The use of the Front Plateau anterior partial interocclusal device in the management of temporomandibular disorders: a pilot study
O uso do dispositivo interoclusal parcial anterior Front Plateau no manejo das disfunções temporomandibulares: um estudo piloto
Brender Leonan-Silva; Ana Claúdia Oliveira Teles; Renata Karla Silva; Adriana Silva Torres; Dhelfeson Willya Douglas de Oliveira; Olga Dumont Flecha
Abstract
BACKGROUND AND OBJECTIVES: The partial occlusal splints, such as the Front Plateau, a device that involves the anterior teeth (from canine to canine), have been used by some professionals as an alternative to the full-coverage rigid occlusal splints due to the ease and time involved in their manufacturing. However, there is little evidence of its mechanism of action. Therefore, the aim of this study was to evaluate the effectiveness of the Front Plateau associated with the counseling therapy in controlling chronic myalgia associated with Temporomandibular Disorders (TMDs).
METHODS: This pilot study conducted with 10 patients with chronic myalgia related to TMDs. Two groups were assessed (G1: Front Plateau with the counseling therapy; G2: the counseling therapy only) with a follow-up of 3 months. Pain levels, quality of life and stress were assessed. A p<0.05 was considered statistically significant.
RESULTS: Among the 10 patients assessed, 80% (n=8) were female. None of the variables evaluated showed statistically significant results (p<0.05). However, the numerical pain assessment scale of the group that received the Front Plateau with the counseling therapy (G1) showed relevant clinical results, going from 8.00±1.22 (Mean±SD) at baseline to 4.2±1.79 (Mean±SD) after 3 months.
CONCLUSION: The Front Plateau with the counseling therapy seems to be a clinically viable alternative for controlling chronic myalgias related to TMDs. However, future clinical trials are needed to assess its applicability by professionals in the field.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: As placas oclusais parciais, como o Front Plateau, dispositivo que envolve os dentes anteriores (de canino a canino), têm sido utilizadas por alguns profissionais como alternativa às placas oclusais rígidas de cobertura total, devido à facilidade e ao tempo envolvido na sua confecção. Apesar disso, existem poucas evidências sobre o seu mecanismo de ação. Assim, o objetivo desse estudo foi avaliar a eficácia do Front Plateau associado a orientações no controle de mialgias crônicas associadas às Disfunções Temporomandibulares (DTMs).
MÉTODOS: Estudo piloto realizado com 10 pacientes com mialgias crônicas relacionadas às DTMs. Foram avaliados dois grupos (G1: Front Plateau com orientações; G2: apenas orientações) por um período de 3 meses. Foram avaliados os níveis de dor, a qualidade de vida e o estresse. Um valor de p<0,05 foi considerado estatisticamente significativo.
RESULTADOS: Dos 10 pacientes avaliados, 80% (n=8) eram do sexo feminino. Nenhuma das variáveis avaliadas apresentou resultados estatisticamente significativos (p<0,05). No entanto, a escala numérica de avaliação da dor do grupo que recebeu o Front Plateau associado às orientações (G1) apresentou resultados clínicos relevantes, passando de 8,00±1,22 (Média±DP) no Baseline para 4,2±1,79 (Média±DP) após 3 meses.
CONCLUSÃO: O Front Plateau associado às orientações parece ser uma alternativa clinicamente viável para o controle das mialgias crônicas relacionadas com as DTMs. No entanto, são necessários futuros ensaios clínicos para avaliar a sua aplicabilidade pelos profissionais da área.
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References
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Submitted date:
08/31/2024
Accepted date:
11/13/2024
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