Dolor orofacial en la clínica odontológica

Medrán, BC Migueláñez; Goicoechea, Carlos; Sánchez, AF López; García, MA Martínez

doi:10.20986/resed.2019.3724/2019

Cited by 5 publications

(9 citation statements)

References 63 publications

(70 reference statements)

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“…De acuerdo con la Asociación Internacional del Estudio del Dolor (como se citó en Gutmann y Lovdahl, 2011), el SDF es un dolor breve y agudo en un diente, frecuentemente no diagnosticado hasta que una parte del diente se fractura o la entidad se hace evidente. Mientras que una revisión publicada por la Revista de la Sociedad Española del Dolor, plantea que la dificultad en el manejo de este dolor estriba en que la detección de la fractura y su profundidad son difíciles de valorar, ya que no existe una pérdida estructural o separación visible de la estructura dentaria (Migueláñez, Goicochea, López y Martínez, 2019).…”

Section: Resultsunclassified

“…Posteriormente se realizan otros métodos que varían según la impresión diagnóstica y el centro estomatológico. Por ejemplo, la transiluminación con la ayuda de un aparato de fibra óptica, de tal forma que se iluminará el fragmento del diente hasta la línea de fractura, si la hubiera (Migueláñez, Goicochea, López y Martínez, 2019) (González y López, 2018).…”

Section: Salud Publicaunclassified

“…También es muy popular el uso de colorantes, como el azul de metileno o violeta cristal para destacar las líneas de fractura, pero se ha visto que requieren varias aplicaciones para ser efectivos y necesitan restauraciones provisionales. Investigadores añaden el empleo de yodo que hace evidente la fisura en forma de una línea oscura (Mallqui y Hernández, 2012) (Migueláñez et al, 2019) (Filipi, 2018).…”

Section: Salud Publicaunclassified

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Síndrome del Diente Fisurado: una actualización imprescindible

Abreus

Batista

Ramírez

et al. 2021

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Introducción: El Síndrome del Diente Fisurado ha aumentado su incidencia a nivel mundial y constituye un desafío diagnóstico fundamental en la práctica clínica estomatológica. En Cuba no está incluido en la clasificación vigente de traumatología dental por lo que no se diagnostica ni se trata. Objetivo: describir el Síndrome del Diente Fisurado, como entidad estomatológica frecuente. Metodología: Se realizó una revisión bibliográfica teniendo en cuenta la literatura científica en idioma español e inglés, incluyéndose todos los artículos de investigación originales, artículos de revisión e informes de casos, utilizando las bases de datos Scielo, PubMed, Scopus. Se identificaron alrededor de 63 artículos, de los cuales fueron seleccionados 54 según los criterios académicos de la Escuela Estomatológica Cubana, de ellos el 50% actualizado. Se analizó e integró la información. Resultados: Topográficamente, los dientes del sector posterior resultaron ser los más afectados. Afecta fundamentalmente a adultos en el rango de edad de 30 a 60 años; mientras que el sexo no es una variable determinante en su incidencia. Su causa esencial es la fractura vertical incompleta o fisura en la dentina, que no suelen ser mostradas en la radiografía. Conclusiones: Se concluyó que a pesar de que este síndrome es una entidad clínica común y bien documentada en varios países como una de las afecciones traumáticas que puede evolucionar a una necrosis pulpar, en Cuba, no existe ningún protocolo que regule su identificación.

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Section: Resultsunclassified

Section: Salud Publicaunclassified

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Síndrome del Diente Fisurado: una actualización imprescindible

Abreus

Batista

Ramírez

et al. 2021

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“…It has been found that the self-reported orofacial pain is the most frequent symptom for TMD [1] and the principal motive for consultation [10]. Therefore, we decided self-reported pain as the primary outcome.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Nevertheless, the main reason for clinical consultation is chronic and persistent orofacial pain [10]. A common clinical nding is that TMD pain can originate in so-called trigger points (TrPs) of the masticatory and cervical muscles, which refer pain to the orofacial and temporomandibular regions [1,11].…”

