873 resultados para disfunción de la articulación temporomandibular
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El gobierno de El Salvador está elaborando los ejercicios de planificación requeridos en el sector de la protección social para orientar las políticas y programas sociales durante la presente administración. Entre tales ejercicios destacan el Plan Quinquenal de Desarrollo (PQD) y el Plan de Desarrollo Social, en el contexto de los mandatos de la Ley de Desarrollo y Protección Social (LDPS), entre otras disposiciones legales. A solicitud y en contacto con la Secretaría Técnica de la Presidencia, se ha solicitado la elaboración de un estudio que partiendo de los mandatos, objetivos y acciones previstas, analice los desafíos y oportunidades para la articulación de los pilares contributivo y no contributivo del actual Sistema de Protección Social Universal (SPSU), y señale recomendaciones o posibles líneas de acción para avanzar hacia una mayor articulación. Precisamente, el gran reto de la protección social en El Salvador pareciera estar en la efectiva articulación de los pilares contributivo y no contributivo, en otras palabras en cómo lograr que los participantes del segundo pasen a formar parte del primero y aporten a su sostenimiento al insertarse en un mercado laboral que les pudiera ofrecer condiciones dignas y la posibilidad de una pensión.
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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.
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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.
