Assessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal lift

BACKGROUND AND OBJECTIVES: The use of orthodontic appliances is constantly associated with symptoms of temporomandibular disorder (TMD). In this sense, the present study aimed to investigate the development of TMD symptoms in patients undergoing orthodontic treatment with occlusal lifting. METHO...

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Main Authors: Isabella Avelar Santos, Gracia Lopes Costa, Rodrigo Bernardes Pereira, Thiago Bezerra Leite, António Sérgio Guimarães, Luciane Lacerda Franco Rocha Rodrigues
Format: Article
Language:English
Published: Sociedade Brasileira para o Estudo da Dor 2025-01-01
Series:BrJP
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Online Access:https://www.scielo.br/j/brjp/a/p3VX9w9xZWWVrKRsCg3QrFS/?lang=en
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author Isabella Avelar Santos
Gracia Lopes Costa
Rodrigo Bernardes Pereira
Thiago Bezerra Leite
António Sérgio Guimarães
Luciane Lacerda Franco Rocha Rodrigues
author_facet Isabella Avelar Santos
Gracia Lopes Costa
Rodrigo Bernardes Pereira
Thiago Bezerra Leite
António Sérgio Guimarães
Luciane Lacerda Franco Rocha Rodrigues
author_sort Isabella Avelar Santos
collection DOAJ
description BACKGROUND AND OBJECTIVES: The use of orthodontic appliances is constantly associated with symptoms of temporomandibular disorder (TMD). In this sense, the present study aimed to investigate the development of TMD symptoms in patients undergoing orthodontic treatment with occlusal lifting. METHODS: This is a longitudinal, quantitative and descriptive study; 40 patients with an indication for orthodontic treatment, participating in the study. They were evaluated: before the start of orthodontic treatment (T0), 24 hours (T1) and 30 days (T2) after installation of the occlusal elevator. Symptom assessment was carried out by applying the DC/TMD symptom questionnaire. The assessment of psychosocial factors was carried out using the “WISE Clinicians” test (Web Based Interdisciplinary Symptom Evaluation). The data were entered into a Microsoft Excel spreadsheet for statistical analysis using the Chi-Square test, with a significance level of 5%. RESULTS: In the T1 assessment, 42.50% (n= 17) of patients reported feeling any type of pain and 57.50% (n= 23) did not feel any pain. At T2, the proportion of patients who reported pain was 30% (n= 12), while 70% (n= 28) did not show any symptoms; 10% (n=10) of patients reported pain at both times; 37.50% (n=15) did not experience pain at any time during the assessment; 32.50% (n=13) assessed pain at the first moment and after the second assessment they no longer expressed pain. CONCLUSION: It can be concluded that occlusal lifting was not significant in terms of pain in most patients and when compared to the control group.
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spelling doaj-art-b97556e42f72468f9872ee2f85836c002025-01-30T16:56:28ZengSociedade Brasileira para o Estudo da DorBrJP2595-01182595-31922025-01-01810.5935/2595-0118.20250003-enAssessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal liftIsabella Avelar Santos0Gracia Lopes Costa1Rodrigo Bernardes Pereira2Thiago Bezerra Leite3António Sérgio Guimarães4Luciane Lacerda Franco Rocha Rodrigues5São Leopoldo Mandic School of Dentistry, Orofacial Pain Laboratory, Campinas, SP, BrazilSão Leopoldo Mandic School of Dentistry, Orofacial Pain Laboratory, Campinas, SP, BrazilSão Leopoldo Mandic School of Dentistry, Orofacial Pain Laboratory, Campinas, SP, BrazilCentro Universitário Dr. Leão Sampaio, Dental Occlusion Department, Juazeiro do Norte CE, BrazilSão Leopoldo Mandic School of Dentistry, Orofacial Pain Laboratory, Campinas, SP, BrazilSão Leopoldo Mandic School of Dentistry, Orofacial Pain Laboratory, Campinas, SP, BrazilBACKGROUND AND OBJECTIVES: The use of orthodontic appliances is constantly associated with symptoms of temporomandibular disorder (TMD). In this sense, the present study aimed to investigate the development of TMD symptoms in patients undergoing orthodontic treatment with occlusal lifting. METHODS: This is a longitudinal, quantitative and descriptive study; 40 patients with an indication for orthodontic treatment, participating in the study. They were evaluated: before the start of orthodontic treatment (T0), 24 hours (T1) and 30 days (T2) after installation of the occlusal elevator. Symptom assessment was carried out by applying the DC/TMD symptom questionnaire. The assessment of psychosocial factors was carried out using the “WISE Clinicians” test (Web Based Interdisciplinary Symptom Evaluation). The data were entered into a Microsoft Excel spreadsheet for statistical analysis using the Chi-Square test, with a significance level of 5%. RESULTS: In the T1 assessment, 42.50% (n= 17) of patients reported feeling any type of pain and 57.50% (n= 23) did not feel any pain. At T2, the proportion of patients who reported pain was 30% (n= 12), while 70% (n= 28) did not show any symptoms; 10% (n=10) of patients reported pain at both times; 37.50% (n=15) did not experience pain at any time during the assessment; 32.50% (n=13) assessed pain at the first moment and after the second assessment they no longer expressed pain. CONCLUSION: It can be concluded that occlusal lifting was not significant in terms of pain in most patients and when compared to the control group.https://www.scielo.br/j/brjp/a/p3VX9w9xZWWVrKRsCg3QrFS/?lang=encorrective orthodonticsdental occlusiontemporomandibular disorders
spellingShingle Isabella Avelar Santos
Gracia Lopes Costa
Rodrigo Bernardes Pereira
Thiago Bezerra Leite
António Sérgio Guimarães
Luciane Lacerda Franco Rocha Rodrigues
Assessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal lift
BrJP
corrective orthodontics
dental occlusion
temporomandibular disorders
title Assessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal lift
title_full Assessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal lift
title_fullStr Assessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal lift
title_full_unstemmed Assessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal lift
title_short Assessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal lift
title_sort assessment of symptoms of temporomandibular dysfunction in patients undergoing orthodontic treatment using occlusal lift
topic corrective orthodontics
dental occlusion
temporomandibular disorders
url https://www.scielo.br/j/brjp/a/p3VX9w9xZWWVrKRsCg3QrFS/?lang=en
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