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Bruxismo: abordagens terapêuticas contemporâneas
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_38844 | 266.93 KB | Adobe PDF |
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Abstract(s)
O bruxismo é definido como uma atividade repetitiva dos músculos mastigatórios caracterizada pelo apertamento ou ranger dos dentes. Tem duas manifestações distintas, bruxismo do sono são atividades musculares mastigatórias que ocorrem durante o sono (rítmico\não-rítmico) e bruxismo de vigília, caracterizado como apertamento repe dos dentes quando acordado. A literatura elucida vários tipos de goteiras oclusais, aplicação de toxina botulínica, fisioterapia com alongamentos, exercícios e massagens nos músculos da mastigação, tratamento cognitivo comportamental com Biofeedback e mudança de hábito, tratamento farmacológico e um dispositivo intra-auricular. Diante das opções de tratamento este trabalho visa fazer uma revisão sobre as abordagens terapêuticas clássicas e tratamentos contemporâneos para bruxismo, suas indicações, contra-indicações, vantagens e desvantagens. Após a revisão da literatura dos últimos 10 anos, sugere-se aos Médicos Dentistas que sigam a abordagem múltipla: goteiras, aconselhamento e psicologia. Há necessidade de mais ensaios clínicos, baseados em amostras representativas, a longo prazo, para avaliar a efetividade e a segurança dos tratamentos propostos para o bruxismo.
Bruxism is defined as a repetitive activity of the masticatory muscles characterized by the clenching or grinding of the teeth. There are two distinct manifestations: sleep bruxism which is masticatory muscular activities occurring during sleep (rhythmic or non-rhythmic) and bruxism of wakefulness, characterized by repetitive clenching of the teeth. The literature elucidates types of occlusal splint, botulinum toxin application, stretching physiotherapy, mastication exercises and massages, cognitive behavioral treatment with biofeedback and habit change, pharmacological treatment, and an intraauricular device. This work aims to review classical therapeutic approaches and elucidate contemporary treatments for bruxism, as well as their indications, contraindications, advantages and disadvantages. After reviewing the literature of the last 10 years, it is suggested that Dentists follow the multiple approach: splints, counseling, psychology. There is a need for more randomized clinical trials, based on representative samples and a long follow-up period, to evaluate the effectiveness and safety of the proposed treatments for bruxism.
Bruxism is defined as a repetitive activity of the masticatory muscles characterized by the clenching or grinding of the teeth. There are two distinct manifestations: sleep bruxism which is masticatory muscular activities occurring during sleep (rhythmic or non-rhythmic) and bruxism of wakefulness, characterized by repetitive clenching of the teeth. The literature elucidates types of occlusal splint, botulinum toxin application, stretching physiotherapy, mastication exercises and massages, cognitive behavioral treatment with biofeedback and habit change, pharmacological treatment, and an intraauricular device. This work aims to review classical therapeutic approaches and elucidate contemporary treatments for bruxism, as well as their indications, contraindications, advantages and disadvantages. After reviewing the literature of the last 10 years, it is suggested that Dentists follow the multiple approach: splints, counseling, psychology. There is a need for more randomized clinical trials, based on representative samples and a long follow-up period, to evaluate the effectiveness and safety of the proposed treatments for bruxism.
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Keywords
Bruxismo Tratamento Goteira Toxina botulinica Dispositivo intraauricular Bruxism Treatment Occlusal splint Botulinum toxin Ear device