Modelo Trabajo de Investigación Oclusión II

8/19/2019 Modelo Trabajo de Investigación Oclusión II

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FACULTAD DE MEDICINA HUMANA

ESCUELA DE ESTOMATOLOGÍA

TRABAJO DE INVESTIGACIÓN DIAGNÓSTICA

OCLUSIÓN II

TÍTULO: LATERADIDAD BORDEANTE Y PROTRUCIONBORDEANTE EN ESTUDIANTES DE LA ASIGNATURA DEOCLUSIÓN II DE LA CARRERA PROFESIONAL DEESTOMATOLOGÍA DE LA UNIVERSIDAD PRIVADA ANTENORORREGO -TRUJILLO, 2015

INTEGRANTES:DOCENTES:

• Ms. V !"#$ L%&'#s V($&• D$. M&$!#s C&$$)*"($# +#'#$(s• Ms. M&$!(%# C $ ('&s M)ss#• Ms. P&"$*!*& P&%&!*#s• CD. P($! T#$$(s L*/&

Trujillo, junio !l "#$%

ÍNDICE


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I& MARCO TEÓRICOII& DISE'O METODOLÓGICO

III& RESULTADOSIV& CONCLUSIONESV& REFERENCIAS BIBLIOGR(FICAS

I& MARCO TEÓRICO

- B)*!* +! ri-)*:


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L& !*'(/ "*!& (s") *& (% (s %& &/*('"# ( %) &$ # #s*!*3' ( )' !)($ #,& %# !)&% s( %# %%&/& /#4*/*('"#. C)&' # (% !)($ # (' !)(s"*3' (s (%/& *%&$ *'6($*#$ & (s"#s /#4*/*('"#s %#s ('#/*'&/#s 7M#4*/*('"#sM&' *8)%&$(s9, & # "&' (% '#/8$( (% %) &$ (s &!*&% :&!*& (% !)&%$(&%* &. E' ')(s"$# !&s# '#s *'"($(s& !#/ $(' ($ (% /#4*/*('"# ( %&/&' 8)%& #$;)( #' ( 4&' %#s !3' *%#s 4&' %#s *('"(s.C)&' # %& /&' 8)%& (s!*(' ( $# )!*(' # %& & ($")$& 8)!&%, (s"&/#s&'"( (% /#4*/*('"# ( 7& ($")$& # (s!('s#9. E% /#4*/*('"# !#'"$&$*#!($$&' # %& 8#!&, (s (% /#4*/*('"# ( 7&s!('s# # !*($$(9. E%

(s %& &/*('"# (' (% %&'# :#$* #'"&% $# (!"&' # (% /('"3' :&!*& (%&'"(s* )*(' # %& % '(& /( *&, s( %# !#'#!( !#/# 7 $#"$)s*3'9. E% /#4*/*('"#!#'"$&$*# :&!*& &"$ s s* )*(' # %& % '(& /( *& (s %& 7$("$)s*3'9. E%

(s %& &/*('"# :&!*& )' !#s"& # s( %# !#'#!( !#/# 7%&"($&%* & !('"$ 6) &3 %&"($#"$)s*3' :&!*& * ;)*($ & 3 ($(!:&9 s(


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J)'"# &% /#4*/*('"# /&' *8)%&$ s( /)(4(' %#s *('"(s ;)( (s" ' &'!%& #s6*@#s &% :)(s# /&' *8)%&$ !&/8*&' # s) $(%&!*3' !#' %#s *('"(s (% &$!#s) ($*#$ ;)( ($/&'(!(' 6*$/(s &% /& *%&$ s) ($*#$ #$ (' ( & %& 8&s(

(% !$ '(#.P#$ "&'"# !&8( (!*$ ;)( !)&' # :& )' (s!('s# 3 & ($")$& 8)!&% :&)'& s( &$&!*3' ( %#s &$!#s ('"&$*#s, ;)( # (/#s /( *$ ( 8#$ (*'!*s&% s) ($*#$ & 8#$ ( *'!*s&% *'6($*#$, & (s& /( * & %& !#'#!(/#s !#/#“apertura bucal”. T&/8*?' !&8( (!*$ ;)( (% !*($$( !)%/*'& !#' (% !#'"&!"#

