{"id":6002,"date":"2024-08-07T20:55:34","date_gmt":"2024-08-07T20:55:34","guid":{"rendered":"https:\/\/staging.pt\/bouchedev\/disfuncao-temporomandibular\/"},"modified":"2025-06-13T09:01:35","modified_gmt":"2025-06-13T09:01:35","slug":"disfuncao-temporomandibular-bouche-dental","status":"publish","type":"page","link":"https:\/\/bouchedentalgroup.lu\/pt-pt\/disfuncao-temporomandibular-bouche-dental\/","title":{"rendered":"Disfun\u00e7\u00e3o Temporomandibular<br>"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6002\" class=\"elementor elementor-6002 elementor-2554\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b23a2f e-flex e-con-boxed e-con e-parent\" data-id=\"1b23a2f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-36f8be5 e-flex e-con-boxed e-con e-parent\" data-id=\"36f8be5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-59f307a elementor-widget elementor-widget-heading\" data-id=\"59f307a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Disfun\u00e7\u00e3o Temporomandibular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0e7d2ec elementor-widget__width-initial elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"0e7d2ec\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1fde7c9 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1fde7c9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Os sintomas de Dor Orofacial podem aparecer de forma discreta (em casos de p\u00f3s-operat\u00f3rio de interven\u00e7\u00f5es na face ou em contexto oncol\u00f3gico) ou de forma mais intensa (Disfun\u00e7\u00e3o da Articula\u00e7\u00e3o Temporomandibular, Dor Neurop\u00e1tica, Cefaleias ou Enxaquecas).<\/p>\n<p>Dos diagn\u00f3sticos mais comuns em pessoas com Disfun\u00e7\u00e3o Temporomandibular e Dor Orofacial salientam-se: Disfun\u00e7\u00e3o da Articula\u00e7\u00e3o Temporomandibular, Cefaleia em Salvas, Rinosinusite, Enxaquecas, Cefaleias de Tens\u00e3o, Patologia Oral (S\u00edndrome de Boca Ardente, L\u00edquen Plano Oral).<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cd9eab0 e-flex e-con-boxed e-con e-parent\" data-id=\"cd9eab0\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9e01ccf e-con-full e-flex e-con e-child\" data-id=\"9e01ccf\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e52bf88 elementor-widget elementor-widget-image\" data-id=\"e52bf88\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"373\" src=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-16.jpg\" class=\"attachment-large size-large wp-image-5584\" alt=\"\" srcset=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-16.jpg 615w, https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-16-300x182.jpg 300w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-657c35f e-con-full e-flex e-con e-child\" data-id=\"657c35f\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-21708b1 elementor-widget elementor-widget-heading\" data-id=\"21708b1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A dor orofacial engloba:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f0f8db elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9f0f8db\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li>Disfun\u00e7\u00e3o Temporomandibular<\/li>\n<li>Dor dos M\u00fasculos Mastigat\u00f3rios Cervicofaciais<\/li>\n<li>Dor Neurovascular Facial<\/li>\n<li>Dor Neurop\u00e1tica Facial<\/li>\n<li>Cefaleias<\/li>\n<li>Enxaquecas<\/li>\n<li>Dor de Origem Oral<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-139dd4b elementor-widget elementor-widget-button\" data-id=\"139dd4b\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#footer_contactos\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Marcar Consulta<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-021b78f e-flex e-con-boxed e-con e-parent\" data-id=\"021b78f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-239323b e-con-full e-flex e-con e-child\" data-id=\"239323b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b9ea07 elementor-widget elementor-widget-heading\" data-id=\"1b9ea07\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A Articula\u00e7\u00e3o Temporomandibular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-20d6043 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"20d6043\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Cada pessoa tem duas articula\u00e7\u00f5es temporomandibulares, uma de cada lado da mand\u00edbula. A articula\u00e7\u00e3o temporomandibular apresenta sobretudo movimentos de deslizamento (\u00fanica articula\u00e7\u00e3o do corpo humano com movimentos nos tr\u00eas eixos), atrav\u00e9s do contributo de uma complexa rede muscular em conjunto com uma anatomia muito particular. <\/p>\n<p>A articula\u00e7\u00e3o temporomandibular divide-se em componentes \u00f3sseos (c\u00f4ndilo mandibular e fossa temporal), componentes fibrocartilaginosos (disco articular), componentes sinoviais (membrana e l\u00edquido sinovial) e componentes musculares (cadeias musculares cervicofaciais).<\/p>\n<p>Entre o c\u00f4ndilo mandibular e a fossa temporal existe um disco articular. Este disco pode estar deslocado (fora do s\u00edtio) em alguns casos de disfun\u00e7\u00e3o temporomandibular. <\/p>\n<p>Este deslocamento do disco pode ser respons\u00e1vel por dor na articula\u00e7\u00e3o temporomandibular, dificuldade em abrir a boca, estalidos na articula\u00e7\u00e3o temporomandibular, bloqueios da articula\u00e7\u00e3o temporomandibular.