Fisioterapia na disfunção temporomandibular

OBJECTIVE: To report the performance of Physiotherapy in patients with temporomandibular dysfunction treated in an extension project at the school clinic in Fortaleza. METHODS: This is a retrospective, documental study with a quantitative approach. Data were collected from the medical records of the Clinical School of Physiotherapy of Christus University Center in the city of Fortaleza, from March to December 2015. The collection was done only after approval of the Ethics and Research Committee (CEP) under Opinion no. 1,449,380. The population was composed of all available medical records (17) of patients who participated in the extension project for the treatment of TMD. RESULTS: The majority of users were women and undergraduate students. Main complaints: TMJ pain and masticatory muscles, TMJ noises, limitation of mouth opening and headache. In association with DTM, postural changes and fibromyalgia were found. Orthodontic corrections and use of plaques were the most frequent dental treatments performed by the patients. More than half of the patients achieved significant improvements, such as: reduced muscle and TMJ pain, increased range of motion, postural adjustments, decreased cracking and headache. CONCLUSIONS: The physiotherapeutic intervention was decisive for the control of symptoms and prevention of injuries, providing an improvement of the functionality.OBJETIVO: Avaliar os resultados do tratamento fisioterapêutico em pacientes com disfunção temporomandibular (DTM). MATERIAS E MÉTODOS: Foram coletados dados dos prontuários de uma Clínica Universitária de Fisioterapia na cidade de Fortaleza. Os itens avaliados nos prontuários foram idade, gênero, ocupação, queixa principal, doenças associadas e tratamentos prévios. RESULTADOS: A predominância dos pacientes foi do gênero feminino (76,5%) e estudantes universitários da instituição. Entre as principais queixas encontram-se dor na ATM e músculos mastigatórios, ruídos da ATM, limitação para abertura bucal e cefaléia. Em associação à DTM, foram encontradas principalmente alterações posturais e fibromialgia. Correções ortodônticas e uso de placas foram os tratamentos odontológicos mais realizados pelos pacientes. Mais da metade dos pacientes obtiveram melhoras significativas, como: redução da dor muscular e na ATM, aumento da amplitude de movimento, ajustes posturais, diminuição dos estalidos e da cefaleia. CONCLUSÃO: A intervenção fisioterapêutica foi decisiva para o controle dos sintomas e prevenção de agravos, proporcionando uma melhora da funcionalidade.

Prevalence Of Maxillary Sinus Jaw Mucuous Cysts In University Dental Radiology Service

Background: Mucosal cyst of the maxillary sinus or antral pseudocyst is one of great importance injury, being the pathology that affects more the maxillary sinus. Their discovery, in most cases, it is for the interpretation of the images in routine panoramic radiography. Aims: The research aimed to evaluate the prevalence of mucous cyst in maxillary sinus in radiology clinic at Ceara Federal University. Material and Methods: To this study conduction, were analyzed 1996 panoramic radiographs from a digital file obtained between April 2011 to April 2013 Results:. Aspects as gender, affected side and teeth absence next to the cyst in the respective quadrant were evaluated.It was observed in the sample the occurrence of 45 patients with suggested images of mucous cysts in maxillary sinus,making a prevalence of 2,25%. From them, 26 (57,8%)were female and 19 (42,2%) were male. 48 maxillary sinuswere affected with the wound, from which28 (58,3%) it was in the left side and 20 (41,7%) in the right site. Three patients presented the wound in both sides, what represents 6,7% of the affected patients. From those 48 Mucous retention cyst, 40 (83,3%) were not related to an edentulous area in ipsilateral quadrant and 8 (16,7%) were shown next to an edentulous area. Conclusion: The conclusion was that the cyst of retention mucous in the maxillary sinus had prevalence in males and in the left side of the maxillary sinus. It was not found a relation between the cyst and the edentulous area