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Hipnose no tratamento das disfunções temporomandibulares: revisão narrativa
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Abstract(s)
As disfunções temporomandibulares são um conjunto de condições clínicas que afetam a articulação temporomandibular e/ou músculos da mastigação e estruturas envolventes. São normalmente de etiologia multifatorial e a intervenção terapêutica varia desde tratamentos não invasivos, minimamente invasivos a tratamento cirúrgicos. Contudo, na maioria dos pacientes os tratamentos cognitivo-comportamentais são eficazes na sua auto-gestão, sendo a hipnose uma destas técnicas.
O objetivo desta revisão narrativa da literatura foi analisar e avaliar a eficácia da hipnose no alívio da dor e das limitações de movimento mandibular associadas às disfunções temporomandibulares quando comparada com outras técnicas terapêuticas.
A hipnose tem provado ser útil no processo de gestão de stress e ansiedade em relação à consulta medicina dentária e também se tem mostrado eficaz a melhorar a percepção da dor, em doentes crónicos, contudo mais estudo são necessários para validar esta técnica, como universal, no tratamento das disfunções temporomandibulares dolorosas crónicas.
Temporomandibular disorders are a set of clinical conditions that affect the temporomandibular joint and/or chewing muscles and surrounding structures. They are usually of multifactorial etiology and therapeutic intervention ranges from non-invasive, minimally invasive treatments to surgical treatment. However, in most patients cognitive-behavioural treatments are effective in their self-management, hypnosis being one of these techniques. The objective of this narrative review of the literature was to analyse and evaluate the efficacy of hypnosis in relieving pain and mandibular movement limitations associated with temporomandibular dysfunctions when compared to other therapeutic techniques. Hypnosis has proven to be useful in the process of managing stress and anxiety in relation to dental consultation and has also proven effective in improving pain perception, in chronic patients, however further study is needed to validate this technique as universal in the treatment of chronic painful temporomandibular disorders.
Temporomandibular disorders are a set of clinical conditions that affect the temporomandibular joint and/or chewing muscles and surrounding structures. They are usually of multifactorial etiology and therapeutic intervention ranges from non-invasive, minimally invasive treatments to surgical treatment. However, in most patients cognitive-behavioural treatments are effective in their self-management, hypnosis being one of these techniques. The objective of this narrative review of the literature was to analyse and evaluate the efficacy of hypnosis in relieving pain and mandibular movement limitations associated with temporomandibular dysfunctions when compared to other therapeutic techniques. Hypnosis has proven to be useful in the process of managing stress and anxiety in relation to dental consultation and has also proven effective in improving pain perception, in chronic patients, however further study is needed to validate this technique as universal in the treatment of chronic painful temporomandibular disorders.
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Keywords
Hipnose Tratamento disfunção temporomandibular Terapia cognitivo-comportamental Tratamento dor crónica Hypnosis Treatment of temporomandibular dysfunction Cognitive-behavioural therapy Treatment of chronic pain