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Determinação do intervalo de pressão necessário para estimular resposta dolorosa em pacientes com DTM de origem miogênicaSilva, Rafael dos Santos 29 April 2003 (has links)
O objetivo deste trabalho foi determinar um intervalo de pressão capaz de estimular resposta dolorosa em pacientes com sinais e sintomas compatíveis com Disfunção Temporomandibular (DTM), quando comparado a um grupo controle. Para isso, foram selecionados 77 pacientes com sinais e sintomas de DTM de origem miogênica concomitante ou não com alguma patologia articular. Para o grupo controle, foram selecionados 75 indivíduos livres de qualquer queixa dolorosa compatível com DTM. Os indivíduos dos dois grupos foram palpados por um único examinador nos seguintes pontos: corpo do masséter, temporal anterior, temporal médio e temporal posterior. Os dados obtidos foram analisados estatisticamente num nível de significância de 5%. O grupo sintomático apresentou limiar de dor à pressão (LDP) significativamente menor em comparação ao grupo controle (p < 0,001). O masséter apresentou LDP significativamente menor, seguido pelo temporal anterior, médio e posterior (p < 0,001). O lado direito apresentou LDP significativamente menor que o lado esquerdo (p=0,033). Obteve-se uma correlação negativa significativa entre o LDP obtido e a Escala de Análise Visual (p < 0,001). Não foi encontrada correlação entre o LDP obtido e o tempo de experiência com a dor (p=0,310). Foi verificado que o intervalo de pressão mais confiável para o masséter foi de 1,01 - 1,5 kg/cm2, para o temporal anterior e médio foi de 1,51 - 2 kg/cm2 e para o temporal posterior foi de 2,01 - 3 kg/cm2. Os autores concluíram que a palpação mostrou ser um exame confiável para se detectar sensibilidade muscular em pacientes de DTM / The aim of this study was to determine a digital pressure interval able to elicit painful response in patients with signs and symptoms of Temporomandibular Disorders (TMD) when compared to a comparison group. Seventy-seven individuals with myogenic TMD comprised the symptomatic group, while seventy-five TMD symptom-free individuals were selected as controls. The pressure pain thresholds (PPT) were obtained with the aid of an algometer by pressuring the following muscles: masseter and anterior, medium and posterior temporalis. Values of sensitivity and specificity were determined for different pressure intervals. A lower PPT was found for all muscles in the symptomatic group (p < 0,001). The lowest PPT was found for the masseter muscle, followed by the anterior, medium and posterior temporalis. The left side has shown higher PPT than the right side (p < 0,05). A significant negative correlation was found between the PPT and the Visual Analogue Scale (p < 0,001). However, a significant correlation between the PPT and the time of pain experience was not found (p < 0,05). The authors concluded that, within the limitations of this study, the most appropriate pressure interval was 1,01 - 1,5 kg/cm2 for the masseter, 1,51 - 2 kg/cm2 for the anterior and medium temporalis, and 2,01 - 3 kg/cm2 for the posterior temporalis. Yet, according to the above figures, a standardized palpation can be considered a reliable technique in the examination of TMD patients
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Masticatory muscles activities in temporomandibular joint internal derangementLafrenière, Chantal M., January 1995 (has links)
Thesis (M. Sc.)--University of Ottawa, 1995. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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Accuracy of illness schemata for predicting treatment outcome in patients with temporomandibular disorderRankin, Richard A. January 1997 (has links)
Thesis (Ph. D.)--California School of Professional Psychology, 1997. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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Spatial relationships and osseous morphology with adolescent TMJ disc statusKinniburgh, Robert D. January 1999 (has links)
Thesis (Ph. D.)--University of Alberta, Dept. of Oral Health Sciences, 1999. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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The interdisciplinary treatment of temporomandibular disorderConlon, Wendy. January 1997 (has links)
Thesis (M.S.)--Grand Valley State University, 1997. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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The role of daily life events in temporomandibular disorderKuhlow, Carol A. January 1997 (has links)
Thesis (Ph. D.)--Wisconsin School of Professional Psychology, 1997. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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Spatial relationships and osseous morphology with adolescent TMJ disc statusKinniburgh, Robert D. January 1999 (has links)
Thesis (Ph. D.)--University of Alberta, Dept. of Oral Health Sciences, 1999. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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Temporomandibular joint diseases thesis submitted in partial fulfillment ... oral surgery /Wang, Shu-Yung. January 1948 (has links)
Thesis (M.S.)--University of Michigan, 1948.
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Posterior-anterior cephalometric assessment of adolescents with TMJ internal derangementTrpkova, Biljana, January 1998 (has links)
Thesis (M. Sc.)--University of Alberta, 1998. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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The interdisciplinary treatment of temporomandibular disorderConlon, Wendy. January 1997 (has links)
Thesis (M.S.)--Grand Valley State University, 1997. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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