<\/p>\n<p>A Articula\u00e7\u00e3o Temporomandibular (ATM) localiza-se em frente ao ouvido e permite-lhe fazer movimentos essenciais como mastigar, falar, sorrir e at\u00e9 bocejar. Em m\u00e9dia, a articula\u00e7\u00e3o temporomandibular \u00e9 movimentada 2000 vezes por dia. <\/p>\n<p>O normal \u00e9 n\u00e3o se aperceber desta articula\u00e7\u00e3o no dia a dia. Quando esta articula\u00e7\u00e3o d\u00f3i, estala ou limita a abertura normal da boca, \u00e9 nesta altura que se lembra da ATM. Quando esta articula\u00e7\u00e3o est\u00e1 disfuncional diz-se que h\u00e1 uma disfun\u00e7\u00e3o da ATM ou disfun\u00e7\u00e3o temporomandibular (DTM).  <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-21b2ff6 e-flex e-con-boxed e-con e-parent\" data-id=\"21b2ff6\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-43f9bc2 e-flex e-con-boxed e-con e-parent\" data-id=\"43f9bc2\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-569e432 e-con-full e-flex e-con e-child\" data-id=\"569e432\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a241c7 elementor-widget elementor-widget-heading\" data-id=\"2a241c7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Os m\u00fasculos cervicofaciais<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-092d36e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"092d36e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>O movimento da articula\u00e7\u00e3o temporomandibular \u00e9 dependente dos m\u00fasculos cervicofaciais. \u00c9 a rela\u00e7\u00e3o harmoniosa entre a contra\u00e7\u00e3o de algumas cadeias musculares e relaxamento de outras, de forma inconsciente, que lhe permite falar, mastigar, bocejar, etc\u2026 <\/p>\n<p>A maioria das pessoas que apresentam altera\u00e7\u00f5es da ATM apresentam tamb\u00e9m problemas dos m\u00fasculos cervicais e faciais, porqu\u00ea? A resposta \u00e9 simples: sempre que est\u00e1 a contrair em excesso os m\u00fasculos da mastiga\u00e7\u00e3o, est\u00e1 tamb\u00e9m a sobrecarregar a articula\u00e7\u00e3o temporomandibular, causando assim um grande stress intra-articular. <\/p>\n<p>Esse stress pode ser t\u00e3o grande que desloca o disco da sua posi\u00e7\u00e3o normal para uma posi\u00e7\u00e3o anormal.<\/p>\n<p>O stress e a ansiedade s\u00e3o fen\u00f3menos que contribuem para uma grande sobrecarga muscular, sobretudo nas cadeias cervicais e dos m\u00fasculos mastigat\u00f3rios. Quem n\u00e3o sentiu j\u00e1 os dentes a apertarem uns nos outros em momentos de stress? Este apertar de dentes constante causa tens\u00f5es prolongadas nos m\u00fasculos que acabam por ter um efeito negativo provocando les\u00f5es musculares importantes. <\/p>\n<p>Estas les\u00f5es musculares traduzem-se em dor, em cansa\u00e7o muscular, cefaleias de tens\u00e3o e, por vezes, podem originar zumbidos em algumas pessoas. O normal \u00e9 referirem uma dor tipo moinha, constante ao longo do dia na \u00e1rea dos mass\u00e9teres e temporal  <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-25e1793 e-flex e-con-boxed e-con e-parent\" data-id=\"25e1793\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e7d5cce e-con-full e-flex e-con e-child\" data-id=\"e7d5cce\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9da07eb elementor-widget elementor-widget-image\" data-id=\"9da07eb\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"380\" src=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-11.jpg\" class=\"attachment-large size-large wp-image-5588\" alt=\"\" srcset=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-11.jpg 615w, https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-11-300x185.jpg 300w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ceb0236 e-con-full e-flex e-con e-child\" data-id=\"ceb0236\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c7b36d2 elementor-widget elementor-widget-heading\" data-id=\"c7b36d2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Causas da disfun\u00e7\u00e3o da articula\u00e7\u00e3o temporomandibular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03f16e1 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"03f16e1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Em muitas pessoas \u00e9 dificil determinar com rigor o que motivou o problema na articula\u00e7\u00e3o temporomandibular. Sabe-se que o stress, ansiedade, traumatismo da articula\u00e7\u00e3o temporomandibular contribuem para um excesso de carga na articula\u00e7\u00e3o temporomandibular que pode conduzir a dor e inflama\u00e7\u00e3o da ATM. <\/p>\n<p>Essa sobrecarga pode deslocar o disco da sua posi\u00e7\u00e3o normal. Este deslocamento do disco pode estar associado a dor na articula\u00e7\u00e3o temporomandibular, dor que pode variar de ligeira a muito intensa, bloqueios da boca quando est\u00e3o a mastigar, que podem variar de bloqueios ligeiros a bloqueios graves e\/ou estalidos da articula\u00e7\u00e3o temporomandibular. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7bdbf02 e-flex e-con-boxed e-con e-parent\" data-id=\"7bdbf02\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-375623e e-con-full e-flex e-con e-child\" data-id=\"375623e\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-951f9e0 elementor-widget elementor-widget-heading\" data-id=\"951f9e0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Sinais e Sintomas<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdb48ad elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"cdb48ad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Os sintomas mais frequentes da DTM s\u00e3o:<\/p>\n<ul>\n<li>Dor no local da articula\u00e7\u00e3o;<\/li>\n<li>Ouvir\/sentir estalidos ao movimentar o maxilar;<\/li>\n<li>Sentir a boca presa ou bloqueada;<\/li>\n<li>Dificuldade em abrir a boca;<\/li>\n<li>Dor na cabe\u00e7a (que muitas vezes se alastra ao pesco\u00e7o e costas);<\/li>\n<li>Sentir areias na articula\u00e7\u00e3o;<\/li>\n<li>Cansa\u00e7o nos m\u00fasculos da mastiga\u00e7\u00e3o.