Epidemiological profile of patients attended at the pain clinic at the Centro Universitário de João Pessoa – Unipê
Keywords:Epidemiology; Temporomandibular joint; Masticatory muscles.
This research was a descriptive and quantitative study, which aimed to evaluate the profile of patients seen at the Pain Clinic in a private institution. To this end, the objectives of characterizing patients regarding gender, age group and education level and verifying the prevalence of signs and symptoms of TMD and Orofacial Pain cases were met. The research was carried out at the Clínica Escola de Odontologia of Centro Universitário de João Pessoa - Unipê. The sample was conveniently obtained, consisting of 51 medical records. All necessary information was recorded in an online form for later statistical treatment of the data with the aid of descriptive statistical tools. 84.31% were female patients and 15.69% were male. The most recurrent age group was 30 to 40 years old, representing 31.37% of the participants, followed by 20 to 30 years old with 23.53%. Pain associated with another symptom constitutes 52.94% of the reasons why patients have sought care, 59% of patients were diagnosed with joint TMD and muscle TMD, 72% had sleep bruxism and while awake simultaneously, 92% diagnosed with disk displacement with reduction. The most affected muscles were the body of the superficial masseter (51%), followed by the anterior temporalis muscle (41.2%). It was concluded that women between 20 and 40 years old have sought the service with complaints of pain associated with other symptoms, with diagnoses of muscular and joint TMD and the association of the two types of bruxism being the most recurrent in the service.
Ahuja, V., Ranjan, V., Passi, D. & Jaiswal, R. (2018). Study of stress-induced temporomandibular disorders among dental students: An institutional study. National journal of maxillofacial surgery, 9(2), 147–154.
Anderson, G. C., John, M. T., Ohrbach, R., Nixdorf, D. R., Schiffman, E. L., Truelove, E. S. & List, T. (2011). Influence of headache frequency on clinical signs and symptoms of TMD in subjects with temple headache and TMD pain. Pain, 152(4), 765–771.
Basto, J. M., Gonçalves, L. S., Isaías, P. H. C., Silva, R. A. D. A., Bastos, P. L. & Figueiredo, V. M. G. (2017). Temporomandibular disorders: a literature review on epidemiology, signs and symptoms and clinical examination. Revista Da Saúde E Biotecnologia, 1(1), 66–77.
Bedran, L. M. (2019). Changes in temporomandibular joint anatomy, changes in condylar translation, and their relationship with disc displacement: magnetic resonance imaging study. Radiol Bras. 52(2), 85-91.
Bueno, C. H., Pereira, D. D., Pattussi, M. P., Grossi, P. K. & Grossi, M. L. (2018). Gender differences in temporomandibular disorders in adult populational studies: A systematic review and meta-analysis. Journal of oral rehabilitation, 45(9), 720–729.
Carrara, S. V., Conti, P.C.R. & Barbosa, J. S. (2010). Termo do 1º consenso em disfunção temporomandibular e dor orofacial. Dental Press J Orthod., 15(3), 114-20.
Donnarumma, M. D. C., Muzzili, C. A., Cristiane, F. & Nemr, K. (2010). Disfunções Temporomandibulares: Sinais, Sintomas e Abordagem Multidisciplinar. Revista CEFAC, 12(5), 788-94.
Fernandes NETO, A. J., Neves. D. F. & Simamoto JR., P. C. (2013). Oclusão - Serie Abeno: Odontologia Essencial - Parte Clínica. Editora Artes Médicas LTDAs.
Ferreira, C. L. P., Silva, M. A. M. R. D.A & Felício, C. M. D.E. (2016). Signs and symptoms of temporomandibular disorders in women and men. CoDAS, 28(1), 17–21.
Firmani, M., Reyes, M., Becerra, N., Flores, G., Weitzman, M. & Espinosa, P. (2015). Bruxismo de sueño en niños y adolescentes. Rev Chil Pediatr, 86, 373‐379.
Gnauck, M. et al. (2017). Knowledge and competence in temporomandibular disorders among Swedish general dental practitioners and dental hygienists. Acta Odontol Scand. 75, 429–36.
Herpich, C. M., Politti, F., Gomes, C. A. F. de P., Gloria, I. P. dos S., Amaral, A. P., Amaral, M. de F. R. de S., Herpich, G., Kalil, S. B., Gonzalez, T. de O. & Biasotto-gonzalez, D. A. (2018). Avaliação do limiar de dor a palpação dos músculos mastigatórios em mulheres com disfunção temporomandibular de acordo com o Research Diagnostic Criteria of Temporomandibular Disorders. Revista CEFAC, 20(2), 175–181.
