Relação entre disfunção temporomandibular e fatores psicossomáticos
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May 28, 2024
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Resumo
Objetivo: Avaliar a prevalência de sinais e sintomas de DTM e fatores psicossomáticos em estudantes de Odontologia de diferentes semestres universitários, de instituições públicas e privadas localizadas em Fortaleza, CE, Brasil. Métodos: O presente estudo é um estudo quantitativo, observacional e transversal por conveniência, realizado com alunos matriculados no primeiro, quinto e décimo semestre. Os dados foram coletados por meio do Índice Anamnésico de Fonseca (FAI), Escala de Estresse Depressão e Ansiedade (DASS 21) e Índice de Qualidade do Sono de Pittsburgh (PSQI). Resultados: A amostra foi composta por 114 alunos, observou-se que a maioria dos alunos apresentou sinais e sintomas leves de DTM (48,2%) quando comparados aos moderados (17,5%) e graves (7,9%). Os alunos que relataram estresse também eram mais ansiosos, depressivos e tinham qualidade de sono ruim. Conclusão: A população investigada está sujeita a importantes fatores de risco para o desenvolvimento e/ou progressão da disfunção da articulação temporomandibular e de fatores psicossomáticos.
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Como Citar
GomesA. K. P., XimenesT. A., FonsecaA. P. R., SilvaP. G. de B., MagalhãesI. A., RodriguesA. K. da S., CastroI. F. B. de, MesquitaM. L. M., LimaJ. T. M. A., & CarvalhoB. M. D. F. de. (2024). Relação entre disfunção temporomandibular e fatores psicossomáticos. Revista Eletrônica Acervo Saúde, 24(5), e16019. https://doi.org/10.25248/reas.e16019.2024
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Referências
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2. BRAZ MA, et al. Association between oxidative stress and temporomandibular joint dysfunction: A narrative review. Journal of Oral Rehabilitation, 2020; 47: 536-546.
3. BENASSI GF, et al. Relationship between temporomandibular dysfunctions, sleep disorders, and anxiety among dentistry students. CRANIO®, 2022; 40: 258-261.
4. BUYSSE DJ, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research,1989; 28: 193-213.
5. BURRIS JL, et al. psychological correlates of medical comorbidities in patients with temporomandibular disorders. The Journal of the American Dental Association, 2010; 141: 22-31.
6. CAMPI LB, et al. Influence of biopsychosocial approaches and self-care to control chronic pain and temporomandibular disorders. Revista Dor, 2013; 14: 219-222.
7. CHAVES TC, et al. Principais instrumentos para avaliação da disfunção temporomandibular, parte I: índices e questionaries; uma contribuição para a prática clínica e de pesquisa. FisioterPesqui. 2008; 15: 92-100.
8. CALIXTRE LB, et al. Is there an association between anxiety/depression and temporomandibular disorders in college students? Journal of Applied Oral Science, 2014; 22: 15-21.
9. CARRARA SV, et al. Termo do 1º consenso em disfunção temporomandibular e dor orofacial. Dental Press Journal of Orthodontics, 2010; 15: 114-120.
10. DE LEEUW R, KLASSER GD. Orofacial pain: guidelines for assessment, diagnosis, and management. 6nd ed. Chicago: Quintessence, 2018; 1-3p.
11. DE LUCENA LM, et al. Prospective study of a group of pre-university students evaluating anxiety and depression relationships with temporomandibular disorders. J of clin and exper dentistry, 2012; 4: 102.
12. DE LA TORRE CG, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: a systematic review. Journal of oral rehabilitation, 2018; 45: 881-889.
13. DUBNER R, et al. Painful Temporomandibular Disorder: Decade of Discovery from OPPERA Studies. Journal of Dental Research, 2016; 95: 1084-1092.
14. EDWARDS RR, et al. The role of psychosocial processes in the development and maintenance of chronic pain. The Journal of Pain, 2016; 17: T70-T92.
15. FERNANDES G, et al. Painful temporomandibular disorders, self-reported tinnitus, and depression are highly associated. Arquivos de Neuro-psiquiatria, 2013; 71: 943-947.
16. FERREIRA KDM, et al. Fatores psicológicos relacionados à sintomatologia crônica das desordens temporomandibulares–revisão de literatura. Revista da Faculdade de Odontologia-UPF, 2009; 14.
17. FONSECA DM, et al. Diagnóstico pela anamnese da disfunção craniomandibular. RGO (Porto Alegre), 1994; 1: p 8-23.
18. GIANNAKOPOULOS NN, et al. Anxiety and depression in patients with chronic temporomandibular pain and in controls. Journal of dentistry, 2015; 38: 369-376.
19. HABIB SR, et al. Prevalence and severity of temporomandibular disorders among university students in Riyadh. The Saudi dental journal, 2015; 27: 125-130.
