Реферат
Los trastornos temporomandibulares (TTM) son alteraciones del funcionamiento del sistema estomatognático. Tienen etiologíamultifactorial y sintomatología variada. El objetivo del trabajo fue determinar la prevalencia de maloclusiones que se consideran asociadasal desarrollo de TTM en pacientes pre-ortodóncicos. Se analizaron 261 estudios fotográficos iníciales de pacientes entre 11 y 45 años, deambos sexos, que ingresaron a la Cátedra de Ortodoncia de la Facultad de Odontología de la Universidad de Buenos Aires (FOUBA). Se determinó la presencia o ausencia de las siguientes maloclusiones asociadas a TTM (MATTM): mordida invertida posteriorunilateral (MIPU), mordida invertida posterior bilateral (MIPB), mordida en tijera (MT), mordida invertida anterior (MIA), mordida abierta anterior (MAA) y mordida profunda (MP). De los 261 pacientes, se registraron 51(19,54 por ciento) sin MATTM, 154 pacientes(59 por ciento) presentaron al menos una MATTM, 52 pacientes (19,92 por ciento) presentaron dos MATTM, 3 pacientes (1,15 por ciento) presentaron tres MATTM y 1 paciente (0.39 por ciento) cuatro MATTM, 72 pacientes(27.58 por ciento) presentaron mordida invertida uni lateral (MIUL), 70 pacientes (26.82 por ciento) presentaron M.P, 46 pacientes (17.62 por ciento) presentaron MIA, 38 pacientes(14.55 por ciento) presentaron MAA, 33 pacientes (12.64 por ciento) presentaron MIBL y 12 pacientes (4.59 por ciento) presentaron MT. Se concluye que es importante realizar un minucioso examen clínico para evaluar la presencia de TTM previamente al tratamiento ortodóncico, ya que sólo el 19,54 por ciento de lospacientes evaluados no registró mal oclusiones asociadas a TTM, mientras que el 59 por ciento presentó al menos una. La maloclusión a pesar de que solo es uno de los factores etiológicos dentro de la etiología multifactorial del desarrollo de TTM, es importante tenerla en cuenta y darle una solución, idealmente de manera interdisciplinaria.
Temporomandibular disorders (TMD) are pathologies of the function of the stomatognathic system. They have a multifactorial etiologyand diverse symptomatology. The aim of the study was to determine the prevalence of malocclusions that are considered associated withTMD development in pre-orthodontic patients. A total of 261 initial photographic diagnostic studies were analyzed; these comprisedpatients between the ages of 11 and 45 from the Department of Orthodontics, FOUBA. The presence and absence of the followingTTM (MATTM) associated malocclusions was analyzed detected: unilateral posterior Crossbite (UPC), bilateral posterior Crossbite(BPC), scissor bite (SB), anterior Crossbite (AC), anterior open bite (AOB) and deep bite (DB). The findings in the 261 patientstreated were: 51 patients (19, 54%) presented MATMD, 154 patients (59%) presented at least one MATTM, 52 patients (19,92%)presented two MATTMs, 3 patients (1,15%) presented three MATTMs and 1 patient (0,39%) presented four MATTMs, 72patients (27,58%) presented IUPO, 70 patients (26,82%) presented DB, 46 patients (17,62%) presented (AC), 38 patients(14,55%) presented AOB, 33 patients (12,64%) presented BPC and 12 patients (4.59%) presented SB. It is concluded that it isimportant to carry out a thorough clinical examination to evaluate the presence of TMD prior to orthodontic treatment, as only 19,54%of the patients treated showed no malocclusions associated with TMD, while 59% presented at least one. Although malocclusions are onlysome of the etiological factors in the multifactorial etiology of TMD development, it is important to take them into account and provide asolution for them, ideally an interdisciplinary solution.
Тема - темы
Humans , Male , Adolescent , Adult , Female , Child , Young Adult , Photography, Dental/methods , Malocclusion/classification , Malocclusion/epidemiology , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/etiology , Cross-Sectional Studies , Risk Factors , Schools, Dental , Data Interpretation, StatisticalРеферат
Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by chronic inflammation and synovial hyperplasia, which usually affects multiple joints. The temporomandibular joint (TMJ) becomes susceptible to the development of changes resulting from RA. The aim of this study was to evaluate the presence of TMD and degenerative bone changes in TMJ in patients diagnosed with RA (rheumatoid arthritis). The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/ TMD) questionnaire was used for clinical evaluation of the TMJ and for TMD classification of 49 patients of both sexes and all ages. Individuals who had already undergone prior treatment for TMD and/or with a history of craniofacial trauma were excluded. The participants underwent cone beam computed tomography (CBCT) exams to assess possible degenerative changes in the mandibular condyle and the articular eminence. The frequencies of the changes found are presented and the possible associations between clinical and CT findings analyzed using the chisquare test. It was found that 75% of the patients had complaints of pain in the orofacial region, including arthralgia, myalgia or both. As for the diagnoses, 100% of the sample was diagnosed as RDC/TMD Group III (arthralgia, osteoarthritis or osteoarthrosis). The presence of degenerative bone changes was found in 90% of the subjects, the most prevalent being flattening (78.7%) and osteophytes (39.3%).
