Impacto da disfunção temporomandibular na qualidade de vida relacionada à saúde bucal em adolescentes
DOI:
https://doi.org/10.33448/rsd-v10i14.21981Palavras-chave:
Qualidade de vida, Saúde Bucal, Articulação Temporomandibular, Adolescente, Síndrome da disfunção da articulação temporomandibular.Resumo
Esse estudo transversal objetivou avaliar o impacto da disfunção temporomandibular (DTM) na qualidade de vida relacionada à saúde bucal (QVRSB) de adolescentes. Pacientes entre 13-18 anos, em tratamento odontológico em uma clínica universitária no ano de 2019 tiveram sua QVRSB mensurada atraves da versão brasileira do Oral Heath Impact Profile – 14 (OHIP-14). O diagnóstico de DTM foi realizado atraves dos eixos I e II do RDC/TMD. Os pacientes foram examinados para outras condições bucais e seus pais/responsáveis responderam questões sociecônomicas, demográficas e de saúde geral dos adolescentes. A análise estátistica usou modelos simples e múltiplos de regressão logística. Noventa adolescentes, de ambos os sexos, participaram do estudo. A prevalência do impacto negativo na QVRSB foi de 34%, sendo os domínios de maior impacto “Desconforto Psicológicos” (28%) e “Incapacidade Psicológica” (19%). O impacto negativo na QVRSB esteve associado, nas análises não ajustadas, a uma pior autopercepção de saúde geral e bucal do adolescente, depressão, sintomas inespecíficos incluindo dor e transtorno de ansiedade generalizada, cárie, relato de dor de dente, DTM, desordem muscular e articular e de dor crônica relacionada à DTM. No modelo ajustado, o impacto negativo na QVRSB foi associado a todos os diagnósticos relacionados à DTM no RDC/TMD, exceto sinais de depressão. Adolescentes com pelo menos um diagnóstico relacionado à DTM tinham chance 4,13 (IC95%%: 1,08-15,80) maior de apresentar impacto negativo na QVRSB do que adolescentes sem diagnóstico de DTM. DTM em suas diferentes categorias diagnósticas tiveram impacto negativo na QVRSB de adolescentes.
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