PARADIGMAS ODONTOLÓGICOS DESCONCERTANTES: DESÓRDENES TEMPOROMANDIBULARES, OCLUSIÓN Y BRUXISMO
Palabras clave:
Bruxismo, Desórdenes temporomandibulares, Factor biopsicosocial, Sistema límbico, Dimensión vertical
Resumen
La odontología es una ciencia biomédica que sufre rápidos cambios en sus dominios tecnológicos y biológicos. Gradualmente, las escuelas dentales formadas a partir de conceptos individualistas de oclusión están destinadas a admitir cambios conceptuales en lo referente a la dinámica masticatoria, y las ciencias básicas proporcionan las bases sólidas necesarias para esta evolución. Más aún, pensar en escenarios estomatognáticos patológicos o disfuncionales como el bruxismo y los desórdenes temporomandibulares exige una perspectiva más amplia de esta noción. La correspondencia entre el bruxismo y la relación dental debe entenderse exclusivamente como mecánica y generada en la actividad disfuncional muscular con orígenes neurobiológicos que lo explican más allá de su efecto periférico evidente. Este artículo busca enfatizar la imperante necesidad de entender las relaciones interdentales y los desórdenes temporomandibulares desde una perspectiva neurofisiológica, fisiopatológica y músculo-esquelética concomitante e implícita del sistema estomatognático.
[Ramírez LM. Paradigmas odontológicos desconcertantes: desórdenes temporomandibulares, oclusión y bruxismo. Ustasalud 2008; 7: 132 - 143]
Referencias
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3. Zamburlini I, Austin D. Long-term results of appliance therapies in anterior disk displacement with reduction: A review of the literature. Cranio 1991:4: 361 - 367.
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11. Clarke NG, Townsend GC, Carey SE. Bruxing patterns in man during sleep. J Oral Rehabil 1984; 11: 123 - 137.
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13. Ware JC, Rugh JD. Destructive bruxism: Sleep stage relationship. Sleep 1988; 11: 172 – 181.
14. Miles TS, Nauntofte B, Svensson P. Clinical Oral Physiology. Quintessence Publishing Co. Ltd. 2004.
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16. Grechi TH, Trawitzki LV, de Felício CM, Valera FC, Alnselmo-Lima WT. Bruxism in children with nasal obstruction. Int J Pediatr Otorhinolaryngol 2008; 72: 391 - 396.
17. Watanabe M, Sasaki K. A role of occlusion in the etiology of TMD. Dentistry in Japan 2000; 36: 62 – 65.
18. Baba K, Yugami K, Akishige S, Ai M. Immediate effect of occlusal contact pattern in lateral jaw position on the EMG activity in jaw-elevator muscles in humans. Int J Prosthodont 2000; 13: 500 – 505.
19. Katona TR. The effects of cusp and jaw morphology on the forces on teeth and the temporomandibular joint. J Oral Rehab 1989; 16: 211 – 219.
20. Giannini AI, Melsen B, Nielson L, Athanasiou AE. Occlusal contacts in maximum intercuspation and craniomandibular dysfunction in 16 to 17 year old adolescents. J Oral Rehabil 1991; 18: 49 – 59.
21. Bakke M, Moller BM. Craniomandibular disorders and masticatory muscle function. Scand J Dent Res 1992; 100: 32 – 38.
22. Posselt U. The temporomandibular joint syndrome and occlusion. J Prosthet Dent 1971; 25: 432 – 438.
23. Goodman P, Greene CS, Laskin DM. Response of patients with myofascial pain-dysfunction syndrome to mock equilibration. JADA 1976; 92: 755 – 758.
24. Greene CS, Mohl ND, McNeill C, Clark GT, Truelove EL. Temporomandibular disorders and science: a response to the critics. J Prosthet Dent 1998; 80: 214 – 215.
25. McNeill C. History and evolution of TMD concepts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83: 51 – 60.
26. Kahn J, Tallents RH, Katzberg RW, Ross ME, Murphy WC. Prevalence of dental occlusal variables and intrarticular temporomandibular disorders: Molar relationship, lateral guidance, and nonworking side contacts. J Prosthet Dent 1999; 82: 410 – 315.
