Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia

Tradicionalmente, se ha creído que la alteración de la dimensión vertical oclusal (DVO) es un procedimiento dental que puede causar problemas como dolor muscular, desarrollo de signos y síntomas de trastornos temporomandibulares, dolor de cabeza y bruxismo, por lo cual es necesario garantizar que lo...

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Detalles Bibliográficos
Autores: Ojeda Muñoz, Carlos Augusto, Unigarro Marcillo, Marcelo Alejandro
Tipo de recurso: tesis de maestría
Fecha de publicación:2021
País:Colombia
Institución:Universidad Cooperativa de Colombia
Repositorio:Repositorio UCC
OAI Identifier:oai:https://repository.ucc.edu.co:20.500.12494/41172
Acceso en línea:http://hdl.handle.net/20.500.12494/41172
Access Level:acceso abierto
Palabra clave:Articulación Temporomandibular
Dimensión Vertical Oclusal
Ortodoncia
TG 2021 EOF 41172
Temporomandibular joint
Occlusal Vertical Dimension
Orthodontics
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oai_identifier_str oai:https://repository.ucc.edu.co:20.500.12494/41172
network_acronym_str CO
network_name_str Colombia
repository_id_str
dc.title.none.fl_str_mv Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia
title Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia
spellingShingle Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia
Ojeda Muñoz, Carlos Augusto
Articulación Temporomandibular
Dimensión Vertical Oclusal
Ortodoncia
TG 2021 EOF 41172
Temporomandibular joint
Occlusal Vertical Dimension
Orthodontics
title_short Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia
title_full Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia
title_fullStr Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia
title_full_unstemmed Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia
title_sort Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia
dc.creator.none.fl_str_mv Ojeda Muñoz, Carlos Augusto
Unigarro Marcillo, Marcelo Alejandro
author Ojeda Muñoz, Carlos Augusto
author_facet Ojeda Muñoz, Carlos Augusto
Unigarro Marcillo, Marcelo Alejandro
author_role author
author2 Unigarro Marcillo, Marcelo Alejandro
author2_role author
dc.contributor.none.fl_str_mv Salas Zambrano, Luis Andres
Rosero Ruiz, Felipe
dc.subject.none.fl_str_mv Articulación Temporomandibular
Dimensión Vertical Oclusal
Ortodoncia
TG 2021 EOF 41172
Temporomandibular joint
Occlusal Vertical Dimension
Orthodontics
topic Articulación Temporomandibular
Dimensión Vertical Oclusal
Ortodoncia
TG 2021 EOF 41172
Temporomandibular joint
Occlusal Vertical Dimension
Orthodontics
description Tradicionalmente, se ha creído que la alteración de la dimensión vertical oclusal (DVO) es un procedimiento dental que puede causar problemas como dolor muscular, desarrollo de signos y síntomas de trastornos temporomandibulares, dolor de cabeza y bruxismo, por lo cual es necesario garantizar que los tratamientos de ortodoncia sean seguros para la salud de la articulación temporomandibular (ATM). Hasta el momento no existe evidencia solida en la literatura reciente que evalué la asociación del aumento de la dimensión vertical oclusal (DVO) con fines ortodónticos y sus efectos en la ATM. Objetivo: Reunir evidencia científica donde se encuentren cambios en la posición condilar con el uso de aparatología de ortodoncia que aumente la dimensión vertical oclusal. Metodología: Se realizó una búsqueda sistemática en las bases de datos Medline (Pubmed), Scopus, Science Direct y BVS con los siguientes términos de búsqueda “Temporomandibular Joint", "Vertical Dimension", "Dental Occlusion" y "Orthodontics". Se consultaron las bibliografías de todos los artículos seleccionados para publicaciones adicionales y se realizó una búsqueda Manual en las diferentes bases de datos. Resultados: Tras realizar la búsqueda se en las diferentes bases de datos se encontraron 3667 artículos, de los cuales se seleccionaron 9 artículos para su análisis. Se encontró que la ayuda diagnostica más utilizada para la evaluación de la posición condilar es la tomografía computarizada de haz de cono. No se encontraron cambios estadísticamente significativos para; la posición condilar en sentido anteroposterior y vertical, la relación céntrica y la oclusión céntrica, ni en el volumen condilar. En cuanto a la posición condilar en el espacio articular solo dos artículos correspondientes a reportes de casos, reportaron