A artrite reumatoide (AR) é uma doença sistêmica, autoimune, caracterizada por inflamação crônica e hiperplasia sinovial, que usualmente afeta múltiplas articulações. Dentre estas, a articulação temporomandibular (ATM), tornase susceptível ao desenvolvimento de alterações. O estudo objetiva avaliar a presença de desordem temporomandibular (DTM) e altera ções ósseas degenerativas da ATM (articulação temporo man di bu lar) de pacientes diagnosticados com AR (artrite reumatóide). Como metodologia, aplicouse o questionário Research Diagnostic Criteria for Temporomandibular Disorder (RDC/ TDM) em para avaliação clínica da ATM e classificação da desordem temporomandibular em 49 pacientes de ambos os sexos e idade variável. Foram excluídos os indivíduos que já haviam realizado tratamento prévio para DTM e/ou com histórico de traumatismo crâniofacial. Posteriormente os participantes foram submetidos a exames de tomografia computadorizada de feixe cônico (TCFC) para avaliação de possíveis alterações degenerativas no côndilo mandibular e na eminência articular. Foram apresentadas as frequências das alterações encontradas e verificouse a associação entre os achados clínicotomográficos por meio do teste do Quiquadrado. Após a avaliação clínica verificouse que 75% dos pacientes possuíam queixas de dor na região orofacial, variando entre a presença de artralgia, mialgia ou ambas. Quanto aos diagnósticos, 100% da amostra apresentou diagnóstico do Grupo III do RDC/TMD (artralgia, osteoartrite ou osteoartrose). A presença de alterações ósseas degenera tivas foi encontrada em 90% dos indivíduos avaliados, sendo que as mais prevalentes foram aplainamento (78,7%) e osteófito (39,3%).
Тема - темы
Humans , Adolescent , Adult , Female , Child , Young Adult , Middle Aged , Arthritis, Rheumatoid , Arthritis, Rheumatoid/diagnosis , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/physiopathology , Brazil , Cross-Sectional Studies , Clinical Diagnosis/methods , Epidemiology, Descriptive , Observational Study , Data Interpretation, Statistical , Cone-Beam Computed Tomography/methodsРеферат
Objetivos: estimar la frecuencia y tipo de trastornos temporomandibulares (TTM) en niños y relacionarlos con edad, sexo, apretamiento dentario, bruxismo diurno y nocturno. Métodos: Pacientes de 10 a 15 años que concurrieron a la Cátedra Odontología Integral Niños, evaluados con el CDI/TTM por odontopediatras estandarizados (Kappa 0,88). Los registros fueron ingresados en una base de datos conformándose los siguientes grupos: sin TTM, con trastornos musculares (TM), con desplazamiento de discos (DD) y artralgias (A). Las variables analizadas fueron sexo, edad, apretamiento dentario, bruxismo diurno y nocturno, utilizando porcentajes y Odds ratio con intervalos de confianza (95%), medias, desvíos estándar y Test de Bonferroni. Resultados: Muestra constituida por 299 pacientes (12,65±1,74 años) correspondiendo el 54,51% al sexo femenino. Un 25,41% (20,56-30,76) presentaron TM (23,74%: dolor miofacial y 1,67% dolor miofacial con limitación de apertura); en el 21,07% (16.57- 26,15) se observó DD (15,71% con reducción, 5,01% sin reducción con apertura limitada y 0,33% sin reducción y sin limitación) y el 3,34% (1,6-6,07) reveló signos y síntomas de A. La edad mostró diferencias entre los grupos...
