Prevalência de sintomas de disfunção temporomandibular, fatores associados e impacto sobre a qualidade de vida em usuários da rede de atenção primária à saúde

Vitória Lúcio Henrique; Kaio Coura Melo Pacheco; Igor Hudson Albuquerque e  Aguiar; Wanessa Carmen de Oliveira  Brito; Pâmela Lopes Pedro da  Silva; André Ulisses Dantas  Batista; George Azevedo  Lemos

doi:10.33448/rsd-v11i1.24560

Autores/as

Vitória Lúcio Henrique Universidade Federal de Alagoas https://orcid.org/0000-0002-8580-7422
Kaio Coura Melo Pacheco Universidade Federal de Alagoas https://orcid.org/0000-0001-7804-5426
Igor Hudson Albuquerque e Aguiar Universidade Federal de Alagoas https://orcid.org/0000-0001-8914-7452
Wanessa Carmen de Oliveira Brito Universidade Federal de Alagoas https://orcid.org/0000-0003-1167-2905
Pâmela Lopes Pedro da Silva Universidade Federal da Paraíba https://orcid.org/0000-0003-4537-6821
André Ulisses Dantas Batista Universidade Federal da Paraíba https://orcid.org/0000-0003-1593-0174
George Azevedo Lemos Universidade Federal de Alagoas https://orcid.org/0000-0002-2140-216X

DOI:

https://doi.org/10.33448/rsd-v11i1.24560

Palabras clave:

Trastornos de la articulación temporomandibular; Prevalencia; Atención primaria de salud; Estrés psicológico; Calidad de vida.

Resumen

Introducción: Los estudios epidemiológicos demuestran una alta prevalencia de signos y/o síntomas del Trastorno Temporomandibular (TMD) em la población adulta. Sin embargo, pocos estudios han evaluado esta disfunción em la atención primaria de salud. Objetivo: Evaluar La prevalencia de síntomas de TMD, factores asociados e impacto em la calidad de vida em usuarios de la red de atención primaria de salud de la ciudad de Maceió/AL. Método: 108 participantes fueron evaluados por la presencia de síntomas de TMD (índice anamnésico DMF), síntomas sugestivos de ansiedad y depresión (escala Hospital Anxiety and Depression - HAD) y síntomas sugestivos de estrés (Inventario de Síntomas de Estrés para Adultos - ISSL); además de la calidad de vida relacionada con la salud bucal, evaluada por la versión abreviada del Oral Health-related (OHIP-14). Resultados: El 55,6% tenía síntomas de TMD y el 19,4% necesitaba tratamiento. El género femenino y el autoinforme de los hábitos parafuncionales fueron predictores de síntomas de TMD, y de estrés y hábitos para La necesidad de tratamiento. Los síntomas de TMD, incluso leves, tuvieron un impacto negativo em la calidad de vida. Conclusión: Así, los resultados presentados sugieren la necesidad de la preparación y organización de la red asistencial, en diferentes niveles, para asegurar un adecuado acceso y tratamiento a los pacientes con TMD y Dolor Orofacial.

Citas

Arruda, E. P., Assad, R. A., Gabardo, M. L., Matei, G. C., & Almeida, B. C. (2012). Prevalência da disfunção temporomandibular em pacientes das unidades básicas de saúde de Ponta Grossa-PR. Revista Ortodontia Gaúcha, 16(2), 5–11.

Assis, J. F. C., Silva, P. L. P., Lima, J. A. S., Forte, F. D. S., & Batista, A. U. D. (2015). The knowledge level of dental surgeons regarding the relationship between occlusal factors and Temporomandibular Disorders (TMD). Revista de Odontologia Da UNESP, 44(6), 360–367. https://doi.org/10.1590/1807-2577.11615.

Augusto, V. G., Bueno Perina, K. C., Gontijo Penha, D. S., Santos, D. C. A., & Oliveira, V. A. S. (2016). Temporomandibular dysfunction, stress and common mental disorder in university students. Acta Ortopedica Brasileira, 24(6), 330–333. https://doi.org/10.1590/1413-785220162406162873.

