Trastornos temporomandibulares: algunas consideraciones de su etiología y diagnóstico
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Palabras clave

articulação temporomandibular
diagnóstico
etiologia
oclusão dentária
disfunções da articulação temporomandibular.

Resumen

Resumen. Los trastornos temporomandibulares (ttm) constituyen una afección
que provoca síntomas como dolor, lo cual es uno de los principales motivos de
consulta odontológica. Sin embargo, con frecuencia los pacientes en los estadios
iniciales ignoran la sintomatología, o es quizá en una etapa más avanzada que deciden
acudir a consulta, ya sea por presentar dolor incapacitante en regiones del
sistema gnático o como consecuencia del escaso conocimiento en la comunidad
sobre estos trastornos. Estas dos situaciones promueven muchas veces la evolución
desfavorable y la complicación del cuadro clínico, que es sin duda competencia del
área de odontología. Aunado a lo anterior, los ttm suelen compartir con otras enfermedades
algunos signos, síntomas y factores asociados a su etiología. Por esto,
el odontólogo general sin especialidad se enfrenta al reto de atender en su consulta
diaria a pacientes que pueden mostrar alguna de las manifestaciones de ttm durante
una evaluación odontológica de rutina o por otro motivo. Debido a lo anterior,
los odontólogos generales deben tener conocimiento y acceso a información
que posibilite el desarrollo de habilidades y competencias básicas, para identificar
factores etiológicos asociados con ttm y registrar información pertinente que contribuya
con el diagnóstico temprano, con el fin de evitar la pérdida de tiempo y
orientar al paciente hacia la atención especializada de manera más oportuna.

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Citas

De la Torre E, Aguirre I, Fuentes V, Peñón P, Espinosa D, Núñez J. Factores de riesgo asociados a trastornos temporomandibulares. Rev Cubana Estomatol [revista en la Internet]. 2013 Dic [citado 2014 Nov 01] ; 50(4): 364-373. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072013000400004&lng=es

Peñón PA, Grau I, Sarracent H. Caracterización clínica del síndrome de disfunción temporomandibular en el Hospital Universitario «Miguel Enríquez». Rev Cubana Estomatol. 2011 [citado 18 ene 2012];48(4). Disponible en: http://scielo.sld.cu/scielo.php?pid=S0034-75072011000400008&script=sci_arttext

Algozaín Y, Viñas M, Capote E, Rodríguez R. Comportamiento clínico del síndrome dolor disfunción del aparato temporomandibular en una consulta de urgencias estomatológicas. Rev Cubana Estomatol. 2009[citado 12 ene 2012];46(2). Disponible en: http://scielo.sld.cu/scielo.php?pid=S0034-75072009000200004&script=sci_arttext

Bell WE. Temporomandibular diorders. 3rd ed. Chicago: Year Book Medical Publisher; 1990.

Costen JB. Syndrome of ear and sinus symptoms dependent upon functions of the temporomandibular joint.Ann Otol Rhinol Laringol. 1934; 3:1-4.

Shafer WG, Hine MK, Levy BM. Tratado de patología bucal. 4 ed. México DF: Nueva Editorial Interamericana; 2000. p.743 -4.

Okenson JP.: Oclusión y afecciones temporomandibulares .3 ed. Barcelona: Mosby; 1995.

Okeson j. Trtamiento de oclusión y afección temporomandibular. 5ª edición. Madrid (España) mosby. 2003; 150-180.

Tanaka E, Detamore MS, Mercuri LG. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res; 2008; 87:296–307.

Nitzan DW. The process of lubrication impairment and its involvement in temporomandibular joint disc displacement: a theoretical concept. J Oral Maxillofac Surg. 2001; 59: 36–45.

Israel HA. Current concept in the surgical management of temporomandibular joint disorders. J Oral Maxillofac Surg. 1994; 52:289-294.

Smith AJ, Basu MK, Speculand B, Kassem MA, Lloyd JM. Synovial fluid glycosaminoglycan (acid ucopolysaccharide) analysis in assessment of temporomandibular joint dysfunction: a pilot study. Br J Oral Maxillofac Surg. 1989; 27:853-861.

Israel HA, Saed-Nejad F, Ratcliffe A. Early diagnosis of osteoarthritis of the temporomandibular joint: correlation between arthroscopic diagnosis and keratan sulfate levels in synovial fluid. J Oral Maxillofac Surg. 1991; 49: 708-711.

