Silent Period-Dentate, Edentulous, and Patients With Craniomandibular Dysfunction

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Goiato, Marcelo Coelho [UNESP]
Haddad, Marcela Filie [UNESP]
Santos, Daniela Micheline dos [UNESP]
Garcia, Alicio Rosalino [UNESP]
Zuim, Paulo Renato Junqueira [UNESP]
Zavanelli, Adriana Cristina [UNESP]

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Lippincott Williams & Wilkins


Background: The record of electrical activity of elevator muscles in mandible is important for the evaluation of muscular potency and diagnosis of neuromuscular pathologies, which allows prevention and treatment. The aim of this study was to define silent periods (SPs) and the importance in dentistry and compare the SPs in masticatory muscles of dentate and edentulous patients wearing prosthesis considering the presence or absence of craniomandibular dysfunction (CMD).Materials and Methods: Literature review in PubMed database.Discussion: Silent periods are isolated pulses of transcranial magnetic stimulation in the primary motor cortex during voluntary muscular activity that generates an interruption of muscular activity for hundredths of milliseconds. The SP duration depends on the patient (dentate or edentulous), type of stimulus, and presence of CMD.Conclusions: The SP is higher in complete edentulous patients and in individuals with occlusal disharmonies than in dentate patients without CMDs. The treatment of CMDs through occlusal therapy decreases SP duration.



Craniomandibular dysfunction, silent period

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Journal of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 21, n. 5, p. 1641-1645, 2010.