Palabras clave
Prevalencia, Bruxismo, Trastornos Temporomandibulares (TTM)
Cómo citar
Prevalencia de trastornos témporo mandibulares y bruxismo en Uruguay: Parte I. (2011). Odontoestomatología, 13(17), 54-71. https://www.odon.edu.uy/ojs/index.php/ode/article/view/155
Resumen
Objetivos: Determinar el nivel de prevalencia de Bruxismo y Trastornos Témporo Mandibulares (TTM) en dos poblaciones, Montevideo e Interior, en Uruguay. Método: Se realizó un estudio descriptivo transversal a nivel nacional. El muestreo fue estratifi cado polietápico. Resultados: Las variables seleccionadas y analizadas en este primer artículo fueron: grado de apertura bucal, dolor muscular, chasquido de ATM, facetas de desgaste parafuncional, dolor de cabeza, relato de ruidos articulares, sensación de haber dormido apretando los dientes y autopercepción del stress. Se han comprobando las siguientes prevalencias globales: para TTM: 55% con al menos un síntoma, siendo más prevalente en Montevideo (57%) que en el Interior (53%). Con al menos un signo clínico: 44%, siendo también mas prevalente en Montevideo (47%) que en el Interior (41%). En cuanto a Bruxismo activo, ante la pregunta de tener la sensación al despertar de haber dormido apretando los dientes, se encontró una prevalencia de 30,72% en Montevideo y 23,19% en el Interior, en tanto que de ser o haber sido bruxómano a través de la valoración de las facetas de desgaste parafuncional 71,95% en Montevideo y 62,17% en el Interior. Conclusiones: Con este relevamiento hemos constatado una elevada prevalencia de TTM y Bruxismo en la población uruguaya y recomendamos la elaboración de medidas de prevención y tratamiento a nivel colectivo.
Referencias
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2 Okeson J. Tratamiento de oclusión y afecciones temporomandibulares 5ª.ed. Madrid, ES: Elsevier, 2003.
3 Okeson J. Dolor orofacial según Bell Tratamiento clínico del dolor Orofacial 6º ed. Barcelona. ED Quintessence, 2008.
4 Carlsson G. LeResche L. Epidemiology of temporo-mandibular disorders. In: Sessle BJ, Bryant PS, Dionne RA (ed). Temporomandibular Disorders and Related Pain Conditions. Seattle: IASP POress, 1995.
5 De Kanter RJ, Truin GJ, Burgersdijk R, Kayser GJ, et al. Prevalence in the Dutch adult population and meta analysis of signs and symptoms of temporomandibular disorders. J. Dent Res 1993;72:1509-1518.
6 Dworkin SF, LeResche L. Rersearch diagnostic criteria for TTM: Review, criteria, examination and specifications, critique. J Craniomandib Disorders 1992;6:302-355.
7 Pallas, S. Mioartropatías del sistema masticatorio y dolores orofaciales. Milan, ES: RC Libri, 2003.
8 Buglioli M., Pérez A., Situación epidemiológica del Uruguay. En: Temas de Preventiva y Social. Etchebarne L. 3ed. Montevideo: Ofi cina del Libro FEMUR, 2001, p 89-99
9 Organización Mundial de la Salud. Métodos básicos. 4 Edición. Ginebra 1997
10 Uruguay, Intendencia Municipal de Montevideo, Sistema de Información Geográfi ca. 2003.
11 Relevamiento de características socio culturales de las escuelas públicas del CEP-2005. Disponible en: http://www.anep.edu.uy/sitio/anep.php2identifi cador=205
12 Laskin D, et al (eds): The president’s conference on the examination, diagnosis and management of temporomandibular desorders. J Am Dent Assoc 1983;106 :75.
13 R Development Core Team (2010). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Disponible en: http:// www.R-project.org.
14 Lumley T. Survey: analysis of complex survey samples. [Internet] 2007 [citado 2011 Mar 31]) [Aprox 101 p.] Disponible en: http://faculty.washington. edu/tlumley/survey/survey-wss.pdf.
15 Lumley T. Analysis of complex survey samples. J Statis Soft [en línea] 2004; 9 (1): 1-19. Disponible en: http://www.jstatsoft.org/v09/i08/ paper.
16 Särndal C, Swensson B, Wretman J. 2d. ed. Model assisted survey sampling.New York: Springer-Verlag; 1992.
17 Edmond H. N. Pow, Katherine C.M. Leung, Anne S McMillan Prevalence of Symptoms Associated with Temporomandibular Disorders in Hong Kong. Chinese J Orofac Pain 2001;15,3:228-234.
