Restriction of mouth opening, reduction in pressure pain thresholds and activation of myofascial trigger points in mandibular and cervical regions after root canal therapy: a quasi-experimental study
Autor/a
Poc-Sola, Santiago
Malo Urriés, Miguel
Data de publicació
2023ISSN
2076-3417
Resum
Background: In daily clinical practice, patients often refer temporomandibular or cervical complaints after different oral procedures, especially in lengthy procedures that can result in iatrogenic postures or trauma that can affect the temporomandibular joint (TMJ). This study aimed to evaluate the clinical and functional changes of the temporomandibular joint (TMJ) and cervical region immediately after a session of root canal therapy. Methods: Twenty-nine subjects who received a session of root canal therapy were included. Clinical assessments included mouth opening, cervical mobility, pain intensity, pressure pain thresholds (PPTs), and myofascial trigger points (MTrPs) of the jaw and neck muscles. Results: After the intervention, a significant reduction in mouth opening (41.90 mm; SD = 6.21) was observed compared to baseline (46.28 mm; SD = 6.17) (p < 0.001). A significant reduction in PPTs and cervical mobility (p < 0.05), and an increase in MTrPs (p = 0.002–0.026) were demonstrated after the intervention. Conclusions: A session of root canal therapy can produce an immediate significant reduction in mouth opening, PPTs, and cervical mobility, and an increase in MTrPs. The risk can be higher if there is a previous TMJ limitation.
Tipus de document
Article
Versió del document
Versió publicada
Llengua
English
Matèries (CDU)
61 - Medicina
Paraules clau
Columna cervical
Punts gatillo miofascial
Dolor
Rang de moviment
Teràpia del canal radicular
Articulació temporomandibular
Columna cervical
Puntos gatillo miofasciales
Dolor
Rango de movimiento
Terapia de conducto radicular
Articulación temporomandibular
Cervical spine
Myofascial trigger points
Pain
Range of motion
Root canal therapy
Temporomandibular joint
Pàgines
12
Publicat per
MDPI
Col·lecció
13; 9
Publicat a
Applied Sciences
Citació
Albarova-Corral, Isabel; Alonso Ezpeleta, Luis Oscar; Poc-Sola, Santiago [et al.]. Restriction of mouth opening, reduction in pressure pain thresholds and activation of myofascial trigger points in mandibular and cervical regions after root canal therapy: a quasi-experimental study. Applied Sciences, 2023, 13(9), 5246. Disponible en: <https://www.mdpi.com/2076-3417/13/9/5246>. Fecha de acceso: 6 jun. 2023. DOI: 10.3390/app13095246
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Drets
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