<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9c27a18 elementor-widget elementor-widget-button\" data-id=\"9c27a18\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#footer_contactos\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Encontre o seu dentista<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-633a9a9 e-con-full e-flex e-con e-child\" data-id=\"633a9a9\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a5a5377 elementor-widget elementor-widget-image\" data-id=\"a5a5377\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"380\" src=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-10.jpg\" class=\"attachment-large size-large wp-image-5590\" alt=\"\" srcset=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-10.jpg 615w, https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-10-300x185.jpg 300w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9e95bd0 e-flex e-con-boxed e-con e-parent\" data-id=\"9e95bd0\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-dcf5e76 e-con-full e-flex e-con e-child\" data-id=\"dcf5e76\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7af5807 elementor-widget elementor-widget-heading\" data-id=\"7af5807\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagn\u00f3stico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2dcd811 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"2dcd811\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>As doen\u00e7as temporomandibulares s\u00e3o complexas e a sua origem \u00e9 multifactorial. Para auxiliar no diagn\u00f3stico, \u00e9 necess\u00e1rio o preenchimento de alguns question\u00e1rios relacionados com os sintomas, a realiza\u00e7\u00e3o de uma hist\u00f3ria cl\u00ednica e um exame objetivo adequados. <\/p>\n<p>Na hist\u00f3ria cl\u00ednica ir\u00e1 ser-lhe perguntado quando come\u00e7ou a sentir as suas queixas, como foi a evolu\u00e7\u00e3o da doen\u00e7a, se fez tratamentos anteriores, qual o n\u00edvel de dor que sentiu nos \u00faltimos seis meses, se sente que a sua abertura de boca agravou.<\/p>\n<p>Para ajudar pode e deve pensar e registar a hist\u00f3ria da sua disfun\u00e7\u00e3o temporomandibular.<\/p>\n<p>No exame objetivo ir\u00e3o-se realizar alguns testes \u00e0 sua articula\u00e7\u00e3o que, em conjunto com a hist\u00f3ria cl\u00ednica e com os question\u00e1rios, ir\u00e3o ajudar no diagn\u00f3stico.<\/p>\n<p>Ap\u00f3s a primeira consulta, pode haver necessidade de solicitar:<\/p>\n<ul>\n<li>Resson\u00e2ncia Magn\u00e9ticas \u00e0s articula\u00e7\u00f5es temporomandibulares e\/ou<\/li>\n<li>Tomografia Computadorizada \u00e0s articula\u00e7\u00f5es temporomandibulares e\/ou<\/li>\n<li>Ortopantomografia e\/ou<\/li>\n<li>Rx frontal.<\/li>\n<\/ul>\n<p>Em algumas situa\u00e7\u00f5es a artroscopia da articula\u00e7\u00e3o temporomandibular pode ser usada tamb\u00e9m como meio de diagn\u00f3stico<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d12134 e-flex e-con-boxed e-con e-parent\" data-id=\"4d12134\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a97b251 e-flex e-con-boxed e-con e-parent\" data-id=\"a97b251\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0ddea6b e-con-full e-flex e-con e-child\" data-id=\"0ddea6b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c365f8c elementor-widget elementor-widget-heading\" data-id=\"c365f8c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamentos para a Dor Temporomandibular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43a2db1 elementor-widget elementor-widget-heading\" data-id=\"43a2db1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamentos n\u00e3o cir\u00fargicos<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1fc1a4 elementor-widget elementor-widget-heading\" data-id=\"a1fc1a4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamento farmacol\u00f3gico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-77f0ff2 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"77f0ff2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A prescri\u00e7\u00e3o de medicamentos pode ser necess\u00e1ria para controlar os sintomas. Os f\u00e1rmacos mais usados s\u00e3o anti-inflamat\u00f3rios, relaxantes musculares, antidepressivos e antiepil\u00e9pticos. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-72497fe elementor-widget elementor-widget-heading\" data-id=\"72497fe\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamento conservador n\u00e3o farmacol\u00f3gico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87099fd elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"87099fd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Poder\u00e1 ser-lhe prescrito goteiras\/placas relaxantes, dispositivos de biofeedback auditivos, fisioterapia ou acupuntura para controlar os seus sintomas.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae8e2e6 elementor-widget elementor-widget-heading\" data-id=\"ae8e2e6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mesoterapia com toxina tipo A<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d62e621 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"d62e621\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Um protocolo exclusivo para tratamento dos m\u00fasculos cervicais e faciais com toxina contribuem para resultados a longo prazo. Este protocolo permite controlar a dor muscular, relaxar toda a musculatura e reeducar os m\u00fasculos cervicofaciais. <\/p>\n<p>N\u00e3o s\u00f3 permite al\u00edvio dos sintomas de dor, como permite uma melhoria da fun\u00e7\u00e3o mastigat\u00f3ria.