Implementación de la terapia miofuncional orofacial en una clínica de posgrado de Ortodoncia

Abstract

Introduction: orofacial myofunctional therapy is the set of techniques used to treat myofunctional disorders affecting the dynamics of the stomatognathic system, its balance and operation, integrating their actions during maxillary orthopedics and orthodontics treatment. Objective: implement the myofunctional therapy service in a maxillary orthopedic / orthodontic clinic as an intervention strategy for myofunctional disorders. Methods: Methodologically, the study was structured into two stages. In the first stage situational care diagnostics was established via a cross-sectional descriptive study of a sample of 68 phonoaudiological reports about patients. Academic and professional diagnostics was based on a survey applied to 35 people, 83 % of whom were post-graduate students and 17 % were teachers. The second stage consisted in a document review to provide theoretical foundation to the management guides. Results: the situational diagnostics stages confirm the relevance of implementing a myofunctional therapy service, since 100 % of the patients were diagnosed with myofunctional disorder, with total atypical deglutition in 60 % and anterior atypical deglutition in 29 %. Professional diagnostics showed that 91 % of respondents had had a positive experience with myofunctional therapy in either its evaluative or therapeutic stage. Consolidation was conducted of the management guides governing the service in terms of evaluative, diagnostic and therapeutic actions. Conclusions: pertinence of the implementation of myofunctional therapy is justified, not only by orofacial effects, but also by their prevention. Development of clinical educational intervention programs within the legal framework for promotion and prevention should be forcefully conducted in maxillary orthopedic / orthodontic clinics, where actions will be performed aimed at specific protection, early detection and timely care in dental practice.