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1.
Cranio ; : 1-9, 2022 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-35300577

RESUMO

OBJECTIVE: To evaluate neck pain, disability, and deep neck flexor (DNF) performance of individuals with temporomandibular disorders (TMD). METHODS: Eighty individuals were divided into the following: arthrogenic TMD (n = 40), myogenic TMD (n = 12), and mixed TMD (n = 28). Neck pain intensity, neck disability, and DNF performance were evaluated. RESULTS: Individuals with arthrogenic TMD reported lower intensity of neck pain when compared to mixed TMD (p = 0.01). Individuals with arthrogenic TMD had less neck disability than individuals with myogenic TMD (p = 0.037) and mixed TMD (p < 0.001). A moderate positive correlation was found between neck pain and neck disability (p < 0.001). No differences were found for DNF performance. CONCLUSION: Neck pain and disability differs according to subtype of TMD, but performance of the deep neck flexors does not. Neck pain intensity and neck disability were correlated in patients with TMD.

2.
J Appl Oral Sci ; 29: e20201089, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34320119

RESUMO

BACKGROUND: Dentists are exposed to contamination by SARS-CoV-2 due to dental interventions, leading to a state of alert and potential risk of negative impact in mental health and sleep quality, associated with Temporomandibular Disorder (TMD) and bruxism. OBJECTIVE: to evaluate the psychosocial status, sleep quality, symptoms of TMD, and bruxism in Brazilian dentists (DSs) during the COVID-19 pandemic. METHODOLOGY: The sample (n=641 DSs) was divided into three groups (quarantined DSs; DSs in outpatient care; and frontline professionals), which answered an electronic form containing the TMD Pain Screening Questionnaire (Diagnostic Criteria for Temporomandibular Disorders - DC/TMD), the Pittsburgh Sleep Quality Index (PSQI), the Depression, Anxiety and Stress Scale (DASS-21), and the sleep and awake bruxism questionnaire. ANOVA test and Mann Whitney post-test were used, with Bonferroni adjustment (p<0.016) and a 95% confidence level. RESULTS: Probable TMD was found in 24.3% (n=156) of the participants, while possible sleep and awake bruxism were diagnosed in 58% (n=372) and 53.8% (n=345) of them, respectively. Among all variables evaluated, only symptoms of depression were significantly greater in the quarantined DSs group when compared to those who were working at the clinical care (p=0.002). Working DSs were significantly less likely (OR=0.630, p=0.001) to have depressive symptoms. Those who were not worried or less worried about the pandemic were less likely to experience stress (OR=0.360), anxiety (OR=0.255), and poor sleep quality (OR=0.256). Sleep had a strong positive and moderate correlation with psychological factors on frontline workers and DSs in outpatient care, respectively. CONCLUSION: The results suggest confinement may have a more negative impact on the life of DSs than the act of being actively working. The concern about Covid-19 and poor sleep quality was significantly prevalent and may negatively affect the quality of life of DSs. Thus, further research on the topic is needed.


Assuntos
Bruxismo , COVID-19 , Bruxismo do Sono , Transtornos da Articulação Temporomandibular , Brasil/epidemiologia , Odontólogos , Humanos , Pandemias , Qualidade de Vida , SARS-CoV-2 , Sono , Bruxismo do Sono/epidemiologia , Transtornos da Articulação Temporomandibular/epidemiologia
3.
Int J Prosthodont ; 34(3): 300­308, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33625386

RESUMO

PURPOSE: To compare oral health-related quality of life (OHRQoL) and masticatory performance (MP) in patients treated with a mandibular complete denture (CD) and immediately loaded implant-supported prostheses (ISP). MATERIALS AND METHODS: Forty patients were divided into CD and ISP groups. Initially, all patients were treated with a mandibular CD. Then, 23 patients remained with a CD while 17 patients were treated with an ISP after wearing the CD for 3 months. OHRQoL was measured using the OHIP-EDENT questionnaire, and MP was evaluated by sieving. Data were recorded before treatment (T0) and after 3 months wearing the CD and ISP (T1). RESULTS: CD treatment did not affect OHRQoL and PM; however, patients treated with an ISP presented improvement in OHRQoL (P < .001) and MP (P < .001) with a high effect size (ES) (Cohen's d = 2.49 and 2.47, respectively). For intergroup analysis, ISP treatment presented improvement in OHRQoL and MP compared to CD treatment (P < 0.001) at T1 with a high ES (Cohen's d = 1.80 and 3.29, respectively). The correlation between MP and OHRQoL was positive only for psychologic discomfort in the CD group at T0 (P = .035), suggesting that poor MP increased psychologic discomfort. CONCLUSION: Converting a CD into an ISP had a positive impact on OHRQoL and MP with high ES.