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-946c3d6 elementor-widget elementor-widget-heading\" data-id=\"946c3d6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Psicoterapia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c2f4f5 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5c2f4f5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Em situa\u00e7\u00f5es espec\u00edficas, recomendam-se sess\u00f5es de psicoterapia.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a8db7a elementor-widget elementor-widget-button\" data-id=\"0a8db7a\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#footer_contactos\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Marcar Consulta<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-18f4e1a e-flex e-con-boxed e-con e-parent\" data-id=\"18f4e1a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a8f6816 e-flex e-con-boxed e-con e-parent\" data-id=\"a8f6816\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-8a05ae4 e-con-full e-flex e-con e-child\" data-id=\"8a05ae4\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5072be3 elementor-widget elementor-widget-heading\" data-id=\"5072be3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamentos Cir\u00fargicos<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0ca39b3 elementor-widget elementor-widget-heading\" data-id=\"0ca39b3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Artrocentese da articula\u00e7\u00e3o temporomandibular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b517f9d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"b517f9d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A artrocentese da articula\u00e7\u00e3o temporomandibular \u00e9 uma t\u00e9cnica minimamente invasiva, realizada na maioria das vezes sob anestesia local.<\/p>\n<p>Tem como principal objetivo eliminar os mediadores inflamat\u00f3rios respons\u00e1veis pela dor, diminuir a press\u00e3o intra-articular, libertar ades\u00f5es fibrosas intra-articulares e hidratar\/lubrificar a ATM.<\/p>\n<p>Nas fases iniciais dos problemas da articula\u00e7\u00e3o temporomandibular o disco e a articula\u00e7\u00e3o encontram-se com um processo inflamat\u00f3rio respons\u00e1vel pela dor. Esta t\u00e9cnica permite eliminar estes mediadores inflamat\u00f3rios, contribuindo assim para reduzir a dor nesta articula\u00e7\u00e3o. <\/p>\n<p>A sobrecarga articular aumenta muito a press\u00e3o intra-articular e esta t\u00e9cnica permite diminuir a sobrecarga. Em casos muito iniciais e particulares, permite ao disco ser reposicionado. Nestas situa\u00e7\u00f5es, h\u00e1 uma desidrata\u00e7\u00e3o importante do disco e da articula\u00e7\u00e3o, raz\u00e3o pela qual injetamos uma subst\u00e2ncia viscosa (\u00e1cido hialur\u00f3nico).  <\/p>\n<p>Isso vai permitir hidratar a ATM e o disco articular, contribuindo assim para um movimento harmonioso da articula\u00e7\u00e3o temporomandibular. Todo este procedimento \u00e9 feito com agulhas finas pelo que n\u00e3o ficar\u00e1 com nenhuma cicatriz e pode ter alta 30 minutos ap\u00f3s a interven\u00e7\u00e3o. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-acdf9a2 elementor-widget elementor-widget-heading\" data-id=\"acdf9a2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Artroscopia da articula\u00e7\u00e3o temporomandibular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac5d076 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"ac5d076\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A Artroscopia \u00e9 uma t\u00e9cnica amplamente usada na Medicina. Permite realizar interven\u00e7\u00f5es cir\u00fargicas minimamente invasivas em v\u00e1rias articula\u00e7\u00f5es do corpo humano como a articula\u00e7\u00e3o temporomandibular. <\/p>\n<p>Foi o Dr. Onishi que em 1975, introduziu pela primeira vez um artrosc\u00f3pio na Articula\u00e7\u00e3o Temporomandibular (ATM). Foi o in\u00edcio da cirurgia minimamente invasiva para tratamento de problemas intra-articulares na ATM. <\/p>\n<p>Esta t\u00e9cnica permite a introdu\u00e7\u00e3o de uma c\u00e2mara muito pequena dentro da articula\u00e7\u00e3o e fazer um diagn\u00f3stico com rigor. Tamb\u00e9m permite realizar pequenas interven\u00e7\u00f5es de reposicionamento do disco, tratamento de zonas de inflama\u00e7\u00e3o cr\u00f3nica intra-articular, eliminar ades\u00f5es da articula\u00e7\u00e3o, etc. <\/p>\n<p>Existem hoje muitos estudos cient\u00edficos de qualidade que recomendam a artroscopia para tratamentos intra-articulares com taxas de sucesso superiores a 90% em algumas s\u00e9ries. Esta t\u00e9cnica permite recupera\u00e7\u00e3o r\u00e1pida e deixa uma pequena marca na pele praticamente impercept\u00edvel, com a pessoa a ter alta 6-8h ap\u00f3s a interven\u00e7\u00e3o. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a42afb4 elementor-widget elementor-widget-heading\" data-id=\"a42afb4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cirurgia aberta da articula\u00e7\u00e3o temporomandibular<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aaf1a54 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"aaf1a54\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A cirurgia aberta est\u00e1 reservada para casos mais complexos. Existem v\u00e1rias t\u00e9cnicas dentro da cirurgia aberta que poder\u00e1 discutir com o seu especialista. Atrav\u00e9s desta abordagem pode ser colocada uma pr\u00f3tese da articula\u00e7\u00e3o temporomandibular.  <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-05d8ecb elementor-widget elementor-widget-button\" data-id=\"05d8ecb\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#footer_contactos\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Marcar Consulta<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-40019b9 e-flex e-con-boxed e-con e-parent\" data-id=\"40019b9\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b8b20b4 e-flex e-con-boxed e-con e-parent\" data-id=\"b8b20b4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-1eae80e e-con-full e-flex e-con e-child\" data-id=\"1eae80e\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-21ffe50 elementor-widget elementor-widget-heading\" data-id=\"21ffe50\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Outras patologias frequentes que causam dor orofacial<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fed0ecf e-flex e-con-boxed e-con e-parent\" data-id=\"fed0ecf\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7d52109 e-con-full e-flex e-con e-child\" data-id=\"7d52109\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6799892 elementor-widget elementor-widget-heading\" data-id=\"6799892\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A rinossinusite<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd4616d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"dd4616d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A Rinossinusite \u00e9 a inflama\u00e7\u00e3o da cavidade nasal e dos seios perinasais. Pessoas que apresentem obstru\u00e7\u00e3o nasal, corrimento nasal e altera\u00e7\u00f5es do olfato s\u00e3o suscet\u00edveis de apresentar rinossinusite como causa da dor orofacial. A Sociedade Europeia de Cefaleias validou a rinossinusite aguda como causa de Dor Orofacial.  <\/p>\n<p>Sabe-se que a rinossinusite afeta cerca de 5-15% da popula\u00e7\u00e3o europeia. De acordo com o European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) a rinossinusite \u00e9 definida pela presen\u00e7a de 2 ou mais sintomas, um dos quais dever\u00e1 incluir a congest\u00e3o\/obstru\u00e7\u00e3o nasal ou o corrimento nasal anterior\/posterior (Tabela). <\/p>\n<p>Para confirma\u00e7\u00e3o do diagn\u00f3stico \u00e9 necess\u00e1ria a endoscopia nasal (realizada na consulta) ou a tomografia computadorizada (TC) dos seios perinasais.<\/p>\n<p>Assim, \u00e9 pouco prov\u00e1vel que a rinossinusite seja a causa da dor orofacial num individuo que n\u00e3o apresente sintomas nasais.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f418474 e-flex e-con-boxed e-con e-parent\" data-id=\"f418474\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e475528 e-con-full e-flex e-con e-child\" data-id=\"e475528\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8e385cb elementor-widget elementor-widget-heading\" data-id=\"8e385cb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dor na rinossinusite<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4acd104 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"4acd104\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A rinossinusite pode ser aguda ou cr\u00f3nica, se a dura\u00e7\u00e3o dos sintomas \u00e9 inferior ou superior a 12 semanas, respetivamente. Se cr\u00f3nica, classifica-se em rinossinusite cr\u00f3nica com p\u00f3lipos nasais e rinossinusite cr\u00f3nica sem p\u00f3lipos nasais. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4856f6e elementor-widget elementor-widget-heading\" data-id=\"4856f6e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dor cr\u00f3nica<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5824f4a elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5824f4a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A dor na rinossinusite cr\u00f3nica sem p\u00f3lipos \u00e9 muito incomum exceto em casos de agudiza\u00e7\u00e3o. Na rinossinusite cr\u00f3nica com p\u00f3lipos a dor \u00e9 ainda mais rara, sendo que os sintomas predominantes neste caso s\u00e3o a obstru\u00e7\u00e3o nasal e a aus\u00eancia de olfato. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-57d22c0 elementor-widget elementor-widget-button\" data-id=\"57d22c0\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#footer_contactos\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Marcar Consulta<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-93db080 e-con-full e-flex e-con e-child\" data-id=\"93db080\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-376fdca elementor-widget elementor-widget-image\" data-id=\"376fdca\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"264\" src=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-6.jpg\" class=\"attachment-large size-large wp-image-5598\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-39ac43a e-flex e-con-boxed e-con e-parent\" data-id=\"39ac43a\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3b182f5 e-con-full e-flex e-con e-child\" data-id=\"3b182f5\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c71bf89 elementor-widget elementor-widget-image\" data-id=\"c71bf89\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"410\" height=\"430\" src=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-5.jpg\" class=\"attachment-large size-large wp-image-5600\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f77a3d9 e-con-full e-flex e-con e-child\" data-id=\"f77a3d9\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b2a172f elementor-widget elementor-widget-heading\" data-id=\"b2a172f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dor aguda\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4bb89e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"b4bb89e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pelo contr\u00e1rio, a dor na rinossinusite aguda \u00e9 habitualmente severa e unilateral, e no caso de afetar o seio maxilar pode incluir tamb\u00e9m a dor de dentes.