('"&$*#, (' )'& ("($/*'& & $(%&!*3' #!%)s&% ( / */# !#'"&!"# ;)( s(!#'#!( !#/#“Posición de Máxima Intercuspidación” =P.M.I.>. E' (% /#4*/*('"# $#"$)s*4#"&/8*?' s( $# )!( !#'"&!"# ('"&$*# ('"$( *'!*s*4#s s) ($*#$(s ( *'6($*#$(s(s"&8%(!*(' # %& #s*!*3' (“borde a borde incisivo ó guía incisiva”. E' %&s%&"($&%* & (s s( ('!)('"$&' ('"$( s* (% !&'*'# s) ($*#$ !#' (% *'6($*#$ (s"&8%(!*(' # %& $(%&!*3' 78#$ ( & 8#$ ( !&'*'# 3 ) & !&'*'&9.E' "# #s %#s !#'"&!"#s ('"&$*#s /('!*#'& #s s( $# )!(' (s" /)%#s ('%#s $(!( "#$(s ($*# #'"&%(s ;)( ('4 &' *'6#$/&!*3' &% S*s"(/& N($4*#s#

&$& ;)( (s"( )( & !##$ *'&$ %#s /#4*/*('"#s.L#s !#' *%#s ( &/8&s A$"*!)%&!*#'(s T?/ #$# M& *%&$(s =A.T.M.> $(&%* &/#4*/*('"#s s* )*(' # (% /#4*/*('"# (% !)($ # /&' *8)%&$, ($# ('"$#

(% $&' # ($/*"* # #$ %#s %* &/('"#s, #$ %# !)&% # (/#s (!*$ ;)( (%/#4*/*('"# !#' *%&$ )( ( s($ (7R#"&!*3' # ( T$&s%&!*3'9, :&!*(' # (% /*s/# /#4*/*('"# &/8#s !3' *%#s,3 *6($('"( s(


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Fig 1: Movimiento de otación: !" #$e de rotación en el centro del cuerpo. %" #$e de

rotación despla&ado de centro del cuerpo. '" #$e de rotación (uera del cuerpo.)

Mo/i0i!n+o* ! L) M)n 12ul)E@( ( 8*s& $& L& /&' 8)%& (s )' :)(s# /34*% !#' %& #s*8*%* & (/.


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Fi3 ": Mo/i0i!n+o ! ro+)-i n 0)n i2ul)r ETB:

L '(& */& *'&$*& ;)( )'( %#s !('"$#s ( %#s !3' *%#s. A- A$!# ( !*$!)'6($('!*& #$ &$$*8& ( !('"$# ( $#"&!*3'. B- A$!# (!*$!)'6($('!*& #$ (%&'"( (% !('"$# ( $#"&!*3'. C-A$!# ( !*$!)'6($('!*&

#$ (8&@# (% !('"$# ( $#"&!*3'. D- A$!# ( !*$!)'6($('!*& #$ ("$ s (%!('"$# ( $#"&!*3'.

F* . . A$!# 6&!*&% !*'(/ "*!# # & *# $&6# s#%* &$*# !#' (% /& *%&$ *'6($*#$ ($/%& %#!&%* &!*3' $(!*s& (% ETB.


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D& # ;)( %& *$(!!*3' ( %& /)s!)%&")$& %#!#/#"#$& ( %& /&' 8)%& '#!#'"$*8) ( &$& %& (s"&8*%* &!*3' ( (s"( (@(, s( :&!( */ $(s!*' *8%( ;)(

&$& # ($ /#4($ %& /&' 8)%& (' (s"( &$!# ( & ($")$& !*($$(, s(&'(!(s&$*# )"*%* &$ %& /&'# (% # ($& #$ !#/# ) & ( %& /*s/&.

*Fig. +,. #ste es un movimiento bordeante mandibular *no (uncional, -ue se vale de la

máxima tensión del ligamento t mporomandibular para -ue este arco de apertura /

cierre sea repetible.

L& ("($/*'&!*3' (% (@( "($/*'&% ( $#"&!*3' (s /) */ #$"&'"( & ;)( (s)' )'"# ( $(6($('!*& &$& (% (s") *# ( %& #!%)s*3' #$ s#8$( "# # &$&%& ("($/*'&!*3' ( %& #s*!*3' ( $(!#'s"$)!!*3' #!%)s&% !)&' # %#s

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$# )!*(' # )'& & ($")$& /&' *8)%&$, (% /#4*/*('"# )( ( s($ *4* * # ('#s !#/ #'('"(s 1> !)&' # %#s !3' *%#s (s" ' (' $#"&!*3' =(@( (

8*s& $&> :&s"& ;)( %#s *'!*s*4#s *'6($*#$(s s( s( &$(' ( %#s s) ($*#$(s& $# */& &/('"( )'#s 25 /*% /("$#s 2> !)&' # %#s !3' *%#s !#/*(' &'%& "$&'s%&!*3'.


