{"id":989591,"date":"2020-05-01T15:54:28","date_gmt":"2020-05-01T13:54:28","guid":{"rendered":"https:\/\/www.osteovitalsabadell.cat\/?p=989591"},"modified":"2025-12-24T12:54:27","modified_gmt":"2025-12-24T10:54:27","slug":"que-sabemos-de-la-disfuncion-de-la-articulacion-temporomandibular-atm","status":"publish","type":"post","link":"https:\/\/www.osteovitalsabadell.cat\/es\/que-sabemos-de-la-disfuncion-de-la-articulacion-temporomandibular-atm\/","title":{"rendered":"\u00bfQu\u00e9 sabemos de la DISFUNCI\u00d3N DE LA ARTICULACI\u00d3N TEMPOROMANDIBULAR (ATM)?"},"content":{"rendered":"
\n

L\u2019articulaci\u00f3 temporomandibular (ATM) connecta la mand\u00edbula al crani i actua com una frontissa lliscant. En tenim una a cada costat de la mand\u00edbula, que funcionen sincronitzadament. \u00c9s l\u2019articulaci\u00f3 que ens permet parlar i mastegar.<\/p>\n\n\n\n

\u00c9s important saber que durant la masticaci\u00f3 participen les dents, l\u2019ATM, els m\u00fasculs suprahioideos i els m\u00fasculs de la masticaci\u00f3 (temporal, maseter, pterigoideos lateral i medial) que estan innervats per la tercera branca del trigemin, que \u00e9s el nervi mandibular.<\/p>\n\n\n\n

Quins s\u00edmptomes pot provocar aquesta disfunci\u00f3?<\/u><\/strong> Entre els signes i els s\u00edmptomes que es poden torbar en una disfunci\u00f3 de l\u2019ATM, s\u00f3n els seg\u00fcents:<\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^^^^\u00bb list_item_content=\u00bbDolor o sensibilitat al tocar la mand\u00edbula.^Dolor a una o ambdues articulacions temporomandibulares.^Dolor intens dins de l’o\u00efda o al seu voltant (pot provocar ac\u00fafens).^Dificultat per mastegar (bloqueig de l’articulaci\u00f3, la qual cosa dificulta obrir o tancar la boca) o dolor al mastegar.^Mal de cap i cervicals.^Desviaci\u00f3 de la mand\u00edbula cap al costat afectat al obrir i tancar la boca.^Pot apar\u00e8ixer un \u201dclick\u201d o una sensaci\u00f3 grinyolant a l’obrir la boca o al mastegar.\u00bb sc_id=\u00bbsc1588340867317″]<\/p>\n\n\n\n

Quines s\u00f3n les causes que poden provocar aquesta disfunci\u00f3?<\/u><\/strong><\/p>\n\n\n\n

La causa exacta del trastorn de l’ATM d’una persona sol ser dif\u00edcil de determinar.<\/p>\n\n\n\n

Aquesta disfunci\u00f3 pot ser deguda a una combinaci\u00f3 de factors, com la gen\u00e8tica, l\u2019artritis o una lesi\u00f3 de la mand\u00edbula.<\/p>\n\n\n\n

Algunes persones que tenen dolor a la mand\u00edbula tamb\u00e9 tendeixen a serrar o apretar les dents, el que anomenem bruxisme. Tot i que les persones que ho fan no sempre desenvolupen trastorns de l’ATM.<\/p>\n\n\n\n

Quins s\u00f3n els factors de risc associats?<\/u><\/strong><\/p>\n\n\n\n

Alguns dels factors que poden augmentar el risc de desenvolupar disfuncions temporomadibulars s\u00f3n els seg\u00fcents:<\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^^^\u00bb list_item_content=\u00bbDiferents tipus d\u2019artritis, com la reumatoide o l\u2019artrosi.^Bruxisme a llarg termini (cr\u00f2nic).^Mastegar xiclet.^Menjar-se les ungles i mossegar-se els llavis.^Estr\u00e8s, ansietat, sistema l\u00edmbic (emocions).^Oclusi\u00f3 dental defectuosa, fa que masteguem per nom\u00e9s un costat (masticaci\u00f3 unilateral).\u00bb sc_id=\u00bbsc1588340984493″]<\/p>\n\n\n\n

