Eficácia da placa protrusiva no deslocamento do disco com redução. Uma revisão sistemática
https://orcid.org/0009-0007-1656-7529
David Orlando Calvopiña Nogales
https://orcid.org/0009-0007-7299-2423
Stephanie Marie Jaramillo Chagerben
https://orcid.org/0000-0001-8931-8223
Edgar Humberto Güiza Cristancho
https://orcid.org/0000-0001-6883-8094
Oscar de León Rodríguez
https://orcid.org/0000-0002-0170-0506
Adriana Rodríguez Ciódaro
https://orcid.org/0000-0002-6640-3975
##plugins.themes.bootstrap3.article.details##
Antecedentes: O deslocamento do disco com redução é uma condição da articulação temporomandibular (ATM) caracterizada por sons articulares, dor e mobilidade limitada da mandíbula. Os tratamentos incluem placas protrusivas que buscam reposicionar o disco articular e aliviar os sintomas. Objetivo: Avaliar a eficácia das placas protrusivas no reposicionamento do disco com redução da ATM, diagnosticada por ressonância magnética, por meio de revisão sistemática da literatura. Métodos: Foi realizada uma busca no PubMed, Cochrane Library, Medline e SciELO entre junho e julho de 2021, dos quais foram identificados 10 estudos: 1 ensaio clínico randomizado, 1 revisão sistemática e 8 estudos de coorte. Resultados: Cinco estudos demonstraram sucesso imediato no reposicionamento, com taxas de sucesso de 83 % a 100 %. No entanto, a eficácia diminuiu ao longo do tempo: 75,5 % em 2 semanas, 74,5 % em 2 meses, 25 % para 100 % em 3 meses, 40,6 % para 84,3 % em 6 meses, 75 % ao ano e 53,1 % após 2 anos. Conclusões: As placas protrusivas são eficazes a curto prazo no tratamento desta condição, mas as evidências não são suficientes para determinar a sua eficácia a longo prazo com a ressonância magnética.
articulación temporomandibular, desplazamiento anterior con reducción, oclusión, odontología, placa oclusal, placa protrusiva, prostodoncia, resonancia magnéticaanterior displacement with reduction, dentistry, magnetic resonance, occlusion, occlusal splint, protrusive splint, prosthodontics, emporomandibular jointarticulação temporomandibular, deslocamento anterior com redução, oclusão, odontologia, placa oclusal, placa protrusiva, prótese dentária, ressonância magnética
2. Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015 Mar 15; 91(6): 378-386
3. Liu MQ, Lei J, Han JH, Yap AU, Fu KY. Metrical analysis of disc-condyle relation with different splint treatment positions in patients with TMJ disc displacement. J Appl Oral Sci. 2017 Sep-Oct; 25(5): 483-489. https://doi.org/10.1590/1678-7757-2016-0471
4. Hosgor H, Bas B, Celenk C. A comparison of the outcomes of four minimally invasive treatment methods for anterior disc displacement of the temporomandibular joint. Int J Oral Maxillofac Surg. 2017 Nov; 46(11): 1403-1410. https://doi.org/10.1016/j.ijom.2017.05.010
5. Chantaracherd P, John MT, Hodges JS, Schiffman EL. Temporomandibular joint disorders' impact on pain, function, and disability. J Dent Res. 2015 Mar; 94(3 Suppl): 79S-86S. https://doi.org/10.1177/0022034514565793
6. Pihut M, Gorecka M, Ceranowicz P, Wieckiewicz M. The Efficiency of Anterior Repositioning Splints In The Management Of Pain Related To Temporomandibular Joint Disc Displacement With Reduction. Pain Res Manag. 2018 Feb 21; 2018: 9089286. https://doi.org/10.1155/2018/9089286
7. Zhu H, He D, Yang Z, Song X, Ellis E 3rd. The effect of disc repositioning and post-operative functional splint for the treatment of anterior disc displacement in juvenile patients with Class II malocclusion. J Craniomaxillofac Surg. 2019 Jan; 47(1): 66-72. https://doi.org/10.1016/j.jcms.2018.09.035
8. Lin SL, Wu SL, Huang HT, Lung FW, Chi TC, Yang JW. Can a 10-Minute questionnaire identify significant psychological issues in patients with temporomandibular joint disease? J Oral Maxillofac Surg. 2017 Sep; 75(9): 1856-1865. https://doi.org/10.1016/j.joms.2017.02.024
9. Chen HM, Liu MQ, Yap AU, Fu KY. Physiological effects of anterior repositioning splint on temporomandibular joint disc displacement: a quantitative analysis. J Oral Rehabil. 2017 Sep; 44(9): 664-672. https://doi.org/10.1111/joor.12532
10. Ma Z, Xie Q, Yang C, Zhang S, Shen Y, Abdelrehem A. Can anterior repositioning splint effectively treat temporomandibular joint disc displacement? Sci Rep. 2019 Jan 24; 9(1): 534. https://doi.org/10.1038/s41598-018-36988-8
11. Al-Moraissi EA, Al-Otaibi K, Almaweri AA, Bastos RM, Haas Junior OL, Amran AG. Treatment of painful temporomandibular joint disc displacement without reduction: network meta-analysis of randomized clinical trials. Int J Oral Maxillofac Surg. 2024 Jul; 53(7): 584-595. https://doi.org/10.1016/j.ijom.2024.02.004
12. CASP UK. (n.d.). Critical Appraisal Skills Programme (CASP). Oxford. https://casp-uk.net/
13. Kurita H, Ohtsuka A, Kurashina K, Kopp S. A study of factors for successful splint capture of anteriorly displaced temporomandibular joint disc with disc repositioning appliance. J Oral Rehabil. 2001 Jul; 28(7): 651-657. https://doi.org/10.1046/j.1365-2842.2001.00710.x
14. Simmons HC 3rd, Gibbs SJ. Recapture of temporomandibular joint disks using anterior repositioning appliances: an MRI study. Cranio. 1995 Oct; 13(4): 227-237. https://doi.org/10.1080/08869634.1995.11678073
15. Kurita H, Kurashina K, Ohtsuka A, Kotani A. Change of position of the temporomandibular joint disk with insertion of a disk-repositioning appliance. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Feb; 85(2): 142-145. https://doi.org/10.1016/s1079-2104(98)90416-4
16. Kurita H, Kurashina K, Baba H, Ohtsuka A, Kotani A, Kopp S. Evaluation of disk capture with a splint repositioning appliance: clinical and critical assessment with MR imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Apr; 85(4): 377-380. https://doi.org/10.1016/s1079-2104(98)90060-9
17. Simmons HC 3rd, Gibbs SJ. Initial TMJ disk recapture with anterior repositioning appliances and relation to dental history. Cranio. 1997 Oct; 15(4): 281-295. https://doi.org/10.1080/08869634.1997.11746022
18. Shen P, Chen X, Xie Q, Zhang S, Yang C. Assessment of occlusal appliance for the reposition of temporomandibular joint anterior disc displacement with reduction. J Craniofac Surg. 2019 Jun; 30(4): 1140-1143. https://doi.org/10.1097/SCS.0000000000005210
19. Guo YN, Cui SJ, Zhou YH, Wang XD. An overview of anterior repositioning splint therapy for disc displacement-related temporomandibular disorders. Curr Med Sci. 2021 Jun; 41(3): 626-634. https://doi.org/10.1007/s11596-021-2381-7
20. Fayed MMS, El-Mangoury NH, El-Bokle DN, Belal AI. Occlusal splint therapy and magnetic resonance imaging. World J Orthod. 2004 Summer; 5(2): 133-140
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.