cambios estadísticamente significativos, al igual que el índice del espacio articular. Conclusiones: Los conocimientos acerca de los efectos del aumento de la dimensión vertical oclusal sobre la ATM se han basado principalmente en reporte de casos y en estudio observacionales descriptivos más que en ensayos clínicos bien controlados. No se tiene evidencia suficiente y contundente sobre los posibles efectos del aumento de la DVO en la ATM. La evidencia disponible hasta el momento es débil y parece indicar que la ATM tiene la capacidad de adaptarse rápidamente a cambios moderados en la DVO, por lo tanto, no hay indicios de que una alteración permanente en el DVO produzca cambios significativos en la ATM y la posición condilar. Sin embargo, se necesitan estudios adicionales.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-03
dc.type.none.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12494/41172
Ojeda Muñoz, C. Unigarro Marcillo, M.A. (2021) Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia. [Tesis de posgrado, Universidad Cooperativa de Colombia] Repositorio Institucional Universidad Cooperativa de Colombia.http://hdl.handle.net/20.500.12494/41172
url http://hdl.handle.net/20.500.12494/41172
identifier_str_mv Ojeda Muñoz, C. Unigarro Marcillo, M.A. (2021) Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia. [Tesis de posgrado, Universidad Cooperativa de Colombia] Repositorio Institucional Universidad Cooperativa de Colombia.http://hdl.handle.net/20.500.12494/41172
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 56 p.
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidad Cooperativa de Colombia, Posgrado, Especialización en Ortodoncia, Pasto
Pasto
Especialización en Ortodoncia
publisher.none.fl_str_mv Universidad Cooperativa de Colombia, Posgrado, Especialización en Ortodoncia, Pasto
Pasto
Especialización en Ortodoncia
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instacron:Universidad Cooperativa de Colombia
instname_str Universidad Cooperativa de Colombia
instacron_str Universidad Cooperativa de Colombia
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reponame_str Repositorio UCC
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spelling Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con OrtodonciaOjeda Muñoz, Carlos AugustoUnigarro Marcillo, Marcelo AlejandroArticulación TemporomandibularDimensión Vertical OclusalOrtodonciaTG 2021 EOF 41172Temporomandibular jointOcclusal Vertical DimensionOrthodonticsTradicionalmente, se ha creído que la alteración de la dimensión vertical oclusal (DVO) es un procedimiento dental que puede causar problemas como dolor muscular, desarrollo de signos y síntomas de trastornos temporomandibulares, dolor de cabeza y bruxismo, por lo cual es necesario garantizar que los tratamientos de ortodoncia sean seguros para la salud de la articulación temporomandibular (ATM). Hasta el momento no existe evidencia solida en la literatura reciente que evalué la asociación del aumento de la dimensión vertical oclusal (DVO) con fines ortodónticos y sus efectos en la ATM. Objetivo: Reunir evidencia científica donde se encuentren cambios en la posición condilar con el uso de aparatología de ortodoncia que aumente la dimensión vertical oclusal. Metodología: Se realizó una búsqueda sistemática en las bases de datos Medline (Pubmed), Scopus, Science Direct y BVS con los siguientes términos de búsqueda “Temporomandibular Joint", "Vertical Dimension", "Dental Occlusion" y "Orthodontics". Se consultaron las bibliografías de todos los artículos seleccionados para publicaciones adicionales y se realizó una búsqueda Manual en las diferentes bases de datos. Resultados: Tras realizar la búsqueda se en las diferentes bases de datos se encontraron 3667 artículos, de los cuales se seleccionaron 9 artículos para su análisis. Se encontró que la ayuda diagnostica más utilizada para la evaluación de la posición condilar es la tomografía computarizada de haz de cono. No se encontraron cambios estadísticamente significativos para; la posición condilar en sentido anteroposterior y vertical, la relación céntrica y la oclusión céntrica, ni en el volumen condilar. En cuanto a la posición condilar en el espacio articular solo dos artículos correspondientes a reportes de casos, reportaron cambios estadísticamente significativos, al igual que el índice del espacio articular. Conclusiones: Los conocimientos acerca de los