Mandibular hypoplasia is the most common issue and it may be associated with maxillary hypoplasia. Juvenile idiopathic arthritis (JIA) affecting temporomandibular joints (TMJ) in growing patients results in maxillofacial deformities, especially if only one condyle has been affected by the rheumatic disease. The occlusion time and both disclusion times cannot be considered as cofactors of the existing temporomandibular disorders-myofascial pain with referral. In conclusion, soft tissue mobilization affects biotensegrity of the masticatory system, thus modifying occlusal parameters. The Friedman test for the entire study group indicated that soft tissue mobilization altered the occlusion time and both disclusion times (p < 0.05). After the third treatment, these parameters amounted to 0.159 s and 0.165 s, respectively.
The 1st soft tissue mobilization shortened both right and left disclusion times to 0.181 s and 0.185 s, respectively. After the third treatment, the mean occlusion time in the entire study group was 0.119 s. A decreasing tendency of the occlusion time was observed after the first, second, and third therapy. Occlusal parameters were evaluated six times, before and after each treatment, using T-scan III. All patients underwent triplicate soft tissue mobilization. The study group consisted of 50 people (37 females and 13 males, average age 23.36 ± 2.14 years) diagnosed with myofascial pain with referral. The aim of the study was to evaluate occlusal parameters in patients with myofascial pain with referral before and after soft tissue mobilization. Therefore, the treatment of MPS should be deliberated holistically as it is a complex disorder. MPS is affected by the combined action of the limbic, autonomic, endocrine, somatic, nociceptive, and immune systems. A promising alternative treatment may be craniosacral therapy which uses gentle fascia palpation techniques to decrease sympathetic arousal by regulating body rhythms and release fascial restrictions between the cranium and sacrum. Cannabidiol (CBD) oils may also be used in the treatment as they reduce stress and anxiety. A fruit and vegetable diet contributes to a reduction in chronic pain intensity because of its anti-inflammatory influence. Moreover, nutrition is also a considerable part of musculoskeletal system health. Directed and self-directed biopsychosocial profile modulation may be beneficial in the treatment of MPS. MPS impairs functioning in society due to the accompanying pain. This review elaborates on the aetiology, diagnosis, and treatment of temporomandibular (TMD) myofascial pain syndrome (MPS) regulated by psychosocial factors. Despite the limited number of participants, the study reflects a potential of Intra-aural devices as effective biofeedback devices in treating bruxism One patient reported a relief in her symptoms, like headaches and pain intensity during the night, by 50% after three month and 80% after six months. Only two patients implemented their devices for eight and seven months, respectively.
#Intra aural trial
The trial included seven female patients with a median age of 47.3 years (23-64 years). Despite the low number of patients, this early study was designed as a controlled prospective study. The aim of this study is to provide first clinical evidence that in-ear devices have a positive impact on relieving bruxism in patients. Subsequently, patients stop their bruxing habit. The in-ear device is fitted to the ear canal in physiological status, during bruxing the ear-canal tightens resulting in stress on the canal walls and unpleasant feeling. During bruxing both ear canals become tighter, therefore, an in-ear device can provide biofeedback. Biofeedback was reported as an effective concept for bruxism treatment, through increasing patient's awareness of the habit.
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