Assuntos
Implantes Dentários , Qualidade de Vida , Prótese Dentária Fixada por Implante , Revestimento de Dentadura , Humanos , Saúde Bucal , Satisfação do Paciente
4.
Pain Med ; 22(4): 905-914, 2021 04 20.
Artigo em Inglês | MEDLINE | ID: mdl-33561277

RESUMO

OBJETIVE: To evaluate the effects of Chinese scalp acupuncture in patients diagnosed with temporomandibular disorders (TMD) on pain, sleep, and quality of life (QOL), and compare these results with the results from traditional therapies. METHODS: Sixty patients diagnosed with TMD using the research diagnostic criteria for temporomandibular disorders (RDC/TMD) were allocated into four treatment groups: counseling (C = 15), occlusal splint (OS = 15), scalp acupuncture (SA = 15), and manual therapy (MT = 15). Participants were re-evaluated within 1 month. Three questionnaires were used to access sleep disorders, QOL, and pain: The Pittsburgh Sleep Quality Index (PSQI), World Health Organization Quality of Life (WHOQOL-bref), and the Visual Analogue Scale (VAS), respectively. The data obtained were analyzed using the Statistical Package for the Social Science program (SPSS 22.0). RESULTS: The SA group significantly improved pain (P = .015), as well as the OS (P = .01) and MT groups (P = .014). Only the OS (P = .002) and MT (P = .029) groups improved sleep. MT group significantly improved QOL in terms of the physical domain of the WHOQOL-bref (P = .011) and the OS group in the psychological domain (P = .012). CONCLUSIONS: The scalp acupuncture proved to be another alternative for pain relief in patients with TMD, demonstrating positive results in the short term. However, it was not as effective in improving quality of life and sleep.


Assuntos
Terapia por Acupuntura , Transtornos do Sono-Vigília , Transtornos da Articulação Temporomandibular , Humanos , Dor , Qualidade de Vida , Couro Cabeludo , Transtornos do Sono-Vigília/terapia , Transtornos da Articulação Temporomandibular/terapia , Resultado do Tratamento
5.
Cranio ; : 1-7, 2021 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-33433268

RESUMO

Objective: To evaluate current studies to establish and compare the efficacy of traditional and laser acupuncture in reducing the signs and symptoms of temporomandibular disorders (TMD).Methods: PubMed, Cochrane, Scopus, and Web of Science databases were searched. Clinical, controlled, and randomized trials written in English and having used traditional or laser acupuncture as therapy for TMD and RDC/TMD or DC/TMD as a diagnostic criterion for TMD were included.Results: Six studies that evaluated the intensity of pain and the level of mouth opening of the patients submitted to acupuncture were selected, and all showed improvement. However, similar results were also observed in the groups treated with occlusal splint and placebo acupuncture. Only one study evaluated laser acupuncture and showed a higher proportion of patients with remission of symptoms in the experimental group.Conclusion: The traditional acupuncture seems to relieve the signs and symptoms of TMD, as well as laser acupuncture when associated with occlusal splint. However, more rigorous and high-quality clinical trials are needed.

6.
Rev. Ciênc. Plur ; 7(1): 30-39, jan. 2021. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1147555

RESUMO

Introdução:A disfunção temporomandibular,distúrbio que acomete as estruturas ósseas, musculares e articulares da região orofacial tem sido cada vez mais recorrente. Esse distúrbio causa dores, limitação de movimento e alteração na qualidade de vida dos pacientes acometidos com a doença. Se fazemnecessáriasmedidas de controle e tratamento dessadoença de prevalência crescente. Objetivo:Avaliar a amplitude de abertura bucal em pacientes portadores de disfunção temporomandibular, submetidos ao tratamento com fisioterapia após 1 e 3 meses de tratamento.Metodologia:Avaliou-se a amplitude de abertura bucal de 25 pacientes submetidos ao tratamento com fisioterapia. Todos os pacientes foram diagnosticados com disfunçãode acordo com o eixo 1 do "Research Diagnostic Criteria for Temporomandibular Disorders". Os dados colhidos foram avaliados através do programa SPSS e foi realizado o teste Wilcoxon, com nível de confiança de 95%. Resultados:Para pacientes que apresentavam comprometimento da amplitude de abertura máxima sem auxílio, a fisioterapia possibilitou melhora significativa do ganho de amplitude no tempo inicial e após um mês de terapia (p= 0,002), mantendo a amplitude até o terceiro mês, sem apresentar ganho significativo. Conclusões:Para a variável amplitude de abertura bucal, a fisioterapia se mostra como uma boa alternativa de tratamento, alcançando resultados satisfatórios para o ganho de amplitude e melhoria do quadro sintomático do paciente (AU).


