Efectos de los aparatos propulsores mandibulares fijos en la articulación temporomandibular

Sandra Palomino-Gómez, Kelei Almeida, Patricia de Mello, Manuel Restrepo, Dirceu Raveli

Resumen


Los aparatos propulsores mandibulares fijos son una alternativa en el tratamiento de la maloclusión Clase II con deficiencia mandibular. La propiedad de ser fijo, condiciona a la mandíbula a una posición anterior forzada en reposo y durante todas las funciones mandibulares. Cuando se utiliza un aparato de propulsión, la mandíbula se desplaza hacia delante y hacia abajo. Este movimiento conduce a una nueva posición al cóndilo, que puede afectar el funcionamiento normal de la articulación temporomandibular (ATM). El objetivo de este trabajo fue realizar una revisión de tema sobre los efectos de los aparatos propulsores mandibulares fijos en la ATM. Fueron incluidos estudios con animales o estudios con seres humanos,
utilizando radiografías de la ATM, electromiografía postural, tomografía computarizada y resonancia magnética. Los estudios confirman una relación favorable entre el cóndilo y la cavidad glenoidea después de un tratamiento con aparatos fijos de propulsión mandibular.

Palabras clave


Aparato Funcional Ortopédico, Articulación Temporomandibular, Maloclusión de Angle Clase II.

Texto completo:

PDF

Referencias


Angle EH. Classification of malocclusion. Dent. Cosm. 1899;41:248–264.

McNamara JAJ. Components of Class II Malocclusion in Children 8-10 Years of Age. Angle Orthod.

;51(3):177–202.

Capelozza L, Gonçalves ALCA, Leal LM, Siqueira DF, Castro RCFR, Cardoso MDA. Aparelho de

protração mandibular Forsus no tratamento das más oclusões do Padrão II : relato de caso clínico. Rev

Clin Ortod Dent. Press 2012;11(1):79–91.

Silva Filho OG, Mendes OF, Aiello CA, Okada T. O Aparelho Herbst e as Alterações Adaptativas na

ATM : Revisão de Literatura. J Bras Ortodon Ortop Facial 2002;7(41):426–437.

Aelbers CMF, Dermaut LR. Orthopedics in orthodontics: Fiction or reality-A review of the literature

Part I. Am. J. Orthod. Dentofac. Orthop. 1996;110(6):513–519.

Ruf S, Wüsten B, Pancherz H. Temporomandibular joint effects of activator treatment: a prospective

longitudinal magnetic resonance imaging and clinical study. Angle Orthod. 2002;72(6):527–540.

Pereira APS, Almeida KCM, Raveli DB, Maia S, Palomino-Gómez SP. Tratamento da má-oclusão de

Classe II divisão 1 de Angle, com aparelho de Herbst splint metálico seguido de aparelho fixo, na dentição

permanente. Ortod. SPO 2011;44(6):561–570.

Vargervik K, Harvold EP. Response to activator treatment in Class II. Am. J. Orthod. Dentofac. Orthop.

;88:242–251.

Woodside DG, Metaxas A, Altuna G. The influence of functional appliance therapy on glenoid fossa

remodeling. Am. J. Orthod. 1987;92(3):181–198.

Hinton RJ, McNamara JAJ. Effect of age on the adaptive Response of the adult temporomandibular

joint. Angle Orthod. 1984;54(2):154–162.

Hinton RJ, McNamara JAJ. Temporal bone adaptations in response to protrusive function in juvenile

and young adult rhesus monkeys (Macaca mulatta). Eur. J. Orthod. 1984;6:155–174.

McNamara JAJ, Bryan F. Longterm mandibular adaptations to protrusive function: an experimental

study in Macaca mulatta. Am J Orthod 1987;92(2):98–108.

Sessle BJ, Woodside DG, Bourque P, et al. Effect of functional appliances on jaw muscle activity. Am.

J. Orthod. Dentofac. Orthop. 1990;98(3):222–230.

McNamara JA, Peterson JE, Pancherz H. Histologic Changes Associated With the Herbst Appliance

in Adult Rhesus Monkeys ( Macaca mulatta ). Semin. Orthod. 2003;9(1):26–40.

