The temporomandibular joint (TMJ) is certainly one of the most complex in the body. From its operation, classification to the origin of the existing dysfunctions that involve it. The etiology of temporomandibular disorders (TMD) is multifactorial and complex, recent studies point to a great relationship between psychological problems and TMD, not as a direct factor, but corroborating with others or working as triggers for signs and symptoms. In the clinical routine, patients with TMJ-related complaints are accompanied by some level of depression and / or anxiety, making the treatment even more comprehensive, requiring the dentist to treat the patient as a whole and not just the TMJ or mouth, referring for other professionals, being a multidisciplinary treatment. In the present work, keywords such as ‘’ temporomandibular disorder ’’, ‘‘ depression ’’ and ‘’ ‘anxiety’ ’were used in the PubMed, BVS and Scielo databases. TMD is still very complex in the literature, mainly to determine the factors that cause it exactly in each patient, so it is important to further studies in this area, seeking a greater elucidation of the topic.
Bruxism is a parafunctional habit of multifactorial origin, which causes functional disorders with severe clinical implications. This function may be related to emotional factors, anxiety, and to behavioral characteristics of the individual. The objective of this work was to evaluate the prevalence of bruxism during waking and sleep bruxism describing aspects related to anxiety. Determining the etiological factor is important for diagnosis and treatment, to improve the quality of life of patients with the habit. The present study reviewed the literature on the relationship between bruxism and anxiety, addressing the main ways of treating this dysfunction. The keywords “bruxism”, “anxiety”, “etiology” and “sleep bruxism” were used in the PubMed and VHL databases. The references that dealt with the subjects related to the proposed theme were chosen, published during the last 20 years. He observes that the approach and treatment of the patient with bruxism and anxiety must be multidisciplinary, and that the direct relationship between the two diseases is not easy to be determined, as there is no scientific evidence of sleep bruxism and bruxism in wake. Thus, the evidence elucidates that there is a need for well-designed studies. In addition, the forms of treatment available are numerous, and that to be effective, therapies must be multidisciplinary, depending on the determination of the etiological factors of the two pathologies, and on the assessment of the risks and benefits of each therapy for the patient to be treated.
Institutionalized elderly people usually have a different oral condition than the elderly population in general due to the association of several systemic diseases, in addition to poor oral health care. Chronic age-related illnesses, such as dyslipidemia, hypertension, diabetes and depression, usually require the use of multiple drugs, a condition known as polypharmacy. This refers to the use of several medications daily. The present research aimed to verify the oral manifestations in gingiva, gingival ridge, as well as, in the other areas covered by epithelium resulting from polypharmacy in the elderly of a public shelter in Teresina - PI. In this study carried out between October / 2017 to April / 2018, 62 elderly people who met the stipulated inclusion criteria were evaluated, and the participants were institutionalized in a public shelter in Teresina - PI, who had the physical condition to open the oral cavity for the intraoral physical examination. , regardless of sex, education level, social class, who had chronic diseases and who used five or more drugs from different groups on a daily basis, thus characterizing polypharmacy. At the end of the analysis, there were nine elderly people who fit the research standards; they were subclassified according to the degree of the referred pathology and were made aware (patient and caregiver) about the magnitude of the problem and how to ponder and / or remove it. Polypharmacy was present in the entire sample studied and the main manifestations found were: gingival hyperplasia, gingivitis, ulcerations / erythematous areas, lingual coating, dry mouth and candidiasis.
A anquilose da articulação temporomandibular (ATM) que ocorre após a fratura do côndilo mandibular constitui um desafio de tratamento para os cirurgiões buco-maxilo-faciais. É uma condição na qual existe imobilidade da articulação, caracterizada pela formação de um tecido ósseo, fibroso ou massa fibro-óssea fundida a base do crânio. Traumas, doenças sistêmicas e infecções estão entre os fatores mais comuns que desencadeiam a progressão desta condição. A literatura demonstra diversas maneiras de tratamento como: artroplastia em gap, artroplastia em gap interposicional usando o músculo temporal, reconstrução da ATM utilizando enxerto costocondral e reconstrução aloplástica da articulação. Diante disso, este artigo objetiva relatar o caso de uma criança vítima de trauma (acidente ciclístico), diagnosticada com fratura alta no côndilo mandibular esquerdo e demonstrar a possibilidade de evolução da fratura em anquilose de ATM e, em sequência, evidenciar a eficácia do tratamento cirúrgico realizado por artroplastia em gap associado a fisioterapia como protocolo de sucesso no tratamento de anquilose com 2 anos de acompanhamento. O englobamento dos dados se deu por meio da busca de em periódicos, artigos científicos e trabalhos de conclusão de curso encontrados nos bancos de dados Pubmed, BVS e Capes.
A ocorrência de caninos inferiores impactados não é comumente observada na prática clínica odontológica. Diversas modalidades de tratamento são propostas para estes casos. Este trabalho tem por objetivo relatar a realização de tratamento cirúrgico de um canino incluso na região da base da mandíbula. Trata-se de um paciente do gênero masculino, 13 anos, que procurou tratamento ortodôntico objetivando alinhamento dental devido a presença de canino decíduo não esfoliado. Com o auxílio de imagens de radiografia panorâmica e tomografia computadorizada, foi observado a posição horizontal do canino inferior direito incluso, estágio avançado de formação da raiz do dente em questão, bem como imagem radiolúcida envolvendo a coroa do mesmo dente, sugestivo de lesão cística, evidenciando a inviabilidade de realização de tratamento ortodôntico para reposicionamento do canino permanente na arcada inferior. Com isso, o planejamento e tratamento cirúrgico foram realizados com grande precisão. Não foi observada a ocorrência de complicações trans e pós-operatórias. A partir dos dados obtidos na literatura e ao analisar clínica e radiograficamente o caso em questão, o tratamento mais viável foi a remoção cirúrgica.
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