Publicación:

Desórdenes temporomandibulares como factor etiológico de maloclusiones: revisión sistemática.

Resumen

Pain, temporomandibular joint noises, mandibular deviations and damage to masticatory function are the most common complaints for which the specialist is consulted. Temporomandibular disorders (TMD) are alterations that should be evaluated in patients seeking orthodontic treatment, due to the anatomical relationship between the temporomandibular joint (TMJ) and occlusion. these disorders can explain these dynamic changes (structural, functional and psychological alterations). The objective of this review is to define the association between TMD and malocclusion, in addition to structuring an evidence-based orthodontic management protocol. Materials and methods: the search was performed in the databases (PubMed, Scopus and google scholar) from 2010 to 2019 with MeSH terms such as "TMD" (temporomandibular disorders), "maloclussion", "orthodontics", "TMJD",” Craniomandibular disorders” and “osteoarthritis” in addition to boolean operators. 166 articles were selected, 36 duplicates and 130 articles were located. 23 articles were selected for the present review. Results: TMD affect the patient from early stages to adulthood, being an ethological factor of malocclusion in the three planes of space. Conclusion: acute and chronic malocclusions are the result of muscular alteration, condylar degenerative disease and trauma. The orthodontist must know the protocol to treat these occlusal disorders. An adequate anamnesis at the initial consultation, a physical examination and compilation of clinical signs can be the gold standard for making a correct diagnosis and successful treatment