18 Manabu Kamisaka y col Four-Year Longitudinal Course of TMD Symptoms in an Adult Population and the Estimation of Risk Factors in Relation to Symptoms. J Orofac Pain 2000;14,3:224-319.
19 Diamond S, Freitag FG, Solomon GD, Millstein E. Migraine headache. Working for the best outcome. Postgrad Med 1987;81:174–183.
20 Kemper J T Jr, Okeson J. Craniomandibular disorders and headaches. J Prosthet Dent 1983; 49(5):702-5.
21 Forsell H, Kirveskari P, Kangasniemi P. Response to occlusal treatment in headache patients previously treated by mock occlusal adjustment. Acta Ondontol. Scand 1987;45:77-80.
22 Van Selms M.K.A., Lobbezoo F, Visscher C M, Naeije M.Myofascial temporomandibular disorders pain, parafunctions and psychological stress. J Oral Rehab 2008 35;45-52.
23 Schierz O, Jhon M, Reibmann D. Comparasion of perceived oral Elath in patients with temporomandibular disorders and dental anxiety using oral Elath-related of life profi les. Qual Life Res 2008; 17:857-866.
24 Slade G D, Diatchenko L, Bhalang K, Sigurdsson A, Fillingim R B, Belfer I, Max M B, Goldman D and Maixner W. Infl uence of Psychological Factors on Risk of Temporomandibular Disorders J Dent Res 2007; 86; 1120 .
25 Poveda Roda R, Bagán J V, Díaz Fernández J M, Hernandez Bazán S N, Jimenez Soriano Y. Review of temporomandibular joint pathology. Part I: Classifi cation, epidemiology and risk factors Med Oral Patol Oral Cir Bucal [en línea] 2007;12:E292-8. Disponible en http://www.medicinaoral.com/medoralfree01/v12i4/medoralv12i4p292.pdf
26 Harukazu Kanehira, Akinori Agariguchi, Hisashi Kato, Shigeki Yoshimine, Hiroshi Inoue. Assoc. between Stress and Temporomandibular Disorder. J Jpn Prosthodont Soc 2008; 52:375-380.
27 Nilsson IM, List T, Drangsholt M. Incidence and temporal patterns of temporomandibular disorder pain among Swedish adolescents. J Orofac Pain. 2007 Spring;21(2):127-32.
28 Johansson A, Unell L, Carlsson G, Soderfeldt B, Halling A. Gender diff erence in symptoms related to TMD in a population of 50-year-old subjects. J Orofac Pain. 2003;17:29-35.
29 Isong U, Gansky SA, Plesh O. Temporomandibular joint and muscle disorder-type pain in U.S. adults: the National Health Interview Survey. J Orofac Pain. 2008 Fall;22(4):317-22.
30 Marklund S, Wänman A Incidence and prevalence of myofascial pain in the jaw-face region. A one-year prospective study on dental students. Acta Odontol Scand. 2008 Apr; 66(2):113-21.
31 Pedroni G, De Oliveira A, Guaratini M, Prevalence study of signs and symptoms of TMD in university students. J Oral Rehab. 2003;30:283-289.
32 Jennifer M, Gatchel R, Iavonne A, Ellis E. Clinical implications of sex in acute TMD. JADA 2001 vol.132:49-57.
33 Magnusson T, Egermark I, Carlsson G,. A longitudinal epidemiologic study of signs and symptoms of TMD from 15 to 35 years of age. 2000;14:310-319.
34 Carlsson G. Epidemiology and treatment need for TMD. J Orofac Pain 1999;13:232-237.
35 Egermark I, Carlsson G, Magnusson T. A 20 year longitudinal study of subjective symptoms of TMD from childhood to adulthood. Acta Odontol Scand 2001;59:40-48.
36 Goulet JP, Lavigne GJ, Lund JP. Jaw pain prevalence among French-speaking Canadians in Québec and related symptoms of temporomamdibular disorders . J Dent Res. 1995;74:1738-1744.
37 Pow EHN, Leung KCM, McMillan AS. Prevalence of symptoms associated with temporomandibular disorders in Hong Kong Chinese. J Orofac Pain. 2001;15:228-234.
38 H. Karibe, G. Goddard, R.W. Gear. Sex Differences in Masticatory Muscle Pain after Chewing J Dent Res 82(2) 2003:112-116.
39 Carlsson G. LeResche L. Epidemiology of temporo-mandibular disorders. In: Sessle BJ, Bryant PS, Dionne RA (ed). Temporomandibular Disorders and Related Pain Conditions. Seattle: IASP POress, 1995.
40 De Kanter RJ, Truin GJ, Burgersdijk R, Kayser GJ, et al. Prevalence in the Dutch adult population and meta analysis of signs and symptoms of temporomandibular disorders. J. Dent Res 1993;72:1509-1518.
