Resumen de Ansiedad y bruxismo: Aplicación de terapia manual como manejo complementario

Hugo Orlando Fuentes Flores, Sergio Blásquez Sánchez

• español

  El bruxismo es un trastorno de la articulación temporomandibular asociado a ansiedad. Para su manejo se indica el uso de guarda oclusal. La terapia manual representa un tratamiento complementario con potencial para disminuir síntomas como dolor, nivel de ansiedad y mejorar la calidad de vida. Estudio de tipo ensayo clínico prospectivo en pacientes adultos con diagnóstico de bruxismo. Se dividió la población en grupo de estudio (manejo de terapia manual y uso de guarda oclusal) y grupo control (uso de guarda oclusal) dando seguimiento durante 10 sesiones. Todo el grupo de estudio disminuyo el dolor de la articulación temporomandibular, 28.8% disminuyo su puntaje a leve y 15% a remisión en escala de HARS. El grupo control no tuvo diferencia significativa en SF-36. La terapia manual aunada al uso de guarda oclusal logró efectos positivos en síntomas asociados a bruxismo y ansiedad.

    Anxiety and bruxism: Application of manual therapy as complementary treatment Introduction: Bruxism is a disorder of the temporomandibular joint associated with anxiety. For handling, the use of an occlusal guard is indicated. Manual therapy represents a complementary treatment with the potential to reduce symptoms such as pain, level of anxiety and improve quality of life. Objective: To analyze the impact on the quality of life and the symptoms associated with bruxism and anxiety using manual therapy in patients from 18 to 42 years old treated with occlusal guard. Method: Prospective clinical trial type study in adult patients diagnosed with bruxism. Population was divided into study group (handling of manual therapy and use of occlusal guard) and control group (use of occlusal guard) following up for 10 sessions. Results: The entire study group decreased temporomandibular joint pain, 28.8% decreased their score to mild and 15% to remission on HARS. Control group had no significant difference in SF-36. Conclusion: Manual therapy combined with the use of an occlusal guard requires positive effects on symptoms associated with bruxism and anxiety.

• English

  Bruxism is a disorder of the temporomandibular joint associated with anxiety. For handling, the use of an occlusal guard is indicated. Manual therapy represents a complementary treatment with the potential to reduce symptoms such as pain, level of anxiety and improve quality of life. Prospective clinical trial type study in adult patients diagnosed with bruxism. Population was divided into study group (handling of manual therapy and use of occlusal guard) and control group (use of occlusal guard) following up for 10 sessions. The entire study group decreased temporomandibular joint pain, 28.8% decreased their score to mild and 15% to remission on HARS. Control group had no significant difference in SF-36. Manual therapy combined with the use of an occlusal guard requires positive effects on symptoms associated with bruxism and anxiety.