Section: Introductionmentioning

confidence: 99%

Pressure Release Technique Versus Placebo Applied to Cervical and Masticatory Muscles in Patients With Chronic Painful Myofascial Temporomandibular Disorder. A Randomized Clinical Trial

Hernanz

Carrere

Ardizone‐García

et al. 2020

Preprint

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Background. This study investigated whether a Pressure Release Technique (PRT) is effective for reducing pain in people with chronic myofascial Temporomandibular Disorders (TMD). Methods. A single-blinded randomized parallel-group trial, with 3 months follow-up was conducted. A total of seventy-two patients were randomly allocated to receive PRT or sham PRT. The primary outcome was pain assessed with a Visual Analogue Scale (VAS). Secondary outcomes included Pressure Pain Thresholds (PPTs), Range of Opening of the Mouth (ROM), Neck Disability Index (NDI), Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK-11), State-Trait Anxiety Index (STAI) and State-Trait Depression Index (ST-DEP). All parameters were assessed at baseline, at the end of the treatment and at 3 months follow-up. Statistical analysis was performed by ANOVA. Results. here were significant main effects of time, group and interaction between time and group (F ≥ 21.92; P < .001) on VAS pain. Post-hoc tests showed a significant reduction in VAS pain scores in the PRT group (≥ 31.9%; P < .001). Effect sizes were moderate in the PRT group at all follow-up periods (≥ 1.25 Cohen´s d). Also, there were significant effects of time in secondary outcomes (F ≥ 9.65; P < .001), and there were also interactions between time and group (F ≥ 3.82; P < .002) with better effects in the PRT group. Conclusions. The inclusion of PRT to conventional management with occlusal splints and self-care management appears to be effective to improve self-reported levels of pain in patients with chronic myofascial TMD pain. Retrospectively registered (ClinicalTrials.gov: NCT03619889).

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Pressure release technique versus placebo applied to cervical and masticatory muscles in patients with chronic painful myofascial temporomandibular disorder: A randomised clinical trial

Serrano‐Hernanz

Carrere

Ardizone‐García

et al. 2023

J of Oral Rehabilitation

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Background:The therapeutic approach to myofascial TMD should focus on pain relief and rehabilitation of function.Objective: This study investigated whether pressure release technique (PRT) is effective for reducing pain in people with chronic myofascial temporomandibular disorders (TMD). Methods: A single-blinded randomised parallel-group trial, with 3 months follow-up was conducted. A total of 72 patients were randomly allocated to receive PRT or sham PRT. Primary outcome was pain assessed with a visual analogue scale (VAS). Secondary outcomes included pressure pain thresholds (PPTs), range of opening of the mouth (ROM), Neck Disability Index (NDI), Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK-11), State-Trait Anxiety Index (STAI) and State-Trait Depression Index (ST-DEP). All parameters were assessed at baseline, at the end of the treatment and at 3 months follow-up. Statistical analysis was performed by ANOVA.Results: There were significant main effects of time, group and interaction between time and group (F ≥ 21.92; p < .001) on VAS pain. Post hoc tests showed a significant reduction in VAS pain scores in the PRT group (≥31.9%; p < .001). Effect sizes were moderate in the PRT group at all follow-up periods (≥1.25 Cohen's d). Also, there were significant effects of time in secondary outcomes (F ≥ 9.65; p < .001), and there were also interactions between time and group (F ≥ 3.82; p < .002) with better effects in the PRT group. Conclusions:The inclusion of PRT to conventional management with occlusal splints and self-care management appears to be effective to improve self-reported levels of pain in patients with chronic myofascial TMD pain. Retrospectively registered (Clini calTr ials.gov: NCT03619889).

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Dolor orofacial en la clínica odontológica

Cited by 5 publications

References 63 publications

Síndrome del Diente Fisurado: una actualización imprescindible

Síndrome del Diente Fisurado: una actualización imprescindible

Pressure Release Technique Versus Placebo Applied to Cervical and Masticatory Muscles in Patients With Chronic Painful Myofascial Temporomandibular Disorder. A Randomized Clinical Trial

Pressure release technique versus placebo applied to cervical and masticatory muscles in patients with chronic painful myofascial temporomandibular disorder: A randomised clinical trial

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