Introduction:Temporomandibulardisorder, a disorder that affects bone, muscle and joint structures in the orofacial region has been increasingly recurrent. This disorder causes pain, movement limitation and changes in the quality of life of patients affected by the disease. Control measures and treatment of the disease of increasing prevalence are necessary. Objective:To evaluate the range of mouth opening in patients undergoing treatment with physiotherapy after 1 and 3 months of treatment. Methodology:It was the amplitude of mouth opening in 25 patients submitted to treatment with physiotherapy. All patients were diagnosed with disorder according to axis 1 of the Research Diagnostic Criteria for Temporomandibular Disorders. The collected data were evaluatedusing the SPSS program and the Wilcoxon test was performed, with a 95% confidence level. Results:For patients who presented impairment of the maximum opening amplitude without assistance, physiotherapy enabled a significant improvement in amplitude gainin the initial time and after one month of therapy (p= 0.002), maintaining the amplitude until the third month, without showing any significant gain. Conclusions:For the variable mouth opening amplitude, physiotherapy is shown to be a good treatment alternative, achieving satisfactory results for gaining amplitude and improving the patient's symptomatic condition (AU).


Introducción: El trastorno temporomandibular, un trastorno que afecta las estructuras óseas, musculares y articulares en la región orofacial, ha sido cada vez más recurrente. Este trastorno causa dolor, limitación de movimiento y cambios en la calidad de vida de los pacientes afectados por la enfermedad. Son necesarias medidas de control y tratamiento de la enfermedad de prevalencia creciente.Objetivo: Evaluar la amplitud de la apertura de la boca en pacientes con disfunción temporomandibular, sometidos a tratamiento con fisioterapia después de 1 y 3 meses de tratamiento.Metodología: Se evaluó la amplitud de la apertura de la boca en 25 pacientes sometidos a tratamiento de fisioterapia. Todos los pacientes fueron diagnosticados con trastorno de acuerdo con el eje 1 del Criterios de diagnóstico de investigación para trastornos temporomandibulares. Los datos recopilados se evaluaron utilizando el programa SPSS y se realizó la prueba de Wilcoxon, con un nivel de confianza del 95%. Resultados: Para los pacientes que presentaron deterioro de la amplitud máxima de apertura sin asistencia, la fisioterapia permitió una mejora significativa en la ganancia de amplitud en el tiempo inicial ydespués de un mes de terapia (p=0,002), manteniendo la amplitud hasta el tercer mes, sin mostrar ninguna ganancia significativa.Conclusiones: Para la amplitud variable de apertura de la boca, se muestra que la fisioterapia es una buena alternativa de tratamiento, logrando resultados satisfactorios para aumentar la amplitud y mejorar la condición sintomática del paciente (AU).


Assuntos
Humanos , Masculino , Feminino , Adulto , Transtornos da Articulação Temporomandibular , Síndrome da Disfunção da Articulação Temporomandibular/patologia , Amplitude de Movimento Articular , Especialidade de Fisioterapia , Qualidade de Vida , Brasil , Estudos Longitudinais , Estatísticas não Paramétricas
7.
Cranio ; 39(4): 335-343, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31204605

RESUMO

Objective: To evaluate, in the short term, the effectiveness of conservative therapies in pain, quality of life, and sleep in TMD patients.Methods: Eighty-nine TMD patients diagnosed by RDC-TMD were distributed in occlusal splints (OS; n= 24), manual therapy (MT; n= 21), counseling (C; n= 19), and OS associated with C (OSC; n= 25) therapy groups. Data collection was performed at baseline and within one month by VAS (pain), PSQI (sleep quality -SQ), WHOQOL-BREF (Quality of life - QL) and OHIP-14 (quality of life related to oral health -QLOH). The Split Plot ANOVA test was used to observe the difference between groups and over time.Results: All therapies were effective over time, improving pain (p< .001), SQ (p=.001), QLOH (p< .001), and QL (p= .006), but not between them.Discussion: The therapies were effective in improving pain, SQ, and quality of life; however, no therapeutic group was superior to the other.


