Keywords
Diagnosis
Treatment
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To report a clinical case of a patient with ascending cervicomastigatorial dysfunction associated with postural changes. Case Details: A 57-year-old female patient presented to the Dental Polyclinic complaining of pain in her upper teeth, morning facial pain, headache, and difficulty eating. Clinical and functional examination revealed limited mouth opening, the presence of trigger points in the masticatory and cervical muscles, as well as postural changes such as forward head posture and postural asymmetry. The patient also reported symptoms of vertigo, tinnitus, and aural fullness. Complementary examinations ruled out odontogenic alterations. Based on the clinical evaluation, a diagnosis of ascending cervicomastigatorial dysfunction was established. Treatment consisted of the use of a lower stabilizing splint, physiotherapy exercises, and infusion of 2% lidocaine into the affected muscles. Final considerations: The adopted therapy promoted a significant improvement in painful symptoms and a reduction in the limitation of mouth opening, demonstrating that conservative and individualized approaches are effective in the management of craniocervicomandibular dysfunction.
References
AHMAD AS, et al. Low-level laser therapy in temporomandibular joint disorders: a systematic review. Journal of Medicine and Life, 2021; 14(2): 148–164.
BARRETO BR, et al. Prevalência de disfunção temporomandibular e ansiedade em estudantes universitários. Archives of Health Investigation, 2021; 10(9): 1386–1391.
CABRAL AP, et al. Avaliação e comparação da dor e da força muscular do trapézio fibras superiores após liberação posicional e liberação miofascial. Studies in Multidisciplinary Review, 2022; 3(4): 836–848.
CARRARA SV, et al. Termo do 1º consenso em disfunção temporomandibular e dor orofacial. Dental Press Journal of Orthodontics, 2010; 15(3): 114–120.
CRUZ JHA, et al. Disfunção temporomandibular: revisão sistematizada. Archives of Health Investigation, 2020; 9(6): 570–575.
DE LIMA BNM, CABRAL LN. Disfunção craniocervicomandibular ascendente de origem postural: relato de caso. Archives of Health Investigation, 2020; 10(1): 163–169.
FERRILLO M, et al. Effects of occlusal splints on spinal posture in patients with temporomandibular disorders: a systematic review. Healthcare, 2022; 10(4): 739.
GODINHO DCA, et al. Correlação entre sintomas de disfunção temporomandibular, hábitos orais deletérios e sintomas de estresse em estudantes universitários. Distúrbios da Comunicação, 2019; 31(3): 481–492.
GODINHO GV, CABRAL LN. Disfunção craniocervicomandibular e alterações vestibulococleares: revisão de literatura. Archives of Health Investigation, 2019; 8(8).
KAPOS FP, et al. Temporomandibular disorders: a review of current concepts in aetiology, diagnosis and management. Oral Surgery, 2020; 13(4): 321–334.
MOUSTAFA IM, et al. Is forward head posture relevant to autonomic nervous system function and cervical sensorimotor control? Cross sectional study. Gait & Posture, 2020; 77: 29–35.
OKESON JP, DE LEEUW R. Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dental Clinics of North America, 2011; 55(1): 105–120.
ÖZTÜRK K, et al. The effect of temporomandibular joint dysfunction on the craniocervical mandibular system: a retrospective study. Journal of Oral Rehabilitation, 2024; 51(3): 469–475.
PASCOAL MIN, et al. Prevalência dos sintomas otológicos na desordem temporomandibular: estudo de 126 casos. Revista Brasileira de Otorrinolaringologia, 2001; 67(5): 627–633.
PATRINHANI V, SCHETTER DE CAMARGO R. Alterações posturais de coluna cervical na disfunção temporomandibular: revisão de literatura. Cadernos da Escola de Saúde, 2022; 22(1).
PORTO BA, et al. Tratamento multidisciplinar das disfunções temporomandibulares: uma revisão sistemática de literatura. Revista Investigação Biomédica, 2024; 14(1): 5–18.
RIBEIRO IBR, CABRAL LN. Tratamento de paciente com disfunção miofascial craniocervicomandibular ascendente associada à alteração vestibulococlear: relato de caso. Archives of Health Investigation, 2020; 10(1): 31–37.
SOUZA YL, CABRAL LN. Odontalgia de origem miogênica em paciente com disfunção craniocervicomandibular: relato de caso. Archives of Health Investigation, 2021; 11(3): 518–523.
VICTOR MAMR, et al. Análise descritiva da produção de dispositivos oclusais para tratamento da disfunção temporomandibular pelo Sistema Único de Saúde. Brazilian Journal of Pain, 2025; 8: e 20250040.
WADHOKAR OC, PATIL DS. Current trends in the management of temporomandibular joint dysfunction: a review. Cureus, 2022.