Benoliel, R., Zini, A., Zakuto, A., Slutzky, H., Haviv, Y., Sharav, Y., & Almoznino, G. (2017). Subjective Sleep Quality in Temporomandibular Disorder Patients and Association with Disease Characteristics and Oral Health–Related Quality of Life. Journal of Oral & Facial Pain and Headache, 31(4), 313–322. https://doi.org/10.11607/ofph.1824.

Berni, K. C. S., Dibai-Filho, A. V., & Rodrigues-Bigaton, D. (2015). Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. Journal of Bodywork and Movement Therapies, 19(3), 404–409. https://doi.org/10.1016/j.jbmt.2014.08.001.

Bilgiç, F., & Gelgör, I. E. (2017). Prevalence of temporomandibular dysfunction and its association with malocclusion in children: An epidemiologic study. Journal of Clinical Pediatric Dentistry, 41(2), 161–165. https://doi.org/10.17796/1053-4628-41.2.161.

Bonjardim, L. R., Lopes-Filho, R. J., Amado, G., Albuquerque, R. L. C., & Goncalves, S. R. J. (2009). Association between symptoms of temporomandibular disorders and gender, morphological occlusion, and psychological factors in a group of university students. Indian Journal of Dental Research, 20(2), 190. https://doi.org/10.4103/0970-9290.52901.

Brancher, J. A., Spada, P. P., Meger, M. N., Fatturri, A. L., Dalledone, M., Bertoli, F. M. de P., Deeley, K., Scariot, R., Vieira, A. R., Küchler, E. C., & de Souza, J. F. (2019). The association of genetic polymorphisms in serotonin transporter and catechol-O-methyltransferase on temporomandibular disorders and anxiety in adolescents. Journal of Oral Rehabilitation, 46(7), 597–604. https://doi.org/10.1111/joor.12783.

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. https://doi.org/10.1111/joor.12661.

Campos, J. A. D. B., Carrascosa, A. C., Bonafé, F. S. S., & Maroco, J. (2014). Severity of temporomandibular disorders in women: Validity and reliability of the Fonseca Anamnestic Index. Brazilian Oral Research, 28(1), 16–21. https://doi.org/10.1590/S1806-83242013005000026.

Chaves, T. C., Oliveira, A. S., & Grossi, D. B. (2008a). Principais instrumentos para avaliação da disfunção temporomandibular , parte I : índices e questionários ; uma contribuição para a prática clínica e de pesquisa. Fisioterapia e Pesquisa, 15(1), 92–100.

Chaves, T. C., Oliveira, A. S., & Grossi, D. B. (2008b). Principais instrumentos para avaliação da disfunção temporomandibular , Parte II : critérios diagnósticos ; uma contribuição para a prática clínica e de pesquisa Main instruments for assessing temporomandibular disorders , part II : diagnostic criteria.Fisioterapia e Pesquisa, 15(1), 101–106.

Chisnoiu, A. M., Picos, A. M., Popa, S., Chisnoiu, P. D., Lascu, L., Picos, A., & Chisnoiu, R. (2015). Factors involved in the etiology of temporomandibular disorders - a literature review. Clujul Medical, 88(4), 473–478. https://doi.org/10.15386/cjmed-485.

Costa, Y. M., Koninck, B. P., Elsaraj, S. M., Exposto, F. G., Herrero Babiloni, A., Kapos, F. P., Sharma, S., & Shimada, A. (2021). Orofacial pain education in dentistry: A path to improving patient care and reducing the population burden of chronic pain. Journal of Dental Education, 85(3), 349–358. https://doi.org/10.1002/jdd.12461.

De Leeuw, R., & Klasser, G. (2013). Orofacial pain: guidelines for assessment, diagnosis, and management (5th ed.).Chicago, U.S.A.: Quintessence.

Figueiredo, N., & Goes, P. S. A. de. (2009). Construção da atenção secundária em saúde bucal: um estudo sobre os Centros de Especialidades Odontológicas em Pernambuco, Brasil. Cadernos de Saúde Pública, 25(2), 259–267. https://doi.org/10.1590/s0102-311x2009000200004.

Fillingim, R. B., Ohrbach, R., Greenspan, J. D., Knott, C., Dubner, R., Bair, E., Baraian, C., Mack, N., Gary, D., & Maixner, W. (2013). Psychological Factors Associated with Development of TMD: the OPPERA Prospective Cohort Study. The journal of pain14(12), 75–90. https://doi.org/10.1016/j.jpain.2013.06.009.Psychological.

