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Publication
Avaliação da eficácia do uso de goteira de estabilização oclusal na redução dos sintomas do bruxismo : revisão narrativa
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Abstract(s)
O bruxismo é uma condição comum caracterizada pelo apertamento ou ranger involuntário dos dentes, que pode ocorrer tanto durante o sono quanto em momentos de vigília. Esta desordem funcional está frequentemente associada a uma série de sintomas, como desgaste dentário, dores musculares orofaciais, distúrbios na articulação temporomandibular (DTM) e cefaleias. Ao longo dos anos, várias abordagens
terapêuticas têm sido sugeridas para o controlo do bruxismo, sendo o uso das goteiras de estabilização oclusal uma das intervenções mais amplamente utilizadas na prática clínica.
As goteiras de estabilização oclusal são dispositivos intraorais que redistribuem as forças oclusais, proporcionam o relaxamento muscular e protegem os dentes do desgaste. Estas goteiras têm sido amplamente usadas para o tratamento de bruxismo. Historicamente, o seu uso começou em meados do século XX, com evidências científicas que sugeriam benefícios na redução de dores orofaciais e outros sintomas relacionados ao bruxismo.
No entanto, ainda existem controvérsias sobre a sua real eficácia em casos mais graves e, são necessários mais estudos para consolidar o seu papel terapêutico.
Esta revisão narrativa tem como objetivo avaliar criticamente a eficácia das goteiras de estabilização oclusal na redução dos sintomas do bruxismo, analisando a literatura disponível e discutindo as limitações dos estudos existentes. A importância deste tema reside na alta prevalência do bruxismo na população e no impacto significativo que essa condição tem sobre a saúde oral e a qualidade de vida dos pacientes. Além disso, compreender melhor os mecanismos de ação das goteiras e sua eficácia pode auxiliar na orientação de estratégias terapêuticas mais eficientes.
Bruxism is a common condition characterized by involuntary teeth clenching or grinding, which can occur both during sleep and wakefulness. This functional disorder is often associated with a range of symptoms, such as tooth wear, orofacial muscle pain, temporomandibular joint (TMJ) disorders, and headaches. Over the years, various therapeutic approaches have been suggested for the management of bruxism, with occlusal stabilization splints being one of the most widely used interventions in clinical practice. Occlusal stabilization splints are intraoral devices that redistribute occlusal forces, provide muscle relaxation, and protect teeth from wear. These splints have been widely used for bruxism treatment. Historically, their use began in the mid-20th century, with scientific evidence suggesting benefits in reducing orofacial pain and other bruxismrelated symptoms. However, there are still controversies regarding their real effectiveness in more severe cases, and further studies are needed to consolidate their therapeutic role. This narrative review aims to critically evaluate the effectiveness of occlusal stabilization splints in reducing bruxism symptoms by analyzing the available literature and discussing the limitations of existing studies. The importance of this topic lies in the high prevalence of bruxism in the population and the significant impact this condition has on oral health and patients’ quality of life. Moreover, a better understanding of the mechanisms of action and efficacy of these splints can help guide more efficient therapeutic strategies.
Bruxism is a common condition characterized by involuntary teeth clenching or grinding, which can occur both during sleep and wakefulness. This functional disorder is often associated with a range of symptoms, such as tooth wear, orofacial muscle pain, temporomandibular joint (TMJ) disorders, and headaches. Over the years, various therapeutic approaches have been suggested for the management of bruxism, with occlusal stabilization splints being one of the most widely used interventions in clinical practice. Occlusal stabilization splints are intraoral devices that redistribute occlusal forces, provide muscle relaxation, and protect teeth from wear. These splints have been widely used for bruxism treatment. Historically, their use began in the mid-20th century, with scientific evidence suggesting benefits in reducing orofacial pain and other bruxismrelated symptoms. However, there are still controversies regarding their real effectiveness in more severe cases, and further studies are needed to consolidate their therapeutic role. This narrative review aims to critically evaluate the effectiveness of occlusal stabilization splints in reducing bruxism symptoms by analyzing the available literature and discussing the limitations of existing studies. The importance of this topic lies in the high prevalence of bruxism in the population and the significant impact this condition has on oral health and patients’ quality of life. Moreover, a better understanding of the mechanisms of action and efficacy of these splints can help guide more efficient therapeutic strategies.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Bruxismo Goteiras oclusais de estabilização Dispositivo oclusal Disfunção temporomandibular Dor orofacial