Assuntos
Qualidade de Vida , Transtornos da Articulação Temporomandibular , Tratamento Conservador , Humanos , Dor , Sono , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/terapia
8.
J. appl. oral sci ; 29: e20201089, 2021. tab
Artigo em Inglês | LILACS | ID: biblio-1286915

RESUMO

Abstract Dentists are exposed to contamination by SARS-CoV-2 due to dental interventions, leading to a state of alert and potential risk of negative impact in mental health and sleep quality, associated with Temporomandibular Disorder (TMD) and bruxism. Objective: to evaluate the psychosocial status, sleep quality, symptoms of TMD, and bruxism in Brazilian dentists (DSs) during the COVID-19 pandemic. Methodology: The sample (n=641 DSs) was divided into three groups (quarantined DSs; DSs in outpatient care; and frontline professionals), which answered an electronic form containing the TMD Pain Screening Questionnaire (Diagnostic Criteria for Temporomandibular Disorders - DC/TMD), the Pittsburgh Sleep Quality Index (PSQI), the Depression, Anxiety and Stress Scale (DASS-21), and the sleep and awake bruxism questionnaire. ANOVA test and Mann Whitney post-test were used, with Bonferroni adjustment (p<0.016) and a 95% confidence level. Results: Probable TMD was found in 24.3% (n=156) of the participants, while possible sleep and awake bruxism were diagnosed in 58% (n=372) and 53.8% (n=345) of them, respectively. Among all variables evaluated, only symptoms of depression were significantly greater in the quarantined DSs group when compared to those who were working at the clinical care (p=0.002). Working DSs were significantly less likely (OR=0.630, p=0.001) to have depressive symptoms. Those who were not worried or less worried about the pandemic were less likely to experience stress (OR=0.360), anxiety (OR=0.255), and poor sleep quality (OR=0.256). Sleep had a strong positive and moderate correlation with psychological factors on frontline workers and DSs in outpatient care, respectively. Conclusion: The results suggest confinement may have a more negative impact on the life of DSs than the act of being actively working. The concern about Covid-19 and poor sleep quality was significantly prevalent and may negatively affect the quality of life of DSs. Thus, further research on the topic is needed.


Assuntos
Humanos , Bruxismo , Transtornos da Articulação Temporomandibular/epidemiologia , Bruxismo do Sono/epidemiologia , COVID-19 , Qualidade de Vida , Sono , Brasil/epidemiologia , Odontólogos , Pandemias , SARS-CoV-2
9.
J Oral Facial Pain Headache ; 34(2): 141-148, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32255579

RESUMO

AIMS: To evaluate the effectiveness of manual therapy in the treatment of myofascial pain related to temporomandibular disorders. METHODS: Randomized clinical trials were searched in the Cochrane Library, MEDLINE, Web of Science, Scopus, LILACS, and SciELO databases using the following keywords: temporomandibular joint disorders; craniomandibular disorders; myofascial pain syndromes; myofascial pain; exercise therapy; myofunctional therapy; physical therapy modalities; clinical trial; prospective studies; and longitudinal studies. Studies using the RDC/TMD and manual therapy for myofascial pain were included. All studies were evaluated using the Cochrane Risk of Bias tool. RESULTS: Five studies were included in the present review. Of 279 total patients, 156 were treated with manual therapy only or manual therapy with counseling. Manual therapy was efficient for pain relief in all studies evaluated; however, manual therapy was not better than counseling or botulinum toxin. CONCLUSION: Manual therapy was better than no treatment in one study and better than counseling in another study; however, manual therapy combined with counseling was not statistically better than counseling alone, and manual therapy alone was not better than botulinum toxin. Manual therapy combined with home therapy was better than home therapy alone in one study. Further studies are required due to the inconclusive data and poor homogeneity found in this review.


