Sinais e Sintomas de Disfunções Temporomandibulares na Pandemia de COVID-19 em Sergipe e no Distrito Federal

Autores

DOI:

https://doi.org/10.33448/rsd-v11i11.33617

Palavras-chave:

Síndrome da Disfunção da Articulação Temporomandibular; COVID-19; Pandemias; Impacto psicossocial.

Resumo

A pandemia de COVID-19 e suas medidas de contenção influenciaram diretamente na saúde psicossocial dos indivíduos podendo acarretar no surgimento ou agravamento dos sinais e sintomas de disfunções temporomandibulares (DTMs). Dessa forma, os objetivos do presente estudo foram avaliar o impacto da pandemia nos sinais e sintomas de DTMs e a influência da infecção pelo novo coronavírus nesses sinais e sintomas. Trata-se de uma pesquisa observacional transversal com abordagem quantitativa, realizada na população do estado de Sergipe e do Distrito Federal. Baseado no Diagnostic Criteria for Temporomandibular Disorders DC/TMD, os indivíduos responderam via Google forms ao Questionário de Sintomas do DC/TMD e aos Dados Demográficos do DC/TMD. Participaram do estudo 244 indivíduos, 123 do estado de Sergipe e 121 do Distrito Federal. Destes indivíduos, 70,8% sentiram dor na mandíbula, têmpora, no ouvido ou na frente do ouvido e 64,2% relataram presença de dor na região temporal nos últimos 30 dias. Hábitos ou manias como apertar ou ranger os dentes e mastigar chiclete, alteraram a dor da maior parte dos entrevistados (50,8%). Não foi encontrada associação significativa (p≥0,05) entre as questões do Questionário de Sintomas do DC/TMD e a contaminação por COVID-19 entre os entrevistados. Desse modo, sugere-se que a pandemia pode ter impactado nos sinais e sintomas de DTMs na população de Sergipe e do Distrito Federal, mas a infecção pelo novo coronavírus não influenciou nestes sinais e sintomas, não sendo encontrada diferença significativa entre os indivíduos que foram ou não infectados.

Referências

Almeida-Leite, C. M., Stuginski-Barbosa, J., & Conti, P. C. R. (2020). How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? Journal of Applied Oral Science, 28. https://doi.org/10.1590/1678-7757-2020-0263

Almutairi, A. F., Albesher, N., Aljohani, M., Alsinanni, M., Turkistani, O., & Salam, M. (2021). Association of oral parafunctional habits with anxiety and the Big-Five Personality Traits in the Saudi adult population. The Saudi Dental Journal, 33(2), 90–98. https://doi.org/10.1016/j.sdentj.2020.01.003

Baloch, S., Baloch, M. A., Zheng, T., & Pei, X. (2020). The Coronavirus Disease 2019 (COVID-19) Pandemic. The Tohoku Journal of Experimental Medicine, 250(4), 271–278. https://doi.org/10.1620/tjem.250.271

Blakey, S. M., & Abramowitz, J. S. (2017). Psychological Predictors of Health Anxiety in Response to the Zika Virus. Journal of Clinical Psychology in Medical Settings, 24(3–4), 270–278. https://doi.org/10.1007/s10880-017-9514-y

Bohania, N., Ish, P., Nune, A., & Iyengar, K. P. (2021). Cranial neuropathy in COVID-19: a case series and review of literature. Le Infezioni in Medicina, 29(4), 609–613. https://doi.org/10.53854/liim-2904-15

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. In The Lancet (Vol. 395, Issue 10227, pp. 912–920). Lancet Publishing Group. https://doi.org/10.1016/S0140-6736(20)30460-8

Canales, G. D. L. T., Câmara-Souza, M. B., Lora, V. R. M. M., Guarda-Nardini, L., Conti, P. C. R., Garcia, R. M. R., Cury, A. A. D. B., & Manfredini, D. (2018). Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review. Journal of Oral Rehabilitation, 45(11), 881–889. https://doi.org/10.1111/JOOR.12685

Carrillo‐Diaz, M., Ortega‐Martínez, A. R., Romero‐Maroto, M., & González‐Olmo, M. J. (2022). Lockdown impact on lifestyle and its association with oral parafunctional habits and bruxism in a Spanish adolescent population. International Journal of Paediatric Dentistry, 32(2), 185–193. https://doi.org/10.1111/ipd.12843

Castro-de-Araujo, L. F. S., & Machado, D. B. (2020). Impact of COVID-19 on mental health in a Low and Middle-Income Country. Ciência & Saúde Coletiva, 25(suppl 1), 2457–2460. https://doi.org/10.1590/1413-81232020256.1.10932020

