Hallazgos clínico-radiológicos de la articulación temporomandibular en pacientes con artritis reumatoide

Aim of present paper is to describe and to assess the Clinicoradiological findings of the temporomandibular joint (TMJ) in a group of patients diagnosed with rheumatoid arthritis (RA). Sample included 61 patients with a mean age of 54 years and 5 months. All of them were interrogated and clinically examined and then underwent to a radiographic examination of both TMJs, using the transcranial projection technique, with the closed mouth and in maximal opening. Study includes the TMJ syndrome founded such as pain, tumefaction, luxation, clicking, and a limited oral opening. The study of radiographic features showed the presence of changes in condyle surface and temporal fossa, in condylar motility, and articulation space. We conclude that in patients presenting with rheumatoid arthritis is frequent the presence of clinicoradiological findings in the TMJ, and that patient's age and gender and the activity level and the RA course time, are factors influencing in TMJs general status.

Efectos de los aparatos propulsores mandibulares fijos en la articulación temporomandibular

Fixed mandibular propulsion appliances are an alternative for the treatment of Class II malocclusion in individuals with mandibular deficiency. Since they are fixed appliances, said devices keep the mandible in an anterior-forced position during rest and during all mandibular functions. When a propulsive appliance is used, the lower jaw is displaced forward and downward. This movement leads to a new position of the condyle, which can, ultimately affect the normal functioning of the temporomandibular joint (TMJ). The aim of this paper was to review effects of fixed mandibular propulsive appliance on TMJ. Inclusion criteria considered studies on animals or humans using TMJ radiography, computed tomography, and magnetic resonance imaging. Studies confirm a favorable relation between condyle and glenoid fossa following treatment with fixed mandibular propulsion appliances.

Tratamiento de la deformidad facial causada por la hiperplasia condilar: relato de caso

The condylar hyperplasia is an acquired development anomaly, rare, characterized by an excessive and progressive growing, affecting neck, condilar head, body and the mandible bough, provoking an important facial asymmetry. In the article we present a case of male patient, 22-years-old, reclaiming of painful sintomatology in the region of temporomandibular joint and severe facial asymmetry. It was instituted an orthodontic-surgical treatment by means of orthognathic combined surgery and high condilectomy. After six years of post-surgical controlling, the patient is now in a good shape, without recurrence of facial asymmetry and condylar hyperplasia.

Temporomandibular disorders in females: acupuncture compared to occlusal splint

To compare the effect of acupuncture and occlusal splint in the treatment of temporomandibular disorders (TMD) in female patients.Method: Forty-eight female patients (mean age of 39.3±6.8 years) with diagnosed pain in muscles or joint according to RDC/TMD criteria were attended at UNESP - Aracatuba Dental School. Including criteria were reported pain in the chewing muscles and/or in the temporomandibular joint measured by a visual analogue scale (range from 0 to 10) and a reported reduction of the maximum mouth opening. Excluding factors were major occlusal problems, systemic diseases, pregnancy and age below 18 years. After randomization, the first group was treated with acupuncture performed by instructed dentist. The second group was treated with occlusal splint. The outcome variables were assessed at baseline (prior to the first treatment session) and after 1, 3 and 6 months. Primary criteria of success were improvement of mouth opening and pain reduction.Result: Acupuncture group exhibited chewing pain decrease from 5 (at baseline) to 1, 2 and 1 after 1, 3 and 6 months, respectively. In the splint group, chewing pain decreased from 4 to 2, 1 and 2 after 1, 3 and 6 months, respectively. The mouth opening (in mm) increased from 28 (at baseline) to 42, 44 and 46 after 1, 3 and 6 months, respectively in the acupuncture group. In the splint group, mouth opening improved from 29 to 40 after 1 month, and to 43 and 42 after 3 and 6 months. A significant pain reduction was noted for both groups when compared to the baseline (p<.001; Wilcoxon test). Acupuncture group had a significant clinical improvement of opening mouth (Mann-Whitney). Conclusion: The present outcomes suggest a positive association among acupuncture and occlusal splint on the reduction of chewing pain. Acupuncture was more effective in the mouth opening increase.

Acupuncture as therapeutic resource in patient with bruxism

Bruxism is the harmful habit of clenching or grinding the teeth during the day and / or night, with unconscious pattern, with particular intensity and frequency, outside the functional movements of chewing and swallowing. It is accepted that bruxism is a response controlled by the neurotransmitters dopamine system associated with emotional component. The proposed of treatment of bruxism with acupuncture aims to stimulate sensory fibers of the peripheral nervous system leading to electrical transmission by neurons sufficient to produce changes in the central nervous system. As a consequence there is the release of substances (cortisol, endorphins, dopamine, noradrenaline and serotonin) that promote wellness and restoration of harmony, be it psychological, biological and / or behavioral.

Abordagem terapêutica nas desordens temporo-mandibulares: técnicas de fisioterapia associadas ao tratamento odontológico

Temporomandibular disorders (TMD) are related to discomfort in the temporomandibular joint (TMJ). These diseases are multifactorial and treatment usually requires a combination of different approaches because each patient presents with different and usually complex needs. It is necessary to know how each expert should plan for a successful treatment.

