2011, Número 2
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Rev Odont Mex 2011; 15 (2)
Propuesta de un índice de maloclusiones invalidantes con potencial de deterioro y su aplicación
Elizondo DR, Yudovich BM, Aguilar SM, Meléndez OA
Idioma: Español
Referencias bibliográficas: 79
Paginas: 77-95
Archivo PDF: 389.31 Kb.
RESUMEN
La necesidad existente en salud pública para la selección de pacientes que ameriten atención ortodóncica de 2º y 3er. nivel hospitalario ha llevado a varios autores a idear índices que determinen problemas oclusales de orígenes distintos al dental, sin embargo ninguno mide confiablemente las anomalías craneofaciodentales que son prioritarias a nivel institucional por su trascendencia, magnitud y severidad. Para este trabajo se determinaron las alteraciones craneofaciodentales más frecuentes de pacientes que recibieron tratamiento en el Departamento de Ortodoncia del Hospital General «Dr. Manuel Gea González» en 1996 y se realizó un formato al que se le anexaron nuevas variables dándoles a todas valores nominales y ordinales cuya sumatoria final sugiere el nivel de posibilidad y de necesidad de tratamiento ortodóncico hospitalario; a este formato se le dio el nombre de «Índice de maloclusiones invalidantes con potencial de deterioro» y fue aplicado a 80 pacientes que acudieron a solicitar servicio al mismo. La menor puntuación la obtuvo una paciente totalmente edéntula con disfunción mientras que la mayor puntuación fue para una paciente con diagnóstico de fisuras faciales múltiples, es decir que según la clasificación y de acuerdo al puntaje propuesto en este trabajo la paciente de fisuras múltiples entra directamente a un programa de atención ortodóncica hospitalaria, y la edéntula no requiere de este servicio.
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