Impacto de los trastornos temporomandibulares sobre calidad de vida relacionada a la salud bucal en adolescentes
DOI:
https://doi.org/10.33448/rsd-v10i14.21981Palabras clave:
Calidad de Vida; Salud Bucal; Articulación Temporomandibular; Adolescentes; Síndrome de la disfunción de articulación temporomandibular.Resumen
El objetivo de este estudio transversal fue evaluar el impacto de los trastornos temporomandibulares (TTM) en la calidad de vida relacionada con la salud bucal (QARSO) de los adolescentes. La OHRQoL de adolescentes sometidos a tratamiento dental en una clínica universitaria en 2019 se midió utilizando la versión brasileña del Oral Health Impact Profile - 14 (OHIP-14). El diagnóstico de TMD se realizó utilizando los Criterios de diagnóstico de investigación para trastornos temporomandibulares (RDC / TMD). Los pacientes fueron examinados en busca de otras afecciones bucales y los padres / tutores respondieron preguntas sobre las características socioeconómicas / demográficas y la salud general de los adolescentes. El análisis estadístico implica modelos de regresión logística simple y múltiple. Participaron del estudio 90 adolescentes, hombres y mujeres, entre 13 y 18 años. La prevalencia de impacto negativo en la OHRQoL fue del 34%. En el análisis no ajustado, el impacto negativo en la OHRQoL se asoció con una peor autopercepción de la salud general y bucal del adolescente, síntomas inespecíficos como dolor y trastorno de ansiedad generalizada, caries, informes de dolor dental, trastornos musculares y desplazamiento del disco, y dolor crónico relacionado con TMD. En el modelo ajustado, el impacto negativo en OHRQoL se asoció con todos los diagnósticos relacionados con TMD en el RDC / TMD, excepto los signos de depresión. Los adolescentes con al menos un diagnóstico relacionado con TMD tenían 4,13 veces más probabilidades (IC 95%: 1,08-15,80) de tener un impacto negativo en la OHRQoL que los adolescentes sin un diagnóstico de TMD. Las diferentes categorías diagnósticas de TTM tuvieron un impacto negativo en la OHRQoL de los adolescentes analizados en el presente estudio.
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Derechos de autor 2021 Gabrielle Amaral-Freitas ; Ana Luiza Peres Baldiotti; Rafaela Scariot; Mariane Carolina Faria Barbosa; Maria Luísa Leandro de Souza Dias; Maria Luíza Araújo Almeida ; Renata de Castro Martins ; Saul Martins Paiva; Fernanda Morais Ferreira
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