Cerqueira, T. R. do C., Batista, S. G., de Mello, E. B., DosSantos, M. F., & Tuñas, I. T. de C. (2021). Impact of the COVID-19 Pandemic on Stress, Sleep, and Oral Health in University Students. Frontiers in Pain Research , 2. https://doi.org/10.3389/FPAIN.2021.744264/FULL

Cipollaro, L., Giordano, L., Padulo, J., Oliva, F., & Maffulli, N. (2020). Musculoskeletal symptoms in SARS-CoV-2 (COVID-19) patients. Journal of Orthopaedic Surgery and Research, 15(178), 1–7. https://doi.org/10.1186/s13018-020-01702-w

Consortium. (2014). Diagnostic Criteria for Temporomandibular Disorders:Assessment Instruments (Brazilian Portuguese). https://buffalo.app.box.com/s/515tc9p4g9gchtpl0x05k5z3sgcrzycy

Davis, H. E., Assaf, G. S., McCorkell, L., Wei, H., Low, R. J., Re’em, Y., Redfield, S., Austin, J. P., & Akrami, A. (2021). Characterizing long COVID in an international cohort: 7 months of symptoms and their impact. EClinicalMedicine, 38, 1–19. https://doi.org/10.1016/j.eclinm.2021.101019

de Caxias, F. P., Athayde, F. R. F. de, Januzzi, M. S., Pinheiro, L. V., & Turcio, K. H. L. (2021). Impact event and orofacial pain amid the COVID-19 pandemic in Brazil: a cross-sectional epidemiological study. Journal of Applied Oral Science, 29, 1–11. https://doi.org/10.1590/1678-7757-2021-0122

Delanerolle, G., Zeng, Y., Shi, J.-Q., Yeng, X., Goodison, W., Shetty, A., Shetty, S., Haque, N., Elliot, K., Ranaweera, S., Ramakrishnan, R., Raymont, V., Rathod, S., & Phiri, P. (2022). Mental health impact of the Middle East respiratory syndrome, SARS, and COVID-19: A comparative systematic review and meta-analysis. World Journal of Psychiatry, 12(5), 739–765. https://doi.org/10.5498/wjp.v12.i5.739

Disser, N. P., de Micheli, A. J., Schonk, M. M., Konnaris, M. A., Piacentini, A. N., Edon, D. L., Toresdahl, B. G., Rodeo, S. A., Casey, E. K., & Mendias, C. L. (2020). Musculoskeletal Consequences of COVID-19. The Journal of Bone and Joint Surgery. American Volume, 102(14), 1197. https://doi.org/10.2106/JBJS.20.00847

Emodi-Perlman, A., Eli, I., Smardz, J., Uziel, N., Wieckiewicz, G., Gilon, E., Grychowska, N., & Wieckiewicz, M. (2020). Temporomandibular Disorders and Bruxism Outbreak as a Possible Factor of Orofacial Pain Worsening during the COVID-19 Pandemic—Concomitant Research in Two Countries. Journal of Clinical Medicine, 9(10), 3250. https://doi.org/10.3390/jcm9103250

Fillingim, R. B., Ohrbach, R., Greenspan, J. D., Knott, C., Diatchenko, L., Dubner, R., Bair, E., Baraian, C., Mack, N., Slade, G. D., & Maixner, W. (2013). Psychological Factors Associated With Development of TMD: The OPPERA Prospective Cohort Study. The Journal of Pain, 14(12), T75–T90. https://doi.org/10.1016/j.jpain.2013.06.009

Fillingim, R. B., Slade, G. D., Greenspan, J. D., Dubner, R., Maixner, W., Bair, E., & Ohrbach, R. (2018). Long-term changes in biopsychosocial characteristics related to temporomandibular disorder: findings from the OPPERA study. Pain, 159(11), 2403–2413. https://doi.org/10.1097/j.pain.0000000000001348

Greene, C. S., & Manfredini, D. (2021). Transitioning to chronic temporomandibular disorder pain: A combination of patient vulnerabilities and iatrogenesis. Journal of Oral Rehabilitation, 48(9), 1077–1088. https://doi.org/10.1111/joor.13180

Gonçalves, D. A., Dal Fabbro, A. L., Campos, J. A., Bigal, M. E., & Speciali, J. G. (2010). Symptoms of temporomandibular disorders in the population: an epidemiological study. Journal of Orofacial Pain, 24(3),270-8.

