionais em universitários. Rev Cient FAMINAS. 2007; 1:223.Friedman J. Mascar chicletes pode causar danos à mandíbula. Jornal do Comércio, Recife, 13 de julho de 1997. Disponível em: <http:// www2.uol.com.br/ JC/1507 /fa1307d.htm>. Acesso em: 22 out 2012.Gavish A, Halachmi M, Winocur E, Gazit E. Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls. J Oral Rehabil. 2000; 27: 22-32.Kampe T, Tagdae T, Bader G, Edman G, Karlsson S. Reported symptoms and clinical findings in a group of subjects with longstanding bruxing behaviour. J Oral Rehabil. 1997; 24:581–7Lavigne GJ, Rompré PH, Montplaisir JY. Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res. 1996;75:546-52.MacFarlane TV, Blinkhorn AS, Davies RM, Worthington HV. Association between local mechanical factors and orofacial pain: survey in the community. J Dent. 2003; 31(8): 535-42.Thompson BA, Blount BW, Krumholz TS. Treatment approaches to bruxism. Am FamPhysician. 1994; 49:1617–22.Bianchini EMG. Mastigação e ATM. In: Marchesan IQ. Fundamentos em fonoaudiologia: aspectos clínicos da motricidade oral. Rio de Janeiro: Guanabara Koogan; 1998. p.37-49.Dawson PE. Avaliação, diagnóstico e tratamento dos problemas oclusais. 2.ed. Porto Alegre: Artes Médicas; 1993.Durso BC, Azevedo LR, Ferreira JTL. Inter-relação ortodontia x disfunção da articulação temporomandibular. J Bras Ortodon Ortop Facial. 2002; 7: 155-60.Lavigne GJ, Lobbezoo F, Rompré PH, Nielsen TA, Montplaisir J. Cigarette smoking as a risk factor or an exacerbating factor for restless legs syndrome and sleep bruxism. Sleep. 1997; 20:290-3.Alves-Rezende MCR, Bertoz APM, Dekon SFC, Alves-Rezende LGR, Alves-Rezende ALR, Montanher IS, et al. Association between bruxism, alcoholand tobacco use among brazilian students. Rev Odontol Araçatuba. 2011; 32:18-22Cuccia AM. Aetiology of sleep bruxism: a review of the literature. Recenti Progress Med. 2008, 99:322-8.21. Clark GT, Tsukiyama Y, Baba K, Watanabe T. Sixty-eight years of experimental occlusal interference studies: what have we learned? J Prosthet Dent. 1999; 82:704-13Major M, Rompré PH, Guitard F, Tenbokum L, O'Connor K, Nielsen T, et al. A controlled daytime challenge of motor performance and vigilance in sleep bruxers. J Dent Res. 1999; 78:1754-62.Thie NM, Kato T, Bader G, Montplaisir JY, Lavigne GJ. The significance of saliva during sleep and the relevance of oromotor movements. Sleep Med Rev. 2002; 6:213-27.Malta DC, Porto DL, Melo FCM, Monteiro RA, Sardinha LMV, Lessa BH. Family and the protection from use of tobacco, alcohol, and drugs in adolescents, National School Health Survey. Rev Bras Epidemiol. 2011; 14:166-77.Molina OF, dos Santos Jr J. Hostility in TMD/ bruxism patients and controls: a clinical comparison study and preliminary results. Cranio. 2002; 20:282-8.Lavigne GJ, Kato T, Kolta A, Sessle BJ. Neurobiological mechanisms involved in sleep bruxism. Crit Rev Oral Biol Med. 2003;14:30-46.Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001; 119:53-61.Schneider C, Schaefer R, Ommerborn MA, GirakiM, Goertz A, Raab WH, et al. Maladaptive coping strategies in patients with bruxism compared to non-bruxing controls. Int J Behav Med. 2007; 14:257-61Lavigne GJ, Manzini C, Kato T. Sleep bruxism. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 4th. ed. Philadelphia: Elsevier Saunders; 2005. p. 946-59.Reding GR, Rubright WC, Zimmerman SO. Incidence of bruxism. J Dent Res. 1966; 45:1198–204Glaros AG. Incidence of diurnal and nocturnal bruxism. J Prosthet Dent. 1981; 45:545–9Lavigne GJ, Montplaisir J. Restless legs syndrome and sleep bruxism: prevalence and association among Canadians. Sleep. 