Occlusion, temporomandibular disorders, and orofacial pain: An evidence-based overview and update with recommendations

Racich, Michael J.

doi:10.1016/j.prosdent.2018.01.033

Cited by 34 publications

(21 citation statements)

References 157 publications

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“…A existência de avaliação oclusal satisfatória, que preencha todos os requisitos listados acima, tem relação diretamente proporcional com o conhecimento dos profissionais, tanto clínicos gerais quanto especialistas, sobre a biomecânica da oclusão e sua interação com a articulação temporomandibular. Nenhum profissional ou estudante conseguirá realizar as etapas de diagnóstico das desordens temporomandibulares sem o correto embasamento teórico e treinamento clínico (O'Carroll, Leung, Fine, Boniface, & Louca, 2019;Racich, 2018). Nos resultados obtidos, foi observado que em todos os trabalhos que envolviam pacientes bruxistas, houve maior índice de fraturas e trincas, de frequência variável para cada tipo de cerâmica escolhida na restauração, e também associadas ao uso, ou não, de dispositivos para proteção das restaurações (Beier, Kapferer, Burtscher, & Dumfahrt, 2012;Granell-Ruiz et al, 2010;Gresnigt et al, 2019).…”

Section: Discussionunclassified

Os índices de trincas e fraturas em laminados cerâmicos são por razões oclusais? Uma revisão sistemática

Moreno

Oliveira

Sales

et al. 2021

RSD

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Objetivo: avaliar, a partir de uma revisão sistemática, qual o índice de trincas e fraturas em laminados cerâmicos, a fim de estabelecer as principais causas para essas falhas. Metodologia: Foi realizada uma revisão sistemática de estudos clínicos prospectivos e retrospectivos que analisaram o índice de falhas por trincas ou fratura da restauração de dentes submetidos ao tratamento com laminados cerâmicos. Utilizou-se os descritores “ceramic” e “veneer” adaptados de acordo com as bases de dados consultadas: Science Direct, LILACS, MEDLINE (PubMed) e Google Scholar. Inicialmente foram encontrados 755 artigos, após a leitura e aplicação dos critérios de elegibilidade e exclusão, 4 artigos foram selecionados para a análise quantitativa e 5 para a análise qualitativa. Esta revisão seguiu as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-analyzes (PRISMA). Resultados: A descoloração marginal foi a falha mais comumente encontrada (17,2%), seguida por lesão periodontal ou gengival (12,8%), soltura da peça (4,4%), fratura da cerâmica (2,7%) e trincas da cerâmica (1,7%). As falhas por lesão endodôntica, cárie secundária, fratura do dente e alteração de cor da cerâmica foram menores que 1%. Conclusão: A atenção em relação a oclusão, seus estudos e conceitos, devem ser levados em consideração em todo o processo do tratamento com laminados cerâmicos para garantir a longevidade e sucesso clínico.

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Section: Discussionunclassified

Os índices de trincas e fraturas em laminados cerâmicos são por razões oclusais? Uma revisão sistemática

Moreno

Oliveira

Sales

et al. 2021

RSD

View full text Add to dashboard Cite

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“…The challenge should be to create a therapeutic occlusion that provides a static and dynamic occlusal stability, requiring a repeatable closure in central relation (CR) in an appropriate Occlusal Vertical Dimension (OVD) with joint and neuromuscular stability, providing dynamic occlusal schemes that work as protective factor of the stomatognathic system in a mutually protected occlusion (Racich, 2018). Consideration should be shown to the adaptive dynamic and continuous physiological nature in which a patient's occlusion may change before, during and after treatment.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Serious Occlusal Instability Associated with Temporomandibular Disorders (TMDs) Through Implant and Dynamic Occlusal Schemes Rehabilitation. A Case Report

Molina¹,

Signorio²,

Hernández³

et al. 2021

Int. J. Odontostomat.

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A case report of 35 years old male patient, partially edentulous with occlusal instability, Disc Displacement with Reduction (DDWR), Local Muscle Soreness (LMS) and Alteration of vertical dimension is presented. Rehabilitation was planned to achieve predictability of long-term treatment, providing static and dynamic occlusal stability. A therapeutic occlusion with premature contact in the right premolar sector was planned. Implants and cemented/screwed crowns were used to obtain contacts in the molar area. The restoration of dynamic occlusal schemes was made by direct adhesive technique in the anterior sector and Curve of Spee (COS) compensation with temporary anchoring for molar inclusion was used. Patient presents objective and subjective improvements associated with the treatment performed. Temporomandibular disorder is stabilized and controlled by a specialist.

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“…The pain sometimes accompanies the initial stages of orthodontic treatment with removable appliances that creates doubts and anxiety [23]. Pain can be the manifestation of oral injuries caused by the rubbing of the orthodontic device or its pressure on oral mucous [24] but also be the manifestation of more complex symptomatic situations that emerge with orthodontic treatment and that would require a diagnostic deepening [25]. Assessing these aspects with remote controls is complicated.…”

Section: Discussionmentioning

confidence: 99%

Impact of the SARS-Cov2 Pandemic on Orthodontic Therapies: An Italian Experience of Teleorthodontics

Putrino

Caputo

Giovannoni

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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To assess the possibility of controlling patients at a distance according to principles of teleorthodontics to understand its possible usefulness in the future routine activity and the impact pandemic may have had on different types of orthodontic treatments. Material and Methods: One hundred orthodontic patients (57 F, 43 M, age 7-46) during quarantine were checked through videocalls and photos sent by patients following proper instructions. Three groups have been distinguished based on the type of therapy: A-fixed appliances; B-removable appliances; C-clear aligners. Relevant events about dental and gingival health, integrity of appliances, orthodontic therapies related symptoms and overall progress of treatments were recorded. Results: A and B groups reported higher percentages of gingival inflammation (27 and 22%), dental plaque (16 and 13%), deciduous tooth loss (8 and 16%). Bracket and attachment detachment were the most frequent events in A and C groups (22 and 23%). Pain and discomfort were reported in A and B groups (35 and 32%). Therapies continued to progress better in C (51% improved dental alignment) and B (31% improved malocclusions) groups. Conclusion: Orthodontics is safe and allows during emergencies to postpone checks. Everyday mobile-technology is useful in managing orthodontic patients unable to carry out in-person control. When their effectiveness equals other systems, treatments with clear aligners without attachments should be preferred in patients unavailable for regular checks.

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Occlusion, temporomandibular disorders, and orofacial pain: An evidence-based overview and update with recommendations

Cited by 34 publications

References 157 publications

Os índices de trincas e fraturas em laminados cerâmicos são por razões oclusais? Uma revisão sistemática

Os índices de trincas e fraturas em laminados cerâmicos são por razões oclusais? Uma revisão sistemática

Treatment of Serious Occlusal Instability Associated with Temporomandibular Disorders (TMDs) Through Implant and Dynamic Occlusal Schemes Rehabilitation. A Case Report

Impact of the SARS-Cov2 Pandemic on Orthodontic Therapies: An Italian Experience of Teleorthodontics

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