Hasöksüz, M., Kiliç, S., & Saraç, F. (2020). Coronaviruses and SARS-COV-2. Turkish Journal of Medical Sciences, 50, 549–556. https://doi.org/10.3906/sag-2004-127

Henriques, C. M. P., & Vasconcelos, W. (2020). Crises dentro da crise: respostas, incertezas e desencontros no combate à pandemia da Covid-19 no Brasil. Estudos Avançados, 34(99), 25–44. https://doi.org/10.1590/s0103-4014.2020.3499.003

Karaarslan, F., Güneri, F. D., & Kardeş, S. (2022). Long COVID: rheumatologic/musculoskeletal symptoms in hospitalized COVID-19 survivors at 3 and 6 months. Clinical Rheumatology, 41(1), 289–296. https://doi.org/10.1007/S10067-021-05942-X/TABLES/6

Kindler, S., Samietz, S., Houshmand, M., Grabe, H. J., Bernhardt, O., Biffar, R., Kocher, T., Meyer, G., Völzke, H., Metelmann, H.-R., & Schwahn, C. (2012). Depressive and Anxiety Symptoms as Risk Factors for Temporomandibular Joint Pain: A Prospective Cohort Study in the General Population. The Journal of Pain, 13(12), 1188–1197. https://doi.org/10.1016/j.jpain.2012.09.004

Köche, J. C. (2011). Fundamentos de Metodologia Científica: Teoria da ciência e iniciação à pesquisa. Editora Vorazes.

Lopez-Leon, S., Wegman-Ostrosky, T., Perelman, C., Sepulveda, R., Rebolledo, P. A., Cuapio, A., & Villapol, S. (2021). More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Scientific Reports, 11(1), 16144. https://doi.org/10.1038/s41598-021-95565-8

Machoň, V., Levorová, J., Beňo, M., & Foltán, R. (2022). The Manifestations of Covid-19 Infection. Manifestations in Patients with Temporomandibular Joint Disorders. Prague Medical Report, 123(2), 95–100. https://doi.org/10.14712/23362936.2022.10

Manfredini, D., Marini, M., Pavan, C., Pavan, L., & Guarda-Nardini, L. (2009). Psychosocial profiles of painful TMD patients. Journal of Oral Rehabilitation, 36(3), 193–198. https://doi.org/10.1111/j.1365-2842.2008.01926.x

McKeown, B., Poerio, G. L., Strawson, W. H., Martinon, L. M., Riby, L. M., Jefferies, E., McCall, C., & Smallwood, J. (2021). The impact of social isolation and changes in work patterns on ongoing thought during the first COVID-19 lockdown in the United Kingdom. Proceedings of the National Academy of Sciences of the United States of America, 118(40). https://doi.org/10.1073/PNAS.2102565118/-/DCSUPPLEMENTAL

Medeiros, R. A. de, Vieira, D. L., Silva, E. V. F. da, Rezende, L. V. M. D. L., Santos, R. W. dos, & Tabata, L. F. (2020). Prevalence of symptoms of temporomandibular disorders, oral behaviors, anxiety, and depression in Dentistry students during the period of social isolation due to COVID-19. Journal of Applied Oral Science, 28, 1–8. https://doi.org/10.1590/1678-7757-2020-0445

Mirhashemi, A., Khami, M. R., Kharazifard, M., & Bahrami, R. (2022). The Evaluation of the Relationship Between Oral Habits Prevalence and COVID-19 Pandemic in Adults and Adolescents: A Systematic Review. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.860185

Molina‐Gil, J., González‐Fernández, L., & García‐Cabo, C. (2021). Trigeminal neuralgia as the sole neurological manifestation of COVID‐19: A case report. Headache: The Journal of Head and Face Pain, 61(3), 560–562. https://doi.org/10.1111/head.14075

Moura, A. A. M. de, Bassoli, I. R., Silveira, B. V. da, Diehl, A., Santos, M. A. dos, Santos, R. A. dos, Wagstaff, C., & Pillon, S. C. (2022). Is social isolation during the COVID-19 pandemic a risk factor for depression? Revista Brasileira de Enfermagem, 75(1). https://doi.org/10.1590/0034-7167-2021-0594

National Institute of Dental and Craniofacial Research (2018). Facial Pain. https://www.nidcr.nih.gov/research/data-statistics/facial-pain

Ohrbach, R., & Dworkin, S. F. (2019). AAPT Diagnostic Criteria for Chronic Painful Temporomandibular Disorders. The Journal of Pain, 20(11), 1276–1292. https://doi.org/10.1016/j.jpain.2019.04.003

