La eficiencia de la aguja seca en el tratamiento del DTM: reporte de caso clínico

Autores/as

DOI:

https://doi.org/10.33448/rsd-v10i3.13131

Palabras clave:

Trastorno temporomandibular; Punción seca; Dolor orofacial.

Resumen

El propósito de este artículo es reportar un caso clínico de un paciente con trastorno temporomandibular muscular (TTM), evaluando la efectividad de la punción seca como tratamiento. El estudio se llevó a cabo en una clínica odontológica de educación superior, donde se evaluó al paciente con el fin de completar un diagnóstico correcto, complementando con el uso de agujas secas. Una paciente de 38 años refirió dolor en toda la región de los músculos faciales, donde era más pronunciado en la región parótida-maseteriana, con extensión a la región temporal. Tras realizar la evaluación además de las pruebas de percusión y palpación, se diagnosticó a la paciente de dolor miofascial diseminado, además de cefalea atribuida a TTM bilateralmente. Como abordaje terapéutico se realizó la técnica de punción seca, además de la orientación de la Terapia Cognitivo Conductual, ya que el paciente refirió tener hábitos parafuncionales. Las técnicas empleadas produjeron una mejoría efectiva para el paciente, donde informa sentir un alivio de los dolores musculares al realizar una punción seca.

Citas

Alamoudi, N., Farsi, N., Salako, N. O., & Feteih, R. (1998). Temporomandibular disorders among school children. The Journal of clinical pediatric dentistry, 22(4), 323–328.

Alencar, J. F. G. (2005). Occlusion, orofacial pain and headache. Sao Paulo: Santos

Alencar, F., Jr, & Becker, A. (2009). Evaluation of different occlusal splints and counselling in the management of myofascial pain dysfunction. Journal of oral rehabilitation, 36(2), 79–85. https://doi.org/10.1111/j.1365-2842.2008.01913.x

Almeida, L. H. M., Farias, A. B. L., Soares, M. S. M., Cruz, J. S. A., Cruz, R. E. S., Lima, M. G. (2008). Temporomandibular disorder in the elderly. Journal of the Faculty of Dentistry –UPF, 13 (1): 35-8

Anderson, G. C., John, M. T., Ohrbach, R., Nixdorf, D. R., Schiffman, E. L., Truelove, E. S., & List, T. (2011). Influence of headache frequency on clinical signs and symptoms of TMD in subjects with temple headache and TMD pain. Pain, 152(4), 765–771. https://doi.org/10.1016/j.pain.2010.11.007

Battistella, C. B., Guimarães, T, B., Quaglio, C. L. et al. (2016). Axis II biopsychosocial factors of the Diagnostic Criteria for Researching Temporomandibular Disorders in individuals with muscle and migraine temporomandibular disorders. Rev. Pain, São Paulo, v. 17, n. 1, p. 19-23

Bendtsen L. Central sensitization in tension-type headache--possible pathophysiological mechanisms. Cephalalgia. 2000 Jun;20(5):486-508. doi: 10.1046/j.1468-2982.2000.00070.x. PMID: 11037746.

Bevilaqua-Grossi, D., Lipton, R. B., Napchan, U., Grosberg, B., Ashina, S., & Bigal, M. E. (2010). Temporomandibular disorders and cutaneous allodynia are associated in individuals with migraine. Cephalalgia : an international journal of headache, 30(4), 425–432. https://doi.org/10.1111/j.1468-2982.2009.01928.x

Biasotto-Gonzalez, D. A. (2005). Interdisciplinary approach to temporomandibular disorders. Sao Paulo: Manole

Buchgreitz, L., Lyngberg, A. C., Bendtsen, L., & Jensen, R. (2006). Frequency of headache is related to sensitization: a population study. Pain, 123(1-2), 19–27. https://doi.org/10.1016/j.pain.2006.01.040

Buchgreitz L, Lyngberg AC, Bendtsen L, Jensen R. Increased pain sensitivity is not a risk factor but a consequence of frequent headache: a population-based follow-up study. Pain. 2008 Jul 31;137(3):623-630. doi: 10.1016/j.pain.2007.10.023. Epub 2007 Dec 3. PMID: 18061350.

Carlsson, G., Le Reseche, L., (1995). Epidemiology of temporomandibular disorders. In: Sessle B, Bryant P, Dionne R. Progress in pain research and management. IASP Press 1995; 211-226.

Ciancaglini, R., & Radaelli, G. (2001). The relationship between headache and symptoms of temporomandibular disorder in the general population. Journal of dentistry, 29(2), 93–98. https://doi.org/10.1016/s0300-5712(00)00042-7

Correia, F. A. S. (1991). Prevalence of symptomatology in temporomandibular joint disorders and its relationship with age, sex and tooth loss. Sao Paulo: University of Sao Paulo

Machado, E., Machado, P., Wandscher, V. F., Marchionatti, A., Zanatta, F. B., & Kaizer, O. B. (2018). A systematic review of different substance injection and dry needling for treatment of temporomandibular myofascial pain. International journal of oral and maxillofacial surgery, 47(11), 1420–1432. https://doi.org/10.1016/j.ijom.2018.05.003

Felício, C. M., Mazzetto, M. O., Bataglion, C., Silva, M. A. M. R., Hotta, T. H. (2003). Temporomandibular disorder: analysis of the frequency and severity of signs and symptoms before and after the occlusion plaque. J. Bras. Ortodont. Ortop. Facial, v. 8, n.43, p.48-57

Gonçalves DA, Camparis CM, Speciali JG, Franco AL, Castanharo SM, Bigal ME. Temporomandibular disorders are differentially associated with headache diagnoses: a controlled study. Clin J Pain. 2011 Sep;27(7):611-5. doi: 10.1097/AJP.0b013e31820e12f5. PMID: 21368664.

