Fatores biopsicossociais do eixo ii do research diagnostic criteria em indivíduos com disfunção temporomandibular muscular e migrânea

• Autor(a) principal: Battistella, Claudia Branco [UNIFESP]
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3585385; http://repositorio.unifesp.br/handle/11600/46674
• topic: Dysfunction of temporomandibular joint syndrome; Headache; Facial pain; Psychology; Síndrome da disfunção da articulação temporomandibular; Cefaleia; Dor facial; Psicologia

Objectives: To relate the biopsychosocial variables Diagnostic Criteria for Temporomandibular Disorders Research (RDC / TMD) with the groups of patients with temporomandibular disorder (TMD) TMD patients and migraine and control subjects. Methods: Study of cross observational which evaluated 280 consecutive patients over 18 years from January 2013 to January 2014, divided into 3 groups: group I (140 control subjects); II group (65 individuals with muscular TMD) and group III (75 patients with migraine and muscle TMD). The TMD diagnosis was performed by RDC / TMD presenting myofascial pain with or without limitation of mouth opening. The diagnosis of migraine was made according to the criteria of the International Classification of Headache. The study excluded individuals who had clinical history pregresso muscle inflammation, muscle spasms, contractures and acute traumatic injury in the temporomandibular joint. Results: The subjects of group III were associated with severe depression (p <0.0001), grade 4 in varying severity of pain (p = 0.004), non-specific physical symptoms without severe pain (p <0.0001) and non-specific physical symptoms with pain severe (p <0.0001). There was a significant difference between females and males in the group III (Z = 2.59, p = 0.001), indicating greater pain time in females. The percentage of women in group III was significantly higher compared to men (p = 0.004). Conclusion: The relationship between the variables and the three groups showed a higher number of affected individuals with more severe symptoms in the group III. Thus, we understand that migraine is a morbid condition often associated with TMD, increasing the symptoms described by patients. There is need for multidisciplinary clinical evaluation in these patients so that treatment is optimized by minimizing the morbidity and reducing costs and the number of consultations provided to patients.