Assuntos
Manipulações Musculoesqueléticas , Síndromes da Dor Miofascial , Transtornos da Articulação Temporomandibular , Humanos , Dor , Estudos Prospectivos
10.
Int Dent J ; 70(4): 245-253, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32153038

RESUMO

INTRODUCTION: Temporomandibular dysfunction (TMD) is a condition that affects the stomatognathic system. OBJECTIVE: To determine the effect of treatment with an occlusal splint (OS), manual therapy (MT), counselling (CS) and the combination of an occlusal splint and counselling (OSCS) on pain and anxiety in patients with TMD. MATERIALS AND METHODS: A randomised clinical trial was conducted with 89 patients diagnosed with TMD through RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders) and divided into four groups of treatment: OSCS (n = 25); OS (n = 24); MT (n = 21); and CS (n = 19). Participants were assessed before and after 1 month of therapy for pain, anxiety and TMD diagnosis. Pain was measured by a visual analogue scale. To assess anxiety, Hospital Anxiety and Depression Scale (HADS), Beck Anxiety Inventory (BAI) and the State-Trait Anxiety Inventory (STAI-S and T) were used. The data were analysed using SPSS (Statistical Package for Social Science) 22.0. RESULTS: The four groups obtained a significant reduction (P < 0.001) in the pain after 1 month of treatment. Treatment in all groups promoted a significant reduction in anxiety symptoms 1 month after completion, HADS (P < 0.001), BAI (P < 0.001), STAI-T (P = 0.006). Thus, no group was superior to the other in reducing the studied variables. CONCLUSION: The therapies used were effective in reducing pain and anxiety in patients diagnosed with TMD. However, no treatment was superior to the other in reducing the studied variables.


Assuntos
Tratamento Conservador , Transtornos da Articulação Temporomandibular , Ansiedade , Dor Facial , Humanos , Dor , Medição da Dor
11.
Artigo em Inglês | MEDLINE | ID: mdl-31784398

RESUMO

OBJECTIVES: The aim of this study was to evaluate the relationship between anxiety, quality of life (QL), and sociodemographic aspects and temporomandibular disorders (TMDs) and to assess the predisposition to TMDs in patients with low QL and anxiety. STUDY DESIGN: In total, 120 patients (60 TMD/60 non-TMD) were screened to assess QL (World Health Organization Quality of Life Brief Version [WHOQOL]); anxiety (Beck Anxiety Inventory [BAI]; the State-Trait Anxiety Inventory[STAI-S and -T]; the Hospital Anxiety and Depression Scale [HADS]); and TMD (Research Diagnostic Criteria for Temporomandibular Disorders-RDC/TMD). Pearson's χ2 test, the Student t test, odds ratio (OR) analysis, and nonconditional logistic regression analysis were performed. RESULTS: Among patients with TMD, 60% were women (P = .002), 65.1% were single (P = .009), and 71.4% were employed (P = .008). Most of the anxious individuals had TMD, according to HADS, 75% (P < .001); STAI-S, 55.6% (P = .035); STAI-T, 54.9% (P = .011); and BAI, 63.9% (P = .002). WHOQOL showed higher QL for non-TMD participants (P < .001). Sociodemographic data showed an association with TMD: gender (OR = 3.5), professional status (OR = 3.3), and marital status (OR = 2.8). WHOQOL presented higher association strength (OR = 9.2), followed by HADS (OR = 5.0). CONCLUSIONS: A relationship exists between sociodemographic aspects, anxiety, and QL and TMD. Patients with TMD have higher anxiety levels and lower QL, and this can interfere with treatment, reinforcing the need for therapies that consider the various factors of the disorder.


Assuntos
Qualidade de Vida , Transtornos da Articulação Temporomandibular , Ansiedade , Depressão , Feminino , Humanos , Masculino
12.
Int J Prosthodont ; 32(3): 272-277, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31034544

RESUMO

PURPOSE: To evaluate whether treatment with new complete dentures improves quality of life in elderly patients. MATERIALS AND METHODS: A literature search was conducted in the MEDLINE/PubMed, Scopus, LILACS, SciELO, Web of Science, and Cochrane Library databases using specific keywords for relevant articles published up to March 2018. Three reviewers obtained the data and compared the results from reports that evaluated denture wearers 60 years of age or older whose old dentures were replaced with new ones. RESULTS AND CONCLUSION: Of 282 published studies, 7 met the inclusion criteria (5 evaluated quality of life before and after treatment using the Oral Health Impact Profile, 1 using the Oral Impacts by Daily Performance, and 1 using the Geriatric Oral Health Assessment Index). The articles showed a similar increase in quality of life after elderly patients were treated with new complete dentures; however, the limited methodologic quality in the reported and analyzed studies underscores the need for more robust controlled investigations to strengthen the current body of evidence, which is limited.


