The Center for Dental Specialties (CEO), of the Department of Health, an alternative treatment for temporomandibular disorders (TMD). For this, he used the method of electrostimulation. The PDG initiative is pioneering in Santa Catarina and is offered through the Unified Health System (SUS).
According to the oral and maxillofacial dentist, Marcelo Bruno Castro da Silva, this non-invasive therapeutic modality is carried out by transcutaneous electrical stimulation (TENS), which promotes analgesia. Low voltage pulsed electrical currents relax the overactive muscle and therefore promote pain relief. The indication for each therapeutic modality is based on a prior diagnosis of the type of TMD to be treated (myofascial pain, disc displacement, arthralgia, etc.).
“At first, non-invasive procedures such as mobilization, massage, exercises, thermotherapy, transcutaneous electrical stimulation, ultrasound, laser and bruxism plate are performed. If initial therapy does not achieve a satisfactory outcome, treatment may involve dry needling, joint injections, and occlusal adjustments. Finally, in more serious but rarer cases, joint surgery in a hospital setting is indicated.
According to Oral Health Coordinator Edison Luiz Estevão Filho, approximately seven to 10 TMD patients are currently treated per week. “We remind you that the gateway to the start of treatment are the Basic Health Units (UBS), where the reference will be made for evaluation to the CEO”.
Testimonials from people on treatment
Denise da Silva, has been in treatment for eight months and according to her, the evolution is very great. “I had a chronic migraine and felt a snap in my jaw. I looked for a dentist at UBS and underwent an evaluation and was referred to the CEO. Here I started treatment with Marcelo, with exercises, a plate, and I can say that the pain I felt before has decreased considerably, I used to have a headache every day, now when I have it is once or twice a month.
SUS treatment is surprising. “When I say that I am treated, it’s free, via SUS, people are surprised. They don’t believe it, but it’s true, fortunately it is. And thanks to that, I have a better life, without pain. I recommend to those who suffer from it to consult professionals and to persevere, doing the exercises and what is recommended by the dentist”.
Facial pain and difficulty opening the mouth are common symptoms seen in daily life that can impair daily activities. These signs may indicate a change in the masticatory system, which is formed by the jaws, teeth, tongue, and temporomandibular joint (TMJ).
A temporomandibular disorder, also known as TMD, is the name given to all disorders that affect the muscles of mastication and TMJ. This joint is involved in the movements of the mouth to speak, chew, swallow and yawn for example.
This dysfunction is usually accompanied by so-called orofacial pain, which is pain in the region of the face, usually in the cheek, pain in the joint in front of the ear and headache, especially in the temporal region. . However, other symptoms may be present such as pain in the ear, tinnitus, pain in the back of the eyes, neck, difficulty opening or closing the mouth, noises, noises when chewing or the opening, a sensation of blockage.
The main reasons
The cause is multifactorial, i.e. there is not a single cause, but a set of factors such as: dental crunching, also called bruxism, postural changes, habits such as biting nails, lips or cheeks, emotional changes such as anxiety, stress, depression, trauma and malformation. TMDs can be classified into: muscle disorders, joint disorders and orofacial pain.
In muscular disorders, the main symptom is the contraction of the muscles, where very sensitive regions are formed that generate pain. These regions are called trigger points, which can generate painful sensations spontaneously or when stimulated. Another common characteristic is the feeling of tiredness or burning in the face, which usually appears as soon as you wake up (nocturnal bruxism) or worsens after chewing, especially hard foods.
As for joint problems, these are cracking sounds in the joint, a feeling of blocking when opening or closing the mouth and pain in front of the ear. One of the problems that can affect this joint is osteoarthritis, which is a degenerative joint disease.
On the other hand, orofacial pain presents without any changes in the musculature. They have a shock characteristic, usually quite strong, but short-lived. Examples include trigeminal neuralgia and burning tongue syndrome.