Study of a New Technique to Improve the Symptoms of Orofacial Discomfort in Patients With Peripheral Facial Paralysis
Peripheral Nerve Facial Nerve Paralysis, Facial Nerve Diseases, Orofacial Pain
About this trial
This is an interventional treatment trial for Peripheral Nerve Facial Nerve Paralysis focused on measuring Facial Paralysis / rehabilitation., Dental Occlusion., Occlusal Adjustment., Malocclusion / therapy.
Eligibility Criteria
Inclusion Criteria:
- patients with PFP over six months of treatment
- indentations
- carrier fixed partial dentures and removable drives and/or dental implants
- palsy classified as Grade III according to House and Brackmann scale
Exclusion Criteria:
- patients who already had other diseases in the region of the jaws before facial paralysis
- is toothless from installing, using or not dentures
Sites / Locations
- Federal University of São Paulo
Arms of the Study
Arm 1
Arm 2
Placebo Comparator
Experimental
Visual Analog Scale (VAS)
Occlusal adjustment
Initial consultation, dental cleaning and performing the visual analog scale. Consultation three months after achieving "visual analog scale" final VAS and dental cleaning at the first query. VAS at the last query. In the second period (91-180 days) that participants have been moved from the Placebo group (VAS) to the Experimental group(Occlusal Adjustment).
In all consultations, was performed VAS and occlusal adjustment. Three sessions of intervention are doing. The Gnathostatic models were performed in the first and last query. To reach a terminal axis of rotation of the jaw the patient to perform the act of swallowing for 3 times, and after palpation of the muscles, masseter and temporal on both sides and compared with the marks of carbon found in the teeth and started the adjustment following the rules of Guichet with a cylindrical drill with a thin cut.. The rules to guide the occlusal adjustment selective grinding were in this sequence: Occlusal adjustment to the centric relation: with sliding towards anterior; with sliding towards the medium line; with sliding opposite to the medium line; No sliding.