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Figura 5 : otación 0 #ste movimiento ocurre solamente dentro de una apertura limitada de los

incisivos *generalmente asta los 23 milimetos,

Figura 3: 4ranslación 0 'uando la mandíbula excede los 23mm de apertura. *medido a

nivel de los incisivos, los cóndilos comien&an la traslación.


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5ro+ru*i n: Es (% /#4*/*('"# ( %& /&' 8)%& (s ( %& #s*!*3'*'"($!)s (& :&!*& (%&'"(. E% % /*"( &'"($*#$ ( (s"( /#4*/*('"# %#(s"&8%(!( (% %* &/('"# (s"*%#-/&' *8)%&$ L# ;)( '#s *'"($(s& (' "?$/*'#s ( %& #!%)s*3' 6)'!*#'&%, (s (% $(!#$$* #

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('#/*'& !#'"&!"# ('"&$*# $#"$)s*4#.

Figura 5: 6a línea entre los puntos ! / % indican la tra/ectoria del cóndilo durante el

movimiento recto de protrusión

R("$)s*3' E' (% /#4*/*('"# /&' *8)%&$ ='# 6)'!*#'&%> (s ( %& / */&*'"($!)s * &!*3' :&!*& &"$ s =F* >.


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S* '#s $(/#'"&/#s & / s ( 0 & #s &"$ s (% D$. U%6 P#ss(%" ('!#'"$3 ;)( (% H0( %& $& & :)/&'& "*('( %& #s*8*%* & ( /#4($ s) /&' 8)%& (s ( %& #s*!*3'( / */& *'"($!)s * &!*3' :&!*& &"$ s )'& *s"&'!*& & $# */& & & 1 /*% /("$#.

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/&s"*!&"#$*#. Es / s, %& ATM s( $* ( #$ %( (s ( %& #$"# ( *& ('($&%, !#/)'(s &"# &s %&s &$"*!)%&!*#'(s s*'#4*&%(s, %&s !)&%(s ')'!& 6)'!*#'&' (' #s*!*#'(s8#$ (&'"(s.

Figura 7: 6a línea !"8 indica la tra/ectoria del cóndilo durante el movimiento retrusivo visto desde

el plano sagital

P#s*!*3' $("$)s*4& (s )' )'"# ( $(6($('!*& ;)( '# s( %# )( ( * '#$&$ (' (%

(s") *# #!%)s&% &$"*!)%&$, ($# ;)( '& & "*('( ( !?'"$*!#. Es )'& #s*!*3'6*s*#%3 *!& %* &/('"#s& % /*"(, /* ( ('"$( 0, 5 // & 1 //.. P#ss(%%" ("($/*'& ('1H52 ;)( (% 2 ( %&s ($s#'&s "*('(' %&s #s #s*!*#'(s, (s (!*$ P.M.I.= #s*!*3' ( / */& *'"($!)s * &!*3'> $(s"$)s*4&.Mo/i0i!n+o ! l)+!r)li ) : L& /&' 8)%& "*('( %& #s*8*%* & ( (s&$$#%%&/#4*/*('"#s %&"($&%(s = ($(!:&s ( * ;)*($ &>. )$&'"( (% /#4*/*('"# %&"($&%, (% %& #:&!*& #' ( s( *$* ( %& /&' 8)%& s( ('#/*'& %& # ( "$&8&@# =%&"($#"$)s*3'>,

s(& (% %& # ;)( s( &%(@& (% %&'# /( *# s& *"&%. E% %& # # )(s"# s( ('#/*'& %&( '# "$&8&@# =/( *#"$)s*3'>, # s(& (% %& # ;)( s( & $# */& & %& % '(& /( *&

C)&' # %& /&' 8)%& $(&%* & (s"( /#4*/*('"# :&!*& (% %& # ($(!:#, (% !3' *%#* ;)*($ # =!3' *%# (% %& # ( '# "$&8&@# ) #$8*"&'"(> s( "$&s%& & :&!*& (%&8&@# & ('"$#. E% !3' *%# !#'"$&%&"($&% (s (% (% %& # ( "$&8&@# # *4#";)(, "(3$*!&/('"(, %& /&' 8)%& (s"&$ & $#"&' # s#8$( ?%.


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A)';)( %# !*($"# (s ;)( $(&%* & )' %* ($# (s %& &/*('"# :&!*& 6)($& '# )'&$#"&!*3' )$&. L#s !#'"&!"#s ('"&$*#s ;)( #!)$$&' )$&'"( (s"( /#4*/*('"#,"#/&$ ' %#s '#/8$(s ( !#'"&!"#s ('"&$*#s (' (% %& # ( "$&8&@# '# "$&8&@#$(s (!"*4&/('"(.

