The effect of experimental balancing interferences on masticatory performance

Eberhard, Lydia; Braun, Simone; Wirth, Andrea; Schindler, H. J.; Hellmann, Daniel; Giannakopoulos, Nikolaos Nikitas

doi:10.1111/joor.12150

Cited by 16 publications

(25 citation statements)

References 28 publications

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“…Die propriozeptiven Mechanorezeptoren der Zähne sind sehr empfindlich und übermitteln daher bei normalem Zahnkontakt von Piekartz H. Orofaziale Behandlung von "Overhead Athletes" mit lang wierigem Schulterproblem (GIRD-Syndrom)... Manuelle Therapie 2017; 21: 73-81 (schlucken, beißen, bewusster Zahnkontakt) außerordentlich detaillierte Informationen an den Hirnstamm und den somatosensorischen Kortex [18]. Daraufhin werden motorische Engramme fazilitiert, die die motorische Aktivität verschiedener Muskelketten wie den Muskeln des Kauapparats und der Wirbelsäule auslösen [5]. Bei Dysfunktionen des orofazialen Systems (z.…”

Section: Funktion Des Zahnkontakts In Bezug Auf Die Motorischen Aktivunclassified

“…Damit lassen sich möglicherweise parafunktionale Aktivitäten wie Zähneknirschen (Bruxismus) und "Drücken" oder besser Bracing (Pressen) erklären. Klinische Untersuchungen beobachten auch regelmäßig, dass das Tragen einer Dentalschiene während des Tages einen Einfluss auf die physiologische Bewegung des Nackens und auch auf Nackenschmerzen und das Gleichgewicht haben kann [5].…”

Section: Funktion Des Zahnkontakts In Bezug Auf Die Motorischen Aktivunclassified

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Orofaziale Behandlung von „Overhead Athletes“ mit langwierigem Schulterproblem (GIRD-Syndrom) – Multidisziplinäre Zusammenarbeit zwischen spezialisiertem Manualtherapeuten und Zahnarzt

Piekartz

Ruinemans²

2017

manuelletherapie

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Zusammenfassung Viele ?Overhead Athletes? leiden am Glenohumeral Internal Rotation Deficit Syndrome (GIRD; glenohumerales Innenrotationsdefizit). Die persistierenden Schulterbeschwerden werden durch ?berbelastung im oberen Quadranten verursacht. Bislang ist der Einfluss der orofazialen Region und der dentalen Okklusion auf die (motorische) Funktion bei den betroffenen Patienten nicht systematisch erforscht. Diese Fallserie untersuchte bei (semi)professionellen Overhead Athletes die Einschr?nkung ihrer Innen- und Au?enrotation sowie der statischen Kraft in 4 Bewegunsrichtungen. Aufgrund der Resultate wurde aus der 1. Gruppe eine 2. Gruppe gebildet, die 3 manualtherapeutische Behandlungen und anschlie?end eine Dentalschiene erhielt. Die multidisziplin?re Behandlung durch den Zahnarzt und einen (spezialisierten) Manualtherapeuten reduzierte signifikant die Beschwerden und Dysfunktionen. Eine orofaziale klinische Diagnose nach den Richtlinien der Diagnostic Criteria/Temporomandibular Dysfunctions (DC/TDM) und der okklusale kin?sthetische Sensibilisierungstest (OKST) scheinen prognostische Indikatoren f?r die Behandlung des GIRD-Syndroms zu sein.

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Section: Funktion Des Zahnkontakts In Bezug Auf Die Motorischen Aktivunclassified

Orofaziale Behandlung von „Overhead Athletes“ mit langwierigem Schulterproblem (GIRD-Syndrom) – Multidisziplinäre Zusammenarbeit zwischen spezialisiertem Manualtherapeuten und Zahnarzt

Piekartz

Ruinemans²

2017

manuelletherapie

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“…24,25 The functional significance of occlusal disorders for the masticatory system has been extensively studied, primarily because of the idea that they may have an undesirable effect on the dentofacial system. 26 Various electrophysiological and video-fixing techniques have been proposed for the dynamic study of the chewing function. [27][28][29] The restoration of occlusal surfaces, by definition, is accompanied by the restructuring of the chewing link of the dentition.…”

Section: Introductionmentioning

confidence: 99%

Change in the Dominant Side of Chewing as a Serious Factor for Adjusting the Prophylaxis Strategy for Implant-Supported Fixed Dental Prosthesis of Bounded Lateral Defects

