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Publication
Côndilo bífido em odontopediatria
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| Projeto de pós-graduação_39689 | 592.52 KB | Adobe PDF |
Advisor(s)
Abstract(s)
O côndilo mandibular bífido é uma alteração esquelética rara que envolve a separação do côndilo articular mandibular em duas superfícies articulares. São frequentemente unilaterais e não causam sintomas na maior parte dos casos e, normalmente, são coincidentemente diagnosticados numa ortopantomografia realizada durante um exame de rotina. A tomografia computadorizada e a tomografia computadorizada de feixe cónico, também são muito úteis no seu diagnóstico e são consideradas as ferramentas de diagnóstico de referência para côndilo mandibular bífido. A sua etiologia é controversa, pode ser de desenvolvimento ou traumática e pode estar associada a uma anquilose da articulação temporomandibular. A sua prevalência varia entre 0,31% e 1,82% e não se verifica qualquer predominância de sexo nem de idade. Em relação ao tratamento, dependendo dos sintomas, da idade do doente e do impacto funcional e estético, podem ser consideradas abordagens conservadoras, como a fisioterapia ou a medicação antiinflamatória não esteróide, bem como opções cirúrgicas, como a artroscopia ou a condilectomia. O follow-up regular na ausência de sintomas é recomendado e importante.
O objetivo deste trabalho foi estudar a etiologia do côndilo mandibular bífido, assim como as consequências em termos de desenvolvimento e, finalmente, os diferentes tratamentos.
Foi realizada uma revisão da literatura e uma tabela resumo dos artigos analisados. A metodologia foi realizada através de uma pesquisa sistemática nas bases de dados: B-on, Cochrane Library, PubMed, SciELO e Science Direct. Inicialmente foram encontrados 288 artigos que após seleção resultou na inclusão de 38 artigos.
Bifid mandibular condyle is a rare skeletal change that involves the separation of the mandibular articular condyle into two articular surfaces. They are often unilateral and do not cause symptoms in most cases and are normally coincidentally diagnosed in an orthopantomography performed during a routine examination. Computed tomography and cone beam computed tomography are also very useful in its diagnosis and are considered the reference diagnostic tools for bifid mandibular condyle. Its etiology is controversial, it may be developmental or traumatic and may be associated with ankylosis of the temporomandibular joint. Its prevalence varies between 0.31% and 1.82% and there is no predominance of sex or age. Regarding treatment, depending on the symptoms, the patient's age and the functional and aesthetic impact, conservative approaches can be considered, such as physiotherapy or non-steroidal anti-inflammatory medication, as well as surgical options, such as arthroscopy or condylectomy. Regular follow-up in the absence of symptoms is recommended and important. The objective of this work was to study the etiology of bifid mandibular condyle, as well as the consequences in terms of development and, finally, the different treatments. A literature review and a summary table of the articles analyzed were carried out. The methodology was carried out through a systematic search in the databases: B-on, Cochrane Library, PubMed, SciELO and Science Direct. Initially, 288 articles were found, which after selection resulted in the inclusion of 38 articles.
Bifid mandibular condyle is a rare skeletal change that involves the separation of the mandibular articular condyle into two articular surfaces. They are often unilateral and do not cause symptoms in most cases and are normally coincidentally diagnosed in an orthopantomography performed during a routine examination. Computed tomography and cone beam computed tomography are also very useful in its diagnosis and are considered the reference diagnostic tools for bifid mandibular condyle. Its etiology is controversial, it may be developmental or traumatic and may be associated with ankylosis of the temporomandibular joint. Its prevalence varies between 0.31% and 1.82% and there is no predominance of sex or age. Regarding treatment, depending on the symptoms, the patient's age and the functional and aesthetic impact, conservative approaches can be considered, such as physiotherapy or non-steroidal anti-inflammatory medication, as well as surgical options, such as arthroscopy or condylectomy. Regular follow-up in the absence of symptoms is recommended and important. The objective of this work was to study the etiology of bifid mandibular condyle, as well as the consequences in terms of development and, finally, the different treatments. A literature review and a summary table of the articles analyzed were carried out. The methodology was carried out through a systematic search in the databases: B-on, Cochrane Library, PubMed, SciELO and Science Direct. Initially, 288 articles were found, which after selection resulted in the inclusion of 38 articles.
Description
Keywords
Odontopediatria Crianças Côndilo mandibular bífido Pediatric dentistry Bifid mandibular condyle