Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.63231/2595-0118.20250017-en
Brazilian Journal of Pain
Artigo de Revisão

O emprego da proloterapia nas disfunções temporomandibulares

The use of prolotherapy in temporomandibular disorders

Eduardo Grossmann; Rodrigo Lorenzi Poluha

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Resumo

JUSTIFICATIVA E OBJETIVOS: A busca por tratamentos minimamente invasivos para disfunções temporomandibulares (DTM) tem crescido nos últimos anos. A proloterapia, que utiliza soluções irritantes para induzir inflamação controlada e regeneração tecidual, surge como alternativa promissora. Este artigo analisa seus mecanismos de ação, indicações, contraindicações, fórmulas de aplicação e resultados clínicos.

CONTEÚDO: Nos últimos anos, pesquisas têm se concentrado em tratamentos clínicos e minimamente invasivos para as DTM, assim como quando e como empregá-los. A proloterapia destaca-se como uma abordagem minimamente invasiva, de baixo custo, realizada sob anestesia local, replicável e com baixa morbidade. Sua aplicação visa aliviar ou eliminar a dor e a DTM, sendo uma opção promissora nesses casos.

CONCLUSÃO: A proloterapia, baseada no uso de dextrose em diferentes concentrações, apresenta resultados encorajadores no tratamento das disfunções da articulação temporomandibular (DTM), especialmente em casos de dor miofascial, hipermobilidade articular e deslocamento do disco com redução. Ao estimular a regeneração tecidual e estabilizar a articulação temporomandibular (ATM), a técnica oferece uma alternativa menos invasiva com resultados duradouros. Contudo, é fundamental que mais estudos sejam conduzidos para padronizar protocolos, além de explorar de forma mais detalhada as indicações e contraindicações específicas.

Palavras-chave

Articulação temporomandibular, Disfunção temporomandibular, Proloterapia

Abstract

BACKGROUND AND OBJECTIVES: The search for minimally invasive treatments for temporomandibular disorders (TMD) has increased in recent years. Prolotherapy, which uses irritant solutions to induce controlled inflammation and tissue regeneration, has emerged as a promising alternative. This article reviews its mechanisms of action, indications, contraindications, application formulas, and clinical outcomes.

CONTENTS: In recent years, research has focused on clinical and minimally invasive treatments for TMD, as well as on determining when and how to apply them effectively. Prolotherapy stands out as a minimally invasive approach that is cost-effective, performed under local anesthesia, replicable, and associated with low morbidity. Its application aims to relieve or eliminate pain and joint dysfunction, making it a promising option in such cases.

CONCLUSION: Prolotherapy, based on the use of dextrose in varying concentrations, has shown encouraging results in the treatment of Temporomandibular Disorders (TMD), particularly in cases of myofascial pain, joint hypermobility, and disc displacement with reduction. By promoting tissue regeneration and stabilizing the temporomandibular joint (TMJ), this technique offers a less invasive alternative with long-lasting results. However, further studies are essential to standardize treatment protocols and to explore its specific indications and contraindications in more detail.

Keywords

Temporomandibular joint, Temporomandibular dysfunction, Prolotherapy

Referências

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