F* )$& H L& "$& (!"#$*& (% !3' *%# /( *#"$)s*4# (s" *' *!& & #$ %& % '(& A-C. L& % '(& A-B (s %& "$& (!"#$*& ;)( (% !3' *%# (s&$$#%%&$ & )$&'"( )'& $#"$)s*3' (' %$(!"&.

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Din60i-) M)n i2ul)r Mo/i0i!n+o ! B!nn!++L& /&' 8)%& (s !& & ( $# )!*$ )' /#4*/*('"# %&"($&% *$(!"# &% !)&% s( %#!#'#!( !#/# (s %& &/*('"# %&"($&% *'/( *&"# "&/8*?' %%&/& # M#4*/*('"#*'/( *&"# ( B(''("" = (' *' %?s '/( *&"( s* ( s:*6"9>. S* %& /&' 8)%& (' s)"#"&%* & s( (s %& & %&"($&%/('"(, %& "$& (!"#$*& (% !3' *%# /( *#"$)s*8&%&'!(> ( :*8*$ )' (s %& &/*('"# %&"($&% *'/( *&"#. Es"# (s */ #$"&'"( & #;)( *'!$(/('"&$ %& #s*8*%* & ( !:#;)( ('"$( %&s !


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An3ulo ! B!nn!++: Es (% ' )%# 6#$/& # #$ %& *6($('!*& ('"$( %&s "$& (!"#$*&s(% !3' *%# )$&'"( %& $#"$)s*3' A-B %& /( *#"$)s*3', 4*s"# (s ( (% %&'#

:#$* #'"&%. =Es" 6#$/& # #$ %#s "$& & #s ( $#"$)s*3' (% ( %&"($&%* &!3' *%# ( 8&%&'!(>.E% ' )%# ( B(''("" s*(/ $( ( *s"(, &)' !)&' # '# :& & (s %& &/*('"# %&"($&% #*'/( *&"# ( B(''("". P($# %& $(s('!*& ( ?s"(, *'!$(/('"& (% ' )%# ( B(''(""(' 6#$/& s* '*6*!&"*4&.

Fig 19: Plano (rontal: en ambos lados *traba$o / balance o no traba$o, el "1" es

movimiento inmediato de %ennett el "2" es movimiento progresivo.

Fig 1+: Movimiento progresivo de %ennett: 1"!coplamiento canino. 2" 8esoclusión inicial. 9"

8esoclusion (inal


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F('3/('# ( C:$*s"('s(' D)$&'"( %& $#"$)s*3', (' %& /( * & ;)( (% ' )%# ( %&"$& (!"#$*& !#' %(& &)/('"&, %& &$"( #s"($*#$ ( %& /&' 8)%& s( &%(@& (' 6#$!$(!*('"( ( %#s *('"(s /& *%&$(s. Es"& 8$(!:& (s !#'#!* & !#/# F('3/('# (C:$*s"('s('. E% /#'"# ( (s"& s( &$&!*3' (s" (' 6)'!*3' ( %& *'!%*'&!*3' ( %&

) & !#' %(&

Fig 15: Fenómeno de Christensen

- An+!-! !n+!*:

&$$(' (' 1HH , $(&%* 3 )'& )8%*!&!*3' &!($!& ( "?!'*!&s s*/ %*6*!& &s&$& /( *$ %#s $&' #s ( %#s *6($('"(s /#4*/*('"#s /&' *8)%&$(s. P&$&

$( *s"$&$ %& & ($")$& 8)!&% / */& )"*%* 3 )' 8&@& %(' )&s ( /& ($& (' !)&% /&$!# %& *s"&'!*& *'"($*'!*s&% / */& ('"$( %&s (/8$& & )$&s/(s*#*'!*s&%(s ( %#s *'!*s*4#s !('"$&%(s ( I& /& *%& /&' 8)%&.

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=ABMA > / s (% #4($8*"( ;)( ( !( ( %#s 50// (% ( /)@($(s (%H ( :#/8$(s $(s('"&$#' )' $#/( *# ( & ($")$& 8)!&% / */&&s*4& =ABMP > /& #$ & %#s 50//.

M*$&' &, A. =200 > /* *3 (% $&' # ( %#s /#4*/*('"#s /&' *8)%&$(s (' @34('(s ( 1 & 25 & #s = 2 :#/8$(s 2 /)@($(s>, :&%%&' # !#/#

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/ */& %&"($&%* & * ;)*($ &. A (/ s !#/ &$3 %#s $#/( *#s ( %#s !)&"$#/#4*/*('"#s s(


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"&$&G!n!r)l

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II& DISE'O METODOLÓGICO

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LATERALIDAD DEREC+A EN ESTUDIANTES DE LA ASIGNATURA DEOCLUSIÓN II DE LA CARRERA PROFESIONAL DE ESTOMATOLOGÍA DELA UNIVERSIDAD PRIVADA ANTENOR ORREGO -TRUJILLO, 2015.

