Una revisión de la literatura sobre la relación causal entre los factores oclusales (FO) y los desórdenes temporomandibulares (DTM) V: efecto de los cambios en los factores oclusales conseguidos con el tratamiento de ortodoncia
Palabras clave:
Oclusión, Desórdenes temporomandibulares, Etiología, Factores oclusales, Articulación temporomandibular, Tratamiento de ortodonciaResumen
Introducción: este es el quinto de una serie de artículos que tienen como propósito presentar una revisión de la literatura sobre la relación causal entre los factores oclusales (FO) y los desórdenes temporomandibulares (DTM). Métodos: en este artículo se presentaron y analizaron los estudios epidemiológicos (transversales y analíticos) en los que se investigó la posible relación entre el tratamiento de ortodoncia (TO) y los DTM. Resultados: la mayoría de los reportes (70%) no soportaron al TO como un factor asociado al desarrollo de los DTM. Conclusión: a pesar de que la tendencia general fue la de presentarse una ausencia de asociación entre el TO y los DTM en los diferentes reportes; quizás en el futuro, un mejoramiento de los diseños de las investigaciones permita obtener resultados más claros que ayuden a hacer una sólida interpretación acerca de la relación existente entre el TO y los DTM. Adicionalmente, otros factores; como los genéticos, pueden ser variables de confusión y deberían ser investigados y considerados dentro de la prevención, etiología y manejo de los DTM. Mas allá de que exista una asociación entre el TO y los DTM, es importante destacar como recomendación clínica, la ejecución de un apropiado tamizaje de DTM en los pacientes que van a recibir un TO.
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Acosta-Ortiz R, Rojas BP. Una revisión de la literatura sobre la relación causal entre los factores oclusales (FO) y los desórdenes temporomandibulares (DTM) I: estudios epidemiológicos descriptivos. Rev Fac Odontol Univ Antioq. 2006; 17(2): 67-85.
Acosta-Ortiz R, Rojas BP. Una revisión de la literatura sobre la relación causal entre los factores oclusales (FO) y los desórdenes temporomandibulares (DTM) II: estudios epidemiológicos analíticos de observación. Rev Fac Odontol Univ Antioq. 2006; 18(1): 55-67.
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Acosta R, Rojas BP. Una revisión de la literatura sobre la relación causal entre los factores oclusales (FO) y los desórdenes temporomandibulares (DTM) IV: estudios experimentales del ajuste oclusal por tallado selectivo como intervención preventiva o terapéutica. Rev Fac Odontol Univ Antioq. 2009; 21: 98-111.
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Esta revista provee acceso libre inmediato a su contenido, bajo el principio de que poner la investigación a disposición del público de manera gratuita contribuye a un mayor intercambio de conocimiento global.
Licencia Creative Commons
La Revista facilita sus contenidos a terceros sin mediar para ello ningún tipo de contraprestación económica o embargo sobre los artículos. Para ello adopta el modelo de contrato de licenciamiento de la organización Creative Commons denominada Atribución – No comercial – Compartir igual (BY-NC-SA). Esta licencia les permite a otras partes distribuir, remezclar, retocar y crear a partir de la obra de modo no comercial, siempre y cuando nos den crédito y licencien sus nuevas creaciones bajo las mismas condiciones.
Esta obra está bajo una Licencia Creative Commons Atribución-NoComercial-CompartirIgual 4.0 Internacional.
