<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7507</journal-id>
<journal-title><![CDATA[Revista Cubana de Estomatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Estomatol]]></abbrev-journal-title>
<issn>0034-7507</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75072019000200011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Férula multifunción en paciente adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Multifunction splint in an adult patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera López]]></surname>
<given-names><![CDATA[Isis Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grau León]]></surname>
<given-names><![CDATA[Ileana Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto Rodríguez]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Estomatología &#8220;Raúl González Sánchez&#8221; ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>56</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75072019000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75072019000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75072019000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El bruxismo del sueño es una parafunción que afecta a más del 20 % de la población en general, produce trastornos en el aparato estomatognático y el resto del organismo. Su multicausalidad dificulta su diagnóstico, control y tratamiento, sobre todo cuando está asociado con el hábito de respiración bucal. Existen aditamentos que son utilizados como coadyuvantes del tratamiento en ambas entidades por separado, pero se torna aún más difícil cuando están combinadas.  Objetivo:  Comprobar la efectividad de una férula multifunción en el bruxismo del sueño asociado al hábito de respiración bucal.  Caso clínico:  Paciente masculino de 42 años de edad, con antecedentes de faringitis a repetición y de hipertrofia de adenoides, que acude a la consulta de Trastornos Témporo Mandibulares de la Facultad de Estomatología &#8220;Raúl González Sánchez&#8221;, quien refiere apretamiento de las mandíbulas cuando duerme y dolores en músculos de la cara al despertar. A través de la anamnesis, el examen clínico intrabucal y extrabucal y de diferentes maniobras clínicas, se observó sintomatología relacionada con bruxismo del sueño céntrico combinado con hábito de respiración bucal.  Conclusiones:  Con la colocación de la férula multifunción se logró disminuir la sintomatología por la cual asistió a consulta el paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Sleep bruxism, a parafunctional habit affecting more than 20% of the general population, causes disorders in the stomatognathic system and the rest of the body. Its multicausality makes its diagnosis, control and treatment difficult, particularly when it is associated with mouth breathing. Devices have been created which may be used for the treatment of either condition separately, but therapy becomes more complicated when the two are present.  Objective:  Verify the effectiveness of a multifunction splint for the treatment of sleep bruxism associated with mouth breathing.  Clinical case:  A male 42-year-old patient with a history of recurrent pharyngitis and adenoid hypertrophy presents at the temporomandibular disorders service of Raúl González Sánchez Dental School and reports tightening of his jaws during sleep and facial muscle pain upon awakening. Anamnesis, intraoral and extraoral clinical examination, and various clinical maneuvers reveal symptoms of centric sleep bruxism combined with mouth breathing.  Conclusions:  Placement of a multifunction splint reduced the symptoms that had prompted the patient to attend consultation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bruxismo del sueño]]></kwd>
<kwd lng="es"><![CDATA[respiración bucal]]></kwd>
<kwd lng="es"><![CDATA[pantalla oral]]></kwd>
<kwd lng="es"><![CDATA[férula]]></kwd>
<kwd lng="en"><![CDATA[sleep bruxism]]></kwd>
<kwd lng="en"><![CDATA[mouth breathing]]></kwd>
<kwd lng="en"><![CDATA[oral screen]]></kwd>
<kwd lng="en"><![CDATA[splint]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Okeson]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Leeuw]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Differential diagnosis of temporomandibular disorders and other orofacial pain disorders]]></article-title>
<source><![CDATA[Dent Clin North Am]]></source>
<year>2011</year>
<volume>45</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>105-20</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<source><![CDATA[Férulas oclusales]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<source><![CDATA[Trastornos de la articulación temporomandibular]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castañeda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ramón]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uso de la férulas oclusales en pacientes con trastornos temporomandibulares]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2016</year>
<volume>10</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bruxismo: su comportamiento en un área de salud]]></article-title>
<source><![CDATA[Rev Cienc Méd]]></source>
<year>2015</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[YE]]></given-names>
</name>
<name>
<surname><![CDATA[Utria]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
<name>
<surname><![CDATA[Lobaina]]></surname>
<given-names><![CDATA[D de la C]]></given-names>
</name>
<name>
<surname><![CDATA[Guilarte]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Terapias psicológicas y oclusales en pacientes bruxómanos]]></article-title>
<source><![CDATA[Rev Inform Cient]]></source>
<year>2014</year>
<volume>83</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hosoya]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kitaura]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Hashimoto]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relationship between sleep bruxism and sleep respiratory events in patients with obstructive sleep apnea syndrome]]></article-title>
<source><![CDATA[J Sleep Breath]]></source>
<year>2014</year>
<volume>18</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>837-44</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saavedra]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Balarezo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Férulas oclusales]]></article-title>
<source><![CDATA[Rev Estomatol Herediana]]></source>
<year>2012</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>243-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Espinoza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patología articular. Planos oclusales e indicación en rehabilitación oral]]></article-title>
<source><![CDATA[Rev Electron Portales Médicos]]></source>
<year>2012</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Becerra]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Valencia]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Salinas]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Cazenave]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efecto de los dispositivos oclusales sobre la vía aérea en pacientes con bruxismo]]></article-title>
<source><![CDATA[Revista Clín de Perio Implan Rehab Or]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[LB]]></given-names>
</name>
<name>
<surname><![CDATA[Crespo]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uso de férula de descarga en una paciente con bruxismo]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2009</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lozano]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uso de férulas oclusales, en pacientes con mordida profunda y bruxismo]]></article-title>
<source><![CDATA[Int J Med Surg Sci]]></source>
<year>2015</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>427-31</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Terán]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Fleitas]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Arellano]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efectividad de dos tipos de férulas oclusales sobre síntomas y signos de trastornos temporomandibulares]]></article-title>
<source><![CDATA[Rev Odontol Los Andes]]></source>
<year>2011</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efecto de Bionator de California en los trastornos temporomandibulares]]></article-title>
<source><![CDATA[Gac Méd Espirit]]></source>
<year>2014</year>
<volume>16</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