Quinn JH, Kent JH, Moise A, Lukiw WJ. Cyclooxygenase-2 in synovial tissue and fluid of dysfunctional temporomandibular joints with internal derangement. J Oral Maxillofac Surg. 2000; 58:1229-1232.

Quinn JH, Bazan NG. Identification of prostaglandin E2 and leukotriene B4 in synovial fluid of painful, dysfunctional temporomandibular joints. J Oral Maxillofac Surg. 1990; 48:968-971.

Larsson J, Ekblom A, Henriksson K, Lundeberg T, Theodoesson E. Concentration of substance P,neurokinin A, calcitonin gene-related peptide, neuropeptide Y and vasoactive intestinal polypeptide in synovial fluid from knee joints in patients suffering from rheumatoid arthritis. Scand J Rheumatol. 1991;20:326-335

Ishimaru JI Oguma Y, Goss AN.Matrix metalloproteinase and tissue inhibitor of metalloproteinase in serum and lavage synovial fluid of patients with temporomandibular joint disorders. Br J Maxillofac Surg. 2000; 38:354-359.

Takahashi T, Kondoh T, Kamei K, Seki H, Fukuda M, Nagai H, Takano H, Yamazaki Y. Elevated levels of nitric oxide in synovial fluid from patients with temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996; 82:505-509.

Grau I, Cabo R. Evaluación de la oclusión en pacientes con trastornos temporomandibulares y desarmonías oclusales. Rev Cubana Estomatol. 2010 abr.-jun[citado 12 ene 2012];47(2). Disponible en: http://scielo.sld.cu/scielo.php?pid=S0034-75072010000200005&script=sci_arttext

García-Fajardo C, Cacho A, Fonte A, Pérez JC. La oclusión como factor etiopatológico en los trastornos temporomandibulares. RCOE. 2007 [citado 12 ene 2012];12(1-2). Disponible en: http://scielo.isciii.es/scielo.php?pid=S1138123X2007000100003&script=sci_arttext&tlng=pt

Castillo Hernández R. Asociación de las variables oclusales y la ansiedad con la disfunción temporomandibular. Revista Cubana de Ortodoncia. Enero-junio, 1995.

Rodriguez N, Villanueva N, CuairánV, Canseco J. Temporomandibular joint dysfunction in 9 to 14 year old patients programmed for orthodontic treatment. Revista Odontológica Mexicana. 2011;15 (2): 72-76.

Lee WY, JP Okeson, J Lindroth. The relationship between forward head posture and temporomandibular disorders. J Orofac Pain. 1995. 9(2): 161-7.(c).

Mannheimer J. Prevention and restoration of anormal upper quarter posture, in postural considerations in the diagnosis of treatment of cranio-cervical-mandibular and related chronic pain desorders. ed. gelb m, ishiyarku euro américa. St. Louis, 1991, pp. all.

Montero J, Semykina O, Morais L. Trastornos temporomandibulares y su interacción con la postura corporal. Rev Cubana Estomatol. 2014;51 (1). Disponible en: http://www.revestomatologia.sld.cu/index.php/est/article/view/42/51

Wang MQ, Xue F, He JJ, Chen JH, Chen CS, Raustia A. Missing posterior teeth and risk of temporomandibular disorders. J Dent Res. 2009; 88(10):942-5.

Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res. 2002; 81(4):284-8.

Santana U, Lopez J, Mora MJ, Otero XL. Temporomandibular Disorders: The Habitual Chewing Side Syndrome. PLoS ONE. 2013; 8(4): e59980. doi:10.1371/journal.pone.0059980

Diernberger S, Bernhardt O, Schwahn C, Kordass B. Self-reported chewing side preference and its associations with occlusal, temporomandibular and prosthodontic factors: results from the population-based Study of Health in Pomerania (SHIP-0). J Oral Rehabil. 2008; 35: 613–620.

Reinhardt R, Tremel T, Wehrbein H, Reinhardt W. The unilateral chewing phenomenon, occlusion, and TMD. Cranio. 2006; 24: 166–170.

Nickel JC, Iwasaki LR, Feely DE, Stormberg KD, Beatty MW. The effect of disc thickness and trauma on disc surface friction in the porcine temporomandibular joint. Arch Oral Biol. 2001; 46:155-162.