1994; 17:739–43Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001; 119:53–61.Laberge L, Tremblay RE, Vitaro F, Montplaisir J. Development of parasomnias from childhood to early adolescence. Pediatrics. 2000; 106:67–74.Rugh JD, Harlan J. Nocturnal bruxism and temporomandibular disorders. In: Jankovic J, Tolosa E, editors. Advances in neurology. New York: Raven Press; 1988. p. 329-41.Lavigne GJ, Manzini C. Sleep bruxism and concomitant motor activity. In: Kryger, Roth, D. ed. Principles and practice of sleep medicine. Philadelphia: W.B. Saunders; 2000. p. 773-85.Lavigne GJ, Guitard F, Rompré PH, Montplaisir JY. Variability in sleep bruxism activity over time. J Sleep Res. 2001; 103:237–44.Bader G, Lavigne GJ. Sleep bruxism: overview of an oromandibular sleep movement disorder. Sleep Med Rev. 2000; 4:27–43Lavigne GJ, Rompré PH, Montplaisir J. Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res. 1996; 75:546–52.Rugh JD, Harlan J. Nocturnal bruxism and temporomandibular disorders. Advances Neurol. 1988; 49:329-41.Você marcou isto com +1 publicamente.Ikeda T, Nishigawa K, Kondo K, Takeuchi H, Clark GT. Criteria for the detection of sleep-associated bruxism in humans. J Orofac Pain. 1996; 10:270–82Gallo LM, Lavigne GJ, Rompré PH Reliability of scoring EMG orofacial events: polysomnography compared ambulatory recordings. J Sleep Res. 1997; 6:259–63Velly-Miguel AM, Montplaisir J, Rompré PH, Lund JP, Lavigne GJ. Bruxism and other orofacial movements during sleep. J Craniomandib Disord Fac Oral Pain. 1992; 6:71–81Kato T, Montplaisir J, Blanchet P, Lund JP, Lavigne GJ. Idiopathic myoclonus in the oromandibular region during sleep: a possible source of confusion in sleep bruxism diagnosis. Mov Disord. 1999;14:865–71Ware JC, Rugh JD. Destructive bruxism: sleep stage relationship. Sleep. 1988; 11:172–81.Macaluso GM, Guerra P, Di Giovanni G, Boselli M, Parrino L, Terzano MG. Sleep bruxism is a disorder related to periodic arousals during sleep. J Dent Res. 1998; 77:565–73.Saber M, Guitard F, Rompré PH, Montplaisir J, Lavigne GJ. Distribution of rhythmic masticatory muscle activity across sleep stages and association with sleep stage shifts (abstract). J Dent Res. 2002; 81(Spec Iss A):297Gastaut H, Batini C, Broughton R, Fressy J, Tassinari CA. Étude électroencéphalographique des phénomènes épisodiques non épileptiques au cours du sommeil. In: Le sommeil de nuit normal et pathologique. Paris: Masson, Cie; 1965.Halász P, Ujszaszi J, Gadoros J. Are microarousals preceded by electroencephalographic slow wave synchronization precursors of confusional awakenings? Sleep. 1985; 8:231–8Lavigne GJ, Rompré PH, Poirier G, Huard H, Kato T, Montplaisir JY. Rhythmic masticatory muscle activity during sleep in humans. J Dent Res. 2001; 80:443–8Alves-Rezende MCR, Bertoz APM, Aguiar SMHCA, Alves-Rezende LGR, Alves-Rezende ALR, Montanher IS, et al. Abordagem terapêutica nas desordens temporomandibulares: técnicas de fisioterapia associadas ao tratamento odontológico. Arch Health Invest. 2012; 1: 18-23Alves-Rezende MCR, Silva JS, Soares BMS, Bertoz FA, Oliveira DTN, Alves-Claro APR. Estudo da prevalência de sintomatologia temporomandibular em universitários brasileiros de Odontologia. Rev Odontol Araçatuba. 2009; 30: 9-14.Alves-Rezende MCR Cortiglio S, Sant’Anna CBM, Alves-Rezende LGR, Montanher IS, Alves-Rezende ALR. Aplicação da acupuntura no tratamento da síndrome de Costen: relato de caso clínico. Arch Health Invest. 