1,721,069 research outputs found
Efficacia dell’osteopatia nella gestione dei disordini temporomandibolari: studio pilota
No full textScopo del lavoro. La gestione dei TMD comprende un gran numero di alternative
terapeutiche; a causa della loro eziologia multifattoriale risulta però impossibile ad
oggi individuare un piano di trattamento univoco, che si adatti a tutti i pazienti. Le
linee guida dell’American Dental Association affermano che qualunque sia il tipo di
intervento, esso deve essere reversibile e conservativo; la terapia manuale osteopatica
soddisfa questi requisiti. L’obiettivo di questo studio è quello di valutarne l’efficacia e
stabilire se l’Osteopatia può essere considerata una valida alternativa terapeutica in
questo campo.
Materiali e metodi. Per questo studio sono stati arruolati 22 soggetti con TMD, i
quali prima e dopo il trattamento osteopatico sono stati valutati dal punto di vista
gnatologico tramite questionari RDC-TMD ed esame clinico. Si è infine proceduto a un
confronto tra i dati iniziali e quelli successivi alla terapia.
Risultati. I risultati del presente studio mostrano l’efficacia del trattamento osteopatico
sia nell’alleviare la sintomatologia dolorosa (valutata tramite scala analogica del dolore,
VAS), sia nel recupero della mobilità mandibolare.
Conclusioni. Alla luce dei risultati clinici ottenuti, l’Osteopatia può essere considerata
un valido supporto nella gestione dei disordini temporomandibolari
Esperienza di team building: costruzione di una squadra efficace in un Corso di laurea in Igiene Dentale
No full textObiettivi: far conoscere in modo più profondo, aumentare la fiducia nei propri colleghi, migliorare il livello di collaborazione, stimolare la creatività, favorire la comunicazione tra studenti e tutor e studenti e studenti di un Corso di Laurea in Igiene Dentale. Materiali e metodi: realizzazione di una giornata di Team Building in un setting outdoor. Risultati: 32 studenti, tutor e Coordinatore didattico nel Parco del Castello di Pavia si sono messi in gioco parlando di sé, partecipando a team game e fasi di debriefing. Conclusioni: l’esperienza formativa ha permesso di trasformare un gruppo di studenti e tutor in una squadra.Objectives: Aims of the study were improving acquaintance; confidence, cooperation, communication, creativity, out of all tutors and students, and students and students of Dental Hygiene Degree Program. Materials and methods: realize a Team Building outdoor experience. Results: 32 students, tutors and the Coordinator in the Pavia Castle Park put themselves in the game speaking of themselves, taking part in team games debriefing. Conclusions: the teaching experience allowed to transform a tutor and student group in a high-performance team
[Response to environmental conditions of extreme driving by the human organism and the stomatognathic apparatus].
No full textSleep quality evaluation in patients with temporomandibular disorders
No full textAims The present study psychometrically assessed clinical profiles of subjective sleep quality in patients with temporomandibular disorders (TMD) using the Pittsburgh Sleep Quality Index (PSQI), one of the most widely used standardized measures to evaluate subjective sleep quality, that generates a global score and scores seven components: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. Materials and Methods The PSQI was administered to 227 consecutive patients at the first visit. The visits were conducted by the same operator and the diagnosis was performed following the Research Diagnostic Criteria for temporomandibular disorders (RDC/TMD).
Results 56.83% of the patients could be classified as poor sleepers. To investigate possible associations among sleep quality and psychological distress, the good and the poor sleepers’ mean scores on the Axis II of the RDC/TMD variables were compared. All the differences were found to be statistically significant. A multiple-regression analysis was performed to identify the strongest independent predictors of total sleep quality. The depression score emerged as the strongest overall. Conclusions The data suggest that poor sleepers experience more severe psychological symptoms than good sleepers and confirm the frequent comorbidity of reported sleep disturbance and psychological symptoms in TMD patients
Oral appliance treatment for obstructive sleep apnoea in a patient with severe dental condition: case report
No full textAim. Obstructive sleep apnea (OSA) is a chronic
disorder of sleep and breathing characterized by recurrent
obstruction of the upper airway. Oral appliances
can be recommended to treat moderate-severe
OSA when nasal continuous positive airway pressure
(nCPAP) treatment is not tolerated. Insufficient
number of teeth in maxillary and mandibular jaws is
considered a contraindication to oral appliance therapy.
The purpose of this case presentation is to report
the use and results of a modified mandibular advancement
device (MAD) as complete denture in an edentulous
upper jaw patient with a severe OSA.