Beatty MW, Nickel JC, Iwasaki LR, Leiker M. Mechanical response of the porcine temporomandibular joint disc to an impact event and repeated tensile loading. J Orofac Pain. 2003; 17:160-166.

Jambhekar S, Kheur M, Kothavade M, Dugal R. Occlusion and Occlusal Considerations in Implantology. IJDA, 2010; 2 (1): 125-130.

Diatchenko L, Slade GD, Nackley AG, Bhalang K, Sigurdsson A, et al. Genetic basis for individual variations in pain perception and the development of a chronic pain condition. Hum Mol Genet. 2005; 14: 135–143.

Andreu Y, Errando M, Galdón M, Durá E. Los factores psicológicos en el trastorno temporomandibular. Psicothema, 2005; 17 (1): 101-106.

Slade GD, Diatchenko L, Bhalang K, Sigurdsson A, Fillingim RB, Belfer I, Max MB, Goldman D, Maixner W. Influence of psychological factors on risk of temporomandibular disorders. J Dent Res. 2007; 86(11):1120-5.

Pérez GE, Aldana CE, Ruelas FMG, Díaz RRM. Frecuencia de trastornos temporomandibulares en mujeres climatéricas en el Instituto Nacional de Perinatología. Revista ADM 2005;LXII(3):85-90.

Rantala MA, Ahlberg J, Suvinen TI , Nissinen M, Lindholm H, Savolainen A, et al. Temporomandibular joint related painless symptoms, orofacial pain, neck pain headache, and psychosocial factors among non-patients. Acta Odonltol Scand. 2003; 61(4):217-22.

Ciancaglini R, Radaelli G. The relationship betwwenn headache and symptoms of temporomandibular disorder in the general population. J Dent. 2001; 29(2):93-8.

Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatology 1990 Criteria for the classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990; 33: 160 – 72.

Fricton JR. The relationship of temporomandibular disorders and fibromyalgia: implications for diagnosis and treatment. Curr Pain Headache Rep. 2004;8:355 – 63.

Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum. 1995; 38:19 – 28.

Cimino R, Michelotti A, Stradi R, Farinaro C. Comparison of clinical and psychologic features of fibromyalgia and masticatory myofascial pain. J Orofac Pain. 1998; 12:35 – 41.

Pennacchio EA, Borg – stein J, Keith DA. The incidence of pain in the muscles of mastication in patients with fibromyalgia. J mass Dent Soc. 1998; 47:8 – 12.

Aaron LA, Burke MM, Buchwald D. Overlapping conditions among patients with chronic fatigue syndrome, fibromyalgia, and temporomandibular disorder. Arch Intern Med. 2000; 160:221 – 7.

Rhodus NL, Fricton J, Carlson P, Messner R. Oral symptoms associated with fibromyalgia syndrome. J Rheumatol. 2003; 30: 1841 – 5.

International Headache Society. Classification and Cephalgia, Diagnostic Criteria for Headache Disorders, Cranial Neuralgias and Facial Pain. Oslo, Norway, Norwegian University Press. 1988;8 (7): 1-96.

McNeill C (ed). Craniomandibular disorders: guidelines for evaluation, diagnosis and management. Chicago, Quintessence Publ. Co. Inc. 1990.

Temporomandibular disorders: guidelines for the classification, assessment and management. Chicago, Quintessence Publishing Co. 1993.

Okeson JP (ed). Orofacial pain: guidelines for assessment, diagnosis and management. Chicago, Quintessence Publishing Co. 1996

Hasanain F, Durham J, Moufti A, Steen IN, Wassell RW. Adapting the diagnostic definitions of the RDC/TMD to routine clinical practice: a feasibility study. J Dent. 2009; 37(12):955-62.

John MT, Dworkin SF, Mancl LA. Reliability of clinical temporomandibular disorder diagnoses. Pain. 2005; 118(1-2):61-9.

Look JO, John MT, Tai F, Huggins KH, Lenton PA, Truelove EL, Ohrbach R, Anderson GC, Shiffman EL.The Research Diagnostic Criteria For Temporomandibular Disorders. II: reliability of Axis I diagnoses and selected clinical measures. J Orofac Pain. 2010;24(1):25.