41 Locker D, Slade GD. Prevalence of symptoms associated with temporomamdibular disorders in a Canadian population. Community Dent Oral Epidemiol. 1988;16:310-313.
42 Swanljung O, Rantanen T. Functional disorders of the masticatory system in southwest Finland. Community Dent Oral Epidemiology. 1979;7:177-182.
43 De Kanter RJ, Truin GJ, Burgersdijk R, Kayser GJ, et al. Prevalence in the Dutch adult population and meta analysis of signs and symptoms of temporomandibular disorders. J. Dent Res 1993;72:1509-1518.
44 Carlsson G. LeResche L. Epidemiology of temporo-mandibular disorders. In: Sessle BJ, Bryant PS, Dionne RA (ed). Temporomandibular Disorders and Related Pain Conditions. Seattle: IASP POress, 1995.
2 Okeson J. Tratamiento de oclusión y afecciones temporomandibulares 5ª.ed. Madrid, ES: Elsevier, 2003.
3 Okeson J. Dolor orofacial según Bell Tratamiento clínico del dolor Orofacial 6º ed. Barcelona. ED Quintessence, 2008.
4 Carlsson G. LeResche L. Epidemiology of temporo-mandibular disorders. In: Sessle BJ, Bryant PS, Dionne RA (ed). Temporomandibular Disorders and Related Pain Conditions. Seattle: IASP POress, 1995.
5 De Kanter RJ, Truin GJ, Burgersdijk R, Kayser GJ, et al. Prevalence in the Dutch adult population and meta analysis of signs and symptoms of temporomandibular disorders. J. Dent Res 1993;72:1509-1518.
6 Dworkin SF, LeResche L. Rersearch diagnostic criteria for TTM: Review, criteria, examination and specifications, critique. J Craniomandib Disorders 1992;6:302-355.
7 Pallas, S. Mioartropatías del sistema masticatorio y dolores orofaciales. Milan, ES: RC Libri, 2003.
8 Buglioli M., Pérez A., Situación epidemiológica del Uruguay. En: Temas de Preventiva y Social. Etchebarne L. 3ed. Montevideo: Ofi cina del Libro FEMUR, 2001, p 89-99
9 Organización Mundial de la Salud. Métodos básicos. 4 Edición. Ginebra 1997
10 Uruguay, Intendencia Municipal de Montevideo, Sistema de Información Geográfi ca. 2003.
11 Relevamiento de características socio culturales de las escuelas públicas del CEP-2005. Disponible en: http://www.anep.edu.uy/sitio/anep.php2identifi cador=205
12 Laskin D, et al (eds): The president’s conference on the examination, diagnosis and management of temporomandibular desorders. J Am Dent Assoc 1983;106 :75.
13 R Development Core Team (2010). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Disponible en: http:// www.R-project.org.
14 Lumley T. Survey: analysis of complex survey samples. [Internet] 2007 [citado 2011 Mar 31]) [Aprox 101 p.] Disponible en: http://faculty.washington. edu/tlumley/survey/survey-wss.pdf.
15 Lumley T. Analysis of complex survey samples. J Statis Soft [en línea] 2004; 9 (1): 1-19. Disponible en: http://www.jstatsoft.org/v09/i08/ paper.
16 Särndal C, Swensson B, Wretman J. 2d. ed. Model assisted survey sampling.New York: Springer-Verlag; 1992.
17 Edmond H. N. Pow, Katherine C.M. Leung, Anne S McMillan Prevalence of Symptoms Associated with Temporomandibular Disorders in Hong Kong. Chinese J Orofac Pain 2001;15,3:228-234.
18 Manabu Kamisaka y col Four-Year Longitudinal Course of TMD Symptoms in an Adult Population and the Estimation of Risk Factors in Relation to Symptoms. J Orofac Pain 2000;14,3:224-319.
19 Diamond S, Freitag FG, Solomon GD, Millstein E. Migraine headache. Working for the best outcome. Postgrad Med 1987;81:174–183.
20 Kemper J T Jr, Okeson J. Craniomandibular disorders and headaches. J Prosthet Dent 1983; 49(5):702-5.
21 Forsell H, Kirveskari P, Kangasniemi P. Response to occlusal treatment in headache patients previously treated by mock occlusal adjustment. Acta Ondontol. Scand 1987;45:77-80.
22 Van Selms M.K.A., Lobbezoo F, Visscher C M, Naeije M.Myofascial temporomandibular disorders pain, parafunctions and psychological stress. J Oral Rehab 2008 35;45-52.
