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Cefaleia atribuída à disfunção temporomandibular: a propósito de um caso clínico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 39632 | 1.88 MB | Adobe PDF |
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Abstract(s)
A cefaleia atribuída a disfunção temporomandibular (CA-DTM) mais do que uma manifestação de DTM, é considerada a própria DTM, em que o movimento da mandíbula ou a pressão aplicada a ATM e/ou a musculatura circundante exacerba a cefaleia. É frequente na região temporal, área pré-auricular da face e/ou do músculo masseter, e de etiologia multifatorial. Os principais tratamentos para a CA-DTM são a utilização de goteira oclusal, tratamento cognitivo-comportamental e diferentes formas de terapia física. O objetivo deste trabalho é apresentar a reabilitação músculo-esquelética de um paciente com CA-DTM, seguido na Clínica Pedagógica de Medicina Dentária da Universidade Fernando Pessoa, aprofundando a etiofisiopatologia desta condição para um correto diagnóstico, os possíveis planos de tratamentos e fundamentado isso, numa revisão da literatura. Neste paciente, a conjugação de terapia comportamental, sessões de transcutaneous electrical nerve stimulation e utilização de goteira oclusal mostrou ser eficaz, a curto prazo, no controlo da CA-DTM.
Headache attributed to temporomandibular disorder (HATMD) rather than a TMD manifestation, is considered to be TMD itself, in which jaw movement or pressure applied to the TMJ and/or surrounding muscles exacerbates the headache. It is frequent in the temporal region, pre-auricular area of the face and/or masseter muscle, and has a multifactorial etiology. The main treatments for HATMD are the use of occlusal splints, cognitive-behavioral treatment and different forms of physical therapy. The objective of this work is to present the musculoskeletal rehabilitation of a patient with HATMD, followed at the Pedagogical Clinic of Dental Medicine of the Fernando Pessoa University, deepening the etiophysiopathology of this condition for a correct diagnosis, the possible treatment plans and substantiating this, in a literature review. In this patient, the combination of behavioral therapy, sessions of transcutaneous electrical nerve stimulation and use of an occlusal splint proved to be effective, in the short term, in controlling HATMD.
Headache attributed to temporomandibular disorder (HATMD) rather than a TMD manifestation, is considered to be TMD itself, in which jaw movement or pressure applied to the TMJ and/or surrounding muscles exacerbates the headache. It is frequent in the temporal region, pre-auricular area of the face and/or masseter muscle, and has a multifactorial etiology. The main treatments for HATMD are the use of occlusal splints, cognitive-behavioral treatment and different forms of physical therapy. The objective of this work is to present the musculoskeletal rehabilitation of a patient with HATMD, followed at the Pedagogical Clinic of Dental Medicine of the Fernando Pessoa University, deepening the etiophysiopathology of this condition for a correct diagnosis, the possible treatment plans and substantiating this, in a literature review. In this patient, the combination of behavioral therapy, sessions of transcutaneous electrical nerve stimulation and use of an occlusal splint proved to be effective, in the short term, in controlling HATMD.
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Keywords
Disfunção temporomandibular Cefaleia atribuída a disfunção temporomandibular Cefaleia secundária Tratamento Temporomandibular disorders Headache attributed to temporomandibular disorders Secondary headache Treatment