Fabricação aditiva e dispositivos oclusais: um relato de caso
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Data
2023-06-21
Autores
Orientador
Neto, Victório Poletto
Banca
Silva, Willian
Cantarelli, Rômulo
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Resumo
Este trabalho tem como objetivo apresentar um relato de caso a respeito da confecção de dispositivos oclusais para o tratamento de uma paciente apresentando disfunção temporomandibular miogênica. Como objetivos secundários, foi considerado o desenvolvimento de habilidades relacionadas ao fluxo digital, criação de um documento norteador para a utilização da impressora 3D presente no prédio 18 da UNIVATES e a comparação da qualidade entre dispositivos oclusais confeccionados nos fluxos digital e analógico. Para isto, foi realizado um estudo de caso, sendo baseado no guia de relatos de caso CARE. Foi realizada seleção do usuário, onde os critérios eram realizar bruxismo noturno, dor na mandíbula (boca), travamento fechado da mandíbula, e ruídos articulares. A partir da seleção foram iniciados os atendimentos, confeccionada uma placa estabilizadora feita de forma convencional. Imprevistos acabaram por impedir a confecção e entrega de uma placa estabilizadora confeccionada por fabricação aditiva. Ao final foram atingidos bons resultados para a usuária, visto que a sintomatologia dolorosa foi consideravelmente reduzida, na escala analógica de 11 pontos de dor a usuária passou de 7 pontos no início das consultas para 3 pontos na ultima consulta, os movimentos parafuncionais também reduziram, e a abertura de boca normal ampliou 11mm, a forçada ampliou 12mm, e a assistida ampliou 11mm . Apesar de não ter sido realizada a impressão por manufatura aditiva, uma placa estabilizadora convencional alcançou resultados satisfatórios e impactos positivos na autopercepção da paciente e diminuição dos hábitos parafuncionais, bem como pode ser visto um incremento considerável na abertura máxima bucal e redução de um quadro de dor crônica.
This study aims to present a case report about the manufacture of occlusal devices for the treatment of a patient with myogenic temporomandibular disorder. As secondary objectives, it was considered the development of skills related to digital flow, creation of a guiding document for the use of the 3D printer present in building 18 of UNIVATES and the comparison of quality between occlusal devices made in digital and analog flows. For this, a case study was conducted, based on the CARE case report guide. User selection was performed, where the criteria were to perform nocturnal bruxism, pain in the mandible (mouth), closed locking of the mandible, and joint noises. From the selection, the consultations were initiated, and a stabilizer plate was made in a conventional way. Unforeseen events ended up preventing the manufacture and delivery of the occlusal splint made by additive manufacturing. Nevertheless, good results were achieved for the patient, since the painful symptomatology was considerably reduced, in the analog scale of 11 points of pain the user went from 7 points at the beginning of the consultations to 3 points in the last consultation, the parafunctional movements also reduced, and the normal mouth opening has increased 11mm, The forced one 12mm, and the assisted 11mm. Although the printing by additive manufacturing was not performed, a conventional occlusal splint achieved satisfactory results and positive impacts on the patient's pain, self-perception and reduction of parafunctional habits, as well as a considerable increase in the maximum mouth opening.
This study aims to present a case report about the manufacture of occlusal devices for the treatment of a patient with myogenic temporomandibular disorder. As secondary objectives, it was considered the development of skills related to digital flow, creation of a guiding document for the use of the 3D printer present in building 18 of UNIVATES and the comparison of quality between occlusal devices made in digital and analog flows. For this, a case study was conducted, based on the CARE case report guide. User selection was performed, where the criteria were to perform nocturnal bruxism, pain in the mandible (mouth), closed locking of the mandible, and joint noises. From the selection, the consultations were initiated, and a stabilizer plate was made in a conventional way. Unforeseen events ended up preventing the manufacture and delivery of the occlusal splint made by additive manufacturing. Nevertheless, good results were achieved for the patient, since the painful symptomatology was considerably reduced, in the analog scale of 11 points of pain the user went from 7 points at the beginning of the consultations to 3 points in the last consultation, the parafunctional movements also reduced, and the normal mouth opening has increased 11mm, The forced one 12mm, and the assisted 11mm. Although the printing by additive manufacturing was not performed, a conventional occlusal splint achieved satisfactory results and positive impacts on the patient's pain, self-perception and reduction of parafunctional habits, as well as a considerable increase in the maximum mouth opening.
Descrição
Palavras-chave
fabricação aditiva; dispositivos oclusais; odontologia; relato de caso; additive manufacturing; occlusal devices; dentistry; case report
Citação
SULZBACH, Osvaldo Augusto. Fabricação aditiva e dispositivos oclusais: um relato de caso. 2023. Monografia (Graduação) – Curso de Odontologia, Universidade do Vale do Taquari - Univates, Lajeado, 29 jun. 2023. Disponível em: http://hdl.handle.net/10737/3694.