2012; 1(Spec): 15Cortiglio S, Alves-Rezende MCR, Alves-Rezende LGR, Montanher IS, Alves-Rezende ALR. Estudo da associação entre bruxismo, consumo de álcool e tabaco em universitários brasileiros Arch Health Invest. 2012; 1 (Spec): 36.Dallanora LJ, Faltin PP, Inoue RT, Santos VM. Avaliação do uso de acupuntura no tratamento de pacientes com bruxismo. RGO. 2004; 52(5):333-39.Maciocia G. Obstetrícia & ginecologia em medicina chinesa. 10.ed. São Paulo: Roca; 2000.Junying G, Zhihong S. Medicina tradicional chinesa prática e farmacologia: teoria e princípios básicos. São Paulo: Roca; 1996.Yamamura Y. Tratado de medicina chinesa. Trad. Xi Wenbu, Beijing, China. Roca: São Paulo; 1993.Hoppenfeld S. Propedêutica ortopédica: coluna e extremidades. Atheneu: São Paulo;1996.Sussmann D. Acupuntura: teoria y práctica. Buenos Aires: Kier; 2000.Rosted P. Introduction to acupuncture in dentistry. Br Dent J. 2000; 189:136-40Quaggio AM. Carvalho PSM, Santos JFF, Marchini L. A utilização da acupuntura em desordens craniomandibulares. J Bras Oclusão ATM Dor Orofac. 2002; 2: 334-7.Ding L. Acupuntura: teoria do meridiano e pontos de acupuntura. São Paulo: Roca; 1996.Ross J. Combinações dos pontos de acupuntura: a chave para o êxito clínico. São Paulo: Roca, 2003.Wen TS. Acupuntura clássica chinesa. São Paulo: Cultrix; 1985.
Bruxism is the harmful habit of clenching or grinding the teeth during the day and / or night, with unconscious pattern, with particular intensity and frequency, outside the functional movements of chewing and swallowing. It is accepted that bruxism is a response controlled by the neurotransmitters dopamine system associated with emotional component. The proposed of treatment of bruxism with acupuncture aims to stimulate sensory fibers of the peripheral nervous system leading to electrical transmission by neurons sufficient to produce changes in the central nervous system. As a consequence there is the release of substances (cortisol, endorphins, dopamine, noradrenaline and serotonin) that promote wellness and restoration of harmony, be it psychological, biological and / or behavioral.Descriptors: Acupuncture Therapy; Acupuncture Points; Temporomandibular Joint Disorders .ReferencesAlves-Rezende MCR, Silveira BASV, Bertoz APM, Dekon SFC, Verri ACG, Alves-Rezende LGR, et al. Parafunctional activities in brazilian children and adolescent. Rev Odontol Araçatuba. 2011; 32: 62-6.Alves-Rezende MCR, Soares BMS, Silva JS, Goiato MC, Turcio KHL, Zuim PRJ, et al. Frequência de hábitos parafuncionais: estudo transversal em acadêmicos de Odontologia. Rev Odontol Araçatuba. 2009; 30: 59-62.Alves-Rezende MCR, Silva JS, Soares BMS, Bertoz FA, Oliveira DTN, Alves-Claro APR. Estudo da prevalência de sintomatologia temporomandibular em universitários brasileiros de Odontologia. Rev Odontol Araçatuba. 2009; 30: 9-14.Cortiglio S, Alves-Rezende MCR, Alves-Rezende LGR, Montanher IS, Alves-Rezende ALR. Estudo da associação entre bruxismo, consumo de álcool e tabaco em universitários brasileiros. Arch Health Invest. 2012; 1 (Spec):36Alves-Rezende MCR, Bertoz APM, Aguiar SMHCA, Alves-Rezende LGR, Alves-Rezende ALR, Montanher IS, et al. Abordagem terapêutica nas desordens temporomandibulares: técnicas de fisioterapia associadas ao tratamento odontológico. Arch Health Invest. 2012; 1: 18-23Tomé MC, Farret MMB, Jurach EM. Hábitos orais e maloclusão. In: Marchesan, I. Tópicos em fonoaudiologia. São Paulo: Lovise; 1996. p.97-109.Okeson JP. Tratamento das desordens temporomandibulares e oclusão. 