<\/p>\n<p>A presen\u00e7a de dor na rinossinusite \u00e9 motivo de preocupa\u00e7\u00e3o na medida em que a infec\u00e7\u00e3o bacteriana activa pode levar, se n\u00e3o tratada, a complica\u00e7\u00f5es (abcesso da \u00f3rbita, meningite, abcesso cerebral).<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26e1484 elementor-widget elementor-widget-heading\" data-id=\"26e1484\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagn\u00f3stico de rinossinusite<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b002144 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"b002144\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>2 ou mais sintomas:<\/strong><\/p>\n<ul>\n<li>Congest\u00e3o\/obstru\u00e7\u00e3o nasal;<\/li>\n<li>Corrimento nasal anterior\/ posterior;<\/li>\n<li>Dor\/press\u00e3o facial;<\/li>\n<li>Altera\u00e7\u00f5es do olfato.<\/li>\n<\/ul>\n<p><strong>e a presen\u00e7a de:<\/strong><\/p>\n<ul>\n<li>Altera\u00e7\u00f5es da endoscopia nasal;<\/li>\n<li>Altera\u00e7\u00f5es na TC dos seios perinasais.<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1325d6f e-flex e-con-boxed e-con e-parent\" data-id=\"1325d6f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fadf20e e-flex e-con-boxed e-con e-parent\" data-id=\"fadf20e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-86948b5 e-con-full e-flex e-con e-child\" data-id=\"86948b5\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cc6ca96 elementor-widget elementor-widget-heading\" data-id=\"cc6ca96\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A cefaleia de tens\u00e3o<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc33972 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"dc33972\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Sinais e sintomas<\/strong><\/p>\n<p>A cefaleia de tens\u00e3o \u00e9 a cefaleia mais comum na popula\u00e7\u00e3o, sendo a preval\u00eancia da cefaleia de tens\u00e3o epis\u00f3dica, aproximadamente, 80%. Devido \u00e0 sua elevada preval\u00eancia, este tipo de cefaleia \u00e9 respons\u00e1vel por incapacidade significativa e impacto socioecon\u00f3mico. <\/p>\n<p>Existem dois subtipos de cefaleia de tens\u00e3o \u2013 a epis\u00f3dica (mais frequente) e a cr\u00f3nica.<\/p>\n<p>Na cefaleia de tens\u00e3o epis\u00f3dica, a mais frequente, a cefaleia surge habitualmente em contexto de um evento de stress emocional e \u00e9 caracterizada por:<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bff75cd e-flex e-con-boxed e-con e-parent\" data-id=\"bff75cd\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-30f9050 e-con-full e-flex e-con e-child\" data-id=\"30f9050\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d2f924b elementor-widget elementor-widget-image\" data-id=\"d2f924b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"420\" height=\"320\" src=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction.jpg\" class=\"attachment-large size-large wp-image-5604\" alt=\"\" srcset=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction.jpg 420w, https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-300x229.jpg 300w\" sizes=\"auto, (max-width: 420px) 100vw, 420px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-00cea3c e-con-full e-flex e-con e-child\" data-id=\"00cea3c\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-384fed0 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"384fed0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li id=\"E3331\" class=\"qowt-stl-Corps x-scope qowt-word-para-2\">Dor ligeira a moderada<\/li>\n<li class=\"qowt-stl-Corps x-scope qowt-word-para-2\">Dor dos dois lados da face (bilateral)<\/li>\n<li class=\"qowt-stl-Corps x-scope qowt-word-para-2\">Dor caracterizada por aperto ou \u201ccapacete\u201d<\/li>\n<li class=\"qowt-stl-Corps x-scope qowt-word-para-2\">Dor que n\u00e3o agrava com atividade f\u00edsica di\u00e1ria<\/li>\n<li class=\"qowt-stl-Corps x-scope qowt-word-para-2\">Dor e desconforto podem estar associados a rigidez\/desconforto cervical<\/li>\n<li class=\"qowt-stl-Corps x-scope qowt-word-para-2\">Dor com dura\u00e7\u00e3o de minutos a dias<\/li>\n<li class=\"qowt-stl-Corps x-scope qowt-word-para-2\">Dor que responde habitualmente a terap\u00eautica analg\u00e9sica<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6e3342 elementor-widget elementor-widget-button\" data-id=\"a6e3342\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#footer_contactos\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Marcar Consulta<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7491d46 e-flex e-con-boxed e-con e-parent\" data-id=\"7491d46\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9c60a6d e-con-full e-flex e-con e-child\" data-id=\"9c60a6d\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1184a9f elementor-widget elementor-widget-heading\" data-id=\"1184a9f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagn\u00f3stico e tratamento<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d133a8b elementor-widget elementor-widget-heading\" data-id=\"d133a8b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagn\u00f3stico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-719d936 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"719d936\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>O diagn\u00f3stico \u00e9 cl\u00ednico e depende da hist\u00f3ria cl\u00ednica e exame neurol\u00f3gico detalhado.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d944aef elementor-widget elementor-widget-heading\" data-id=\"d944aef\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamento n\u00e3o farmacol\u00f3gico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c2af9e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5c2af9e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Exerc\u00edcio f\u00edsico regular e sono adequado.