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联合治疗相关口腔颌面疾病——1例具有挑战性的病例报告

Combined Therapy for Associated Orofacial Disorders-A Challenging Case Report.

作者信息

Barbosa Denise Fernandes, Bana Laura Fernandes, Berzin Fausto, Júnior Almiro José Machado

机构信息

Division of Surgical Sciences, Department of Otorhinolaryngology, School of Medical Sciences, University of Campinas, UNICAMP, Campinas, São Paulo, Brazil.

Department of Morphology, Dentistry School of Piracicaba, Piracicaba, São Paulo, Brazil.

出版信息

Eur J Dent. 2022 Oct;16(4):947-949. doi: 10.1055/s-0042-1749365. Epub 2022 Jul 12.

Abstract

Health promotion and disease prevention link intricately with lifestyle habits such as a healthy diet, physical activity, and good sleep quality. Temporomandibular joint (TMJ) dysfunction and associated disorders can take away sleep and well-being depending on the form and intensity that affect the individual. A multidisciplinary effort has contributed to significant health advances, improving clinical outcomes concerning TMJ dysfunction. This report presents the case of a 37-year-old Caucasian female physical educator with a good healthy diet with complaints of tooth tightening, constant TMJ and neck pain, and tinnitus. The patient was treated with inferior occlusal splint placement and selective occlusal adjustments based on neuro-occlusal rehabilitation. The patient reported relief of pain symptoms with occlusal and body balance, discontinued analgesic medication, and maintained the occlusal splint to practice sports and sleep due to the perception of improved physical performance and sleep, and quality of life. Based on this report, it is necessary to analyze the causes and define the effects of different disorders to establish their diagnosis and treatment and changing patterns to reestablish functional balance.

摘要

健康促进和疾病预防与诸如健康饮食、体育活动和良好睡眠质量等生活方式习惯紧密相连。颞下颌关节(TMJ)功能障碍及相关病症会根据影响个体的形式和强度剥夺睡眠并损害健康。多学科的努力推动了显著的健康进展,改善了与颞下颌关节功能障碍相关的临床结果。本报告介绍了一名37岁的白人女性体育教师的病例,她饮食健康,主诉牙齿紧绷、颞下颌关节和颈部持续疼痛以及耳鸣。该患者接受了基于神经咬合康复的下颌咬合夹板放置和选择性咬合调整治疗。患者报告称,通过咬合和身体平衡,疼痛症状得到缓解,停止服用止痛药物,并且由于感觉身体表现、睡眠和生活质量有所改善,保留咬合夹板以进行运动和睡眠。基于本报告,有必要分析不同病症的病因并确定其影响,以建立诊断和治疗方法,并改变模式以重新建立功能平衡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e14c/9683871/4e15074ce4eb/10-1055-s-0042-1749365-i2231648-1.jpg

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