4. ed. São Paulo: Artes Médicas; 2000.Cerqueira JAO, Borel KC, Coelho KCC, Barbosa FS, Silva VCC. Prevalência de hábitos parafuncionais em universitários. Rev Cient FAMINAS. 2007; 1:223.Friedman J. Mascar chicletes pode causar danos à mandíbula. Jornal do Comércio, Recife, 13 de julho de 1997. Disponível em: <http:// www2.uol.com.br/ JC/1507 /fa1307d.htm>. Acesso em: 22 out 2012.Gavish A, Halachmi M, Winocur E, Gazit E. Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls. J Oral Rehabil. 2000; 27: 22-32.Kampe T, Tagdae T, Bader G, Edman G, Karlsson S. Reported symptoms and clinical findings in a group of subjects with longstanding bruxing behaviour. J Oral Rehabil. 1997; 24:581–7Lavigne GJ, Rompré PH, Montplaisir JY. Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res. 1996;75:546-52.MacFarlane TV, Blinkhorn AS, Davies RM, Worthington HV. Association between local mechanical factors and orofacial pain: survey in the community. J Dent. 2003; 31(8): 535-42.Thompson BA, Blount BW, Krumholz TS. Treatment approaches to bruxism. Am FamPhysician. 1994; 49:1617–22.Bianchini EMG. Mastigação e ATM. In: Marchesan IQ. Fundamentos em fonoaudiologia: aspectos clínicos da motricidade oral. Rio de Janeiro: Guanabara Koogan; 1998. p.37-49.Dawson PE. Avaliação, diagnóstico e tratamento dos problemas oclusais. 2.ed. Porto Alegre: Artes Médicas; 1993.Durso BC, Azevedo LR, Ferreira JTL. Inter-relação ortodontia x disfunção da articulação temporomandibular. J Bras Ortodon Ortop Facial. 2002; 7: 155-60.Lavigne GJ, Lobbezoo F, Rompré PH, Nielsen TA, Montplaisir J. Cigarette smoking as a risk factor or an exacerbating factor for restless legs syndrome and sleep bruxism. Sleep. 1997; 20:290-3.Alves-Rezende MCR, Bertoz APM, Dekon SFC, Alves-Rezende LGR, Alves-Rezende ALR, Montanher IS, et al. Association between bruxism, alcoholand tobacco use among brazilian students. Rev Odontol Araçatuba. 2011; 32:18-22Cuccia AM. Aetiology of sleep bruxism: a review of the literature. Recenti Progress Med. 2008, 99:322-8.21. Clark GT, Tsukiyama Y, Baba K, Watanabe T. Sixty-eight years of experimental occlusal interference studies: what have we learned? J Prosthet Dent. 1999; 82:704-13Major M, Rompré PH, Guitard F, Tenbokum L, O'Connor K, Nielsen T, et al. A controlled daytime challenge of motor performance and vigilance in sleep bruxers. J Dent Res. 1999; 78:1754-62.Thie NM, Kato T, Bader G, Montplaisir JY, Lavigne GJ. The significance of saliva during sleep and the relevance of oromotor movements. Sleep Med Rev. 2002; 6:213-27.Malta DC, Porto DL, Melo FCM, Monteiro RA, Sardinha LMV, Lessa BH. Family and the protection from use of tobacco, alcohol, and drugs in adolescents, National School Health Survey. Rev Bras Epidemiol. 2011; 14:166-77.Molina OF, dos Santos Jr J. Hostility in TMD/ bruxism patients and controls: a clinical comparison study and preliminary results. Cranio. 2002; 20:282-8.Lavigne GJ, Kato T, Kolta A, Sessle BJ. Neurobiological mechanisms involved in sleep bruxism. Crit Rev Oral Biol Med. 2003;14:30-46.Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001; 119:53-61.Schneider C, Schaefer R, Ommerborn MA, GirakiM, Goertz A, Raab WH, et al. Maladaptive coping strategies in patients with bruxism compared to non-bruxing controls. Int J Behav Med. 2007; 14:257-61Lavigne GJ, Manzini C, Kato T. Sleep bruxism. