Abstract

CABRERA VILLALOBOS, Yanelys; ALVAREZ LLANES, Marina; GOMEZ MARINO, Mercedes  and  MALCOM CASTILLO, María E. Occlusion and stress in the temporomandibular pain-dysfunction syndrome: a case report. AMC [online]. 2009, vol.13, n.3. ISSN 1025-0255.

A 20 year-old female, a third year student of Medicine with temporomandibular pain-dysfunction syndrome is reported whose consultation reason was pain, related with the non habitual mastication and sleeping side. Data were taken of her clinical history where it was initially treated. We base ourselves on the clinical exploration of muscles, temporomandibular articulations and occlusion, to detect as possible causes: stress and a coarse occlusal interference. A multicausal treatment was carried out: acupuncture, exodontia, Jackonson´s progressive relaxation, educational talk, informative folding, control of dentobacterial plaque, oral hygiene and remission to the psychologist. We could verify that a functional lesion can cause such varied symptoms as the articular damage. Diagnosis is clinical fundamentally and for its simplicity should incorporate to the habitual exploration protocol. We consider stress a principal predisposing and at the same time triggering factor. The future stomatologist will guide the patient towards a full life, free of preoccupations that alter their mental health. It will always be necessary to incorporate the Psychologist in the multidisciplinary team that will treat the affection.

Keywords : Pain-dysfunctional Syndrome; treatment; diagnosis; miofacial; pain; facial algia; pain; temporomandibular joint.

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