Relaxation Splints as Teraphy in Parkinson's Disease

Abstract

Narav ove sporo progresirajuće, degenerativne bolesti središnjeg živčanog sustava je takva da uvelike mijenja i onemogućava normalan život bolesnika. Napadanjem motornog sustava otežava kretanje, govor te svakodnevne kretnje što na oboljele ne utječe samo fizički, već i psihički. Udlage kao terapija se rabe kod simptomatologije temporomandibularnoga zgloba, boli, dislokacija, otežanog otvaranja itd. Posljedični tremor kod Parkinsonove bolesti utječe na mastikatorne mišiće, a time posljedično i na temporomandibularni zglob. Oboljeli imaju problema s govorom, nesanice koje su posljedica osjećaja boli u temporomanidibularnom zglobu. Pacijentima je napravljena relaksacijska udlaga koju su nosili po danu i svakako noću. Nakon nošenja udlage 7 - 10 dana pacijentima je ponovo uzeta anamneza te isto tako nakon mjesec dana. Dio pacijenata navodi poboljšanje u vidu nekadašnjih simptoma, poput glavobolje, mučnine, nesanice, poboljšanja govora i kretanja. Dio pacijenata navodi da nisu primijetili promjene. Razloga je više: od pogoršanje primarne bolesti do nenošenja udlage. Ovim istraživanjem se pokazalo da relaksacijske udlage u centriku mogu pomoći oboljelima od Parkinsonove bolesti na način da ublažavaju simptome bolesti. Pri tome treba uzeti u obzir da je svaki pacijent individua za sebe te nošenje udlage neće dati pozitivne rezultate kod svih pacijenata. Bilo kakvo poboljšanje koje se postigne ovakvom terapijom mora nam biti motivacija za pomaganje oboljelima od ove teške bolesti.This degenerative disease of central nervous system can change the way patients live. The symptoms are visible in the motor system of the body, so activities such as talking and walking are compromised every day. Splints are used in dentistry when severe tempomandibular pain and dislocations are treated. Symptoms like pain, insomnia and speach and movement problems can be found in patients with Parkinson's. Patients get the relaxation splint and they are informed to wear it by day and by night. After 7 to 10 days, the evaluation is done and the same evaulation is repeated after one month. Most of the patients claim that they feel better, that the symptoms disappeared, that they can talk and walk better, that they don't have headache or nausea anymore and that they can sleep normally. Some of the patients claim that they don't feel better and that there is no change in their state. The reason for that is that their primary disease is getting worse and that they don't wear their splints. This research shows us that relaxation splints can help patients with Parkinson's and as every patient is an individual we need to know that they won't help everyone, but every positive result must be our motivation as dentists to help patients with Parkinson's