Objectives: to estimate the frequency and type of temporomandibular disorders (TMD) in children and determine their association with gender, age, teeth clenching, daytime and nocturnal bruxism. Methods: Standardized pediatric dentists (Kappa 0.88) evaluated with the RDC/TMD all patients aged 10 to 15 years who attended at the Pediatric Dentistry Department. Results of the questionnaire and clinical examination were loaded in a data base. Groups conformed were: without TMD, with muscle disorders (MD), displacement disk (DD), and arthralgia (A). Analyzed variables were: gender, age, teeth clenching, diurnal and nocturnal bruxism. Percentages and odds ratio with confidence interval (95%), means, standard deviation and Bonferroni Test were used for statistical analysis. Results: The sample was comprised of 299 patients (54.51% female) aged 12.65 ± 1.74. 25.41% (20.56-30.76) showed MD (23.74% myofacial pain and 1.67% myofacial pain with opening limitation); 21.07% (16.57-26.15) of children revealed DD, (15.71% displacement with reduction, 5.01% no reduction with limited opening and 0.33% no reduction and no limitation) and 3.34% (1.6-6.07) presented signs and symptoms of A. Age showed significant differences among the groups...
Тема - темы
Humans , Male , Adolescent , Female , Child , Dental Care for Children/methods , Schools, Dental , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/diagnosis , Temporomandibular Joint Disorders/epidemiology , Age and Sex Distribution , Argentina , Bruxism/epidemiology , Cross-Sectional Studies , Epidemiology, Descriptive , General Symptoms , Prospective Studies , Risk Factors , Data Interpretation, StatisticalРеферат
El objetivo del presente trabajo fue establecer valores de referencia de movimientos mandibulares en niños de 10-15 años sin disfunción; compararlos con los de pacientes de la misma edad con trastornos temporomandibulares (TTM) y con los hallados anteriormente en un grupo menor de 11 años sinTTM. Niños de ambos sexos que acudieron a la Cátedra Odontología Integral Niños de UBA en 2013 y cuyos responsables brindaron consentimiento fueron evaluados con CDI/TTM por odontopediatras estandarizados (Kappa 0.88) conformándose 3 grupos en función del resumen diagnóstico; C: sin TTM, Ia: con dolor miofacial e Ib: dolor con limitación de la apertura bucal, para el análisis de las siguientes variables: edad, sexo y movimientos mandibulares. La muestra quedó constituida por169 pacientes de 12.5±1.76 años. El 62.36 por ciento no presentó TTM (C) y en el 37.27 por ciento se estableció un diagnóstico de trastorno muscular (29.58 por ciento Ia y 7.69 por ciento Ib). En C se registraron lossiguientes valores en mm: Apertura máxima no asistida: 48.28±6.14; Lateralidad derecha 8.78±2.50; izquierda: 9.60±2.64; Protrusión: 4.94±2.58 y Sobremordida: 2.98 ± 2.5sin variaciones en relación al sexo, pero con diferencias en los registros de todos los movimientos comparados con losobtenidos en dentición mixta. (p=0.0001). El análisis de los valores medios de los movimientos mandibulares entre los 3 grupos sólo reveló diferencias para la apertura máxima no asistida (p= 0.0317). En relación al sexo, los TTM fueron másfrecuentes en niñas siendo significativa la diferencia entre C e Ia (p=0.019). En los niños sin disfunción se estableció unaapertura máxima promedio de 48.28±6.14mm, observándose valores inferiores en los pacientes con TTM. Los movimientos mandibulares en pacientes pediátricos sin TTM mostrarondiferencias significativas en función del tipo de dentición y la edad...
Тема - темы
Humans , Child , Mandible/physiology , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/diagnosis , Temporomandibular Joint Disorders/epidemiology , Analysis of Variance , Argentina , Cross-Sectional Studies , Facial Pain/diagnosis , Facial Pain/epidemiology , Schools, Dental , Observational Studies as Topic , Prospective Studies , Range of Motion, Articular/physiology , Data Interpretation, StatisticalТема - темы
Humans , Orthodontics/education , Tissue Banks , Tooth , Tooth Replantation/methods , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/diagnosis , Temporomandibular Joint Disorders/therapy , Cryopreservation/methods , Palatal Expansion Technique , Cleft Lip/therapy , Cleft Palate/therapy , Dental Research/education , Tissue Engineering/methods , Tissue Scaffolds , Mesenchymal Stem Cells/physiology , International Educational Exchange , JapanРеферат
The aim of this pilot study was to evaluate the effectiveness of cognitive-behavioral therapy (CBT) and use of amitriptyline, a tricyclic antidepressant, in patients with chronic temporomandibular disorders (TMD). Forty-seven women (mean age = 35.4 years old) with chronic TMD were enrolled in the study and divided into 4 groups: amitriptyline; amitriptyline and CBT; placebo and CBT; and placebo only (control). Patients were managed for 7 consecutive weeks. Follow-up evaluations were done at the 1st, 7th and 11th weeks of treatment. The presence and severity of pain, levels of depression, and quality of life and sleep were measured. Data were analyzed using ANOVA, Chi-square and Cochran tests, considering a significance level of 5 percent. Improvements were found for all factors considered in the intragroup analysis, although no significant differences were detected among groups. However, at the end of the treatment (11 weeks of follow-up), these positive outcomes persisted only for the women treated with amitriptyline and CBT. The obtained results suggest that the combination of amitriptyline and CBT may be effective in reducing pain and depression levels as well as in improving the quality of life and sleep in patients with chronic TMD.