Freitas, C. H. S. M., Lemos, G. A., Pessoa, T. R. R. F., Araujo, M. F., & Forte, F. D. S. (2016). Atenção em saúde bucal: avaliação dos centros de especialidades odontológicas da Paraíba. Saúde Em Debate, 40(108), 131–143. https://doi.org/10.1590/0103-1104-20161080011.

Gonçalves, D. A. D. G., Dal Fabbro, A. L., Campos, J. A. D. B., Bigal, M. E., & Speciali, J. G. (2010). Symptoms of temporomandibular disorders in the population: an epidemiological study. Journal of Orofacial Pain, 24(3), 270–278.

Guan, G., Kerins, C. C., Bellinger, L. L., & Kramer, P. R. (2005). Estrogenic effect on swelling and monocytic receptor expression in an arthritic temporomandibular joint model. Journal of Steroid Biochemistry and Molecular Biology, 97(3), 241–250. https://doi.org/10.1016/j.jsbmb.2005.05.013.

Hornung, R. S., Benton, W. L., Tongkhuya, S., Uphouse, L., Kramer, P. R., & Averitt, D. L. (2020). Progesterone and Allopregnanolone Rapidly Attenuate Estrogen-Associated Mechanical Allodynia in Rats with Persistent Temporomandibular Joint Inflammation. Frontiers in Integrative Neuroscience, 14(26), 1–16. https://doi.org/10.3389/fnint.2020.00026.

Jimenez-Silva, A., Pena-Duran, C., Tobar-Reyes, J., & Frugone-Zambra, R. (2017). Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: A systematic review from 2003 to 2014. Acta Odontologica Scandinavica, 75(1), 36–58. https://doi.org/10.1080/00016357.2016.1247465.

Lemos, G. A., Moreira, V. G., Forte, F. D. S., Beltrão, R. T., & Batista, A. U. D. (2015). Correlation between signs and symptoms of Temporomandibular Disorders (TMD) and severity of malocclusion. Revista de Odontologia da UNESP, 44(3), 175–180. https://doi.org/http://dx.doi.org/10.1590/1807-2577.1084

Lemos, G. A., Paulino, M. R., Forte, F. D. S., Beltrão, R. T. S., Batista, A. U. D. (2015). Influence of temporomandibular disorder presence and severity on oral health-related quality of life. Revista Dor, 16(1), 10–14. https://doi.org/10.5935/1806-0013.20150003.

Lipp, M. E. N. (2005). Inventário de sintomas de stress para adultos de Lipp (3th ed.). São Paulo, Brasil: Casa do Psicólogo.

List, T., & Jensen, R. H. (2017). Temporomandibular disorders: Old ideas and new concepts. Cephalalgia, 37(7), 692–704. https://doi.org/10.1177/0333102416686302.

Lobbezoo, F., Ahlberg, J., Glaros, A. G., Kato, T., Koyano, K., Lavigne, G. J., de Leeuw, R., Manfredini, D., Svensson, P., & Winocur, E. (2013). Bruxism defined and graded: an international consensus. Journal of Oral Rehabilitation, 40(1), 2–4. https://doi.org/10.1111/joor.12011.

Lobbezoo, F., Ahlberg, J., Raphael, K. G., Wetselaar, P., Glaros, A. G., Kato, T., Santiago, V., Winocur, E., De Laat, A., De Leeuw, R., Koyano, K., Lavigne, G. J., Svensson, P., & Manfredini, D. (2018). International consensus on the assessment of bruxism: Report of a work in progress. Journal of Oral Rehabilitation, 45(11), 837–844. https://doi.org/10.1111/joor.12663.

Magri, L. V., Melchior, M. O., Silva, A. M. B. R., Bataglion, C., Mazzetto, M. O., & Silva, M. A. M. R. (2018). Profile of a temporomandibular dysfunction and orofacial pain service of a Brazilian public university: what has changed in 10 years? Retrospective study. Brazilian Journal Of Pain, 1(3), 236–240. https://doi.org/10.5935/2595-0118.20180046.

Manfredini, D., Landi, N., Romagnoli, M., Cantini, E., & Bosco, M. (2003). Etiopathogenesis of parafunctional habits of the stomatognathic system. Minerva Stomatologica, 52(7–8), 339–349.