Mordida cruzada posterior, correccion y consideraciones: caso clínico con 7 años de seguimiento

Early treatment of functional unilateral posterior crossbite during the mixed dentition is extremely important for contemporary Orthodontics, provides the correct positioning of osseous bases, teeth and temporomadibular joint when the stomatognathic system is in growth and development. These results generally develop into an adequate craniofacial relationship, reducing the necessity for more complex treatments at permanent dentition. The subject of this paper was to report patient 8 years old, diagnosed with functional unilateral posterior crossbite, and was treated by an expander appliance type Quad-helix emphasizing the long-term stability. The malocclusion was corrected in 3 months of active use of the appliance, 3 months for retention purposes and followed up during 7 years post-treatment. The stability in long term of functional unilateral posterior crossbite treated is closely related with early diagnostic, the elimination of the etiological factor associated with a correct appliance and the mechanic of treatment.

Comparação dos parâmetros de força e propriocepção entre indivíduos com e sem instabilidade funcional de tornozelo

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Cultura, Comunicação e cidadania: o caso do Centro Cultural do Banco do Brasil de São Paulo

O artigo analisa as atuais políticas culturais e analisa empiricamente as ações da unidade paulistana do Centro Cultural Banco do Brasil (CCBB). O objetivo é interpretar como esta instituição opera o fomento à cultura no contexto da normatização cultural no Brasil. A articulação institucional entre Banco do Brasil e seu Centro Cultural enseja algumas particularidades no campo da difusão cultural, pois o status institucional do CCBB condiciona de maneira decisiva as formas como transcorrem as relações com produtores culturais, público consumidor e com seu respectivo mantenedor. Trata-se de estudo baseado em pesquisa bibliográfica, levantamento de campo e na abordagem dialética de análise. Conclui-se que, ao consentir um laissez-faire cultural, o Estado admite que o mercado imponha sua lógica à cultura, de modo que o objeto empírico pode ser caracterizado como um exemplo dessa dinâmica.

Concepções pedagógicas e método de ensino: o manual didático Processologia na Escola Primária

Esse artigo analisa o manual didático Processologia na Escola Primária, de autoria de Caio de Figueiredo Silva, publicado em 1956, com o objetivo de compreender o processo de incorporação das concepções pedagógicas da Escola Nova nas prescrições para a prática pedagógica. O método empregado foi a análise do discurso expresso na fonte primária aliada a um conjunto de referências bibliográficas de cunho historiográfico que possibilitaram comentar o processo de inovação e permanência na educação, ressaltando as influências de tradições já estabelecidas e a importância dos textos didáticos como instrumentos mediadores para a difusão e circulação de idéias.

Um (in)visible College na América Latina: Cecília Meireles, Gabriela Mistral e Victoria Ocampo

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Futebol e a construção da imagem de treinadores pela mídia: um estudo a partir das notícias de um site de grande visitação na web

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Articulação entre as políticas internas e externas no Brasil dos anos de 1980 aos nossos dias: uma análise valorativa sobre o desenvolvimento social e política-cultural

Assim como, as vivências nos intercâmbios internacionais podem e devem contribuir em grau elevado na constituição das mesmas políticas públicas, angariando recursos e investimentos externos, elas também podem se aprofundar em experiência de conscientização dos sujeitos políticos. Quanto mais a difusão cultural entre os povos é incentivada, pelos governos e iniciativas não governamentais, somada à atividade política dos sujeitos, mais trará contribuições aos entremeios das sociedades complexas, que por sua vez, refletirão na melhoria das condições de vida dos indivíduos e de suas instituições. O plano discursivo ideal propõe a superação das amarras econômicas para contemplar os estratos sociais, essa seria a primeira etapa para iniciar o aperfeiçoamento das instâncias democráticas e, convém assistir às transformações desde as estrutura, ou seja, dos modos de pensar, ser e agir dos seres humanos em busca de um novo tipo de desenvolvimento, que de fato se reconheça globalizado. Para tanto, o método utilizado se ancorou na revisão bibliográfica da análise histórica e da análise de discursos dos ex-presidentes, a partir da época de redemocratização brasileira. A todo o momento, frisou-se a articulação entre as mais diversas frentes de organização social, interna e externa, bem como as supranacionais, tal articulação é oportuna à metodologia, na tentativa de uma compreensão introdutória dos processos da modernidade complexa. Além disso, optou-se por tecer considerações finais que deixassem o texto aberto ao debate, ao contrário de qualquer proposta conclusiva. A saber, a potencialidade em dialogar sobre o conceito de desenvolvimento, que se deseja pluralmente inserido na universalidade relativa ao gênero humano, torna-se mais atraente, à medida que são cobradas melhorias dos programas político-democráticos... (Resumo completo, clicar acesso eletrônico abaixo)

Caboclos, pretos velhos: experiências e memória da religiosidade afrobrasileira

The aim is to reflect on religious practices and articulation of the sacred elements that constitute the religious spaces constituted by Umbanda in the city of Dourados-MS. Part on the assumption that they are territories of expression of religiosity, hybrid and syncretic product processes.

O apoiador caipira: o desafio/arte de articular redes regionais a partir de territórios/desejos singulares

Considering the experience taken from the institutional support given by the Humanization’s Brazilian Policy in three health’s regions in São Paulo State, Brazil, this text intends to expose some problems refering to the articulation process of other health’s regional networks mainly composed by cities with less than twenty thousands inhabitants. By problematizing the articulation of inlad health’s networks it is put on the agenda the process of descentraliztion and the interfederaditive relations emphasizing the political and institutional aspects that goes through and modulates these relations, mainly in the small cities. Thus, we are questioning the ways how the current health policies are implemented in these territories and the way how they are articulated, having as a goal the challenge of the process’ ascendance and transversality.