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2 results on '"Juliana Araújo Oliveira Buosi"'

1. Facial representation of paroxysmal hemicrania and associated temporomandibular disorder: a case report

Author

Pamela Pessoa Maia dos Santos, Juliana Araújo Oliveira Buosi, Pedro Braga Neto, Hellíada Vasconcelos Chaves, Paulo César Rodrigues Conti, and Lívia Maria Sales Pinto Fiamengui

Subjects
Facial pain, Paroxysmal hemicrania, Temporomandibular joint disorders, Dentistry, RK1-715
Abstract

ABSTRACT Paroxysmal Hemicrania is a trigeminal autonomic cephalalgia described as a severe and strictly unilateral pain, which occurs in paroxysms at orbital, supraorbital and/ or temporal region. A 45-year-old woman presented to an orofacial pain specialist reporting severe, burning, throbbing, strictly right-sided headache associated to ipsilateral autonomic symptoms and orofacial pain. The pain was perceived on the maxillary region followed by pain spread to the head. Interdisciplinary evaluation, along with absolute responsiveness to indomethacin and normal Brain Magnetic Resonance imaging, led to the diagnosis of primary Episodic paroxysmal hemicrania with facial representation and myofascial pain of masticatory muscles. Dentists should be aware of paroxysmal hemicrania with facial representation and the possibility of temporomandibular disorder coexistence, in order to avoid misdiagnosis and inadequate management. Paroxysmal hemicrania may be first perceived on the face and may be associated with interparoxysmal pain. In these cases, efficient anamnesis and clinical evaluation followed by interdisciplinary approach is needed.

Published
2024
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2. Gluten-Free Diet Reduces Pain in Women with Myofascial Pain in Masticatory Muscles: A Preliminary Randomized Controlled Trial

Author

Carla Soraya Costa Maia, Morgana Pinheiro Sousa, Juliana Araújo Oliveira Buosi, Rômulo Rocha Regis, Leonardo Rigoldi Bonjardim, Lívia Maria Sales Pinto Fiamengui, Karina Matthes de Freitas Pontes, and Sandra Maria Abreu Nogueira

Subjects
Adult, Pain Threshold, Orofacial pain, Research Diagnostic Criteria, law.invention, Masseter muscle, Diet, Gluten-Free, Young Adult, Randomized controlled trial, law, Facial Pain, Statistical significance, medicine, Humans, Dentistry (miscellaneous), ENSAIO CLÍNICO CONTROLADO RANDOMIZADO, Pain Measurement, business.industry, Masticatory force, Anesthesiology and Pain Medicine, Anesthesia, Masticatory Muscles, Gluten free, Female, Neurology (clinical), Analysis of variance, medicine.symptom, business
Abstract

AIMS To evaluate the efficacy of a gluten-free diet (GFD) as a treatment modality for pain management in women with chronic myofascial pain in masticatory muscles. METHODS In this randomized controlled trial, 39 female subjects were evaluated according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and divided into three groups: a healthy group (n = 14; mean ± SD age = 34.57 ± 9.14 years); a control group (n = 12; age = 31.50 ± 7.38 years); and an experimental group (n = 13; age 30.00 ± 7.64 years). The outcome variables were: pain intensity, mechanical pain threshold (MPT), and pressure pain threshold (PPT). MPT was performed on the masseter muscle, and PPT was performed on both the masseter and anterior temporalis muscles. A nutritionist prescribed a 4-week individualized GFD for the experimental group. The healthy group was analyzed only initially, whereas the control and experimental groups were analyzed again after 4 weeks. Data were subjected to statistical analysis with a significance level of 5% (one-way analysis of variance followed by Bonferroni post hoc, paired t, Wilcoxon signed rank, Kruskal-Wallis/Dunn, and Pearson chi-square tests). RESULTS Participants who underwent a GFD showed reduction in pain intensity (P = .006) and an increase in PPT of the masseter (P = .017) and anterior temporalis (P = .033) muscles. The intervention did not influence the MPT of the masseter muscle (P = .26). In contrast, the control group showed no improvement in any parameter evaluated. CONCLUSION GFD seemed to reduce pain sensitivity in women with TMD and may be beneficial as an adjunctive therapy for chronic myofascial pain in masticatory muscles; however, further studies in the fields of orofacial pain and nutrition are required.

Published
2021

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