Disfunción temporomandibular en pacientes mayores de 20 años. Policlínico "Ángel Ortiz Vázquez", Manzanillo. 2011-2012

• Main Authors: María Rosa Paneque Gamboa (Author), Dermis María González González (Author), Leandra Hormigot Baños (Author), Yamilka Almeida Muñiz (Author)
• Format: Book
• Published: Universidad de Ciencias Médicas de La Habana, 2014-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1729-519X
• Keywords: Medicine (General); R5-920; Public aspects of medicine; RA1-1270
• Source: Revista Habanera de Ciencias Médicas, Vol 13, Iss 5 (2014)

<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG /> <o:TargetScreenSize>1024x768</o:TargetScreenSize> </o:OfficeDocumentSettings> </xml><![endif]--> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">Introducción:</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE"> Las afecciones en la articulación temporomandibular</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">son de<span style="mso-spacerun: yes;"> </span>etiología compleja y multifactorial</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">,</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE"> ocasionando daño a los músculos masticatorios, las estructuras asociadas o ambas. En Cuba, varios trabajos realizados orientan a la alta</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">prevalencia entre</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">40 y 65</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">% en los adultos de 40 a 50 años de edad. <strong style="mso-bidi-font-weight: normal;">Objetivo:</strong></span><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">Caracterizar </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">la disfunción temporomandibular en pacientes mayores de 20 años atendidos en la </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">Clínica </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">estomatológica del Policlínico "Ángel Ortiz Vázquez". <strong>Material y Métodos:</strong></span><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">S</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">e realizó un estudio descriptivo transversal. La muestra estuvo constituida por 155 pacientes mayores de 20 años, de ambos sexos, con disfunción<span style="mso-spacerun: yes;"> </span>temporomandibular, procedentes de la consulta de prótesis en<span style="mso-spacerun: yes;"> </span>la clínica</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">estomatológica del Policlínico<span style="mso-spacerun: yes;"> </span>"Ángel Ortiz Vázquez", del municipio de Manzanillo. Las variables estudiadas fueron sexo, edad, hábitos</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">deformantes, tipo de desdentamiento y signos y síntomas presentes</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">.</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE"><span style="mso-spacerun: yes;"> </span>Las fuentes de información fueron las encuestas e historias clínicas individuales de los pacientes.</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">Resultados</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE; mso-bidi-font-weight: bold;" lang="X-NONE">:</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold;" lang="X-NONE"> </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">E</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">n la investigación se evidenció que en los pacientes con disfunción temporomandibular el desdentamiento parcial predominó en 71% y el sexo femenino en 71,6%, con predominio de la masticación unilateral </span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">e</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">n 53,54%.</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">Conclusiones:</span></strong><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";" lang="X-NONE"> </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";">E</span><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-ansi-language: X-NONE;" lang="X-NONE">n<span style="mso-spacerun: yes;"> </span>los pacientes estudiados predomina el grupo de edad de 50 a 59 años, el sexo femenino, el desdentamiento parcial y la masticación unilateral como hábito deformante.

Además hay predominio del chasquido y la crepitación, mientras el dolor es el síntoma menos frecuente.</span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif";"> Palabras clave: </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold;">Disfunción temporomandibular, dolor, hábitos deformantes.</span></p> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves /> <w:TrackFormatting /> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF /> <w:LidThemeOther>ES</w:LidThemeOther> 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