Gallardo LCA, Ascanio BM, Ascanio CA

Language: Spanish
References: 15
Page: 228-236
PDF size: 692.45 Kb.

ABSTRACT

Temporomandibular disorders (TMD) are a problem in the general population whose signs and symptoms have a multifactorial character that must be addressed by an interdisciplinary team to provide a better chance of success and aesthetic treatments. Occlusal guards are part of TMD treatment, you should know the indications, contraindications, advantages, and disadvantages, because the occlusal guards perform certain functions and objectives. The occlusal guard by Iztacala modification provides an indirect and noninvasive method modifying occlusion, recovering the lost dental tissue or organs, reorganizes the neuromuscular reflex activity, relaxes the muscles, promotes articular disc repositioning, protecting the teeth and supporting occlusion structures, it also improves aesthetics and self-esteem. The occlusal guard Iztacala modification has the advantage of decreasing TMJ pain, provides relief to tension headaches, elimination of occlusal interferences, is a distributor of occlusal forces as well as causing a greater number of contacts equal intensity of force against the occlusal surface of all teeth. There are several methods for the fabrication of occlusal guards, in this paper the development of an occlusal guard programmed with the principles of organic occlusion is described, using as a basis a rigid acetate and acrylic for programming, in addition to providing your cosmetic use and function. The acquisition or denial of treatment with an occlusal splint depends on the choice, preparation, occlusal guard adjustment and patient cooperation.

REFERENCES

1. Howat AP, Capp NJ, Barrett N. Oclusión y maloclusión. Gran Bretaña: Mosby Year Book; 1992. pp. 187-188.

2. Baumann A, Lotzmann F. Atlas de diagnóstico funcional y principios terapéuticos de diagnóstico en odontología. Barcelona: Masson; 2000. pp. 305-314.

3. Ramfjord SP, Ash MM. Oclusión. México: Interamericana; 1972. pp. 234-236.

4. Okeson JP. Tratamiento oclusión y afecciones temporomandibulares. 5.a ed. España: Elsevier; 2003. pp. 509-519.

5. Ochoa L, Dufoo OS, Dufoo VM. Síndrome temporomandibular en lesiones traumáticas de la columna cervical. 2007; 3 (3): 198-202.

6. Dworkin SF. Personal and societal impact of orofacial pain. In: Friction JR, Dubner RB (eds.) Orofacial pain and temporomandibular disorders. New York: Raven Press; 1995. pp. 15-32.

7. Maglione H, Laraudo S. Disfunción craneomandibular. Amolca, Venezuela; 2008. pp. 162-188.

8. Espinosa-De Santillana I, Reyes-García M, Vaillard-Jiménez E, Vargas GH, Reyes-García Y. Relación de desórdenes temporomandibulares —perfil psicológico en estudiantes de Puebla. Rev Odont Mex. 2006; 10 (3): 115-118.

9. Grau LI, Fernández KL, González G, Osorio NM. Algunas consideraciones sobre los trastornos temporomandibulares. Rev Cubana Estomatol. 2005; 42 (3).

10. Rugh JD, Solberg WK. Oral health status in the United States. Temporomandibular disorders. J Dent Educ. 1985; 49 (6): 398-404.

11. Schiffman E, Fricton JR. Epidemiology of TMJ and craniofacial pain. In: Fricton JR, Kroening RJ, Hathaway KM editor(s). TMJ and Craniofacial Pain: Diagnosis and Management. St. Louis: IEA Publications; 1988. pp. 1-10.

12. Vartan B. Oclusión. Montevideo, Uruguay; 1974. pp. 83-87.

13. Dawson PE. Evaluación, diagnóstico y tratamiento de problemas oclusales. 2.ª ed. 1995. p. 459.

14. Herrera J, Colomé R, Rueda F, Carrillo G. Terapia de guarda oclusal para el tratamiento de la limitación de los movimientos mandibulares. Rev Odontol Latinoam. 2010; 2 (1): 9-14.

15. Rubiano CM. Placa neuro-mio-relajante: elaboración y mantenimiento paso a paso. 2.a reimpresión. Bogotá-Colombia: Actualidades Médico-Odontológicas Latinoamérica; 1993. pp. 207.