Influence of the vertical dimension in the treatment of myofascial pain-dysfunction syndrome

Manns, Arturo; Miralles, Rodolfo; Santander, Hugo; Valdivia, José Miguel

doi:10.1016/0022-3913(83)90213-5

Cited by 79 publications

(36 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These studies are particularly important because they were performed in "at-risk populations", i.e., severe bruxers in the first study, and subjects with reduced periodontal support in the second. It is also interesting that interocclusal appliances which always increase the vertical dimension are successfully used to treat craniomandibular disorders, and that thicker interocclusal appliances provide better and faster relief (Manns et al, 1983). No association exists between a decrease in OVD and craniomandibular disorders (Magnusson, 1982;Wilding and Owen, 1987 (Christensen, 1970;Carlsson et al, 1979).…”

Section: Discussionmentioning

confidence: 99%

Regulation of Mandibular Postures: Mechanisms and Clinical Implications

Woda¹,

Pionchon²,

Palla

2001

Critical Reviews in Oral Biology & Medicine

View full text Add to dashboard Cite

This review argues that (1) the habitual mandibular position is constantly variable and so cannot be considered as a craniomandibular reference point, (2) there is no unique centric relation, (3) mandibular posture greatly depends on head posture, (4) clinical evaluation of the occlusal vertical dimension is mostly empirical, and (5) neither the vertical dimension at rest nor the centric relation can be determined by means of existing instrument-based clinical methods. However, some physiological conditions exist that facilitate the recording of craniomandibular position.

show abstract

Section: Discussionmentioning

confidence: 99%

Regulation of Mandibular Postures: Mechanisms and Clinical Implications

Woda¹,

Pionchon²,

Palla

2001

Critical Reviews in Oral Biology & Medicine

View full text Add to dashboard Cite

show abstract

“…We now know that this hypothesis is not supported by studies which show the lack of contiguity between these anatomical structures (Shapiro and Truex, 1943;Sicher, 1948;Zimmerman, 1951). On the other hand, it is also important to note that the average splint thickness (8.1 mm), which appears to be the most efficient in producing a rapid improvement in the symptoms (Manns et al, 1983), exceeds by far the usual amount of vertical increase one wishes to restore in most patients. Furthermore, although an immediate decrease in the electromyographic (EMG) activity of the jaw elevator muscles has been observed at various VDO augmentations obtained with splints (Manns et al, 1983), there are no data pointing to the persistence of this effect in long-term users of splints.…”

Section: (I) Introductionmentioning

confidence: 99%

Oral Splints: the Crutches for Temporomandibular Disorders and Bruxism?

Dao

Lavigne

1998

Critical Reviews in Oral Biology & Medicine

258

143

View full text Add to dashboard Cite

Despite the extensive use of oral splints in the treatment of temporomandibular disorders (TMD) and bruxism, their mechanisms of action remain controversial. Various hypotheses have been proposed to explain their apparent efficacy (i.e., true therapeutic value), including the repositioning of the condyle and/or the articular disc, reduction in the electromyographic activity of the masticatory muscles, modification of the patient's "harmful" oral behavior, and changes in the patient's occlusion. Following a comprehensive review of the literature, it is concluded that any of these theories is either poor or inconsistent, while the issue of true efficacy for oral splints remains unsettled. However, the results of a controlled clinical trial lend support to the effectiveness (i.e., the patient's appreciation of the positive changes which are perceived to have occurred during the trial) of the stabilizing splint in the control of myofascial pain. In light of the data supporting their effectiveness but not their efficacy, oral splints should be used as an adjunct for pain management rather than a definitive treatment. For sleep bruxism, it is prudent to limit their use as a habit management aid and to prevent/limit dental damage potentially induced by the disorder. Future research should study the natural history and etiologies of TMD and bruxism, so that specific treatments for these disorders can be developed.Key words. Oral splints, temporomandibular disorders, bruxism, myofascial pain, disc displacement disorders. (I) IntroductionAmong the treatments provided for temporomandibular disorders (TMD), intra-oral dental appliances, whether with full or partial occlusal coverage, and referred to in this paper as oral splints, have been repeatedly reported as being the most widely adopted choice. Introduced by Karolyi in 1901 (see Ramfjord and Ash, 1994) for the treatment of bruxism, it is striking to see the versatility of their current applications. Other than their use in the prevention of dental injuries and oral soft-tissue trauma potentially induced by bruxism, sports, cheek biting (Walker and Rogers, 1992), and electroconvulsive therapy (Minneman, 1995), oral splints of various designs have been prescribed in the management of diverse disorders including: (a) motor disorders such as Parkinson's disease (Durham et al., 1993) and oral tardive dyskinesia (Kai et al., 1994); (b) sleep disorders such as snoring (George, 1993) and sleep apnea (George, 1993;Athanasiou et al., 1994;Lowe, 1994;Yoshida, 1994;Osseiran, 1995); (c) sensitive teeth related to chronic sinusitis (Dawson, 1974); (d) various headaches, from the tension-type to migraine (Ouayle et al., 1990;Lamey and Steele, 1996); and (e) all subgroups of TMD, e.g., myofascial pain, disc displacement disorders, and the arthritides (Table 1).It is also surprising to see the wide acceptance of oral splints and their "multi-purpose usage", while little is known about the mechanisms by which they exert their effect. For the TMD, a survey of 10,000 members of...