et al. 2020

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Objective The main purpose of this article is to study the effect of a change in the dominant side of chewing after prosthetics with fixed structures on implants on the main indicators of osseointegration, adaptation to dentures, and the clinical dental status of patients. Materials and Methods In a clinical trial, an analysis was made of the adaptation of 64 patients to intraosseous implant-supported fixed dentures and 56 apparently healthy volunteers. The examination complex included determination of the functionally dominant side of chewing, gnathodynamometry and electromyography indicators of masticatory muscles, and radiological osseointegration criteria. The overall treatment outcomes were evaluated using a visual analogue scale and an objective medical questionnaire, “Prognosis of Adaptation to Orthopedic Structures.” Results Patients were divided into two subgroups: with a change in the dominant side of chewing after completion of orthopaedic treatment (40 cases) and without a change in the dominant side of chewing (24 cases). In the second subgroup of patients, in contrast to the first subgroup, relatively better indicators of gnathodynamometer and electromyography were observed. So, in the first group, gnathodynamometry indicators on the dominant side were 255.7 N and in the second group 225 N after 9 to 12 months. Electromyography indices amounted to (198.5 μV s) to (166.3 μV s) after 9 to 12 months. Bone density remained at the required level, and overall treatment outcomes were higher. Namely, the compact plate of the alveolar ridge was preserved, and the condition of the bone tissue around the implants testified to stable osseointegration. The participation of surface masticatory muscles in adaptation of patients to intraosseous implant-supported fixed orthopaedic structures and the necessity and importance of changing the dominant chewing side for the general outcomes of orthopaedic treatment have been discussed. Conclusions It has been established that a change in the functionally dominant chewing side is accompanied by relatively unstable indicators of chewing function, which is combined with increased loads on the installed prostheses during 3 to 6 months of adaptation. This must be taken into account when planning an individual patient adaptation complex for dental orthopaedic structures.

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“…3 Diversos fatores estão envolvidos na etiologia como os distúrbios oclusais (perdas dentárias, desgaste dental, restaurações inadequadas), psicológicos (a tensão aumenta a atividade muscular causando espasmo e fadiga), hábitos parafuncionais (bruxismo, onicofagia, apoio da mão na mandíbula, sucção digital ou de chupeta), lesões traumáticas ou degenerativas, má postura, fatores estruturais e neuromusculares. 4, 5,6 A dor é o sintoma mais comum dessa desordem e, por ser complexa, requer a avaliação de aspectos biológicos, estruturais, funcionais, emocionais, cognitivos e comportamentais. Embora existam dificuldades para selecionar instrumentos adequados para a averiguação do nível de dor, é importante avaliá-la identificando a gênese, manutenção ou exacerbação, a fim de orientar na decisão dos procedimentos terapêuticos.…”

Section: Introductionunclassified

Avaliação dos diferentes protocolos de tratamento da Disfunção Temporomandibular miogênica: Revisão de Literatura

Rodrigues¹,

Cabral²,

Lima³

et al. 2018

Rev. Fac. Odontol. Lins

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Introdução: A síndrome dolorosa miofascial (SDMf) é definida como disfunção neuromuscular caracterizada pela presença de contratura muscular e sintomotologia. Devido ao carácter multifatorial, vários tratamentos, isolados ou concomitantes, são indicados para essa disfunção. Apesar de diversos estudos disponíveis na literatura sobre essas modalidades de terapia, esses são pouco conclusivos. Objetivo: Revisar a literatura apresentando os diferentes tipos de tratamentos empregados para SDMf. Materiais e Métodos: A estratégia de busca foi realizada na base de dados do Pubmed, Scielo e Cochrane por meio dos seguintes descritores: Temporomandibular Joint Disorders, Myofascial Pain Syndromes, treatment, Randomized Controlled Trial. A avaliação dos estudos foi realizada em duas etapas por revisores independentes. Na primeira etapa, os títulos e resumos foram investigados e aqueles que apresentassem os critérios de elegibilidade eram selecionados. Na segunda etapa, os artigos foram lidos na íntegra e posteriormente incluídos conforme o consenso dos dois revisores baseando-se nos critérios de inclusão e exclusão. Resultados: 100 citações foram identificadas e 43 lidas na íntegra. 8 artigos reuniram os critérios de elegibilidade. Diversos tratamentos foram abordados como orientações ao paciente, tratamento fisioterapêutico, odontológico e terapia medicamentosa. Conclusão: As terapias como as orientações, treinamento com relaxamento muscular, exercícios da mandíbula, manipulação facial, terapia com placa oclusal, toxina botulínica, acupuntura são eficazes no controle da dor miofascial.

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The effect of experimental balancing interferences on masticatory performance

Cited by 16 publications

References 28 publications

Orofaziale Behandlung von „Overhead Athletes“ mit langwierigem Schulterproblem (GIRD-Syndrom) – Multidisziplinäre Zusammenarbeit zwischen spezialisiertem Manualtherapeuten und Zahnarzt

Orofaziale Behandlung von „Overhead Athletes“ mit langwierigem Schulterproblem (GIRD-Syndrom) – Multidisziplinäre Zusammenarbeit zwischen spezialisiertem Manualtherapeuten und Zahnarzt

Change in the Dominant Side of Chewing as a Serious Factor for Adjusting the Prophylaxis Strategy for Implant-Supported Fixed Dental Prosthesis of Bounded Lateral Defects

Avaliação dos diferentes protocolos de tratamento da Disfunção Temporomandibular miogênica: Revisão de Literatura

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