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Revista odontológica mexicana
Print version ISSN 1870-199X
Rev. Odont. Mex vol.12 n.4 Ciudad de México Dec. 2008
https://doi.org/10.22201/fo.1870199xp.2008.12.4.15623
Trabajos originales
Valoración integral de los trastornos temporomandibulares en pacientes pediátricos (caso clínico)
Integral evaluation of temporomandibular disorders in pediatric patients
*Maestra en Ciencias en Estomatología Pediátrica.
§Maestra en Ciencias Médicas y de Investigación.
¶Coordinadora de Estomatología Pediátrica de la Benemérita Universidad Autónoma de Puebla.
Los trastornos temporomandibulares conforman un conjunto de condiciones musculoesqueléticas dolorosas que afectan la articulación temporomandibular, los músculos de la masticación y las estructuras anatómicas adyacentes. Su etiología es multifactorial con componentes bio-psico-sociales de igual peso para su identificación y tratamiento. El objetivo del presente estudio es demostrar la importancia de la valoración integral de los trastornos temporomandibulares en pacientes pediátricos.
Caso clínico:
Paciente escolar femenino de 8 años de edad, que acude por dolor a nivel de la articulación temporomandibular bilateral y ruidos evidentes. Valoración fisiológica: Clase 11-11, mordida abierta anterior, respiración bucal, deglución atípica y caries múltiple. De acuerdo a los criterios establecidos por Dworkin; luxación del disco articular bilateral con reducción sin apertura limitada, dolor miofascial y artralgia del lado izquierdo. Valoración psiquiátrica: De acuerdo al diagnostico de salud mental IV: trastorno depresivo moderado, con síntomas, ansioso, con ideas suicidas secundario a múltiples enfermedades médicas. Valoración social: Paciente poco sociable, introvertida, poco tolerante, irritable, impulsiva. Familia funciónal tipo relacionada y flexible y con índice socioeconómico según Bronfman, bueno. En padecimientos de etiología multifactorial es Indispensable que la valoración sea igualmente abordada desde las diferentes perspectivas de la etiología.
Palabras clave: Trastorno temporomandibular; diagnóstico integral; salud mental en niños
The Temporomandibular disorders conform a set of painful muscle-skeletal conditions affecting the temporomandibular joint, muscles of the mastication and adjacent anatomical structures. It has a multifactorial etiology with -psycho-social components of equal weight for its identification and treatment. The aim of the present study is to demonstrate the importance of the integral valuation of the temporomandibular disorders in pediatrics patients.
Clinical case:
Feminine scholastic patient of 8 years of age, that goes by pain to level bilateral the Temporomandibular Joint and evident noises. Physiological valuation: Class 11-11, previous open bite, buccal breathing, atypical swallowing and multiple decay. According to the criteria established by Dworkin; luxation of the disc to articulate bilateral with reduction without limited opening, miofascial pain and arthralgia of the left side. Psychiatric valuation: According to the Diagnosis of Mental Health IV; Anxious moderate depressive disorder with symptoms with suicidal ideas secondary to multiple medical diseases. Social valuation: Patient little sociable, introvert, tolerant, null and voidable, little impulsive. Functional family flexible relationship type and to socioeconomic index according with Bronfman was good. In sufferings of multifactorial etiology is indispensable that the valuation is equally boarded from the different ones perspective of the etiology.
Key words: Temporomandibular disorders; integral diagnosis; mental health in children
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