Medeiros, S. P., Batista, A. U. D., & Forte, F. D. S. (2011). Prevalência de sintomas de disfunção temporomandibular e hábitos parafuncionais em estudantes universitários. Revista Gaúcha de Odontologia, 59(2), 201–208.

Melo, A. C. R., Forte, F. D. S., Barbosa, G. A. S., & Batista, A. U. D. (2020). Disfunção Temporomandibular e Dor Orofacial: classificação, epidemiologia, importância do diagnóstico e implicações para o Sistema Único de Saúde (SUS). In R. D. Castro & A. U. D. Batista (Eds.), Evidências científicas e práticas clínicas odontológicas no âmbito do Sistema Único de Saúde (1th ed., pp. 323–346). João Pessoa: Editora UFPB.

Mello, V. V. C., Barbosa, A. C. S., Morais, M. P. L. A., Gomes, S. G. F., Vasconcelos, M. M. V. B., & Caldas Júnior, A. F. (2014). Temporomandibular disorders in a sample population of the Brazilian Northeast. Brazilian Dental Journal, 25(5), 442–446. https://doi.org/10.1590/0103-6440201302250.

Michelotti, A., Rongo, R., D’Antò, V., & Bucci, R. (2020). Occlusion, orthodontics, and temporomandibular disorders: Cutting edge of the current evidence. Journal of the World Federation of Orthodontists, 9(3), S15–S18. https://doi.org/10.1016/j.ejwf.2020.08.003.

Moura, W. P., Silva, P. L. P., Lemos, G. A., Bonan, P. R. F., Montenegro, R. V., & Batista, A. U. D. (2017). Retrospective review of patients referred to a temporomandibular dysfunction care setting of a Brazilian public university. Revista Dor, 18(2), 128–134. https://doi.org/10.5935/1806-0013.20170026.

Ögren, M., Fältmars, C., Lund, B., & Holmlund, A. (2012). Hypermobility and trauma as etiologic factors in patients with disc derangements of the temporomandibular joint. International Journal of Oral and Maxillofacial Surgery, 41(9), 1046–1050. https://doi.org/10.1016/j.ijom.2012.02.024.

Okeson, J. P. (2013). Tratamento das desordens Temporomandibulares e Oclusão (7th ed.). - Rio de Janeiro, Brasil: Elsevier.

Oliveira, A. S., Dias, E. M., Contato, R. G., & Berzin, F. (2006). Prevalence study of signs and symptoms of temporomandibular disorder in Brazilian college students. Brazilian Oral Research, 20(1), 3–7. https://doi.org/10.1590/s1806-83242006000100002.

Oliveira, C. B., Lima, J. A. S., Silva, P. L. P., Forte, F. D. S., Bonan, P. R. F., & Batista, A. U. D. (2016). Temporomandibular disorders and oral habits in high-school adolescents: a public health issue? RGO - Revista Gaúcha de Odontologia, 64(1), 8–16. https://doi.org/10.1590/1981-863720160001000013054.

Paduano, S., Bucci, R., Rongo, R., Silva, R., & Michelotti, A. (2020). Prevalence of temporomandibular disorders and oral parafunctions in adolescents from public schools in Southern Italy. Cranio: Journal of Craniomandibular Practice, 38(6), 370–375. https://doi.org/10.1080/08869634.2018.1556893.

Paulino, M. R., Moreira, V. G., Lemos, G. A., Silva, P. L. P., Bonan, P. R. F., & Batista, A. U. D. (2018). 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 e Saude Coletiva, 23(1). https://doi.org/10.1590/1413-81232018231.18952015.

Pereira-Junior, F. J., & Gonçalves, D. A. G. (2020). Diagnostic Criteria for Temporomandibular Disorders: Assessment Instruments (Portuguese). International Network for Orofacial Pain and Related Disorders Methodology. https://ubwp.buffalo.edu/rdc-tmdinternational/tmd-assessmentdiagnosis/dc-tmd/dc-tmd-translations/.