Hu, Y. K., Yang, C. & Xie, Q. Y. (2016). Changes in disc status in the reducing and nonreducing anterior disc displacement of temporomandibular joint: a longitudinal retrospective study. Scientific reports, 6, 34253.
Huhtela, O. S., Näpänkangas, R., Joensuu, T., Raustia, A., Kunttu, K. & Sipilä, K. (2016). Self-Reported Bruxism and Symptoms of Temporomandibular Disorders in Finnish University Students. Journal of oral & facial pain and headache, 30(4), 311–317.
Iodice, G. et al. (2019). Prevalence of temporomandibular disorder pain, jaw noises and oral behaviors in an adult Italian population sample. Journal of Oral Rehabilitation, 10, 12.
Khawaja, S. N., Mccall, W., Jr, Dunford, R., Nickel, J. C., Iwasaki, L. R., Crow, H. C. & Gonzalez, Y. (2015). Infield masticatory muscle activity in subjects with pain-related temporomandibular disorders diagnoses. Orthodontics & craniofacial research, 18, 137–145.
Kuroiwa, D. N., Marinell, J. G., Rampanii, M. S., Oliveira, W. & Nicodemo, D. (2011). Temporomandibular disorders and orofacial pain: study of quality of life measured by the Medical Outcomes Study 36 - Item Short Form Health Survey. Revista Dor. 12(2).
Lal, S. J. & Weber, K. K. (2020). Bruxism Management. In: StatPearls. StatPearls Publishing.
Leeuw R. & Klasser G., editors. (2018). Orofacial pain: guidelines for assessment, diagnosis, and management. (6a ed.), Quintessence.
List, T. & Jensen R. H. (2017). Temporomandibular disorders: Old ideas and new concepts. International Headache Society. 37, 7.
Medeiros, S. P., Batista, A. U. D. & Forte, F. D. S. (2011). Prevalência de sintomas de disfunção temporomandibular e hábitos parafuncionais em estudantes universitários. RGO. Revista Gaúcha de Odontologia. 59(2).
Okeson, J. P. (2008). Tratamento das desordens temporomandibulares e oclusão. Elsevier.
Özdinç, S., PhD et al. (2020). Temporomandibular joint disorder determined by Fonseca anamnestic index and associated factors in 18- to 27-year-old university students. Cranio: the journal of craniomandibular practice, 38(5), 327–332.
Plesh O., Adams S. H. & gansky S. A. (2011). Temporomandibular joint and muscle disorder-type pain and comorbid pains in a national US sample. J Orofac Pain. 25, 190–198.
Polat, M. E. & Yanik, S. (2019). Efficiency of arthrocentesis treatment for different temporomandibular joint disorders. International Journal of Oral and Maxillofacial Surgery. 10, 1016.
Santos, K. C. et al. (2013). Correlação entre as alterações observadas nos distúrbios internos da articulação temporomandibular avaliadas por ressonância magnética em pacientes sintomáticos. J Oral Maxillofac Surg. 71, 1504-12.
Silva, E. L. (2005). Metodologia da pesquisa e elaboração de dissertação. (4a ed.), rev. atual. UFSC.
Shah, J. P. & Gilliams, E. A. (2008). Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to yofascial pain syndrome. J Bodyw Mov Ther, 12(4), 371-84.
SilveiraI, A. M. et al. (2007). Prevalência de portadores de DTM em pacientes avaliados no setor de otorrinolaringologia. Rev. Bras. Otorrinolaringol. 73(4).
Tosato, J.P., Biasotto-gonzalez, D. A. & Gonzalez, T.O. (2005). Presença de desconforto na articulação temporomandibular relacionada ao uso da chupeta. Revista Brasileira Otorrinolaringol., 71(3), 365-68.
Wahlund, K. (2003). Desordens temporomandibulares em adolescentes. Estudos epidemiológicos e metodológicos e um conjunto de estudo controlado omitido. Sueco Dent J Suppl.
Wetselaar, P., Vermaire, E. J. H., Lobbezoo, F. & Schuller, A. A. (2019). The prevalence of awake bruxism and sleep bruxism in the Dutch adult population. Journal of oral rehabilitation, 46(7), 617–623.
Wrigth, E. F. & North, S. L. (2009). Management and treatment of temporomandibular disorders: a clinical perspective. J Man Manip Ther. 17, 247-54.
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Copyright (c) 2021 Lisandra Maria Batista Galdino ; Thauany Vasconcelos Soares da Silva; Herrison Félix Valeriano da Silva; Vanessa Milena Rocha Silva Soares; Livian Isabel de Medeiros Carvalho ; Danilo de Moraes Castanha; Rachel Christina de Queiroz Pinheiro
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