Treatment for TMD with Occlusal Splint and Electromyographic Control: Application of the FARC Protocol in a Brazilian Population

Silva, Carolina A. Vieira e; Silva, Marco Antonio M Rodrigues Da; Melchior, Melissa de Oliveira; Felício, Cláudia Maria de; Sforza, Chiarella; Tartaglia, Gianluca Martino

doi:10.1179/crn.2012.033

Cited by 14 publications

(6 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The basic method of treatment is the use of occlusal splints made of hard material. These appliances are aimed at muscle relaxation and protection of teeth from further damage [7][8][9]. Some authors describe decreased muscle tone demonstrated in EMG in about 50% of patients with occlusal splints.…”

Section: Splintsmentioning

confidence: 99%

The most commonly used methods of treatment for bruxism – a literature review

Wilmont¹,

Saczuk²,

Pawlak³

et al. 2018

jos

View full text Add to dashboard Cite

Bruxism is referred to as grinding and clenching of the teeth. It is a disorder affecting an increasing number of patients. This disease causes severe ailments that negatively influencing the daily functioning and manifesting, among the others, as toothaches, masticatory muscle pain, headaches, and tooth hypersensitivity. The aim of the work is to analyse the contemporary treatment methods and methods of alleviating the effects of the disease. In addition, it evaluates the usefulness of these methods in daily dental practice. The article shows the contemporary view of treatment, including the multidisciplinary approach. The authors present treatment methods of bruxism, such as: splints, physiotherapy, psychotherapy, biofeedback, and pharmacological treatment. The variety of methods currently used and the lack of clear guidelines for treatment of bruxism should be emphasised. The article also draws attention to the need to modify the daily behaviour of the patient through relaxation exercises or biofeedback, in order to eliminate bruxism and not just alleviate its symptoms. A multidirectional approach and treatment of bruxism can produce satisfactory and lasting results.

show abstract

Section: Splintsmentioning

confidence: 99%

The most commonly used methods of treatment for bruxism – a literature review

Wilmont¹,

Saczuk²,

Pawlak³

et al. 2018

jos

View full text Add to dashboard Cite

show abstract

“…W swoich badaniach Silva i wsp. (22) wykazali, że stosowanie szyn zgryzowych powoduje zwiększenie równowagi mięśniowej podczas ich stosowania oraz zmniejszenie nasilenia dolegliwości bólowych. Wyniki badań z zastosowaniem elektromiografii powierzchniowej sugerują również, że terapia szynami okludalnym powinna trwać minimum trzy miesiące, aby spowodować zmianę aktywności mięśni skroniowych przednich i żwaczy (23,14).…”

unclassified

The application of the surface electromyography in dentistry – literature review

Mańka-Malara¹,

Gawlak²,

Łuniewska³

2014

Protet Stomatol

View full text Add to dashboard Cite

Badanie elektromiograficzne (EMG), polegające na pomiarze sygnału elektrycznego wytworzonego przez mięsień w trakcie skurczu oraz ocenie czasu trwania potencjału, jego amplitudy i kształtu, znajduje zastosowanie w stomatologii (1). Poddawany analizie jest zarówno zapis spoczynkowy, jak i wysiłkowy jednostki motorycznej. Podczas niewielkiego i umiarkowanego wysiłku zdrowego mięśnia rejestrowane są pojedyncze potencjały jednostki ruchowej. Aktywność mechaniczną mięśnia poprzedza rejestracja aktywności elektrycznejjest to opóźnienie elektromechaniczne (EMD), które zależy m.in. od temperatury i struktury Streszczenie Elektromiografia powierzchniowa umożliwia w nieinwazyjny i niebolesny sposób pomiar potencjału elektrycznego mięśni. W stomatologii znajduje zastosowanie zarówno w diagnostyce, ocenie przebiegu leczenia, jak i badaniach epidemiologicznych. Metoda ta często wykorzystywana jest w badaniach dotyczących bruksizmu i dysfunkcji narządu żucia oraz kontroli leczenia ortodontycznego i protetycznego. Celem pracy było przedstawienie głównych zastosowań elektromiografii powierzchniowej w stomatologii.

show abstract

“…Such hyperactivity causes muscle fatigue and spasms, thus generating more pain (3) . Several pain reduction techniques are used to treat TMD (4)(5)(6)(7)(8)(9)(10) . In physical therapy in particular, transcutaneous electric nerve stimulation (TENS) is one of the most utilized non-pharmacological analgesic resources (11) .…”

Section: Introductionmentioning

confidence: 99%

Propriedades clinimétricas da variável eletromiográfica duty factor para desordem temporomandibular

Nitsch

Mella

Chaves

et al. 2015

Audiol., Commun. Res.

View full text Add to dashboard Cite

Purpose: To assess the reliability and responsiveness of the duty factor variable for assessing pain originating from temporomandibular disorders. Methods: The sample comprised 20 female volunteers, mean age 29 years 6 months (± 9.2), with a diagnosis of myogenic temporomandibular dysfunction according to the Research Diagnostic Criteria for Temporomandibular Disorders. Electromyographic (EMG) signals were collected at three times: during mandibular rest; in the presence of moderate to severe pain; and when pain was reduced to mild or absent after 45 minutes of transcutaneous electrical nerve stimulation (TENS).Electromyographic signals during mandibular rest were processed to obtain values for muscle activation time greater than 10% of maximum bite force. Reliability was tested with intraclass correlation for repeated data before analgesia. Standard error of measurement (SEM) and minimum detectable change (MDC) were also computed to determine reliability. Responsiveness of duty factor was analyzed between EMG recordings, before and after analgesia, by calculating effect size (ES) and standardized response mean (SRM). Results: Duty factor presented intraclass correlation coefficient above 0.75 for all muscles. Standard error of measurement ranged from 4% to 8% and minimum detectable change from 5% to 12%. Regarding the responsiveness of duty factor to pain, effect size values fell between 0.2 and 0.5 and SRM values were greater than 0.8. Conclusion: Duty factor showed excellent reliability.However, responsiveness to TMD-related pain was low as expressed by effect size and excellent as expressed by standardized response mean. O erro padrão foi entre 4% e 8% e a mínima mudança detectável entre 5% e 12%. Na responsividade da variável para a dor, o tamanho de efeito obteve valores entre 0,2 e 0,5 e a média da resposta padronizada, valores acima de 0,8. Conclusão: O duty factor apresentou confiabilidade excelente e responsividade à dor da desordem temporomandibular baixa para tamanho de efeito e excelente para média da resposta padronizada.

show abstract

Treatment for TMD with Occlusal Splint and Electromyographic Control: Application of the FARC Protocol in a Brazilian Population

Cited by 14 publications

References 16 publications

The most commonly used methods of treatment for bruxism – a literature review

The most commonly used methods of treatment for bruxism – a literature review

The application of the surface electromyography in dentistry – literature review

Propriedades clinimétricas da variável eletromiográfica duty factor para desordem temporomandibular

Contact Info

Product

Resources

About