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-204ff14 elementor-widget elementor-widget-heading\" data-id=\"204ff14\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamento farmacol\u00f3gico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68a5da2 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"68a5da2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Existe tratamento farmacol\u00f3gico dirigido aos diferentes casos. Alguns dos tratamentos podem ser realizados com toxina tipo A. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c1a4df0 e-flex e-con-boxed e-con e-parent\" data-id=\"c1a4df0\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b94ef25 e-flex e-con-boxed e-con e-parent\" data-id=\"b94ef25\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7f5da0f e-con-full e-flex e-con e-child\" data-id=\"7f5da0f\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cbb74a1 elementor-widget elementor-widget-heading\" data-id=\"cbb74a1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A enxaqueca<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f3b17e8 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"f3b17e8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A enxaqueca \u00e9 uma patologia muito frequente no mundo inteiro. \u00c9 mais frequente em mulheres (habitualmente na adolesc\u00eancia, atingindo o pico na 3\u00aa d\u00e9cada, diminuindo depois com o avan\u00e7ar da idade). O in\u00edcio da enxaqueca ap\u00f3s os 50 anos \u00e9 pouco frequente.  <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2c7e9bb e-flex e-con-boxed e-con e-parent\" data-id=\"2c7e9bb\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7b4aeca e-con-full e-flex e-con e-child\" data-id=\"7b4aeca\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9730598 elementor-widget elementor-widget-heading\" data-id=\"9730598\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Sinais e sintomas<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16e479f elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"16e479f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A enxaqueca \u00e9 uma doen\u00e7a neurol\u00f3gica que se manifesta com epis\u00f3dios de cefaleias intensas e incapacitantes.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a1b170 elementor-widget elementor-widget-heading\" data-id=\"6a1b170\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Manifesta\u00e7\u00f5es Cl\u00ednicas<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d71dac4 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"d71dac4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Existem dois subtipos principais: enxaqueca sem aura (mais frequente) e enxaqueca com aura.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c1c5596 elementor-widget elementor-widget-heading\" data-id=\"c1c5596\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Enxaqueca sem Aura<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-95e53b7 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"95e53b7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li>Epis\u00f3dios de cefaleia com dura\u00e7\u00e3o entre 4 a 72 horas;<\/li>\n<li>Habitualmente cefaleia unilateral;<\/li>\n<li>Dor moderada a grave;<\/li>\n<li>Pode haver sensa\u00e7\u00e3o puls\u00e1til;<\/li>\n<li>Pode haver agravamento com atividade f\u00edsica de rotina;<\/li>\n<li>Pode estar associada a n\u00e1useas\/v\u00f3mitos;<\/li>\n<li>Pode estar associada a fotofobia (fobia da luz);<\/li>\n<li>Pode estar associada a fonofobia (fobia ao ru\u00eddo).<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e4f4f5 elementor-widget elementor-widget-button\" data-id=\"9e4f4f5\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#footer_contactos\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Marcar Consulta<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-267ae5b e-con-full e-flex e-con e-child\" data-id=\"267ae5b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-af207ac elementor-widget elementor-widget-image\" data-id=\"af207ac\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"461\" src=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-2.jpg\" class=\"attachment-large size-large wp-image-5608\" alt=\"\" srcset=\"https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-2.jpg 400w, https:\/\/bouchedentalgroup.lu\/wp-content\/uploads\/2024\/09\/Temporomandibular-Dysfunction-2-260x300.jpg 260w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d024854 e-flex e-con-boxed e-con e-parent\" data-id=\"d024854\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0c95788 e-con-full e-flex e-con e-child\" data-id=\"0c95788\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-128d999 elementor-widget elementor-widget-heading\" data-id=\"128d999\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Enxaqueca com Aura\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c48437b elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"c48437b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Neste subtipo, adicionalmente aos epis\u00f3dios de cefaleia com as caracter\u00edsticas atr\u00e1s referidas, as pessoas apresentam sinais\/sintomas neurol\u00f3gicos transit\u00f3rios designados como aura.