show abstract

“…Con la finalidad de evitar episodios repetitivos, se recomienda la interconsulta con un ortodoncista para corregir la maloclusión. Además, la técnica de biorretroalimentación es un excelente apoyo para que el paciente sea consciente de cómo cambiar la actividad fisiológica muscular 10,12,17,18,22,36,37 .…”

Section: Tratamientounclassified

Síndrome de dolor miofascial. Revisión de la literatura a propósito de un caso clínico

Román

Pamatz²

2017

Odontol. sanmarquina

View full text Add to dashboard Cite

Caso Clínico107 © Los autores. Este artículo es publicado por la revista Odontología Sanmarquina de la Facultad de Odontología, Universidad Nacional Mayor de San Marcos. Este es un artículo de acceso abierto, distribuido bajo los términos de la licencia Creative Commons Atribucion -No Comercia_Compartir Igual 4.0 Internacional. (http://creativecommons.org/licenses/by-nc-sa/4.0/) que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada. ResumenEn el presente artículo se resume una evaluación literaria de los últimos 17 años en relación al síndrome de dolor miofascial en el cual se recopila la información más relevante para su diagnóstico, además se presenta un caso clínico en el cual se pudo determinar la etiología psicológica que comenzó el trastorno patológico. Se presenta el caso de un paciente con disminución en la apertura bucal, mialgia y puntos gatillo en los músculos masetero y temporal. Se diagnosticó síndrome de dolor miofascial posterior a realizar pruebas musculares, exámenes radiográficos y de laboratorio con la finalidad excluir etiologías sistémicas. El tratamiento indicado consistió en la aplicación de una férula oclusal, fisioterapia, relajantes musculares, corticoesteroides, antiinflamatorios y la interconsulta con un psicólogo. En la primera consulta se midió una apertura bucal de 1,2 cm, en la segunda cita 1,6 cm, en la última consulta se registró una apertura máxima de 4,8 cm después del tratamiento farmacológico, en conjunto con el profesional en psicología. Se concluye que los problemas psicológicos tienen una gran repercusión en el sistema gnatológico y que r esulta de gran apo yo la inter consulta psicológica.Palabras clave: Síndrome de la disfunción de articulación temporomandibular; Miositis; Hipertonía muscular; Derivación y consulta; Síndromes del dolor miofascial; Puntos disparadores; Placa motora. AbstractThis article summarizes a literature evaluation of the past 17 years in relation to the myofascial pain syndrome in which the most relevant information for a diagnosis is collected, also presents a clinical case in which psychological etiology that began the pathological disorder could be determined. The c ase o f a p atient w ith d ecrease i n t he mouth opening, myalgia and points trigger muscle masseter and temporal is presented. Pain myofascial was diagnosed after muscle testing, radiographic and laboratory exams in order to exclude systemic etiologies. The indicated treatment consisted in the application of a splint occlusal, physiotherapy, relaxing muscles, corticosteroids, anti-inflammatories and the consultation with psychologist. In the first appointment an oral opening of 1.2 cm was recorded, in the second appointment the record was 1.6 cm, in the last query the record was 4.8 cm after drug treatment in conjunction with professional in psychology. It is concluded that psychological problems has a major impact in gnatologic system and psychological consultation turned out great support for this sy...

show abstract

Influence of the vertical dimension in the treatment of myofascial pain-dysfunction syndrome

Cited by 79 publications

References 19 publications

Regulation of Mandibular Postures: Mechanisms and Clinical Implications

Regulation of Mandibular Postures: Mechanisms and Clinical Implications

Oral Splints: the Crutches for Temporomandibular Disorders and Bruxism?

Síndrome de dolor miofascial. Revisión de la literatura a propósito de un caso clínico

Contact Info

Product

Resources

About