O objetivo deste estudo piloto foi avaliar a eficácia do uso de uma terapia cognitivo comportamental (TCC) e da amitriptilina, um antidepressivo tricíclico, no tratamento de pacientes portadores de disfunções temporomandibulares (DTM) crônicas. Quarenta e sete mulheres (com 35,4 anos em média) diagnosticadas com DTM crônica foram selecionadas e divididas em 4 grupos: amitriptilina; amitriptilina + TCC; placebo + TCC; e placebo (controle) e controle. As pacientes foram submetidas às terapias por 7 semanas consecutivas. As reavaliações aconteceram 1, 7 e 11 semanas após o início da terapia (11 semanas de avaliações). Foram avaliados a presença e severidade de dor, o nível de depressão, a qualidade de vida e do sono. Os dados foram avaliados através de ANOVA, Qui-quadrado e teste de Cochran, considerando um nível de significância de 5 por cento. Foram observadas melhoras significantes em todos os fatores avaliados para todos os grupos, porém não foram observadas diferenças entre os grupos. Após o final da terapia, os resultados positivos persistiram apenas para o grupo amitriptilina + TCC. Os resultados sugerem que o uso associado de amitriptilina e TCC no tratamento de pacientes portadores de DTM crônicas pode ser efetivo na melhora da dor, nível de depressão, qualidade de vida e do sono.
Тема - темы
Adolescent , Adult , Female , Humans , Middle Aged , Young Adult , Amitriptyline/therapeutic use , Antidepressive Agents, Tricyclic/therapeutic use , Cognitive Behavioral Therapy , Temporomandibular Joint Disorders/therapy , Chronic Pain/classification , Chronic Pain/drug therapy , Chronic Pain/therapy , Depression/classification , Depression/drug therapy , Depression/therapy , Follow-Up Studies , Pain Measurement , Pilot Projects , Placebos , Quality of Life , Sleep Initiation and Maintenance Disorders/drug therapy , Sleep Initiation and Maintenance Disorders/therapy , Sleep/drug effects , Sleep/physiology , Treatment Outcome , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/drug therapyРеферат
Temporomandibular disorders is a collective term used to describe a number of related disorders involving the temporomandibular joints, masticatory muscles and occlusion with common symptoms such as pain, restricted movement, muscle tenderness and intermittent joint sounds. The multifactorial TMD etiology is related to emotional tension, occlusal interferences, tooth loss, postural deviation, masticatory muscular dysfunction, internal and external changes in TMJ structure and the various associations of these factors. The aim of this study was to evaluate the prevalence of the relationship between signs of psychological distress and temporomandibular disorder in university students. A total 150 volunteers participated in this study. They attended different courses in the field of human science at one public university and four private universities. TMD was assessed by the Research Diagnostic Criteria (RDC) questionnaire. Anxiety was measured by means of a self-evaluative questionnaire, Spielberger's Trait-State anxiety inventory, to evaluate students' state and trait anxiety. The results of the two questionnaires were compared to determine the relationship between anxiety levels and severity degrees of chronic TMD pain by means of the chi-square test. The significance level was set at 5%. The statistical analysis showed that the TMD degree has a positive association with state-anxiety (p=0.008; p<0.05) and negative with trait-anxiety (p=0.619; p<0.05). Moreover, a high TMD rate was observed among the students (40%). This study concluded that there is a positive association between TMD and anxiety.
Disfuncao temporomandibular e o termo usado para descrever uma serie de disturbios envolvendo as articulacoes temporomandibulares, musculos da mastigacao e oclusao, com sintomas comuns como dor, restricao de movimento, sensibilidade muscular e ruido articular intermitente. A etiologia da DTM e multifatorial e esta relacionada a tensao emocional, interferencias oclusais, perda de dentes, desvio postural, disfuncao muscular mastigatoria, mudancas internas e externas na estrutura da ATM, e a diferentes associacoes entre esses fatores. O objetivo deste estudo foi avaliar a relacao entre estresse psicologico e sinais de desordem temporomandibular em estudantes universitarios. Um total de 150 voluntarios participaram deste estudo sendo alunos de uma universidade publica e quatro universidades privadas de diferentes cursos da area de ciencias humanas. A avaliacao da DTM foi realizada por meio do questionario Research Diagnostic Criteria (RDC). Para a avaliacao da ansiedade foi aplicado o questionario Ansiedade Traco-Estado de Spielberger. Os resultados dos niveis de ansiedade e dos graus de DTM dos dois questionarios foram comparados pelo teste do qui-quadrado, com nivel de significancia de 5%. A analise estatistica mostrou que o grau de DTM tem relacao positiva para a Ansiedade-Estado (p = 0,008, p <0,05) e negativa para a ansiedade-traco (p = 0,619, p <0,05), alem disso, foi observado alto indice de DTM entre os estudantes (40%). Por meio dos resultados obtidos e analisados neste estudo, concluiuse que havia uma associacao positiva entre DTM e ansiedade.
