Relación del plano oclusal inclinado con la rotación del atlas sobre el axis en niños entre 4 y 12 años de la ciudad de Viña del Mar
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2016
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Universidad Andrés Bello
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Licencia CC
Licencia CC
Resumen
En Chile, se estima que cerca de la mitad de los pacientes pediátricos tienen alteraciones en el plano oclusal. Estas asimetrías son tratadas por parte del profesional odontológico de la misma manera, utilizando métodos como desgastes dentales u ortodoncia sin tomar en cuenta que estas alteraciones pueden estar relacionadas con estructuras extraorales. El objetivo de la presente investigación es encontrar una relación entre la inclinación del plano oclusal con la rotación del atlas sobre el axis en niños entre 4 y 12 años. De esta manera, se puede indicar una evaluación con diagnóstico diferencial, incorporando a otros profesionales como el kinesiólogo quienes pueden determinar y realizar un tratamiento de las desviaciones de la columna cervical que inciden en el plano oclusal.
En una muestra de 16 niños, se realizaron dos evaluaciones: La primera se desarrolló para detectar la inclinación del plano oclusal a través de una imagen facial del paciente, en la cual se midieron las distancias verticales derecha e izquierda dadas desde una línea de referencia ubicada a la altura del plano bipupilar y otra en las comisuras labiales. La segunda evaluación determinó la rotación del atlas sobre el axis, a través de una radiografía transoral, midiendo las distancias entre las masas laterales del atlas respecto al proceso odontoides del axis.
A través de la prueba exacta de “Fisher” y la prueba de correlación lineal de “Pearson”, se mostró que estadísticamente no hay una relación entre las variables medidas a pesar de lo que describe la teoría.
In Chile it’s estimated that about half of the pediatric patients has dentomaxillary alterations on bite-plane. These asymmetries are treated by the dental professional in the same way, using methods such as dental orthodontic wear regardless of these changes they may be related to extra-structures. The objective of this investigation is to find a relationship between the inclination of the occlusal plane with the rotation of the atlas on the axis in children between 4 and 12 years. Thus, it may indicate a differential diagnosis evaluation, incorporating other professionals as the physiotherapist who can identify and realize deviations treatment of the cervical spine affecting the bite plane. In the sample of 16 patients, two evaluations were performed: The inclination of the occlusal plane was detected by the facial image of the patient with the measurement of the right and left vertical distances given from a reference line located at the height of the bilateral pupil plane and another in the lips corners. Furthermore, rotation about the atlas on the axis was determined through a transoral radiography, measuring the distances between the lateral masses of atlas respect to odontoid process. Through the exact Fisher test and the linear correlation test of Pearson, it was shown that statistically there is no relationship between the variables measured despite what the theory describes.
In Chile it’s estimated that about half of the pediatric patients has dentomaxillary alterations on bite-plane. These asymmetries are treated by the dental professional in the same way, using methods such as dental orthodontic wear regardless of these changes they may be related to extra-structures. The objective of this investigation is to find a relationship between the inclination of the occlusal plane with the rotation of the atlas on the axis in children between 4 and 12 years. Thus, it may indicate a differential diagnosis evaluation, incorporating other professionals as the physiotherapist who can identify and realize deviations treatment of the cervical spine affecting the bite plane. In the sample of 16 patients, two evaluations were performed: The inclination of the occlusal plane was detected by the facial image of the patient with the measurement of the right and left vertical distances given from a reference line located at the height of the bilateral pupil plane and another in the lips corners. Furthermore, rotation about the atlas on the axis was determined through a transoral radiography, measuring the distances between the lateral masses of atlas respect to odontoid process. Through the exact Fisher test and the linear correlation test of Pearson, it was shown that statistically there is no relationship between the variables measured despite what the theory describes.
Notas
Tesis (Kinesiología)
Palabras clave
Vértebras Cervicales, Patologías Dentales, Diagnóstico por Imagen, Oclusión, Tratamiento Kinésico