23 Schierz O, Jhon M, Reibmann D. Comparasion of perceived oral Elath in patients with temporomandibular disorders and dental anxiety using oral Elath-related of life profi les. Qual Life Res 2008; 17:857-866.
24 Slade G D, Diatchenko L, Bhalang K, Sigurdsson A, Fillingim R B, Belfer I, Max M B, Goldman D and Maixner W. Infl uence of Psychological Factors on Risk of Temporomandibular Disorders J Dent Res 2007; 86; 1120 .
25 Poveda Roda R, Bagán J V, Díaz Fernández J M, Hernandez Bazán S N, Jimenez Soriano Y. Review of temporomandibular joint pathology. Part I: Classifi cation, epidemiology and risk factors Med Oral Patol Oral Cir Bucal [en línea] 2007;12:E292-8. Disponible en http://www.medicinaoral.com/medoralfree01/v12i4/medoralv12i4p292.pdf
26 Harukazu Kanehira, Akinori Agariguchi, Hisashi Kato, Shigeki Yoshimine, Hiroshi Inoue. Assoc. between Stress and Temporomandibular Disorder. J Jpn Prosthodont Soc 2008; 52:375-380.
27 Nilsson IM, List T, Drangsholt M. Incidence and temporal patterns of temporomandibular disorder pain among Swedish adolescents. J Orofac Pain. 2007 Spring;21(2):127-32.
28 Johansson A, Unell L, Carlsson G, Soderfeldt B, Halling A. Gender diff erence in symptoms related to TMD in a population of 50-year-old subjects. J Orofac Pain. 2003;17:29-35.
29 Isong U, Gansky SA, Plesh O. Temporomandibular joint and muscle disorder-type pain in U.S. adults: the National Health Interview Survey. J Orofac Pain. 2008 Fall;22(4):317-22.
30 Marklund S, Wänman A Incidence and prevalence of myofascial pain in the jaw-face region. A one-year prospective study on dental students. Acta Odontol Scand. 2008 Apr; 66(2):113-21.
31 Pedroni G, De Oliveira A, Guaratini M, Prevalence study of signs and symptoms of TMD in university students. J Oral Rehab. 2003;30:283-289.
32 Jennifer M, Gatchel R, Iavonne A, Ellis E. Clinical implications of sex in acute TMD. JADA 2001 vol.132:49-57.
33 Magnusson T, Egermark I, Carlsson G,. A longitudinal epidemiologic study of signs and symptoms of TMD from 15 to 35 years of age. 2000;14:310-319.
34 Carlsson G. Epidemiology and treatment need for TMD. J Orofac Pain 1999;13:232-237.
35 Egermark I, Carlsson G, Magnusson T. A 20 year longitudinal study of subjective symptoms of TMD from childhood to adulthood. Acta Odontol Scand 2001;59:40-48.
36 Goulet JP, Lavigne GJ, Lund JP. Jaw pain prevalence among French-speaking Canadians in Québec and related symptoms of temporomamdibular disorders . J Dent Res. 1995;74:1738-1744.
37 Pow EHN, Leung KCM, McMillan AS. Prevalence of symptoms associated with temporomandibular disorders in Hong Kong Chinese. J Orofac Pain. 2001;15:228-234.
38 H. Karibe, G. Goddard, R.W. Gear. Sex Differences in Masticatory Muscle Pain after Chewing J Dent Res 82(2) 2003:112-116.
39 Carlsson G. LeResche L. Epidemiology of temporo-mandibular disorders. In: Sessle BJ, Bryant PS, Dionne RA (ed). Temporomandibular Disorders and Related Pain Conditions. Seattle: IASP POress, 1995.
40 De Kanter RJ, Truin GJ, Burgersdijk R, Kayser GJ, et al. Prevalence in the Dutch adult population and meta analysis of signs and symptoms of temporomandibular disorders. J. Dent Res 1993;72:1509-1518.
41 Locker D, Slade GD. Prevalence of symptoms associated with temporomamdibular disorders in a Canadian population. Community Dent Oral Epidemiol. 1988;16:310-313.
42 Swanljung O, Rantanen T. Functional disorders of the masticatory system in southwest Finland. Community Dent Oral Epidemiology. 1979;7:177-182.
43 De Kanter RJ, Truin GJ, Burgersdijk R, Kayser GJ, et al. Prevalence in the Dutch adult population and meta analysis of signs and symptoms of temporomandibular disorders. J. Dent Res 1993;72:1509-1518.
44 Carlsson G. LeResche L. Epidemiology of temporo-mandibular disorders. In: Sessle BJ, Bryant PS, Dionne RA (ed). Temporomandibular Disorders and Related Pain Conditions. Seattle: IASP POress, 1995.