Тема - темы
Adolescent , Adult , Humans , Young Adult , Stress, Psychological/psychology , Students, Dental/psychology , Temporomandibular Joint Disorders/psychology , Anxiety/physiopathology , Anxiety/psychology , Sound , Stress, Psychological/physiopathology , Test Anxiety Scale , Facial Pain/physiopathology , Facial Pain/psychology , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/physiopathology , Chronic Disease , Range of Motion, Articular/physiology , Masticatory Muscles/physiopathologyРеферат
The aim of this work was to describe the prevalence of signs and symptoms of temporomandibular disorders (TMD) in children of the State of Puebla, Mexico. A descriptive observational study was performed. After calculating sample size, children who met the following selection criteria were included: registered at an official elementary school, either sex, ages between 8 and 12 years, who accept to participate in the study and whose parents have signed the informed consent forms. The Research Diagnostic Criteria for Temporomandibular Disorders were used by calibrated researchers (Kappa.90) under the same conditions. Descriptive statistics were applied by using SPSSv15 software. The study included 235 children, 129 (54.9%) female and 106 (45.1%) male, of average age 9.31+1.2 years. Prevalence of signs and symptoms was 33.2%, and predominately muscular (82%), 48.1% showed signs of muscular pain and 19.1% joint pain. 63.4% showed signs of alteration in the mouth opening pattern, 39.1% presented joint sounds on opening or closing the mouth and 20.4% on mandibular excursions. The high prevalence of signs and symptoms related to temporomandibular disorders, in particular in children with mixed dentition, shows the importance of TMD evaluation during this period, when morphological changes associated to growth and craniofacial development prevail.
El objetivo del presente trabajo fue describir la prevalencia de signos y sintomas de los trastornos temporomandibulares (TTM) en ninos del estado de Puebla, Mexico. Se realizo un estudio observacional descriptivo. Previo calculo de tamano de muestra, se incluyeron ninos que cumplieron con criterios previos de seleccion: inscriptos en escuela primaria oficial, de cualquier sexo, en edades de 8 a 12 anos, que aceptaron participar en el estudio y cuyos padres firmaron el consentimiento informado. Se utilizaron los Criterios de Investigacion Diagnostica para los TTM, aplicados por investigador estandarizado (Kappa .90) bajo las mismas condiciones. Se calculo estadistica descriptiva con el programa SPSS v15. Se incluyeron 235 ninos, 129 (54.9%) mujeres y 106 (45.1%) varones con promedio de edad de 9.31}1.2 anos. La prevalencia de signos y sintomas de TTM fue del 33.2% predominantemente musculares (82%), 48.1% presentaron dolor muscular y 19.1% articular. El 63.4% presento alteraciones en el patron de apertura bucal, 39.1% presento ruidos articulares en apertura o cierre y 20.4% a las excursiones mandibulares. Las altas prevalencias de los signos y sintomas relacionadas con los Trastornos Temporomandibulares, particularmente en ninos con denticion mixta, demuestran la importancia de la evaluacion de los TTM durante este periodo, donde prevalecen los cambios morfologicos asociados al crecimiento y al desarrollo craneofacial.
