Study of the prevalence of Temporomandibular Disorders (tmd) and quality of life in an institutionalized elderly population

• Autor(a) principal: Rehm, Daniela Disconzi Seitenfus
• Data de Publicação: 2017
• Outros Autores: Progiante, Patricia Saram, Ficht, Denise Munaretto, Carapeto, Betina, Grossi, Marcio Lima, Grossi, Patricia Krieger
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: PAJAR - Pan American Journal of Aging Research
• DOI: 10.15448/2357-9641.2017.1.26442
• Texto Completo: https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/26442

Purpose: This multidisciplinary prevalence study had the objective of identifying the prevalenceof TMD, chronic pain and quality of life in institutionalized elderly patients in Southern Brazil,including depression and somatization levels. Methods: Forty subjects (55% women, meanage=75 years±S.D., 80% Caucasian) in need of dental treatment were selected from twolong-term elderly institutions in the city of Porto Alegre. The World Health Organization Qualityof Life (WHOQOL) questionnaire was used for assessing quality of life, the Research DiagnosticCriteria for Temporomandibular Disorders (RDC/TMD) for TMD signs and symptoms as well asdepression and somatization levels, and the North York Dental Health Survey (NYDHS ) for theoral health status. Result s: Approximately 60% completed elementary school. It was also a lowincome population (85%, $75 to $500 American dollars per month). Most (56.4%) were bornin the countryside. Ten percent had high intensity pain, with 2.5% accompanied by moderatelimitation. These severe signs and symptoms of TMD were associated with significant disabilityin daily functions and had a negative impact in the level of psychological stress and qualityof life in institutionalized patients. In addition, almost 97.5% of the elderly has shown somedegree of depression, and 57.5% had moderate to strong somatization levels. Conclusions:The proportion of elderly with severe TMD signs and symptoms was low; however, the greatfrequency of depression and somatization, with a good number of them in actual treatmentneed, highlights the importance of evaluating the elderly in all aspects.Keywords: temporomandibular disorder; orofacial pain; depression; somatization; quality of life; elderly.