Resumo Introdução As desordens temporomandibulares (DTM) envolvem a musculatura mastigatória, as articulações temporomandibulares (ATM) ou ambas. O sintoma mais frequente é a dor, geralmente localizada nos músculos da mastigação, na região pré-auricular, e/ou na ATM, principalmente durante as funções mandibulares. O tratamento principal para pacientes com DTM consiste no alívio da dor. Objetivo O objetivo deste estudo de relato de casos foi avaliar a redução da sintomatologia dolorosa, utilizando Escala Visual Analógica (EVA), de pacientes com DTM por meio do aconselhamento e utilização de dispositivos interoclusais (DI). Material e método Um total de 16 indivíduos participaram deste estudo, composto de 4 consultas com intervalo de 7 dias entre cada uma delas (CEP FOP/Unicamp – 137/2009). Na primeira consulta, foi realizado o diagnóstico através do questionário para diagnóstico de DTM, o Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) e entregue a EVA para registrar a intensidade de dor diária. Na segunda consulta, foi realizado o aconselhamento, moldagem para confecção dos DI e a entrega de nova EVA. Na terceira, houve a instalação e ajuste dos DI e a entrega de outra escala, e na última, realização de possíveis ajustes dos DI. Os dados foram analisados por meio do ANOVA a 2 critérios e utilizado o pós-teste de Tukey, com nível de significância de 5%. Resultado Observou-se diferença significante quando se comparou a intensidade de dor dos indivíduos após instalação dos DI com as informações inicias da pesquisa e após o aconselhamento (p=0,05). Conclusão A partir dos dados obtidos, pode-se concluir que o tratamento de DTM por meio do DI, seguido do aconselhamento, é eficaz na redução da intensidade da dor.

Abstract Introduction Temporoamndiular Disorders (TMD) involve the masticatory muscles, temporomandibular joint (TMJ) or both. The most common symptom is pain, which is usually located in the muscles of mastication, pre-auricular region, and / or ATM, especially during mandibular function. The main treatment for TMD is related to pain relief. Objective The purpose of this case report was to evaluate the reduction of pain symptoms using Visual Analogue Scale (VAS) of patients with TMD treated with counseling and use of occlusal splint (OS). Material and method 16 subjects had participated in this study, that was composed by 4 appointment with 7-day interval between each (CEP FOP / Unicamp – 137/2009). In the first, an examiner used the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD) to diagnose each patient and delivered a VAS to register the intensity of daily pain. In the second, counseling, molding of both dental arcs to fabricate the OS and the delivery of new VAS were performed. In the third, there was the installation and adjustment of the OS and the delivery of another scale, and in the last, possible adjustments on the OS were done. Data were analyzed by ANOVA two way and Tukey post-test at 5% significance level. Result There was significant difference when comparing the intensity of pain of individuals after installation of splint with the baseline data and after counseling (p = 0.05). Conclusion According to the result of this study, the treatment of TMD associating counseling occlusal splint is effective in reducing pain intensity.

Abstract The prevalence of temporomandibular disorders (TMD) is higher in females, reaching their high peak during reproductive years, probably because of the action of some female hormones, which alter pain threshold. This study aimed to investigate the prevalence of TMD in postmenopausal women and its relationship with pain and hormone replacement therapy (HRT). In total, 284 patients were evaluated and classified using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Pain was measured using the Visual Analogue Scale (VAS), and patients were also asked about the use of HRT. All data was analyzed using analysis of variance (ANOVA) and chi-square test. In total, 155 subjects did not have TMD and 129 had TMD; TMD group patients were classified according to RDC/TMD axis I classification as follows: muscle disorder group (1.6%), disk displacement group (72.87%), and arthralgia, osteoarthritis, and osteoarthrosis group (37.98%). Pain was registered in 35 patients who belonged to the TMD group, while 48 patients reported the use of HRT. There was a similar percentage of TMD and non TMD patients; moreover, the use of exogenous hormones was no associated with TMD, suggesting that there is no influence on the pain threshold.