Pigozzi, L. B., Pereira, D. D., Pattussi, M. P., Moret-Tatay, C., Irigaray, T. Q., Weber, J. B. B., Grossi, P. K., & Grossi, M. L. (2021). Quality of life in young and middle age adult temporomandibular disorders patients and asymptomatic subjects: a systematic review and meta-analysis. Health and Quality of Life Outcomes, 19(1), 83. https://doi.org/10.1186/s12955-021-01727-7.

Pires, P. F., Castro, E. M., Pelai, E. B., Arruda, A. B. C., & Rodrigues-Bigaton, D. (2018). Analysis of the accuracy and reliability of the Short-Form Fonseca Anamnestic Index in the diagnosis of myogenous temporomandibular disorder in women. Brazilian Journal of Physical Therapy, 22(4), 276–282. https://doi.org/10.1016/j.bjpt.2018.02.003.

Progiante, P., Pattussi, M., Lawrence, H., Goya, S., Grossi, P., & Grossi, M. (2015). Prevalence of Temporomandibular Disorders in an Adult Brazilian Community Population Using the Research Diagnostic Criteria (Axes I and II) for Temporomandibular Disorders (The Maringá Study). The International Journal of Prosthodontics, 28(6), 600–609. https://doi.org/10.11607/ijp.4026.

Reis, L. O., Ribeiro, R. A., Martins, C. C., & Devito, K. L. (2019). Association between bruxism and temporomandibular disorders in children: A systematic review and meta-analysis. International Journal of Paediatric Dentistry, 29(5), 585–595. https://doi.org/10.1111/ipd.12496.

Sánchez-Torrelo, C. M., Zagalaz-Anula, N., Alonso-Royo, R., Ibáñez-Vera, A. J., Collantes, J. L., Rodríguez-Almagro, D., Obrero-Gaitán, E., & Lomas-Vega, R. (2020). Transcultural Adaptation and Validation of the Fonseca Anamnestic Index in a Spanish Population with Temporomandibular Disorders. Journal of Clinical Medicine, 9(10), 1–11. https://doi.org/10.3390/JCM9103230.

Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J.-P., List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti, A., Brooks, S. L., Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, L. J., Haythornthwaite, J. A., Hollender, L., … Dworkin, S. F. (2014). Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. Journal of Oral & Facial Pain and Headache, 28(1), 6–27. https://doi.org/10.11607/jop.1151.

Tay, K. J., Yap, A. U. J., Wong, J. C. M., Tan, K. B. C., & Allen, P. F. (2019). Associations between symptoms of temporomandibular disorders, quality of life and psychological states in Asian Military Personnel. Journal of Oral Rehabilitation, 46(4), 330–339. https://doi.org/10.1111/joor.12751.

The jamovi project (2021). jamovi (Version 1.6) [Computer Software]. Retrieved June 20, 2021, from https://www.jamovi.org.

Tormes, A. K. M., Lemos, G. A., Silva, P. L. P., Forte, F. D. S., Sousa, F. B., Araujo, D. N., & Batista, A. U. D. (2020). Temporomandibular disorders : knowledge , competency , and attitudes of predoctoral dental students. Cranio:The Journal of Craniomandibular Practice, Online ahe, 1–9. https://doi.org/10.1080/08869634.2020.1812816.

Valesan, L. F., Da-Cas, C. D., Réus, J. C., Denardin, A. C. S., Garanhani, R. R., Bonotto, D., Januzzi, E., & de Souza, B. D. M. (2021). Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clinical Oral Investigations, 25(2), 441–453. https://doi.org/10.1007/s00784-020-03710-w.

Wagner, B. A., & Filho, P. F. M. (2018). Painful temporomandibular disorder, sleep Bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study. Arquivos de Neuro-Psiquiatria, 76(6), 387–392. https://doi.org/10.1590/0004-282X20180043.

Yap, A. U., & Natu, V. P. (2020). Inter-relationships between pain-related temporomandibular disorders, somatic and psychological symptoms in Asian youths. Journal of Oral Rehabilitation, 47(9), 1077–1083. https://doi.org/10.1111/joor.13033.

Prevalencia de síntomas de trastornos temporomandibulares, factores asociados e impacto em la calidad de vida em usuarios de la red de atención primaria de salud

Autores/as

DOI:

Palabras clave:

Resumen

Citas

Descargas

Publicado

Cómo citar

Número

Sección

Licencia

JOURNAL METRICS

Idioma

Enviar un artículo