<\/p>\n<ul>\n<li>Tipicamente, estas manifesta\u00e7\u00f5es neurol\u00f3gicas antecedem ou acompanham o epis\u00f3dio de cefaleia e t\u00eam uma dura\u00e7\u00e3o inferior a 60 minutos;<\/li>\n<li>A aura mais frequente s\u00e3o os fen\u00f3menos visuais, os quais se podem manifestar de diversas formas mas, mais tipicamente, s\u00e3o flashes luminosos, manchas escuras em forma de mosaico ou imagens brilhantes em ziguezague. Noutros casos, a aura pode ser sensitiva \u2013 altera\u00e7\u00f5es da sensibilidade na face ou num dos lados do corpo, tais como formigueiros ou dorm\u00eancia; ou pode ter envolvimento da linguagem ou da for\u00e7a muscular.<\/li>\n<\/ul>\n<p>Ao contr\u00e1rio da enxaqueca epis\u00f3dica, a enxaqueca cr\u00f3nica \u00e9 caracterizada por mais de 15 dias por m\u00eas com cefaleia, sendo que pelo menos 8 desses epis\u00f3dios devem ter as caracter\u00edsticas atr\u00e1s referidas.<\/p>\n<p>A enxaqueca cr\u00f3nica pode estar associada a cefaleia secund\u00e1ria, associado por exemplo ao uso abusivo de medica\u00e7\u00e3o analg\u00e9sica.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8947f45 e-flex e-con-boxed e-con e-parent\" data-id=\"8947f45\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-c5fd52b e-con-full e-flex e-con e-child\" data-id=\"c5fd52b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-486e983 elementor-widget elementor-widget-heading\" data-id=\"486e983\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagn\u00f3stico e tratamento\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-df3c129 e-flex e-con-boxed e-con e-parent\" data-id=\"df3c129\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4c7bf86 e-con-full e-flex e-con e-child\" data-id=\"4c7bf86\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f99ff0d elementor-widget elementor-widget-heading\" data-id=\"f99ff0d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagn\u00f3stico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5af0cc elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"d5af0cc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>O diagn\u00f3stico de enxaqueca \u00e9 cl\u00ednico pelo que depende de uma hist\u00f3ria cl\u00ednica e exame neurol\u00f3gico detalhados. \u00c9 frequente a exist\u00eancia de hist\u00f3ria familiar. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1589e84 elementor-widget elementor-widget-heading\" data-id=\"1589e84\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamento n\u00e3o farmacol\u00f3gico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ff9d7d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5ff9d7d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Na abordagem terap\u00eautica \u00e9 importante a ado\u00e7\u00e3o de medidas n\u00e3o farmacol\u00f3gicas, tais como o exerc\u00edcio f\u00edsico regular, o controlo do peso e a regulariza\u00e7\u00e3o do sono.<\/p>\n<p>A identifica\u00e7\u00e3o de potenciais fatores precipitantes \u00e9 fundamental de modo a poder evit\u00e1-los quando poss\u00edvel. Estes fatores s\u00e3o vari\u00e1veis de pessoa para pessoa, podendo existir mais do que um em cada caso e podendo variar ao longo do tempo. <\/p>\n<p><strong>Potenciais fatores precipitantes de enxaquecas:<\/strong><\/p>\n<ul>\n<li>Excesso de stress<\/li>\n<li>Priva\u00e7\u00e3o ou excesso de horas a dormir<\/li>\n<li>Jejum<\/li>\n<li>\u00c1lcool<\/li>\n<li>Altera\u00e7\u00f5es clim\u00e1ticas<\/li>\n<li>Altera\u00e7\u00f5es hormonais<\/li>\n<li>Certos alimentos: ado\u00e7antes, queijos envelhecidos, nitratos, glutamato monoss\u00f3dico, cafe\u00edna, entre outros<\/li>\n<\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5691449 elementor-widget elementor-widget-heading\" data-id=\"5691449\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamento farmacol\u00f3gico\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74e8566 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"74e8566\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Existe tratamento farmacol\u00f3gico dirigido aos epis\u00f3dios agudos de enxaqueca e tratamento profil\u00e1tico que tem o objetivo prevenir e reduzir a intensidade e frequ\u00eancia dos epis\u00f3dios.<\/p>\n<p>Existem f\u00e1rmacos espec\u00edficos para a enxaqueca sendo que o tipo de medica\u00e7\u00e3o mais adequada deve ser adaptada a cada doente.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Disfun\u00e7\u00e3o Temporomandibular Os sintomas de Dor Orofacial podem aparecer de forma discreta (em casos de p\u00f3s-operat\u00f3rio de interven\u00e7\u00f5es na face ou em contexto oncol\u00f3gico) ou de forma mais intensa (Disfun\u00e7\u00e3o da Articula\u00e7\u00e3o Temporomandibular, Dor Neurop\u00e1tica, Cefaleias ou Enxaquecas). Dos diagn\u00f3sticos mais comuns em pessoas com Disfun\u00e7\u00e3o Temporomandibular e Dor Orofacial salientam-se: Disfun\u00e7\u00e3o da Articula\u00e7\u00e3o Temporomandibular, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6002","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bouchedentalgroup.lu\/pt-pt\/wp-json\/wp\/v2\/pages\/6002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bouchedentalgroup.lu\/pt-pt\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bouchedentalgroup.lu\/pt-pt\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bouchedentalgroup.lu\/pt-pt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bouchedentalgroup.lu\/pt-pt\/wp-json\/wp\/v2\/comments?post=6002"}],"version-history":[{"count":5,"href":"https:\/\/bouchedentalgroup.lu\/pt-pt\/wp-json\/wp\/v2\/pages\/6002\/revisions"}],"predecessor-version":[{"id":12121,"href":"https:\/\/bouchedentalgroup.lu\/pt-pt\/wp-json\/wp\/v2\/pages\/6002\/revisions\/12121"}],"wp:attachment":[{"href":"https:\/\/bouchedentalgroup.lu\/pt-pt\/wp-json\/wp\/v2\/media?parent=6002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}