Study of a New Technique to Improve the Symptoms of Orofacial Discomfort in Patients With Peripheral Facial Paralysis

• Visual analogue scale (VAS) [ Time Frame: The outcome measure (VAS) will be assessed approximately ninety days after the first query. ] [ Designated as safety issue: No ]

  It is a scale-shaped ruler, which is associated with faces used to grade the degree of pain for patients, before and after treatments, or just graduating pain and its severity for the patient (Souza, 2002).

  Patients were asked to fill the VAS with the following questions.

  • Do you chew well?
  • How would you classify your chewing at the moment?
  • If you have trouble chewing, the rating is zero.
  • If you have any discomfort when you chew, your reference level is five.
  • If the discomfort is intense, its reference level is ten. The greater the discomfort, the greater the scale.
  
  

• Brand carbon count on gnathostats models [ Time Frame: The outcome measure will be evaluated after ninety days from the first consultation ] [ Designated as safety issue: No ]

  The models were placed occluding brought with carbon, using the willis compass to keep occluding the posterior base of the model which are aligned with the rear.

  The dental contacts were evaluated in models and gnathostats demarcated after the points were counted in the models before and after treatment If an increase in the number of dental contacts after occlusal adjustment was detected, in relation of the models.

  The models are made ​​in the first and last query, after three visits with one month interval between them by adding three queries.

  
  

Purpose: To evaluate the effects of the Neuro-Rehabilitation occlusion in patients with chronic facial palsy by observing the decrease of the symptoms of masticatory dysfunction.

Methods: a selection of sixty-five patients with facial palsy (PFP ​​65) and idiopathic chronic trauma of the Otorhinolaryngology sector facial nerve disorders at UNIFESP.

Patients were of both genders, aged between 18 and 60. They were analyzed according to the criteria of inclusion and exclusion, resulting in forty-three patients.

However, due to problems inherent in research, a group of fourteen patients were randomized (sub-divided) into two groups: control and treatment.

The visual analog scale was used at the first consultation to patients in the control and treatment All patients underwent a dental cleaning in order to blind the study. Seven patients belonged to the control group for three months, the VAS was performed in both groups. The control group was later reunited with the treatment group after three months of control period, increasing the number of patients who were examined in extracts, with similar features in a prognostic factor.

• Control group
• First visit-visual analogue scale and tooth cleaning
• Second consultation, after a month, a new visual analog scale.
• Third-query-one months after a new visual analogue scale patient was a three visits with an interval of one month, performing a repeat procedure.
• Treatment group, The researchers applied the technique of Rehabilitation and Neuro Occlusal gnatostaticos models that were made before and after treatment to count the dental contacts.
• First-query-visual analogue scale and tooth cleaning, intervention and preparation of initial models gnatostaticos
• Second-query-after a month, a new visual analogue and intervention.
• Last-query - visual analogue scale and making models gnatostaticos finals. The treatment group had one month to see changes in oral functions.

Upon completion of the study patients continued to receive care in the ambulatory clinic of the university, but the attendance for this research was terminated.