RESUMEN
The aim of this study was to evaluate the prevalence and need for treatment of temporomandibular disorders (TMD) in students living in Bauru, Brazil. The role of occlusal and emotional factors was also addressed. The presence and severity of TMD was determined by using a self-reported anamnestic questionnaire composed of 10 questions regarding common TMD symptoms. The symptoms were transposed into a severity classification according to the number and frequency of positive responses. Occlusal evaluation included an analysis of retruded contact position, intercuspal position, anterolateral guidance, and nonworking side contacts during mandibular movements. Palpation of the muscles and temporomandibular joints were performed to detect clinical signs of TMD. A chi square test was used to compare clinical and occlusal data with the presence and severity of TMD. A total of 0.65% of the subjects had severe TMD symptoms, 5.81% had moderate symptoms, and 34.84% had mild symptoms. Those with severe and moderate symptom levels were interpreted to be in need of treatment. Symptoms were found significantly more frequently in females than in males (P < .01). Self-reported emotional tension and parafunctional habits demonstrated strong associations with TMD (P < .01). Occlusion did not seem to influence the presence or severity of TMD. Based on these results, the efficacy of some traditional TMD treatments should be reconsidered, and reversible and conservative procedures should be the first choice for managing TMD patients.
Asunto(s)
Oclusión Dental Traumática/complicaciones , Trastornos de la Articulación Temporomandibular/epidemiología , Trastornos de la Articulación Temporomandibular/etiología , Adolescente , Adulto , Brasil/epidemiología , Estudios de Casos y Controles , Distribución de Chi-Cuadrado , Femenino , Humanos , Masculino , Anamnesis , Prevalencia , Distribución por Sexo , Estrés Psicológico/complicaciones , Estudiantes , Encuestas y Cuestionarios , Trastornos de la Articulación Temporomandibular/psicologíaRESUMEN
Caso clínico, onde o paciente se apresentava desdentado total no rebordo alveolar superior, e na regiäo inferior apenas dois dentes remanescentes (33; 43). O tratamento realizado foi uma prótese total convencional (superior) e uma "overdenture" na regiäo inferior, utilizando um sistema de "attachment" resilitente, denominado "Spherical Pivot Line". Consideraçöes sobre o emprego desse sistema foram também avaliadas quanto ao conforto, estabilidade e retençäo de prótese