Тема - темы
Child , Female , Humans , Male , Temporomandibular Joint Disorders/epidemiology , Sound , Tinnitus/epidemiology , Facial Pain/classification , Facial Pain/epidemiology , Temporomandibular Joint Disorders/classification , Prevalence , Range of Motion, Articular/physiology , Dentition, Mixed , Headache/epidemiology , Mastication/physiology , Masticatory Muscles/physiopathology , Mexico/epidemiologyРеферат
Aim: The purpose of this study was to find out the prevalence of temporomandibular disorder (TMD) in a sample of university students and its relationship to gender, occlusion, and psychological factors. Materials and Methods: The sample comprised 196 subjects, aged 18-25 years. The TMD degree was evaluated using an anamnestic questionnaire. Morphologic occlusion was evaluated according to Angle classification (classes I, II, and III). The Hospital Anxiety and Depression Scale (HADS), a 14-item self-administered rating scale developed specifically to identify anxiety and depression in nonpsychiatric medical outpatients, was used to assess the levels of anxiety (HADSa) and depression (HADSd). Statistical Analysis: The incidence of TMD level, malocclusion, anxiety, and depression in both genders was calculated as percentages. Association between TMD degree and occlusion, HADSa, and HADSd was tested using the Chi-square test. Results: According to our results, 50% of the subjects had TMD, but it was of moderate or severe degree in only 9.18% of them. No statistically significant association could be found between TMD and gender or occlusion. TMD was found to have statistically significant association with HADSa but not with HADSd. Conclusion : A high prevalence of TMD was found in this student population; however, most of the cases could be classified as mild. Of the variables studied, only HADSa had a statistically significant association with TMD.
Тема - темы
Adolescent , Adult , Anxiety/epidemiology , Anxiety/psychology , Brazil/epidemiology , Depression/epidemiology , Depression/psychology , Female , Humans , Male , Malocclusion/epidemiology , Malocclusion, Angle Class I/epidemiology , Malocclusion, Angle Class II/epidemiology , Malocclusion, Angle Class III/epidemiology , Prevalence , Sex Factors , Students/statistics & numerical data , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/epidemiology , Temporomandibular Joint Disorders/psychology , Young AdultРеферат
El presente estudio se evaluó la eficacia clínica de férulas oclusales duras (tratamiento conservador) versus eminectomía(tratamiento quirúrgico) en sujetos con disfunción temporomandibuylar. Es un ensayo clínico exsperimental con un universo de 250 sujetos, el tamaño de la muestra fue de 120 sujetos. Los sujetos fueron valorados en etapas pre tratamiento y pos tratamiento a los 10 días, 45 días y 6 meses a través de Escala Analoga del dolor. palpación y auscultación para constatar la presencia de ruidos articulares, la maniobra de Kroug- Paulsen para valorar los movimientos anormales mandibulares en apertura y cierre. Resultados: ambas técnicas fueron efectivas para desaperecer los ruidos articulares, los movimientos anormales en las excursiones máxima apertura bucal y excursón laterotrusiva, el dolor dismnuyó en un 55 por ciento con tratamiento quirúrgico y un 70 por ciento con tratamiento conservador a los 6 meses: mandibular, con el tratamiento quirúrgico se obtuvo en deflexión un 90 por ciento y en excursión protusiva un 97 por ciento...
Тема - темы
Surgery, Oral/classification , Surgery, Oral/rehabilitation , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/pathology , Temporomandibular Joint Disorders/surgery , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/diagnosis , Temporomandibular Joint Disorders/pathology , Temporomandibular Joint Disorders/prevention & controlРеферат
La anquilosis de la articulación temporomandibular (ATM) es una complicación seria, principalmente posterior a traumatismos e infecciones locales o sistémicas. Las causas infecciosas desaparecieron tempranamente con la aparición de los antibióticos. En casos raros la anquilosis de ATM se asocia a enfermedades sistémicas como la espondilitis anquilosante, artritis reumatoide y psoriasis. De acuerdo a las restricciones funcionales y las alteraciones provocadas en el crecimiento facial en la juventud, es deseable una terapia temprana y efectiva. Hay diversas maneras de manejar la anquilosis de la ATM que van desde el empleo de injertos osteocondrales hasta la colocación de prótesis. No existe un concepto quirúrgico estandarizado, pero todos están en función de la cooperación y disciplina que el paciente observe en la fisioterapia postquirúrgica.
Ankylosis of the temporomandibular joint (TMJ) is a serious complication, mainly after trauma and local or systemic infection. The infection cause has nearly disappeared in the era of antibiotics. In rare cases ankylosis is associated with systemic disease such ankylosing spondylitis, rheumatoid arthritis and psoriasis. According to the functional restriction and the provoked disturbances of facial growth in the youth, an early and effective therapy is desirable. There are a wide variety of surgical approaches to TMJ ankylosis, ranging from chondro-osseous grafts to prosthesis. One stdandard surgical concept does not exist, but all surgical concepts are as good as the patients cooperation and discipline regarding the postoperative physiotherapy.