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 4th. ed. Philadelphia: Elsevier Saunders; 2005. p. 946-59.Reding GR, Rubright WC, Zimmerman SO. Incidence of bruxism. J Dent Res. 1966; 45:1198–204Glaros AG. Incidence of diurnal and nocturnal bruxism. J Prosthet Dent. 1981; 45:545–9Lavigne GJ, Montplaisir J. Restless legs syndrome and sleep bruxism: prevalence and association among Canadians. Sleep. 1994; 17:739–43Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001; 119:53–61.Laberge L, Tremblay RE, Vitaro F, Montplaisir J. Development of parasomnias from childhood to early adolescence. Pediatrics. 2000; 106:67–74.Rugh JD, Harlan J. Nocturnal bruxism and temporomandibular disorders. In: Jankovic J, Tolosa E, editors. Advances in neurology. New York: Raven Press; 1988. p. 329-41.Lavigne GJ, Manzini C. Sleep bruxism and concomitant motor activity. In: Kryger, Roth, D. ed. Principles and practice of sleep medicine. Philadelphia: W.B. Saunders; 2000. p. 773-85.Lavigne GJ, Guitard F, Rompré PH, Montplaisir JY. Variability in sleep bruxism activity over time. J Sleep Res. 2001; 103:237–44.Bader G, Lavigne GJ. Sleep bruxism: overview of an oromandibular sleep movement disorder. Sleep Med Rev. 2000; 4:27–43Lavigne GJ, Rompré PH, Montplaisir J. Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res. 1996; 75:546–52.Rugh JD, Harlan J. Nocturnal bruxism and temporomandibular disorders. Advances Neurol. 1988; 49:329-41.Você marcou isto com +1 publicamente.Ikeda T, Nishigawa K, Kondo K, Takeuchi H, Clark GT. Criteria for the detection of sleep-associated bruxism in humans. J Orofac Pain. 1996; 10:270–82Gallo LM, Lavigne GJ, Rompré PH Reliability of scoring EMG orofacial events: polysomnography compared ambulatory recordings. J Sleep Res. 1997; 6:259–63Velly-Miguel AM, Montplaisir J, Rompré PH, Lund JP, Lavigne GJ. Bruxism and other orofacial movements during sleep. J Craniomandib Disord Fac Oral Pain. 1992; 6:71–81Kato T, Montplaisir J, Blanchet P, Lund JP, Lavigne GJ. Idiopathic myoclonus in the oromandibular region during sleep: a possible source of confusion in sleep bruxism diagnosis. Mov Disord. 1999;14:865–71Ware JC, Rugh JD. Destructive bruxism: sleep stage relationship. Sleep. 1988; 11:172–81.Macaluso GM, Guerra P, Di Giovanni G, Boselli M, Parrino L, Terzano MG. Sleep bruxism is a disorder related to periodic arousals during sleep. J Dent Res. 1998; 77:565–73.Saber M, Guitard F, Rompré PH, Montplaisir J, Lavigne GJ. Distribution of rhythmic masticatory muscle activity across sleep stages and association with sleep stage shifts (abstract). J Dent Res. 2002; 81(Spec Iss A):297Gastaut H, Batini C, Broughton R, Fressy J, Tassinari CA. Étude électroencéphalographique des phénomènes épisodiques non épileptiques au cours du sommeil. In: Le sommeil de nuit normal et pathologique. Paris: Masson, Cie; 1965.Halász P, Ujszaszi J, Gadoros J. Are microarousals preceded by electroencephalographic slow wave synchronization precursors of confusional awakenings? Sleep. 1985; 8:231–8Lavigne GJ, Rompré PH, Poirier G, Huard H, Kato T, Montplaisir JY. Rhythmic masticatory muscle activity during sleep in humans. J Dent Res. 2001; 80:443–8Alves-Rezende MCR, Bertoz APM, Aguiar SMHCA, Alves-Rezende LGR, Alves-Rezende ALR, Montanher IS, et al. Abordagem terapêutica nas desordens temporomandibulares: técnicas de fisioterapia associadas ao tratamento odontológico. Arch Health Invest. 2012; 1: 18-23Alves-Rezende MCR, Silva JS, Soares BMS, Bertoz FA, Oliveira DTN, Alves-Claro APR. Estudo da prevalência de sintomatologia temporomandibular em universitários brasileiros de Odontologia. Rev Odontol Araçatuba. 