Concha G. Imágenes por resonancia magnética de la articulación Temporomandibular Revista HCUCh. 2007; 18: 121 – 30.

Cañete R, Guilhem D, Brito K. Consentimiento informado: algunas consideraciones actuales. Acta bioeth. [revista en la Internet]. 2012 Jun [citado 2014 Nov 01] ; 18( 1 ): 121-127. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2012000100011&lng=es. http://dx.doi.org/10.4067/S1726-569X2012000100011

Duthie J, Bharwani D, Tallents RH, Bellohusen R, Fishman L. A longitudinal study of normal asymmetric mandibular growth and its relationship to skeletal maturation. Am J Orthod Dentofacial Orthop. 2007; 132(2):179-84.

Qadeer S, et al. Relationship between articulation paper mark size and percentage of force measured with computerized occlusal analysis. J Adv Prosthodont. 2012. 4(1): 7-12.

Wright EF. Referred craniofacial pain patterns in patients with temporomandibular disorder. J Am Dent Assoc. 2000; 131(9):1307-15.

Dawson PE. Functional Occlusion: From TM to Smile Design. St Louis. MO: Mosby, 2007.

Gay T, Bertolami CN. The spectral properties of temporomandibular joint sounds. J Dent Res 1987; 66:1189-94.

McNeely M,Armijo S, Magee D.A Systematic Review of the Effectiveness of physicalTherapy Interventions for Temporomandibular disorders.PHYS THER. 2006; 86:710-725.

Takahashi T, Kondoh T, Fukuda M, Yamazaki Y, Toyosaki T, Suzuki R. Proinflammatory cytokines detectable in synovial fluids from patients with temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 85(2):135-41.

Kaneyama K, Segami N, Nishimura M, Suzuki T, Sato J. Importance of Proinflammatory cytokines in synovial fluid from 121 joints with temporomandibular disorders. Br J Oral Maxillofac Surg. 2002; 40(5):418-23.

Hunter A, Kalathingal S. Diagnostic imaging for temporomandibular disorders and orofacial pain. Dent Clin North Am. 2013; 57(3):405-18.

Park JW, Song HH, Roh HS, Kim YK, Lee JY. Correlation between clinical diagnosis based on RDC/TMD and MRI findings of TMJ internal derangement. Int J Oral Maxillofac Surg. 2012; 41(1):103-8.

Schmitter M, Kress B, Rammelsberg P. Temporomandibular joint pathosis in patients with myofascial pain: a comparative analysis of magnetic resonance imaging and a clinical examination based on a specific set of criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97(3):318-24.

Kostrzewa-Janicka J, Mierzwinska-Nastalska E, Jurkowski P, Okonski P, Nedzi-Gora M. Assessment of temporomandibular joint disease. Adv Exp Med Biol. 2013; 788:207-11.

Costa ACS, Dibai Filho AV, Packer AC, RodriguesD. Intra and inter-rater reliability of infrared image analysis of masticatory and upper trapezius muscles in women with and without temporomandibular disorder. Braz J Phys Ther. 2013; 17(1): 24-31.

Galhardo AP, Leite Cda C, Mukai MK, Mori M, Gil C. The importance of complementary exams for the diagnosis of temporomandibular joint disorders. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Jul; 116(1):125-7.

Reeves JL, Jaeger B, Graff-Radford SB. Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity. Pain 1986;24:313-21

Ohrbach R, Gale EN. Pressure pain thresholds, clinical assessment, and differential diagnosis: reliability and validity in patients with myogenic pain. Pain 1989; 39:157-69.

Wang YL, et al., Patterns and forces of occlusal contacts during lateral excursions recorded by the T-Scan II system in young Chinese adults with normal occlusions. J Oral Rehabil. 2011. 38(8): 571-8.

Baba K, Tsukiyama Y, Yamazaki M, Clark GT. A review of temporomandibular disorder diagnostic techniques. J Prosthet Dent. 2001 Aug;86(2):184-94.

Qadeer S, et al. Relationship between articulation paper mark size and percentage of force measured with computerized occlusal analysis. J Adv Prosthodont. 2012. 4(1): 7-12.

Gonzalez YM, Greene CS, Mohl ND. Technological devices in the diagnosis of temporomandibular disorders. Oral Maxillofac Surg Clin North Am. 2008; 20(2):211-20.

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