Тема - темы
Humans , Female , Child , Ankylosis/diagnosis , Ankylosis/therapy , Temporomandibular Joint/surgery , Temporomandibular Joint/pathology , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/diagnosis , Magnetic Resonance Imaging/methods , Radiography, Panoramic , Bone Transplantation/methodsРеферат
Los trastornos temporomandibulares han sido definidos como un término colectivo que encierra muchos problemas clínicos que comprometen la musculatura masticatoria, articulaciones y estructuras asociadas, siendo indentificado como la causa principal de dolor de origen no dental. Actualmente se está de acuerdo en que la etiología de estos trastornos es multifactorial, donde se combinan los factores físicos y psicosociales, siendo el estrés emocional un factor esencial en la etiología de estos trastornos. Para realizar diagnósticos estandarizados de los subtipos de trastornos temporomandibulares, se requieren criterios válidos y confialbes, donde los criterios diagnósticos para la investigación de los TTM (CDI/TTM) son recomendados como instrumento estandarizado para medios los signos de estos desórdenes. En este estudio se intenta demostrar que los pacientes con patologías neurológicas de base, presentan mayor prevalencia de trastornos temporomandibulares. Método: para realizar este estudio de prevalencia se seleccionó una muestra de 25 pacientes pertenecientes al Centro de Rehabilitación y Capacitación Santa Fe de Curicó. Resultados: el 96 por ciento de los pacientes presentó algún tipo de TTM, siendo las alteraciones articulares las más prevalentes (84 por ciento), mientras sólo un 12 por ciento de ellos presentó algún grado de estrés emocional (alteraciones conductuales, sicológicas y psicosociales). Conclusión: en base a lo anterior, no se puede relacionar estrés y TTM en la muestra estudiada, lo que se debería al ambiente protegido en que se encuentran, por pertenecer a un centro de rehabilitación.
Тема - темы
Humans , Male , Female , Adolescent , Nervous System Diseases/complications , Nervous System Diseases/epidemiology , Stress, Psychological/complications , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/epidemiology , Cross-Sectional Studies , Chile/epidemiology , Nervous System Diseases/classification , Myofascial Pain Syndromes , Sex Distribution , Data Interpretation, StatisticalРеферат
This study to assessed the prevalence of signs and symptoms of temporomandibular disorders (TMD) by means of the frequency distribution of data for 218 dentistry students from a Brazilian public university using the Fonseca's questionnaire. The group consisted of 96 men and 122 women, with an average age of 20 years. Of the students, 53.21 percent showed some level of TMD: 35.78 percent mild TMD 11.93 percent moderate and 5.5 percent severe. Women were the most affected group, with 63.11 percent showing some level of TMD, against 40.62 percent of men. When considering only severe TMD, women are approximately 9 times more affected than men. Students with any level of TMD showed marked characteristics: 76.72 percent considered themselves tense people; 71.55 percent reported to clench or grind their teeth; 65.52 percent reported clicking of the temporomandibular joint; 64.66 percent reported frequent headache and 61.21 percent neck pain. In conclusion, clinical signs and symptoms of TMD can occur in young population and this information is of great importance for the early diagnosis of the dysfunction.
Avaliou-se a prevalência de sinais e sintomas de disfunção temporomandibular (DTM) através da distribuição da freqüência de dados obtidos em 218 estudantes de Odontologia da FORP-USP usando o questionário Fonseca. A amostra foi dividida em 96 homens e 122 mulheres (idade média=20 anos). 53,21 por cento apresentaram algum grau de DTM, sendo 35,78 por cento DTM leve, 11,93 por cento moderada e 5,5 por cento severa. As mulheres foram mais afetadas; 63,11 por cento apresentaram algum grau de DTM contra 40,62 por cento dos homens. Considerando somente DTM severa, as mulheres foram cerca de 9 vezes mais afetadas que os homens. Os estudantes com DTM em qualquer grau apresentaram características marcantes como: 76,72 por cento se consideram pessoas tensas; 71,55 por cento apertam ou rangem os dentes; 65,52 por cento têm ruídos na ATM; 64,66 por cento apresentam dor de cabeça com freqüência e 61,21 por cento dor na nuca ou torcicolo. Conclui-se que sinais e sintomas de DTM estão presentes em população jovem, sendo estes importantes para o diagnóstico precoce da disfunção.