Assuntos
Boca Edêntula , Qualidade de Vida , Idoso , Prótese Total , Humanos , Pessoa de Meia-Idade , Saúde Bucal , Satisfação do Paciente
13.
Cranio ; 36(5): 300-303, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28791932

RESUMO

OBJECTIVE: To evaluate the prevalence of temporomandibular disorder (TMD) in dental students and its correlation with anxiety. METHODS: After probability sampling, 105 students were selected. The diagnosis of TMD was carried out using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) - Axis I; the anxiety level was obtained by the State-Trait Anxiety Inventory (STAI). Data from TMD and anxiety were calculated through frequency and Chi-square test to assess the association between TMD and anxiety, considering a significance level of 5%. RESULTS: TMD was present in 36.2% of the students; disc displacement (42.1%), and arthralgia (42.1%) were the most prevalent subtypes. The majority of students presented both traits (57.1%) and state (65.7%) anxiety in mild levels, followed by moderate levels. No statistical association between TMD and anxiety was found (p > 0.05). CONCLUSION: Joint TMD was the most prevalent subtype of TMD in dental students and was not associated with anxiety levels.


Assuntos
Ansiedade , Estudantes de Odontologia/psicologia , Estudantes de Odontologia/estatística & dados numéricos , Transtornos da Articulação Temporomandibular/epidemiologia , Transtornos da Articulação Temporomandibular/psicologia , Humanos , Prevalência
14.
Cranio ; 36(2): 85-90, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28274183

RESUMO

OBJECTIVE: To evaluate the relationship between temporomandibular disorders (TMD) and craniocervical posture in the sagittal plane measured from lateral radiographs of the head. METHODS: The sample was comprised of 80 randomly selected students of dentistry at the Federal University of Rio Grande do Norte. Research Diagnostic Criteria for TMD (RDC/TMD) was used to evaluate the signs and symptoms of TMD. Lateral radiographs of each individual were used to measure the position of the hyoid bone, the craniocervical angle, and the occiput-atlas distance. A chi-square test was used to evaluate the relationships between craniocervical posture measures and TMD. RESULTS: No relationship was found between TMD and the craniocervical posture measured by the positioning of the hyoid bone, head rotation, and the extension/flexion of the head (p > 0.05). CONCLUSION: It can be concluded, therefore, that no relationship exists between cervical posture in the sagittal plane and TMD.


Assuntos
Pescoço/diagnóstico por imagem , Pescoço/fisiopatologia , Postura/fisiologia , Estudantes de Odontologia , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/fisiopatologia , Adolescente , Adulto , Atlas Cervical/diagnóstico por imagem , Estudos Transversais , Feminino , Humanos , Osso Hioide/diagnóstico por imagem , Masculino
15.
Braz. dent. sci ; 21(4): 403-410, 2018. graf, tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-965681

RESUMO

Objective: To verify the level of agreement among different indexes used to achieve the prevalence of Temporomandibular Disorders (TMD). Material and Methods: One hundred one dental students were selected by a randomized process. TMD were evaluated by the Fonseca's Anamnestic Index (FAI), Helkimo's Clinical Index (HCI), and the Research Diagnostic Criteria for TMD (RDC/TMD). Data was analyzed using Chi-square and Kappa tests, considering a significance level of 5%. Results: HCI showed the highest prevalence of TMD, and the comparison between RDC/TMD, FAI, and HCI showed low agreement (k=0.17 and k=0.35 respectively). Most individuals presented mild TMD for both FAI and HCI indexes. A moderate correlation for TMD severity was obtained (kw=0.53) between FAI and HCI, and a high sensitivity and low specificity were observed for both diagnosis when compared to RDC/TMD. Conclusion: The prevalence of TMD may vary significantly depending on the index used for its diagnosis, which may lead to a large number of false positives and overtreatments. (AU)


Objetivo: Verificar o nível de concordância entre diferentes índices utilizados para avaliar a prevalência de disfunções temporomandibulares (DTMs). Material e Métodos: Cento e um estudantes de odontologia foram selecionados por um processo randomizado. As DTMs foram avaliadas pelo Índice Anamnéstico de Fonseca (IAF), pelo Índice Clínico de Helkimo (ICH) e pelo Research Diagnostic Criteria for TMD (RDC / TMD). Os dados foram analisados pelos testes Qui-quadrado e Kappa, considerando um nível de significância de 5%. Resultados: A aplicação do ICH levou a uma maior prevalência de DTM, e a comparação entre o RDC/TMD, IAF e ICH mostrou baixa concordância (k = 0,17 e k = 0,35, respectivamente). A maioria dos indivíduos apresentou DTM leve para os índices FAI e ICH. Uma correlação moderada para a gravidade da DTM foi obtida (kw = 0,53) entre FAI e HCI, e uma alta sensibilidade e baixa especificidade foram observadas para ambos os diagnósticos quando comparados com o RDC/TMD. Conclusão: A prevalência de DTM pode variar significativamente, dependendo do índice usado para o seu diagnóstico, o que pode levar a um grande número de falsos positivos e sobretratamentos. (AU)


