Nociceptive trigeminal inhibition:a modified intraoral devicefor the management of acute closed block in severe temporomandibular disorders
DOI:
https://doi.org/10.35563/rmp.v14i1.626Keywords:
Disease, temporomandibular joint disorders, equipment and supplies, therapeuticsAbstract
Objetive: To determine the most relevant associated effect of the modified NTI intraoral device for temporomandibular disorders with acute closed lock in patients attending the Dentistry service of a referral hospital during the year 2024. Material and methods: Pre-experimental, longitudinal study design. This study evaluated the use of the modified Nociceptive Trigeminal Inhibition (NTIm) device in 33 patients with acute closed lock, comprising 30 women and 3 men, distributed in age ranges between 18 and 55 years. Results: Clinical evaluations at 5, 10, and 15 days demonstrated significant improvements in mouth opening and a reduction in orofacial pain, attributable to the inhibition of trigeminal nociceptive reflexes mediated by the antero-inferior positioning of the device and complementary mandibular exercises. Conclusion: The findings support the use of this modified intraoral device as a conservative, non-invasive, and immediately applicable multimodal therapeutic strategy for the initial management of these TMDs.
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Copyright (c) 2025 José Luis Cornejo Salazar ; Israel Robert Pariajulca Fernández

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