efectos del aumento de la dimensión vertical oclusal sobre la ATM se han basado principalmente en reporte de casos y en estudio observacionales descriptivos más que en ensayos clínicos bien controlados. No se tiene evidencia suficiente y contundente sobre los posibles efectos del aumento de la DVO en la ATM. La evidencia disponible hasta el momento es débil y parece indicar que la ATM tiene la capacidad de adaptarse rápidamente a cambios moderados en la DVO, por lo tanto, no hay indicios de que una alteración permanente en el DVO produzca cambios significativos en la ATM y la posición condilar. Sin embargo, se necesitan estudios adicionales.Associating the procedure of alteration in the occlusal vertical dimension (OVD), to problems of muscle pain, symptoms of temporomandibular disorders, headache and bruxism, the behavior of the temporomandibular joint (TMJ) is evaluated, with an increase in OVD in patients with orthodontics, a Scoping Review is performed, with Medline (Pubmed), Scopus, Science Direct and BVS databases; an also search terms: "Temporomandibular Joint". Bibliography research: selected articles, additional publications and specific search; from 3667 articles, 41 were preselected and 9 were analyzed. Scientific evidence on dependent condylar position changes, use of lifting techniques leading to augmentation, and answering the question about TMJ behavior, with increasing occlusal vertical dimension is searched. Most used diagnostic aid for evaluation of condylar position consisted of: cone beam computed tomography. No statistically significant changes were found in anteroposterior and vertical condylar position, relationship and centric occlusion, or in condylar volume. Two articles, case reports record statistically significant changes: condylar position in joint space, and index. Reported effects of the increase OVD on TJM, are mainly based on case reports and descriptive observational studies, overcoming controlled clinical trials. There is insufficient evidence on the effects of increased OVD on TMJ. With weak evidence available, indicating rapid TMJ adaptation capacity to moderate changes in OVD. TMJ changes and condylar position are not indicated due to permanent alteration of OVD; further studies are required.Introducción. -- 1. Planteamiento del problema. -- 1.1 formulación del problema. -- 1.2 pregunta de investigación. -- 2. Justificación. -- 3. Marco referencial. -- 3.1 marco teórico. -- 3.1.1 Articulación Temporo-Mandibular. -- 3.1.1.1 Componente mandibular. -- 3.1.1.2 Componente craneal. -- 3.1.1.3 Componente muscular. -- 3.1.2 Método cuantitativo para evaluar la posición condilar anterior, superior y posterior. -- 3.1.2.1 Espacio articular. -- 3.1.2.2 Índice del espacio articular: . -- 3.1.3 Técnicas imagenológicas de medición de la posición condilar. -- 3.1.3.1 Tomografía CONE BEAM. -- 3.1.3.2 Resonancia magnética. -- 3.1.3.3 Ultrasonido. -- 3.1.3.4 Dimensión vertical. -- 3.1.4 Métodos de evaluación. -- 3.1.4.1 Cefalométrico. -- 3.1.4.2 Espacio interoclusal. -- 3.1.4.3 Aumento de la dimensión vertical oclusal. -- 3.1.5 Métodos para incrementar la dimensión vertical oclusal más frecuentes usados en ortodoncia. -- 3.1.5.1 Topes oclusales. -- 3.1.5.2 Férulas oclusales. -- 3.1.5.2 Aparatología ortopédica. -- 3.2 estado del arte. -- 4. Objetivos. -- 4.1 objetivo general. -- 4.2 objetivos específicos. -- 5. Metodología. -- 5.1 tipo de estudio: . -- 5.2 criterios de selección. -- 5.2.1 Criterios de inclusión. -- 5.2.2 Criterios de exclusión. -- 5.3 variables. -- 6. Resultados. -- 7. Discusiónbibliografía.Universidad Cooperativa de Colombia, Posgrado, Especialización en Ortodoncia, PastoPastoEspecialización en OrtodonciaSalas Zambrano, Luis AndresRosero Ruiz, Felipe2021-12-03info:eu-repo/semantics/masterThesis56 p.application/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/20.500.12494/41172Ojeda Muñoz, C. Unigarro Marcillo, M.A. (2021) Comportamiento De La Posición Del Cóndilo Mandibular Con El Aumento De La Dimensión Vertical Oclusal En Pacientes Tratados Con Ortodoncia. [Tesis de posgrado, Universidad Cooperativa de Colombia] Repositorio Institucional Universidad Cooperativa de Colombia.http://hdl.handle.net/20.500.12494/41172The glossary of prosthodontic terms. [Internet]. Vol. 94, The Journal of prosthetic dentistry. J Prosthet Dent; 2005 [cited 2021 May 21]. 10–92 p. 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