Effectiveness of the California Bionator in reducing the degree of severity of temporomandibular disorders

Authors

  • Lourdes Caridad Torres Rodríguez Clínica Estomatológica Docente “Orestes García Saroza” de Fomento, Sancti Spíritus
  • Mayra Virginia González Olazábal Clínica Estomatológica Provincial de Sancti Spíritus, Sancti Spíritus
  • Laureano Rodríguez Corvea Universidad de Ciencias Médicas de Sancti Spíritus, Sancti Spíritus
  • Violeta del Pilar García Cabrera Clínica Estomatológica Docente “Orestes García Saroza” de Fomento, Sancti Spíritus
  • Maritza Zoila Mursuli Sosa Clínica Estomatológica Provincial de Sancti Spíritus, Sancti Spíritus

Keywords:

Temporomandibular joint disorders, temporomandibular disorders, activator appliances, orthodontic appliances functional, occlusal splints, severity of illness index, California Bionator, neuromyorelaxant splints, treatment.

Abstract

Background:

There are treatment modalities for temporomandibular disorders, one of them is functional orthopedics of the jaws.

Objective:

To evaluate the effectiveness of the California Bionator in reducing the degree of severity of temporomandibular disorders.

Methodology:

An experimental, open, controlled and randomized study was carried out in the Dental Prosthesis service at Fomento Dental Clinic from September 2019 to September 2021. 60 patients with temporomandibular disorders who met the selection criteria were selected. The groups were established by random assignment: Study (treated with Bionator from California) and control (treated with a neuromyorelaxant splint). Method theoretical, empirical and statistical levels were used. The main response variable was: Effectiveness of the California Bionator in the degree of severity of the temporomandibular disorder.

Results:

At the beginning of the study moderate severity of temporomandibular disorders prevailed in both groups, but after 6 months of treatment asymptomatic predominated (66.7%) in the study group and 36.7% in the control group, with a statistically significant difference between both groups.

Conclusions:

The treatment with the California Bionator was effective because the degree of severity of temporomandibular disorders was reduced.

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References

1. Ricardo Chacón OA, Durades Ruiz Y, Goulbourne Hernández R, Cantillo Balar Y, Torrandel Sanfeliz AM. Efectividad de láser en el tratamiento de pacientes con síndrome dolor disfunción de la articulación temporomandibular. Rev Inf Cient [Internet]. 2018 [citado 29 Oct 2020; 97(5):923-33. Disponible en: http://scielo.sld.cu/pdf/ric/v97n5/1028-9933-ric-97-05-923.pdf

2. Castañeda Deroncelé M, Ramón Jiménez R. Uso de férulas oclusales en pacientes con trastornos temporomandibulares. Medisan [Internet]. 2016 [citado 19 Jul 2021];20(4):530-543. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192016000400014

3 Eliassen M, Hjortsjö C, Olsen-Bergem H, Bjørnland T. Self‐exercise programmes and occlusal splints in the treatment of TMD‐related myalgia—Evidence‐based medicine. J Oral Rehabil [Internet]. 2019 [cited 2021 Feb 8];46(11):1088-1094. Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.12856

4. Saha FJ, Pulla A, Ostermann T, Miller T, Dobos G, Cramer H. Effects of occlusal splint therapy in patients with migraine or tension-type headache and comorbid temporomandibular disorder. Medicine [Internet]. 2019 [cited 2021 Jan 6];98(33). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831110/pdf/medi-98-e16805.pdf

5. Zhang C, Wu JY, Deng DL, He BY, Tao Y, Niu YM, et al. Efficacy of splint therapy for the management of temporomandibular disorders: a meta-analysis. Oncotarget. [Internet]. 2016 [cited 2021 Jan 6];7(51):84043-84053. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356643/pdf/oncotarget-07-84043.pdf

6. KuzmanovicPficer J, Slobodan D, Vojkan L, Goran T, Natasa M, Biljana M. Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects. Plos one [Internet]. 2017 [cited 2021 Jan 6]];12(2). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293221/pdf/pone.0171296.pdf

7. Terán AA, Fleitas AT, Arellano Gámez LA. Efectividad de dos tipos de férulas oclusales en síntomas y signos de trastorno temporomandibulares. Rev Od Los Andes [Internet]. 2011 [citado 29 Oct 2020];6(1):33-41. Disponible en: https://www.imbiomed.com.mx/articulo.php?id=85149