Assuntos
Articulação Temporomandibular , Transtornos da Articulação Temporomandibular , Epidemiologia , Prevalência , Adulto Jovem
16.
Braz Dent J ; 28(6): 694-698, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29211123

RESUMO

The aim of this study was to evaluate the peri-implant bone loss of External Hexagon (EH) and Morse Taper (MT) implants in patients wearing immediately loaded mandibular overdentures during a 1-year follow-up. This is a non-randomized controlled clinical trial including 18 MT and 22 EH implants. Periapical radiographs were taken after overdentures insertion and following 1 year. The peri-implant bone loss was assessed through digitalization and analysis of the radiographs in the software Corel DRAW X7. For this, measurement from implant platform to residual ridge at mesial and distal surfaces of each implant was conducted. The results showed high success rate in the groups EH (100%) and MT (94.4%). For peri-implant bone levels, it was found significant difference between the groups (p=0.032) and greater bone loss was observed in the group EH. In general, bone loss was 0.85mm (±0.82) for EH and 0.10mm (±1.0) for MT. It was concluded that greater bone loss occurred in the group EH in comparison to the group MT after a 1-year follow-up.


Assuntos
Revestimento de Dentadura , Carga Imediata em Implante Dentário , Osteoporose/etiologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia Dentária
17.
Braz. dent. j ; 28(6): 694-698, Nov.-Dec. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-888698

RESUMO

Abstract The aim of this study was to evaluate the peri-implant bone loss of External Hexagon (EH) and Morse Taper (MT) implants in patients wearing immediately loaded mandibular overdentures during a 1-year follow-up. This is a non-randomized controlled clinical trial including 18 MT and 22 EH implants. Periapical radiographs were taken after overdentures insertion and following 1 year. The peri-implant bone loss was assessed through digitalization and analysis of the radiographs in the software Corel DRAW X7. For this, measurement from implant platform to residual ridge at mesial and distal surfaces of each implant was conducted. The results showed high success rate in the groups EH (100%) and MT (94.4%). For peri-implant bone levels, it was found significant difference between the groups (p=0.032) and greater bone loss was observed in the group EH. In general, bone loss was 0.85mm (±0.82) for EH and 0.10mm (±1.0) for MT. It was concluded that greater bone loss occurred in the group EH in comparison to the group MT after a 1-year follow-up.


Resumo O objetivo deste estudo foi avaliar a perda óssea peri-implantar de implantes Hexágono Externo (HE) e Cone Morse (CM) em usuários de sobredentaduras mandibulares com carga imediata por um período de acompanhamento de 1 ano. Este é um ensaio clínico controlado não randomizado que inclui 18 CM e 22 HE. Radiografias periapicais foram obtidas na instalação das sobredentaduras e 1 ano após. A perda óssea peri-implante foi avaliada através da digitalização e análise das radiografias no software Corel DRAW X7. Para tal, a medição foi feita da plataforma dos implantes até a crista óssea nas faces mesiais e distais de cada implante. Os resultados mostraram alta taxa de sucesso nos grupos HE (100%) e CM (94,4%). Para os níveis ósseos peri-implantes, foi encontrada diferença significativa entre os grupos (p = 0,032) e maior perda óssea foi observada no grupo HE. Em média, a perda óssea foi de 0,85 mm (±0,82) para HE e de 0,10 mm (±1,0) para CM. Concluiu-se que uma maior perda óssea ocorreu no grupo HE em comparação com o grupo CM após um acompanhamento de 1 ano.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Revestimento de Dentadura , Carga Imediata em Implante Dentário , Osteoporose/etiologia , Radiografia Dentária
18.
J Oral Facial Pain Headache ; 31(3): 225-232, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28738107