20. KOHLI D, THOMAS DC. Orofacial pain: Time to see beyond the teeth. Journal of the American Dental Association, 2021; 152: 954-961.
21. LUO LI, et al. Psychological Outcomes on Anxiety and Depression after Interventions for Temporomandibular Disorders: A Systematic Review and Meta-Analysis. Diagnostics, 2023; 13: 653.
22. SOUTHWELL J, et al. Personality and anxiety in temporomandibular joint syndrome patients. Journal of oral rehabilitation, 1990; 17: 239-243.
23. LOVIBOND SH, LOVIBOND PF. Manual for the Depression Anxiety Stress Scales. 2 ed. Sydney: Psychology Foundation; 1995.
24. MOTGHARE V, et al. Association between harmful oral habits and sign and symptoms of temporomandibular joint disorders among adolescents. Journal of clinical and diagnostic research: JCDR, 2015; 9: ZC45-ZC48.
25. MONTEIRO DR, et al. Relationship between anxiety and chronic orofacial pain of temporomandibular disorder in a group of university students. Journal of prosthodontic research, 2011; 55: 154-158.
26. MOTTA LJ, et al. Disfunção temporomandibular segundo o nível de ansiedade em adolescentes. Psicologia: Teoria e Pesquisa, 2015; 31: 389-395.
27. MINGHELLI B, et al. Association of temporomandibular disorder symptoms with anxiety and depression in Portuguese college students. Journal of oral science, 2014; 56: 127-133.
28. VALESAN LF, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clinical oral investigations, 2021; 25: 441-453.
29. POLONOWITA AD, et al. Clinical efficacy of a simplified approach to managing chronic temporomandibular disorders: evidence from a 1-year case series. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2019; 128: 227-234.
30. PAULINO MR, et al. Prevalence of signs and symptoms of temporomandibular disorders in college preparatory students: associations with emotional factors, parafunctional habits, and impact on quality of life. Ciencia & saude coletiva, 2018; 23: 173-186.
31. PASSOS HP, et al. Reliability and validity of the Brazilian version of the Pittsburgh Sleep Quality Index in adolescents. Jornal de Pediatria, 2017; 93: 200-206.
32. PEDRONI CR, et al. Prevalence study of signs and symptoms of temporomandibular disorders in university students. Journal of oral rehabilitation, 2003; 30: 283-289.
33. REDA B, et al. Prevalence of oral behaviours in general dental patients attending a university clinic in Italy. Journal of Oral Rehabilitation, 2023; 50: 370-375.
34. STÜERMER VM. Avaliação da telessaúde no gerenciamento da disfunção temporomandibular na atenção primária à saúde. DISSERTAÇÃO (Mestrado em Epidemiologia). Universidade Federal do Rio Grande do Sul, Porto Alegre, 2020; 35.
35. SCHWARZENBEC A. Efeito da estimulação elétrica de alta voltagem sobre os sinais e sintomas da disfunção temporomandibular. DISSERTAÇÃO (Mestrado em Fisioterapia). Universidade Metodista de Piracicaba, Piracicaba, 2009; 102.
36. SANTOS EA, et al. Association between temporomandibular disorders and anxiety: A systematic review. Frontiers in Psychiatry, 2022; 13.
37. WATSON D, et al. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of Anxiety and Depression Symptom Scales, Journal of Abnormal Psychology, 1995; 104: 3-14.
2. BRAZ MA, et al. Association between oxidative stress and temporomandibular joint dysfunction: A narrative review. Journal of Oral Rehabilitation, 2020; 47: 536-546.
3. BENASSI GF, et al. Relationship between temporomandibular dysfunctions, sleep disorders, and anxiety among dentistry students. CRANIO®, 2022; 40: 258-261.
4. BUYSSE DJ, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research,1989; 28: 193-213.
5. BURRIS JL, et al. psychological correlates of medical comorbidities in patients with temporomandibular disorders. The Journal of the American Dental Association, 2010; 141: 22-31.
6. CAMPI LB, et al. Influence of biopsychosocial approaches and self-care to control chronic pain and temporomandibular disorders. Revista Dor, 2013; 14: 219-222.
7. CHAVES TC, et al. Principais instrumentos para avaliação da disfunção temporomandibular, parte I: índices e questionaries; uma contribuição para a prática clínica e de pesquisa. FisioterPesqui. 2008; 15: 92-100.
8. CALIXTRE LB, et al. Is there an association between anxiety/depression and temporomandibular disorders in college students? Journal of Applied Oral Science, 2014; 22: 15-21.
9. CARRARA SV, et al. Termo do 1º consenso em disfunção temporomandibular e dor orofacial. Dental Press Journal of Orthodontics, 2010; 15: 114-120.
10. DE LEEUW R, KLASSER GD. Orofacial pain: guidelines for assessment, diagnosis, and management. 6nd ed. Chicago: Quintessence, 2018; 1-3p.