Quina relaci\u00f3 hi hauria entre l\u2019ATM, el bruxisme i les cervicals?<\/u><\/strong><\/p>\n\n\n\n

El bruxisme, com ja hem comentat abans, \u00e9s l\u2019h\u00e0bit involuntari d\u2019apretar les dents, sobretot a durant la nit. S\u2019associa habitualment a situacions d\u2019estr\u00e8s, ansietat, molt lligat al sistema l\u00edmbic (emocions). La compressi\u00f3 de les dents, pot provocar un desgast m\u00e9s accelerat de l\u2019esmalt dental i una continua irritaci\u00f3 de l\u2019ATM.<\/p>\n\n\n\n

Si a part del bruxisme hi ha una mala oclusi\u00f3 mandibular, conseq\u00fc\u00e8ncia d\u2019un traumatisme directe, falta d\u2019alguna pe\u00e7a bucal (a partir d\u2019aqu\u00ed comences a mastegar pel mateix costat) o posici\u00f3 en retrusi\u00f3 o protrusi\u00f3 mandibular (mand\u00edbula endavant o enrere) s\u2019hi afegeix un altre problema. Quan hi ha una mala oclusi\u00f3, l\u2019ATM d\u2019un costat treballar\u00e0 m\u00e9s que la contraria, afavorint la irritaci\u00f3 i el desgast.<\/p>\n\n\n\n

Els m\u00fasculs masticatoris estan innervats, com d\u00e8iem abans, pel nervi mandibular que \u00e9s la tercera branca del nervi trigemin. El nucli espinal del trigemin arriba fins a segments cervicals C2-C3 i els impulsos nociceptius provinents de la columna cervical poden fer sinapsis en aquest nivell. \u00c9s per aix\u00f2 que \u00e9s tan important tractar tamb\u00e9 les cervicals amb pacients que pateixen de l\u2019ATM.<\/p>\n\n\n\n

Quines soluciones hi ha?<\/u><\/strong><\/p>\n\n\n\n

En la majoria dels casos, el dolor i la incomoditat associats amb els trastorns de l\u2019ATM s\u00f3n temporals i poden alleujar-se amb fisioter\u00e0pia, osteopatia i exercicis per fer a casa. La cirurgia sol ser l\u2019\u00faltim recurs despr\u00e9s de que les mesures conservadores no han funcionat.<\/p>\n\n\n\n

Quin seria el tractament conservador a seguir?<\/u><\/strong><\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^\u00bb list_item_content=\u00bbTer\u00e0pia manual a nivell cervical, cranial, ATM i diafragmes.^Exercicis d\u2019ATM i cervicals per fer a casa.^Intentar millorar ergonomia (postura) i estr\u00e8s.^Control per odont\u00f2leg (control peces bucals i valoraci\u00f3 f\u00e8rula de descarrega si cal).\u00bb sc_id=\u00bbsc1588341072195″]<\/p>\n\n\n\n

Quins exercicis es poden fer a casa?<\/u><\/strong><\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^^^\u00bb list_item_content=\u00bbAutomassatge m\u00fasculs temporals.^Automassatge m\u00fasculs masseters.^Automassatge zona suboccipital (clatell).^Estirament part anterior del coll: escalens, esternocleidomastoideo i platisma.^Mossegar bol\u00edgraf per la zona dels queixals de l\u2019ATM que fa mal.^Menjar pel costat que fa mal.\u00bb sc_id=\u00bbsc1588341223790″]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

L\u2019articulaci\u00f3 temporomandibular (ATM) connecta la mand\u00edbula al crani i actua com una frontissa lliscant. En tenim una a cada costat de la mand\u00edbula, que funcionen sincronitzadament. \u00c9s l\u2019articulaci\u00f3 que ens permet parlar i mastegar. \u00c9s important saber que durant la masticaci\u00f3 participen les dents, l\u2019ATM, els m\u00fasculs suprahioideos i els m\u00fasculs de la masticaci\u00f3 (temporal,…<\/p>\n","protected":false},"author":1,"featured_media":988575,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-989591","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"yoast_head":"\nDisfunci\u00f3n de la articulaci\u00f3n temporomandibular (ATM)<\/title>\n<meta name=\"description\" content=\"Descubre qu\u00e9 es la disfunci\u00f3n de la ATM, sus s\u00edntomas comunes, causas y opciones de tratamiento, como fisioterapia y osteopat\u00eda.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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