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Ozonoterapia no tratamento das disfunções temporomandibulares: revisão narrativa
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Abstract(s)
As disfunções temporomandibulares (DTM) são um conjunto heterogéneo de condições clínicas que afetam o sistema estomatognático, de etiologia multifatorial e complexa. São a segunda causa de dor orofacial e provocam alterações na qualidade de vida, especialmente, quando crónicas e dolorosas. O tratamento das DTM deve iniciar sempre por terapêuticas reversíveis, entre as quais se encontra a ozonoterapia.
Esta revisão narrativa da literatura teve como objetivo de analisar o potencial da ozonoterapia no tratamento das DTM, avaliando mecanismos de ação e a sua eficácia no tratamento das DTM.
Nos estudos analisados verificou-se que a utilização da ozonoterapia tem um bom potencial no controlo da dor associada às diferentes DTM, contudo, não há evidência consistente que seja superior aos tratamentos gold standard. Assim, mais estudos caso-controlo e com follow-up a longo prazo devem ser realizados para verificar o custo-benefício e os protocolos ideais de aplicação da ozonoterapia no tratamento das diferentes DTM.
Temporomandibular dysfunctions (TMD) are a heterogeneous set of clinical conditions that affect the stomatognathic system, with a multifactorial and complex etiology. They are the second leading cause of orofacial pain and cause changes in quality of life, especially when chronic and painful. TMD treatment should always begin with reversible therapies, among which ozone therapy is included. This narrative review of the literature aimed to analyze the potential of ozone therapy in the treatment of TMD, evaluating mechanisms of action and its effectiveness in TMD treatment. In the studies reviewed it was found that the use of ozone therapy has good potential in controlling the pain associated with different TMD, however, there is no consistent evidence that it is superior to gold standard treatments. Thus, further case-control studies with long-term follow-up should be conducted to verify the cost-effectiveness and the ideal protocols for the application of ozone therapy in the treatment of different TMDs.
Temporomandibular dysfunctions (TMD) are a heterogeneous set of clinical conditions that affect the stomatognathic system, with a multifactorial and complex etiology. They are the second leading cause of orofacial pain and cause changes in quality of life, especially when chronic and painful. TMD treatment should always begin with reversible therapies, among which ozone therapy is included. This narrative review of the literature aimed to analyze the potential of ozone therapy in the treatment of TMD, evaluating mechanisms of action and its effectiveness in TMD treatment. In the studies reviewed it was found that the use of ozone therapy has good potential in controlling the pain associated with different TMD, however, there is no consistent evidence that it is superior to gold standard treatments. Thus, further case-control studies with long-term follow-up should be conducted to verify the cost-effectiveness and the ideal protocols for the application of ozone therapy in the treatment of different TMDs.
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Keywords
Disfunções temporomandibulares (DTM) DTM articular DTM muscular Ozonoterapia Temporomandibular disorders (TMD) Articular TMD Muscular TMD Ozone therapy