POREO: técnica inclusiva no tratamento do bruxismo na síndrome de Down

Abstract

Temporomandibular disorders with manifestations of bruxism are very prevalent in the whole population, including patients with Down’s syndrome. The occlusal plates are indicated to treat temporomandibular disorders and prevent tooth atrition caused by bruxism, bring muscle comfort, downsize the habit of grinding teeth, preservation of dental structures, besides, they relieve tensions which are related to hyperactivity of the chewing muscles. The patients with special needs, due to their degree of cognitive and motor impairment, couldn’t receive the treatment through these plates, due to the risk of swallowing and choking, which causes health professionals discourage the use of plates in these population group, even aware of the benefits of that use and the consequences of non- treated bruxism. The prevention of dental loss doesn't justify the serious risk of choking in these patients, making that behavior totally comprehensible. With the purpose of enabling to use of occlusal plate in these patients, this study was evaluated the plate with extraoral retention, an adapted model developed and patented by the supervisor of this research. These plate was evaluated about your efficacy and safety, accompanying the use in patients with Down syndrome. The assistance was held at the clinics of Dentistry College of Universidade Federal de Juiz de Fora/Campus in Governador Valadares/MG. Patient with Down’s syndrome and presence of bruxism used the plate for four weeks. It was could evaluate the safety at the use of the occlusal plate, as well the benefits in that use, whose results will be presented in another article.