Rabie ABM, Chayanupatkul A, Hagg U. Stepwise advancement using fixed functional appliances:

Experimental perspective. Semin. Orthod. 2003;9(1):41–46.

Voudouris JC, Woodside DG, Altuna G, Kuftinec MM, Angelopoulos G, Bourque PJ. Condyle-fossa

modifications and muscle interactions during herbst treatment, part 1. new technological methods. Am.

J. Orthod. Dentofac. Orthop. 2003;123(6):604–613.

Voudouris JC, Woodside DG, Altuna G, Angelopoulos G, Bourque PJ, Lacouture CY. Condyle-fossa

modifications and muscle interactions during Herbst treatment, Part 2. Results and conclusions. Am. J.

Orthod. Dentofac. Orthop. 2004;124(1):13–29.

Ruf S, Pancherz H. Temporomandibular joint growth adaptation in Herbst treatment: a prospective

magnetic resonance imaging and cephalometric roentgenographic study. Eur. J. Orthod. 1998a;20(4):375–

Ruf S, Pancherz H. Long-term TMJ effects of Herbst treatment: a clinical and MRI study. Am. J.

Orthod. Dentofacial Orthop. 1998a;114(5):475–483.

Ruf S, Pancherz H. Temporomandibular joint remodeling in adolescents and young adults during

Herbst treatment: A prospective longitudinal magnetic resonance imaging and cephalometric radiographic

investigation. Am. J. Orthod. Dentofacial Orthop. 1999;115(6):607–618.

Pancherz H, Ruf S, Thomalske-Faubert C. Mandibular articular disk position changes during Herbst

treatment: a prospective longitudinal MRI study. Am. J. Orthod. Dentofac. Orthop. 1999;116(2):207–214.

Kinzinger GSM, Roth A, Gülden N, Bücker A, Diedrich PR. Effects of orthodontic treatment with

fixed functional orthopaedic appliances on the disc-condyle relationship in the temporomandibular joint: a

magnetic resonance imaging study (Part II). Dentomaxillo facial Radiol. 2006;35:347–356.

Kinzinger G, Roth A, Gülden N, Bücker A, Diedrich P. Effects of orthodontic treatment with fixed

functional orthopaedic appliances on the disc-condyle relationship in the temporomandibular joint: a

magnetic resonance imaging study (Part I). Dentomaxillofac. Radiol. 2006;35:339–346.

Aidar LADA, Dominguez GC, Yamashita HK, Abrahão M. Changes in temporomandibular joint disc

position and form following Herbst and fixed orthodontic treatment. Angle Orthod. 2010;80(5):843–852.

Aras A, Ada E, Saracoglu H, Gezer NS, Aras I. Comparison of treatments with the Forsus fatigue

resistant device in relation to skeletal maturity: a cephalometric and magnetic resonance imaging study.

Am. J. Orthod. Dentofacial Orthop. 2011;140(5):616–625.

Hansen K, Pancherz H, Petersson A. Long-term effects of the Herbst appliance on the craniomandibular

system with special reference to the TMJ. Eur. J. Orthod. 1990;12:244–253.

Paulsen HU. Morphological changes of the TMJ condyles of 100 patients treated with the Herbst

appliance in the period of puberty to adulthood: A long-term radiographic study. Eur. J. Orthod.

;19(6):657–668.

Arici S, Akan H, Yakubov K, Arici N. Effects of fixed functional appliance treatment on the

temporomandibular joint. Am. J. Orthod. Dentofac. Orthop. 2008;133(6):809–814.

LeCornu M, Cevidanes LHS, Zhu H, Wu C-D, Larson B, Nguyen T. Three-dimensional treatment

outcomes in Class II patients treated with the Herbst appliance: a pilot study. Am. J. Orthod. Dentofac.

Orthop. 2013;144(6):818–830.




Licencia de Creative Commons
Este obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.

 

 

CES Odontología/ ISSN 0120-971X Electrónico 2215-9185

Facultad de Odontología, Universidad CES.

Calle 10A No. 22 - 04, Medellín, Colombia

Publicada desde 1987.

revistaodontologia@ces.edu.co

 

http://www.ces.edu.co/