8. Ros Santana M, Grau León IB, Moreno Chala Y, Salso Morell RA. Evaluación de un protocolo para el diagnóstico y tratamiento de los trastornos inflamatorios temporomandibulares. Rev Electron DR. Zoilo E. Marinello Vidaurreta [Internet]. 2015 [citado 29 Oct 2020];40(5). Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/64/html_41

9. Quintero González A, Rivera N. Efecto terapéutico de la ortopedia maxilar en pacientes con dolor por disfunción temporomandibular. Ciencia Odontológica [Internet]. 2018 [citado 29 Oct 2020];15(2):51-65. Disponible en: https://produccioncientificaluz.org/index.php/cienciao/article/view/24619/25062

10. Torres Rodríguez LC, González Olazábal MV, Pérez García LM, Pérez Fernández AM. Efecto de Bionator de California en los trastornos temporomandibulares. Gac Méd Espirit [Internet]. 2014 [citado 19 Jul 2021]; 16(3):01-09. Disponible en: http://scielo.sld.cu/pdf/gme/v16n3/gme10314.pdf

11. Ozdiler O, Orhan K, Cesur E, KöklüA, Algın O. Evaluation of temporomandibular joint, masticatory muscle, and brain cortex activity in patients treated by removable functional appliances: a prospective fMRI study. Dentomaxillofac Radiol [Internet]. 2019 [cited 2020 Jul 19];48(7). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775788/pdf/dmfr.20190216.pdf

12. Mora Pérez CC, Álvarez Mora I, Liburd R, Armas Sánchez AM. Cambios cefalométricos producidos por Pistas Planas y Bionator en la clase II división 1. Rev Nac Odontol [Internet]. 2019 [citado 8 Feb 2021];15(28):1-19. Disponible en: https://revistas.ucc.edu.co/index.php/od/article/view/2595/2628

13. Moreno Diéguez O, Pérez Acevedo IL, Sánchez Sanfiel MN, Rodríguez Moreno AM, Moreno Diéguez O. Caracterización clínica y epidemiológica de los trastornos temporomandibulares. Policlínico 13 de Marzo Bayamo. MultiMed [Internet]. 2018 [citado 19 Jul 2021];22(6):1093-1104. Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/1034/1422

14. Gomez E. Eficacia de los tests de Helkimo y Krogh – Paulsen en el diagnóstico de la disfunción tempormandibular. Cienc desarrollar [Internet]. 16 de septiembre de 2020[citado 19 de marzo de 2021];23(3):19-26.

Disponible en: http://revistas.uap.edu.pe/ojs/index.php/CYD/article/view/2137/2259

15. Ramírez Carballo MM, Carbajal Bello LG, Ros Santana M, Reyna Argote BC, Feliu Camejo DE. Factores de riesgo asociados a trastornos temporomandibulares. Multimed [Internet]. 2018 [citado 19 Jul 2021];22(4):749-60. Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/923/1365

16. Guerrero L, Coronado L, Maulén M, Meeder W, Henríquez C, Lovera M. Prevalencia de trastornos temporomandibulares en la población adulta beneficiaria de Atención Primaria en Salud del Servicio de Salud Valparaíso, San Antonio. Av Odontoestomatol [Internet]. 2017 [citado 19 Jul 2021];33(3):113-120. Disponible en: https://scielo.isciii.es/pdf/odonto/v33n3/original2.pdf

17 Arias Molina Y, Herrero Solano Y, Cabrera Hernández Y, Almeida Villalobos LL, Rodríguez Rodríguez RR. Ansiedad, depresión y disfunción de la articulación temporomandibular. Multimed [Internet]. 2018 [citado 19 Jul 2020];22(4):726-37. Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/919/1362

18. Vásconez M, Bravo W, Villavicencio E. Factores asociados a los trastornos temporomandibulares en adultos de Cuenca, Ecuador. Rev Estomatol Herediana [Internet]. 2017 [citado 19 Jul 2021];27(1):5-12. Disponible en: http://www.scielo.org.pe/pdf/reh/v27n1/a02v27n1.pdf

Published

2022-03-20

How to Cite

1.
Torres Rodríguez LC, González Olazábal MV, Rodríguez Corvea L, García Cabrera V del P, Mursuli Sosa MZ. Effectiveness of the California Bionator in reducing the degree of severity of temporomandibular disorders. Gac méd espirit [Internet]. 2022 Mar. 20 [cited 2025 Oct. 18];24(1). Available from: https://revgmespirituana.sld.cu/index.php/gme/article/view/2332

Issue

Section

RESEARCH ARTICLES (Original)