11. DE LUCENA LM, et al. Prospective study of a group of pre-university students evaluating anxiety and depression relationships with temporomandibular disorders. J of clin and exper dentistry, 2012; 4: 102.
12. DE LA TORRE CG, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: a systematic review. Journal of oral rehabilitation, 2018; 45: 881-889.
13. DUBNER R, et al. Painful Temporomandibular Disorder: Decade of Discovery from OPPERA Studies. Journal of Dental Research, 2016; 95: 1084-1092.
14. EDWARDS RR, et al. The role of psychosocial processes in the development and maintenance of chronic pain. The Journal of Pain, 2016; 17: T70-T92.
15. FERNANDES G, et al. Painful temporomandibular disorders, self-reported tinnitus, and depression are highly associated. Arquivos de Neuro-psiquiatria, 2013; 71: 943-947.
16. FERREIRA KDM, et al. Fatores psicológicos relacionados à sintomatologia crônica das desordens temporomandibulares–revisão de literatura. Revista da Faculdade de Odontologia-UPF, 2009; 14.
17. FONSECA DM, et al. Diagnóstico pela anamnese da disfunção craniomandibular. RGO (Porto Alegre), 1994; 1: p 8-23.
18. GIANNAKOPOULOS NN, et al. Anxiety and depression in patients with chronic temporomandibular pain and in controls. Journal of dentistry, 2015; 38: 369-376.
19. HABIB SR, et al. Prevalence and severity of temporomandibular disorders among university students in Riyadh. The Saudi dental journal, 2015; 27: 125-130.
20. KOHLI D, THOMAS DC. Orofacial pain: Time to see beyond the teeth. Journal of the American Dental Association, 2021; 152: 954-961.
21. LUO LI, et al. Psychological Outcomes on Anxiety and Depression after Interventions for Temporomandibular Disorders: A Systematic Review and Meta-Analysis. Diagnostics, 2023; 13: 653.
22. SOUTHWELL J, et al. Personality and anxiety in temporomandibular joint syndrome patients. Journal of oral rehabilitation, 1990; 17: 239-243.
23. LOVIBOND SH, LOVIBOND PF. Manual for the Depression Anxiety Stress Scales. 2 ed. Sydney: Psychology Foundation; 1995.
24. MOTGHARE V, et al. Association between harmful oral habits and sign and symptoms of temporomandibular joint disorders among adolescents. Journal of clinical and diagnostic research: JCDR, 2015; 9: ZC45-ZC48.
25. MONTEIRO DR, et al. Relationship between anxiety and chronic orofacial pain of temporomandibular disorder in a group of university students. Journal of prosthodontic research, 2011; 55: 154-158.
26. MOTTA LJ, et al. Disfunção temporomandibular segundo o nível de ansiedade em adolescentes. Psicologia: Teoria e Pesquisa, 2015; 31: 389-395.
27. MINGHELLI B, et al. Association of temporomandibular disorder symptoms with anxiety and depression in Portuguese college students. Journal of oral science, 2014; 56: 127-133.
28. VALESAN LF, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clinical oral investigations, 2021; 25: 441-453.
29. POLONOWITA AD, et al. Clinical efficacy of a simplified approach to managing chronic temporomandibular disorders: evidence from a 1-year case series. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2019; 128: 227-234.
30. PAULINO MR, et al. Prevalence of signs and symptoms of temporomandibular disorders in college preparatory students: associations with emotional factors, parafunctional habits, and impact on quality of life. Ciencia & saude coletiva, 2018; 23: 173-186.
31. PASSOS HP, et al. Reliability and validity of the Brazilian version of the Pittsburgh Sleep Quality Index in adolescents. Jornal de Pediatria, 2017; 93: 200-206.
32. PEDRONI CR, et al. Prevalence study of signs and symptoms of temporomandibular disorders in university students. Journal of oral rehabilitation, 2003; 30: 283-289.
33. REDA B, et al. Prevalence of oral behaviours in general dental patients attending a university clinic in Italy. Journal of Oral Rehabilitation, 2023; 50: 370-375.
34. STÜERMER VM. Avaliação da telessaúde no gerenciamento da disfunção temporomandibular na atenção primária à saúde. DISSERTAÇÃO (Mestrado em Epidemiologia). Universidade Federal do Rio Grande do Sul, Porto Alegre, 2020; 35.
35. SCHWARZENBEC A. Efeito da estimulação elétrica de alta voltagem sobre os sinais e sintomas da disfunção temporomandibular. DISSERTAÇÃO (Mestrado em Fisioterapia). Universidade Metodista de Piracicaba, Piracicaba, 2009; 102.
36. SANTOS EA, et al. Association between temporomandibular disorders and anxiety: A systematic review. Frontiers in Psychiatry, 2022; 13.
37. WATSON D, et al. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of Anxiety and Depression Symptom Scales, Journal of Abnormal Psychology, 1995; 104: 3-14.