RESUMO

AIMS: To carry out a systematic review of clinical trials published up to 2015 to determine the effectiveness of acupuncture in treating myofascial pain in temporomandibular disorder (TMD) patients. METHODS: The databases used were the Cochrane Library, PubMed, Scopus, and Web of Science; the dates of the articles surveyed ranged from 1990 to May 2015. The inclusion criteria were: (1) publications in English, Portuguese, or Spanish; (2) controlled clinical trials; (3) patients with TMD of muscular origin; and (4) studies that used acupuncture or laser acupuncture only for treatment. Reference lists of the included articles were hand searched. RESULTS: A total of four randomized clinical trials using acupuncture (traditional, trigger point, and laser) for TMD treatment met the eligibility criteria and were included. Although the studies featured small sample sizes and short-term follow-up periods, acupuncture yielded results similar to those observed in groups treated with occlusal splints and were significantly superior than those obtained from placebo acupuncture-treated groups. CONCLUSION: Despite the weak scientific evidence supporting its efficacy, acupuncture treatment appears to relieve the signs and symptoms of pain in myofascial TMD. More controlled and randomized clinical trials with larger sample sizes are needed in this field of research to verify these initial findings.


Assuntos
Terapia por Acupuntura , Síndrome da Disfunção da Articulação Temporomandibular/terapia , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto
19.
Quintessence Int ; 48(3): 241-249, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-27834414

RESUMO

OBJECTIVE: Dental students have high levels of anxiety that can affect not only academic performance but also increase the risk for other diseases. It is believed that the increase in the incidence of chronic orofacial pain in temporomandibular disorders (TMDs) may have an impact on the quality of life and general health of subjects. The aim of this study was to evaluate the prevalence of TMD in dental students and its association with general health, quality of life, and anxiety. METHOD AND MATERIALS: Ninety students were evaluated by four questionnaires to determine the prevalence and sever-ity of TMD (Fonseca's questionnaire) and to quantify general health (General Health Questionnaire - GHQ), quality of life (World Health Organization Quality of Life - Brief version - WHOQOL-brief) and anxiety levels (State-Trait Anxiety Index - STAI). RESULTS: Approximately 58.9% of dental students presented TMD. Among the indicators of general health, psychologic stress (P = .010), distrust in their own performance (P = .012), and psychosomatic disorders (P = .020) showed a statistically significant difference with the presence of TMD. The four areas proposed in the questionnaire regarding quality of life, such as physical (P = .016), psychologic (P < .001), social (P = .045), and environmental (P = .017) factors also showed significant differences with the presence of TMD. CONCLUSION: A high prevalence of TMD was observed in dental students. In addition, some psychologic domains are important psychosocial indicators associated with the presence of TMDs.


Assuntos
Ansiedade/epidemiologia , Ansiedade/psicologia , Dor Crônica/epidemiologia , Dor Crônica/psicologia , Dor Facial/epidemiologia , Dor Facial/psicologia , Qualidade de Vida , Estudantes de Odontologia/psicologia , Transtornos da Articulação Temporomandibular/epidemiologia , Transtornos da Articulação Temporomandibular/psicologia , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Medição da Dor , Prevalência , Índice de Gravidade de Doença , Inquéritos e Questionários , Adulto Jovem
20.
Cranio ; 35(4): 228-232, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27326853

RESUMO

OBJECTIVES: The objective of this review was to assess the literature for evidence investigating the role of TGF-ß in temporomandibular joint disease with osteoarthritis. METHOD: An electronic and manual search was carried out on the databases, MEDLINE/PubMed, Cochrane Library, Web Of Science, and EMBASE, from 1975 to December 2015 by two independent evaluators to identify clinical and laboratory trials in English. RESULTS: The search produced 693 records. Following a process of selection based on certain criteria, eight articles were included. DISCUSSION: This systematic review suggests that TGF-ß administration alone does not result in joint regeneration; other factors may be involved, such as TGF-ß receptor expression ,and TGF-ß receptor mutations that do not allow a correct transduction, resulting in TGF-ß deficiency. The anabolism induced by this growth factor is also able to neutralize the catabolic processes that are elevated in osteoarthritis. Therefore, further studies are essential to determine how the concentration of TGF-ß in the temporomandibular joints acts as a potential marker for the development of degenerative conditions.


Assuntos
Osteoartrite/metabolismo , Transtornos da Articulação Temporomandibular/metabolismo , Articulação Temporomandibular/metabolismo , Fator de Crescimento Transformador beta/metabolismo , Animais , Biomarcadores/metabolismo , Bases de Dados Factuais , Humanos , Metabolismo , Mutação , Receptores de Fatores de Crescimento Transformadores beta/metabolismo
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