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OCLUSIÓN II DE LA CARRERA PROFESIONAL DE ESTOMATOLOGÍA DELA UNIVERSIDAD PRIVADA ANTENOR ORREGO -TRUJILLO, 2015.

Fu!n+!: Cu) ro N #8In+!r.r!+)-i n:E' %& "&8%& N 01 s( #8s($4& %#s $(s)%"& #s s* )*('"(s (% 50 ( %#s(s") *&'"(s $(s('"&' %&"($&%* & * ;)*($ & '#$/&%, (% 0 "*('(':* #/#4*%* & s#%# (% 20 "*('(' :* ($/#4*%* & , (' !#'!%)s*3' s( )( (#8s($4&$ ;)( %#s (s") *&'"(s (s" ' (' %#s '*4(%(s ( :* #/#4*%* & '#$/&%.

IV& CONCLUSIONES

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C)&' # s( !#'s"$) (' $3"(s*s "#"&%(s, (% "* # ( #!%)s*3' ;)( ('($&%/('"( s("$&"& ( !#'s( )*$, (s (% ( !#'"&!"#s ('"&$*#s * )&%/('"( *s"$*8)* #s (' "# #s%#s *('"(s )$&'"( "# #s %#s /#4*/*('"#s 6)'!*#'&%(s. Es"# ( (' ($ ( %&6#$/& ( %#s *('"(s =&' )%&!*3' !)s * (&>, %& ) & *'!*s*4& %& &' )%&!*3' ( "$& (!"#$*& !#' %(&s. C)&%;)*($ !&/8*# (' %& #s*!*3' ('"&$*& &6(!"&$ %&' )%&!*3' !)s * (& (' 6#$/& s* '*6*!&"*4&. E' #"$&s &%&8$&s, !)&' # /& #$ s(&%& !)$4& ( S (( / s &' )%& # (% %&'# ( %& #!%)s*3', /('#$ &' )%&!*3'=&%")$&> !)s * (& s($ '(!(s&$*# !#' (% #8@("*4# ( /&'"('($ %& #!%)s*3'8&%&'!(& & (s(& &, &s)/*(' # ;)( "# #s %#s #"$#s 6&!"#$(s ="$& (!"#$*& !#' %(&

) & *'!*s*4&> s(&' %#s /*s/#s.

S* ( *s"( )'& ) & &'"($*#$ *s#!%)s#$&, )'& /# *6*!&!*3' (% %&'# #!%)s&% ( %!)$4& #!%)s&% '# s($ ' $#8%(/& & /('#s ;)( %& 4&$*&!*3' s(& /) $&' ( s(

$# ) !&' !#'"&!"#s ('"$( %&s *( &s #s"($*#$(s )$&'"( %#s /#4*/*('"#s( !)$s*4#s.

E% (6(!"# s#8$( %& ) & *'!*s*4& (8( s($ "('* # (' !)('"& !)&' # s( $((/ %&!('*('"(s &'"($*#$(s &)s('"(s, /#4*/*('"#s ('"&$*#s #$"# 3'!*!#s # !)&' # s(

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( %#s *('"(s &'"($*#$(s, / s &' )%& & s($ %& ) & *'!*s*4&.

V& REFERENCIAS BIBLIOGR(FICAS• A%#'s# A%8($"*'*- B(!:(%%*. O!%)s*3' *& '3s"*!# (' $(:&8*%*"&!*3' #$&%. E

M? *!& P&'&/($*!&'& 1HHH• D&Zs#' P("($ E. E4&%)&!*3', *& '3s"*!# T$&"&/*('"# ( %#s $#8%(/&s

#!%)s&%(s. S&%4&".


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• M&''s F$((s( M&')&% P$ !"*!# ( O!%)s*3' D('"&$*&. 2[( ... E , A/#%!&.

200 .• OK(s#' J(6$( P. O!%)s*3' &6(!!*#'(s "(/ #$#/&' *8)%&$(s, M#s8 \

D# /& L*8$#s, 1HH , M& $* Es & &.• J#s? #s S&'"#s J$. O!%)s*3' $*'!* *#s !#'!( "#s, E *"#$*&% M)' *, 1H ,

B)('#s A*$(s A$ ('"*'&.

ANE O

Modelo Trabajo de Investigación Oclusión II

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