2009; 30: 9-14.Alves-Rezende MCR Cortiglio S, Sant’Anna CBM, Alves-Rezende LGR, Montanher IS, Alves-Rezende ALR. Aplicação da acupuntura no tratamento da síndrome de Costen: relato de caso clínico. Arch Health Invest. 2012; 1(Spec): 15Cortiglio S, Alves-Rezende MCR, Alves-Rezende LGR, Montanher IS, Alves-Rezende ALR. Estudo da associação entre bruxismo, consumo de álcool e tabaco em universitários brasileiros Arch Health Invest. 2012; 1 (Spec): 36.Dallanora LJ, Faltin PP, Inoue RT, Santos VM. Avaliação do uso de acupuntura no tratamento de pacientes com bruxismo. RGO. 2004; 52(5):333-39.Maciocia G. Obstetrícia & ginecologia em medicina chinesa. 10.ed. São Paulo: Roca; 2000.Junying G, Zhihong S. Medicina tradicional chinesa prática e farmacologia: teoria e princípios básicos. São Paulo: Roca; 1996.Yamamura Y. Tratado de medicina chinesa. Trad. Xi Wenbu, Beijing, China. Roca: São Paulo; 1993.Hoppenfeld S. Propedêutica ortopédica: coluna e extremidades. Atheneu: São Paulo;1996.Sussmann D. Acupuntura: teoria y práctica. Buenos Aires: Kier; 2000.Rosted P. Introduction to acupuncture in dentistry. Br Dent J. 2000; 189:136-40Quaggio AM. Carvalho PSM, Santos JFF, Marchini L. A utilização da acupuntura em desordens craniomandibulares. J Bras Oclusão ATM Dor Orofac. 2002; 2: 334-7.Ding L. Acupuntura: teoria do meridiano e pontos de acupuntura. São Paulo: Roca; 1996.Ross J. Combinações dos pontos de acupuntura: a chave para o êxito clínico. São Paulo: Roca, 2003.Wen TS. Acupuntura clássica chinesa. São Paulo: Cultrix; 1985.
A large clot formed between the inside of the bony wall of the extraction socket and the immediate implant surface may have premature breakdown . Tranexamic acid (TXA) is fibrinolysis inhibitor and an analog of the amino acid lysine. In this paper the influence of tranexamic acid on the osseointegration of Ti-30Ta implants without primary stability was investigated. Were fabricated 32 implants of CP Titanium Grade 4 and 32 implants of Ti-30Ta alloy with dimensions of 2.1 x 2.8mm Ø. Bone defects of 2.5x3.2 mm Ø were created in right tibia of 64 Wistar male-rats using a small round bur. They were divided (n=16) into: Group I (CP-Ti machined implant), Group II (CP-Ti machined implant/ tranexamic acid), Group III (Ti-30Ta implant) and Group IV (Ti-30Ta implant/ tranexamic acid). The surgical defects of the Group II and Group IV were bathed with 20 ml of the tranexamic acid solution. The animals were euthanized at 45 days postoperative. In the right tibia of half each group (8 animals/8 tibiae) the maximum torque value necessary for manual removal of each implant was measured in Newton centimeters (Ncm). The right tibia of other half each group was subjected to non-decalcified histology processing (Stevenel's blue/Alizarin red). Data were analyzed statistically (Kruskal-Wallis Analyses) and demonstrated significant differences (P<0.05) among groups. The values of group I were significantly lower than group III and IV, but without significant difference than group II both removal torque and peri-implant bone healing. The results suggest that: a) peri-implant bone formation occurred more rapidly around the Ti-30Ta implant; b) tranexamic acid favored the stabilization of blood clot and bone formation around Ti-30Ta implants and not influenced bone formation around Ti-CP implants.
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