Graff-Radford S. B. (2007). Temporomandibular disorders and headache. Dental clinics of North America, 51(1), 129–vii. https://doi.org/10.1016/j.cden.2006.09.005

Greene, C. S., Klasser, G. D., Epstein, J. B. (2010) Revision of the American Association of Dental Research’s Science information statement about temporomandibular disorders. J Can Dent Assoc, Ottawa, v. 76, a115

Haley, D., Schiffman, E., Baker, C., & Belgrade, M. (1993). The comparison of patients suffering from temporomandibular disorders and a general headache population. Headache, 33(4), 210–213. https://doi.org/10.1111/j.1526-4610.1993.hed33040210.x

LeResche, L., Saunders, K., Von Korff, M. R., Barlow, W., & Dworkin, S. F. (1997). Use of exogenous hormones and risk of temporomandibular disorder pain. Pain, 69(1-2), 153–160. https://doi.org/10.1016/s0304-3959(96)03230-7

LeResche, L., Mancl, L., Sherman, J. J., Gandara, B., & Dworkin, S. F. (2003). Changes in temporomandibular pain and other symptoms across the menstrual cycle. Pain, 106(3), 253–261. https://doi.org/10.1016/j.pain.2003.06.001 .

Liljeström, M. R., Jämsä, A., Le Bell, Y., Alanen, P., Anttila, P., Metsähonkala, L., Aromaa, M., & Sillanpää, N. (2001). Signs and symptoms of temporomandibular disorders in children with different types of headache. Acta odontologica Scandinavica, 59(6), 413–417. https://doi.org/10.1080/000163501317153284.

Lupoli, T. A., & Lockey, R. F. (2007). Temporomandibular dysfunction: an often overlooked cause of chronic headaches. Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 99(4), 314–318. https://doi.org/10.1016/S1081-1206(10)60546-7

Mor, N., Tang, C., & Blitzer, A. (2015). Temporomandibular Myofacial Pain Treated with Botulinum Toxin Injection. Toxins, 7(8), 2791–2800. https://doi.org/10.3390/toxins7082791 .

Pettengill, C. A., Growney, M. R., Jr, Schoff, R., & Kenworthy, C. R. (1998). A pilot study comparing the efficacy of hard and soft stabilizing appliances in treating patients with temporomandibular disorders. The Journal of prosthetic dentistry, 79(2), 165–168. https://doi.org/10.1016/s0022-3913(98)70211-2

Portero, P. P., Kern, R., Kusma, S. Z., Grau-Grullón, P. (2009). Occlusal plaques in the treatment of temporomandibular disorders (TMD). Gestão & Saúde Magazine, Curitiba, v. 1, n. 1, p. 36-40

Ramjord, S. I., Ash, M. (1984). Occlusion. Rio de Janeiro: Inter-American

Ramos, H. A. D. (1992). Signs and symptoms of painful temporomandibular joint disorders. Dental Cad Doc, 34(2), 252-255.

Schiffman, E., Haley, D., Baker, C., & Lindgren, B. (1995). Diagnostic criteria for screening headache patients for temporomandibular disorders. Headache, 35(3), 121–124. https://doi.org/10.1111/j.1526-4610.1995.hed3503121.x

Svensson P. (2007). Muscle pain in the head: overlap between temporomandibular disorders and tension-type headaches. Current opinion in neurology, 20(3), 320–325. https://doi.org/10.1097/WCO.0b013e328136c1f9

Tesch, R. S., Macedo, L., Fernandes, F. S., Goffredo Filho, G. S., & Goes, C. (2019). Effectiveness of dry needling on the local pressure pain threshold in patients with masticatory myofascial pain. Systematic review and preliminary clinical trial. Cranio : the journal of craniomandibular practice, 1–9. Advance online publication. https://doi.org/10.1080/08869634.2019.1588518

Thilander, B., Rubio, G., Pena, L., Mayorga, C. (2002) Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. Angle Orthod, 72(2): 146-154.

Winocur, E., Emodi-Perlman, A., Finkelstein, T., Sharabi-Ventura, Y., & Gavish, A. (2003). Refu'at ha-peh veha-shinayim (1993), 20(1), 62–82.4

Yap, A. U., Tan, K. B., Chua, E. K., & Tan, H. H. (2002). Depression and somatization in patients with temporomandibular disorders. The Journal of prosthetic dentistry, 88(5), 479–484. https://doi.org/10.1067/mpr.2002.129375

Descargas

Publicado

11/03/2021

Cómo citar

OLIVEIRA, A. S. de .; MAIA , I. H. T. .; RIFANE , T. O. .; SILVESTRE , F. A. .; FREITAS , B. de F. B. de .; PICANÇO, P. R. B. .; FEITOSA , V. P. .; LEITÃO, A. K. A. . La eficiencia de la aguja seca en el tratamiento del DTM: reporte de caso clínico. Research, Society and Development, [S. l.], v. 10, n. 3, p. e16810313131, 2021. DOI: 10.33448/rsd-v10i3.13131. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/13131. Acesso em: 30 jun. 2024.

Número

Sección

Ciencias de la salud