Manejo integral clínico del bruxismo: reporte de un caso clínico / Comprehensive clinical management of bruxism: case report

El bruxismo es el movimiento no funcional de los dientes inferiores contra los dientes superiores, generalmente se realiza de forma inconsciente. Se puede clasificar como bruxismo diurno o céntrico y bruxismo nocturno o excéntrico, caracterizado por una actividad muscular ritmica o arritmica, consciente o inconsciente. Presenta una etiología multifactorial que incluye factores oclusales locales, factores psíquicos y otros. Así, el tratamiento racional debe incluir la eliminación de éstos factores. El diagnóstico se basa en signos y síntomas clínicos, de una historia clínica completa y un análisis oclusal. El bruxismo conlleva a una serie de cambios en el sistema estomatognático apreciables a nivel dental, neuromuscular, óseo y en las articulaciones temporomandibulares.

Bruxism is the unfunctional movement of the lower teeth against the upper teeth, generally it occurs unconsciously. It can be clasified as diurnal bruxims or centric bruxims and nocturnal or excentric bruxims. Bruxims has a multifatorial etiology which includes local oclusal factors and others, for a good treatment these factors must be eliminiated. The diagnostic is based on clinical sintoms and signs, a complete clinical history, and a occlusal analisis. Bruxims produces several changes in the stomatogmatic system these are noticed on teeth, muscle, bones and temporo-mandibular joints.

Preparación ortodóncica del paciente protésico periodontal / Orthodontic preparation of periodontal prosthetic patient

Patients in restaurative treatment (prosthetic and periodontal) oftenly require simple orthodontic movements, in order to improve aesthetic and functional efficiency of the area involved in treatment. The complexity of orthodontics doesn't lie on its sophisticated technics, but on its biomechanical, histological and occlusal principles, among others. They must all be integrated a very clear way. The are no standarized methods to treat adult patients; the biomechanical principles must agree with intrinsec characteristics of each patient (anatomical, functional and biological).