Full text | |
Author(s): |
Reis Vilanova, Larissa Soares
[1]
;
Simek Vega Goncalves, Thais Marques
[1]
;
Pimentel, Marcele Jardim
[1]
;
Bavia, Paula Furlan
[1]
;
Matheus Rodrigues Garcia, Renata Cunha
[1]
Total Authors: 5
|
Affiliation: | [1] Univ Estadual Campinas, Piracicaba Dent Sch, Dept Prosthodont & Periodontol, BR-13414903 Piracicaba, SP - Brazil
Total Affiliations: 1
|
Document type: | Journal article |
Source: | JOURNAL OF PROSTHETIC DENTISTRY; v. 112, n. 6, p. 1330-1336, DEC 2014. |
Web of Science Citations: | 2 |
Abstract | |
Statement of problem. Patients with myofascial pain experience impaired mastication, which might also interfere with their sleep quality. Purpose. The purpose of this study was to evaluate the jaw motion and sleep quality of patients with myofascial pain and the impact of a stabilization device therapy on both parameters. Material and methods. Fifty women diagnosed with myofascial pain by the Research Diagnostic Criteria were enrolled. Pain levels (visual analog scale), jaw movements (kinesiography), and sleep quality (Epworth Sleepiness Scale; Pittsburgh Sleep Quality Index) were evaluated before (control) and after stabilization device use. Range of motion (maximum opening, right and left excursions, and protrusion) and masticatory movements during Optosil mastication (opening, closing, and total cycle time; opening and closing angles; and maximum velocity) also were evaluated. Repeated-measures analysis of variance in a generalized linear mixed models procedure was used for statistical analysis (alpha=.05). Results. At baseline, participants with myofascial pain showed a reduced range of jaw motion and poorer sleep quality. Treatment with a stabilization device reduced pain (P<.001) and increased both mouth opening (P<.001) and anteroposterior movement (P=.01). Also, after treatment, the maximum opening (P<.001) and closing (P=.04) velocities during mastication increased, and improvements in sleep scores for the Pittsburgh Sleep Quality Index (P<.001) and Epworth Sleepiness Scale (P=.04) were found. Conclusion. Myofascial pain impairs jaw motion and quality of sleep; the reduction of pain after the use of a stabilization device improves the range of motion and sleep parameters. (AU) | |
FAPESP's process: | 11/09551-4 - Effect of female hormones on pain sensitivity, bite force and masticatory performance of TMD patients |
Grantee: | Renata Cunha Matheus Rodrigues Garcia |
Support Opportunities: | Regular Research Grants |