O’Sullivan, R., Burns, A., Leavey, G., Leroi, I., Burholt, V., Lubben, J., Holt-Lunstad, J., Victor, C., Lawlor, B., Vilar-Compte, M., Perissinotto, C. M., Tully, M. A., Sullivan, M. P., Rosato, M., Power, J. M., Tiilikainen, E., & Prohaska, T. R. (2021). Impact of the COVID-19 Pandemic on Loneliness and Social Isolation: A Multi-Country Study. International Journal of Environmental Research and Public Health, 18(19), 9982. https://doi.org/10.3390/ijerph18199982

Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, M., & Idoiaga-Mondragon, N. (2020). Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cadernos de Saude Publica, 36(4), 1–9. https://doi.org/10.1590/0102-311X00054020

Paliwal, V. K., Garg, R. K., Gupta, A., & Tejan, N. (2020). Neuromuscular presentations in patients with COVID-19. Neurological Sciences, 41(11), 3039–3056. https://doi.org/10.1007/s10072-020-04708-8

Pow, E. H., Leung, K. C., & McMillan, A. S. (2001). Prevalence of symptoms associated with temporomandibular disorders in Hong Kong Chinese. Journal of Orofacial Pain,15(3), 228-34.

Rajkumar, R. P. (2020). COVID-19 and mental health: A review of the existing literature. Asian Journal of Psychiatry, 52, 102066. https://doi.org/10.1016/j.ajp.2020.102066

Saccomanno, S., Bernabei, M., Scoppa, F., Pirino, A., Mastrapasqua, R., & Visco, M. A. (2020). Coronavirus lockdown as a major life stressor: Does it affect tmd symptoms? International Journal of Environmental Research and Public Health, 17(23), 1–13. https://doi.org/10.3390/ijerph17238907

Saczuk, K., Lapinska, B., Wawrzynkiewicz, A., Witkowska, A., Arbildo-Vega, H. I., Domarecka, M., & Lukomska-Szymanska, M. (2022). Temporomandibular Disorders, Bruxism, Perceived Stress, and Coping Strategies among Medical University Students in Times of Social Isolation during Outbreak of COVID-19 Pandemic. Healthcare, 10(4), 740. https://doi.org/10.3390/healthcare10040740

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

Tran, Q. D., Vu, T. Q. C., & Phan, N. Q. (2022). Depression prevalence in Vietnam during the Covid-19 pandemic: A systematic review and meta-analysis. Ethics, Medicine and Public Health, 23, 100806. https://doi.org/10.1016/j.jemep.2022.100806

Vaishya, R., Jain, V. K., & Iyengar, K. P. (2021). Musculoskeletal manifestations of COVID-19. Journal of Clinical Orthopaedics and Trauma, 17, 280–281. https://doi.org/10.1016/j.jcot.2021.03.002

van Mulukom, V., Muzzulini, B., Rutjens, B. T., van Lissa, C. J., & Farias, M. (2021). The psychological impact of threat and lockdowns during the COVID-19 pandemic: exacerbating factors and mitigating actions. Translational Behavioral Medicine, 11(7), 1318–1329. https://doi.org/10.1093/tbm/ibab072

Winocur-Arias, O., Winocur, E., Shalev-Antsel, T., Reiter, S., Levratovsky, S., Emodi-Perlman, A., & Friedman-Rubin, P. (2022). Painful Temporomandibular Disorders, Bruxism and Oral Parafunctions before and during the COVID-19 Pandemic Era: A Sex Comparison among Dental Patients. Journal of Clinical Medicine, 11(3), 589. https://doi.org/10.3390/jcm11030589

Yap, A. U., Marpaung, C., & Rahmadini, E. D. (2021). Psychological well-being and distress: Their associations with temporomandibular disorder symptoms and interrelationships. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 132(2), 163–171. https://doi.org/10.1016/j.oooo.2021.02.012

Yap, A. U., Zhang, M., Cao, Y., Lei, J., & Fu, K. (2022). Comparison of psychological states and oral health–related quality of life of patients with differing severity of temporomandibular disorders. Journal of Oral Rehabilitation, 49(2), 177–185. https://doi.org/10.1111/joor.13216

Downloads

Publicado

25/08/2022

Como Citar

ANDRADE, M. M.; FARIAS, G. de A. .; SANTANA, L. N.; CRUZ, J. W. A. .; MACIEL, L. Y. dos S. .; PICINATO-PIROLA, M.; COSTA, M. R. de C. D. . Sinais e Sintomas de Disfunções Temporomandibulares na Pandemia de COVID-19 em Sergipe e no Distrito Federal . Research, Society and Development, [S. l.], v. 11, n. 11, p. e370111133617, 2022. DOI: 10.33448/rsd-v11i11.33617. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33617. Acesso em: 18 dez. 2024.

Edição

Seção

Ciências da Saúde