Clinical case:

Feminine scholastic patient of 8 years of age, that goes by pain to level bilateral the Temporomandibular Joint and evident noises. Physiological valuation: Class 11-11, previous open bite, buccal breathing, atypical swallowing and multiple decay. According to the criteria established by Dworkin; luxation of the disc to articulate bilateral with reduction without limited opening, miofascial pain and arthralgia of the left side. Psychiatric valuation: According to the Diagnosis of Mental Health IV; Anxious moderate depressive disorder with symptoms with suicidal ideas secondary to multiple medical diseases. Social valuation: Patient little sociable, introvert, tolerant, null and voidable, little impulsive. Functional family flexible relationship type and to socioeconomic index according with Bronfman was good. In sufferings of multifactorial etiology is indispensable that the valuation is equally boarded from the different ones perspective of the etiology.