Publication: Estudio oclusal dinámico computarizado en pacientes con disfunción craneomandibular y bruxismo tratados con férula de estabilización
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2018-10-22
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Universidad Complutense de Madrid
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Abstract
Los trastornos temporomandibulares (TTM) pueden afectar diferentes estructuras del sistema estomatognático, como los músculos masticatorios, la articulación temporomandibular (ATM) y el disco articular. Los signos y síntomas más comunes de los TTM son dolor muscular y / o dolor articular, sonidos articulares, hiperactividad muscular, falta de coordinación motora y movimiento articular restringido. El bruxismo se define como un hábito oral que se caracteriza por movimiento involuntario rítmico o espasmódico no funcional de rechinar, morder o apretar los dientes y/o refuerzo o empuje de la mandíbula. La oclusión se cita frecuentemente por muchos autores como uno de los principales factores etiológicos causantes de los TTM aunque otros autores no encuentran ninguna relación. Las férulas de estabilización son el tratamiento que más comúnmente es utilizado en el tratamiento de los TTM y /o bruxismo. La técnica de análisis oclusal computarizado T Skan III nos permite evaluar, cuantificar los contactos oclusales durante los movimiento mandibulares mostrándonos la secuencia de contacto oclusal. OBJETIVO: Cuantificar y analizar los tiempos de oclusión /tiempos de disoclusión y porcentajes de distribución de fuerzas oclusales que se producen tras la instalación de una férula de estabilización en pacientes con TTM y /o bruxismo...
Temporomandibular disorders (TMDs) are considered to be the main cause of pain in the orofacial region following pain of odontogenic origin. Temporomandibular disorder (TMD) is a great influence over the oral and maxillofacial region. It is estimated that approximately 20% to 30% of adults have suffered from TMD at least once. Clinical symptoms of TMD are usually accompanied by pain in the masticatory muscle and temporomandibular joint (TMJ), mouth open limitation, deviation of the mandible during mouth opening, click or crepitus, headache, and ache of the shoulder and neck. According to the classification of diagnostic criteria for TMD (DC/TMD), TMD can be divided into pain-related TMD and intra-articular TMD. According to the National Institute of Dental and Craniofacial Research (NIDCR), up to 12% of the population is affected by TMD. Okeson reported that 75% of the population has at least one sign of joint dysfunction and at least 56% show clinical signs of TMD. In another study, TMD prevalence in the general population was found to be about 10-12%, but only 3-4% of the population were actively seeking treatment. Patients who experience signs and symptoms of TMDs demonstrate a poor oral health-related quality of life. Bruxism is a common disorder defined as a repetitive jaw muscle activity characterized by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible. Bruxism as a whole is positively correlated with the presence of TMD pain...
Temporomandibular disorders (TMDs) are considered to be the main cause of pain in the orofacial region following pain of odontogenic origin. Temporomandibular disorder (TMD) is a great influence over the oral and maxillofacial region. It is estimated that approximately 20% to 30% of adults have suffered from TMD at least once. Clinical symptoms of TMD are usually accompanied by pain in the masticatory muscle and temporomandibular joint (TMJ), mouth open limitation, deviation of the mandible during mouth opening, click or crepitus, headache, and ache of the shoulder and neck. According to the classification of diagnostic criteria for TMD (DC/TMD), TMD can be divided into pain-related TMD and intra-articular TMD. According to the National Institute of Dental and Craniofacial Research (NIDCR), up to 12% of the population is affected by TMD. Okeson reported that 75% of the population has at least one sign of joint dysfunction and at least 56% show clinical signs of TMD. In another study, TMD prevalence in the general population was found to be about 10-12%, but only 3-4% of the population were actively seeking treatment. Patients who experience signs and symptoms of TMDs demonstrate a poor oral health-related quality of life. Bruxism is a common disorder defined as a repetitive jaw muscle activity characterized by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible. Bruxism as a whole is positively correlated with the presence of TMD pain...
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Tesis inédita de la Universidad Complutense de Madrid de la Facultad de Odontología del Departamento de Estomatología I, leída el 3 de Julio de 2017.