Methods. A 77-year-old male patient was referred
from the Neurological Institute “C. Mondino” with a
history of snoring and excessive daytime sleepness
to evaluate the chance of a MAD treatment. An overnight
polysomnography revealed an apnea/hypopnea
index (AHI) of 30,5 events per hour of sleep always
supine with a lowest oxygen saturation of 71%,
an average oxygen saturation of 90,9%, an oxygen
desaturation index of 29,5 and a time with saturation
under 90% of 18.7%. The patient had a severe dental
condition: complete edentulous on the upper jaw and 9
teeth remaining on the lower.
A SomnoDent® Flex Edentulous was prepared for the
patient. Upper Edentulous splint covers the palate in the
same way as a full upper denture. The minimum number
of teeth required on the lower arch may vary based
on the patient’s dentition. Advantages:
— Full range of mouth opening
— Superior retention and comfort
— Easily adjustable.
The mandibular part was designed as a removable
partial denture. The support and retention of the device
relied mainly on its adaptation to the mucous
membrane of edentulous parts to avoid overloads on
the remaining teeth. The maxillary and mandibular
parts were fixed at 70% of the maximum protrusion
of the mandible.
Results. During treatment, the patient reported a favorable
sleeping pattern, but he signaled initially pain
caused by sores in the upper anterior region solved
with denture adhesive pads. Snoring, wake gasping, and
choking were reduced drastically and she also reported
improved sleep at night without apneas and his daytime
drowsiness had diminished considerably. After a follow
up period of 54 months, AHI was decreased from 30,5
to 5,6 with device. Significant decrease of AHI, changing
in the oxygen desaturation index (from 29,5 to 5,5) and
modification in lowest oxygen saturation (from 71 to 81)
were recognized during device use with an overnight
polysomnography.
Conclusion. This clinical report describes the technique
of fabricating and results of oral device for an
edentulous patient. The patient was satisfied with the
modified device. The significant decrease in the AHI
and the increase in minimum pulse oximetric saturation
show that the oral appliance described in this
case report can be a useful treatment modality in
OSA patients with insufficient number of teeth in
their dental arches
Clinical evaluation of the quality of life in tmd patients using the oral health impact profile
No full textCome la genetica sta modificando l’approccio ai disordini temporomandibolari
No full textScopo
del lavoro
Esaminare l’influenza della
genetica nell’eziologia dei
disordini temporomandibolari,
focalizzando l’attenzione
sull’influenza dei fattori genetici
sulla percezione del dolore
e considerando le differenze
ormonali e anatomiche sulla
base al sesso.
Materiali
e metodi
Gli articoli per una revisione
sistematica sono stati ottenuti
attraverso una ricerca effettuata
usando MEDLINE (2001-2009)
senza limitazioni linguistiche
e mediante una ricerca
manuale. Le parole chiave erano
“disordini temporomandibolari” e
“genetica”. La ricerca iniziale ha
reso disponibili 61 articoli. Dopo
lo studio dei titoli, riassunti e
testi integrali, sono stati inclusi
nell’analisi 18 articoli.
Risultati
Sono stati selezionati 18 articoli:
7 hanno studiato i temi relativi
alla sensazione dolore, 2
l’effetto di placebo e la relativa
importanza nel campo dei
disordini temporomandibular, 3
hanno considerato il rapporto che
esiste fra il sistema ormonale
e la predisposizione a questi
disordini e 6 hanno analizzato
l’influenza del polimorfismo
genetico relativa ai meccanismi
della neurotrasmissione.
Conclusioni
Sulla base degli studi effettuati si
evince che la maggior parte delle
influenze genetiche nell’ambito
dei disordini temporomandibolari
sono collegate con i meccanismi
ormonali, recettoriali e della
neurotrasmissione.Aim of the word
To examine the influence
of genetics at the onset of
temporomandibular disorders, by
focusing on the genes influence
the pain sensitivity and by taking
into account the hormonal and
anatomical differences on the
base of gender and sex.
Materials
and methods
Articles for a systematic
review were obtained via
a search performed using
MEDLINE (2001-2009) without
linguistic limitations plus a
hand search. Key words were
“temporomandibular disorders
and genetic”. The initial search
yielded 61 articles. After
studying titles, abstracts, and full
texts, 18 articles were included
in the analysis.
Results
18 articles were selected:
7 investigated the themes
connected the different way of
feeling pain, 2 the issues related
to the effect of placebo and to
its importance in the field of
temporomandibular disorders, 3
considered the relation existing
between the hormonal system
and the predisposition at the
onset of these disorders and
6 analyzed the influence of
genetic polymorphism related to
the reception-neurotransmitter
mechanism system at the onset
of these disorders.
Conclusions
Based on the several studies
performed we have noticed that
most of the genetic influences
are related to the immune -
inflammatory field and it is in
this specific environment that
the hormonal, receptorial and
neurotransmitter mechanism
systems play a fundamental role
in temporomandibular disorders
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