27. Tsukiyama Y, Baba K, Clark GT. An evidence-based assessment of occlusal adjustment as a treatment for temporomandibular disorders. J Prosthet Dent 2001; 86: 57 – 66.
28. Greene CS, Laskin DM. Long-term evaluation of conservative treatment for myofascial pain-dysfunction syndrome. J Am Dent Assoc 1974; 89: 1365 – 1368.
29. Clark GT, Tsukiyama Y, Baba K, Simmons M. The validity and utility of disease detection methods and of occlusal therapy for temporomandibular disorders. Oral Surg Oral Pathol Oal Endod 1997;83:101-106.
30. McNeill C. Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent 1997; 77: 510 – 522.
31. Roberts CA, Tallents RH, Katzberg RW, Sanchez-Woodworth RE, Espeland MA, Handelman SL. Comparison of internal derangements of the TMJ with occlusal findings. Oral Surg Oral Med Oral Pathol 1987; 63: 645 – 650.
32. Magnusson T. Changes in clinical signs of craniomandibular disorders from the age of 15 to 21 years. J Orofacial Pain 1994; 8: 207 - 215.
33. Graf H. Bruxism. Dent Clin North America 1969; 13: 659.
34. Molina OM, dos Santos J Jr, Nelson SJ, Grossman E. Prevalence of modalities of headaches and bruxism among patients with craniomandibular disorders. Cranio 1997; 15: 314 – 325.
35. Greene CS, Laskin DM. Temporomandibular disorders: Moving from a dentally based to a medically based model. J Dental Res 2000; 79: 1736 – 1739.
36. Lund JP. The pain adaptations model: A discussion of the relationship between chronic musculoskeletal pain and motor activity. Can J Physiol Pharmacol 1991; 69: 683 – 694.
37. Cacchiottti DA, Plesh O, Bianchi P, Mcneill C. Signs and symptoms in samples with and without temporomandibular disorders. J Craniomand Disord 1991; 5: 167 – 172.
38. Seligman DA, Pullinger AG. Analysis of occlusal variables, dental attrition, and age for distinguishing healthy controls form female patients with intracapsular temporomandibular disorders. J Prosthet Dent 2000; 83: 76 – 82.
39. Greene CS, Marbach JJ. Epidemiologic studies of mandibular dysfunction: A critical review. J Prosthet Dent 1982; 48: 184 – 190.
40. Makofsky H. The effect of head posture on muscle contact position: the sliding cranium theory. Cranio 1989; 7: 286 – 292.
41. Makofsky HW, August BF, Ellis JJ. A multidisciplinary approach to the evaluation and treatment of temporomandibular joint and cervical spine dysfunction. Cranio 1989; 7: 205 – 213.
42. Libin BM. The cranial mechanism: Its relationship to craniomandibular function. J Prosthet Dent 1987; 58: 632 – 638.
43. Mohamed SE, Christensen LV. Mandibular reference position. J Oral Rehabil 1985; 12: 355 - 367.
44. Darling DW, Kraus S, Glasheen-Wray MB. Relationship of head posture and the rest position of the mandible. J Prosthet Dent 1984; 52: 111 – 115.
45. Goldstein DF, Kraus SL, Williams WB, Glasheen-Wray M. Influence of cervical posture on mandibular movement. J Prosthet Dent 1984; 52: 421 – 426.
46. Funakoshi M, Fujita N, Takehana S. Relations between occlusal interference and jaw muscles in response to changes in head position. J Dent Res 1976; 55: 684- 690.
47. McLean LF. Effects of changing body position on dental occlusion. J Dent Res 1973; 52:1041 – 1045.
48. Rocabado M. Physical therapy and dentistry: An overview. Cranio 1982-83; 1:47 – 49.
49. Manns A., Díaz G. Sistema Estomatognático. Sociedad Grafica Almagro Ltda. Universidad de Chile 1988.
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Publicado
2008-07-01
Cómo citar
Ramírez Aristeguieta, L. (2008). PARADIGMAS ODONTOLÓGICOS DESCONCERTANTES: DESÓRDENES TEMPOROMANDIBULARES, OCLUSIÓN Y BRUXISMO. Ustasalud, 7(2), 132-143. https://doi.org/https://doi.org/10.15332/us.v7i2.1191
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