Тема - темы
Female , Humans , Male , Young Adult , Surveys and Questionnaires , Temporomandibular Joint Disorders/epidemiology , Brazil/epidemiology , Bruxism/epidemiology , Epidemiologic Studies , Headache/epidemiology , Neck Pain/epidemiology , Prevalence , Sex Factors , Stress, Physiological/physiology , Temporomandibular Joint Disorders/classification , Young AdultРеферат
Se realizó un estudio observacional, prospectivo, transversal y descriptivo de 37 ancianos de 60 a 80 años para conocer los signos y síntomas de los trastornos temporomandibulares que se presentan con mayor frecuencia en este grupo etario. Los signos y síntomas que se valoraron fueron: dolor, ruidos articulares, bloqueos, limitación funcional de la apertura mandibular, desgaste dental, pérdida de dientes, dimensión vertical, colapso posterior de la mordida y rehabilitación prostésica, entre otros. El 46 por ciento (n=17) de la población presentó patología dolorosa de la ATM acompañada por los menos con un síntoma , por ej. chasquido, bruxismo o apertura limitada; el 43.2 por ciento (n=16) tiene signos positivos de pérdida de la dimensión vertical; el 81 por ciento (n=30) presenta colapso de la mordida; el 54 por ciento (n=20) de los ancianos que no presentó dolor, está expuesto por lo menos a un factor de riesgo
Тема - темы
Humans , Male , Female , Middle Aged , Dental Care for Aged , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/epidemiology , Cross-Sectional Studies , Epidemiology, Descriptive , Schools, Dental , Facial Pain , Health Services for the Aged , Mandible/physiopathology , Mexico , Dental Occlusion, Traumatic/epidemiology , Tooth Loss/epidemiology , Prospective Studies , Dental Prosthesis/statistics & numerical data , Temporomandibular Joint Dysfunction Syndrome/epidemiology , Signs and Symptoms , Data Interpretation, Statistical , Tooth Wear , Vertical DimensionРеферат
Actualmente es frecuente que niños y adolescentes presenten bruxismo y trastornos temporomandibulares, los odontopediatras carecen de respuesta para estas patologías y parafunciones. El objetivo de este artículo es alertar sobre el problema, describir el examen clínico y radiográfico y presentar los distintos tratamientos desde un equipo interdisciplinario acorde al diagnóstico de pacientes en crecimiento y desarrollo
Тема - темы
Humans , Male , Adolescent , Female , Child , Dental Care for Children , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/diagnosis , Temporomandibular Joint Disorders/therapy , Anti-Inflammatory Agents, Non-Steroidal , Orthodontic Appliances , Arthritis , Bruxism , Mandibular Condyle/abnormalities , Mandibular Condyle/injuries , Joint Dislocations , Occlusal Adjustment , Occlusal Splints , Patient Care Team , Physical Therapy Specialty , Psychotherapy , Mouth Breathing/diagnosis , Mouth Breathing/epidemiology , Temporomandibular Joint Dysfunction Syndrome/diagnosis , Temporomandibular Joint Dysfunction Syndrome/epidemiology , Temporomandibular Joint Dysfunction Syndrome/therapy , Signs and Symptoms , Speech Therapy , Temporomandibular Joint Disorders/epidemiology , Temporomandibular Joint DisordersРеферат
La condromatosis sinovial es una rara enfermedad articular cuya baja prevalencia es aún más marcada en la ATM. El diagnóstico clínico e imagenológico no es sencillo porque es fácilmente confundible con trastornos temporomandibulares por su semiología y porque la radiología no aporta datos de interés; sólo las TAC y las RMI son útiles. Como si esto fuera poco, también deben tenerse en cuenta algunas neoplasias o artropatías de otro origen que pueden confundirnos. El tratamiento es quirúrgico, si el caso lo requiere.
Тема - темы
Humans , Female , Aged , Chondromatosis, Synovial , Temporomandibular Joint Disorders/classification , Chondromatosis, Synovial , Magnetic Resonance Imaging , Signs and Symptoms , Tomography, X-Ray Computed/methods , Temporomandibular Joint DisordersРеферат
Se presenta en este artículo una explicación de la patología de la articulación temporomandibular, así como los procesos bioquímicos y destructivos que desencadenan el problema articular, explicándose la terapéutica actual de la misma
Тема - темы
Humans , Synovitis , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/therapy , Arthroscopy , Temporomandibular Joint Disc/physiopathology , Synovial Fluid/chemistry , Occlusal Splints , Paracentesis , Physical Therapy SpecialtyРеферат
El dolor orofacial (DOF) y el dolor producido por los desórdenes temporomandibulares (DDTM) representan condiciones deteriorantes y debilitantes para el ser humano. Con una prevalencia mundial entre el 50 por ciento (Acosta Ortiz, 2001) y el 90 por ciento (OMS, 2003), en síntomas y signos, nos compromete, como efectores de salud, en su conocimiento y correcto diagnóstico como eslabón fundamental en la ccadena del manejo clínico, terapéutico y psicológico. Los odontólogos convivimos con el dolor de los pacientes a diario: en el consultorio es la causa de la consulta, pero en realidad, es la consecuencia de una enfermedad