Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD)
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UNIGRANRIO |
Texto Completo: | http://localhost:8080/tede/handle/tede/101 |
Resumo: | Temporomandibular disorders (TMD) is a collective term embracing a number of clinical problems that involve the masticatory musculature, the temporomandibular joints (TMJ), or both. The most frequently sign at presentation is pain, usually localized in the muscles of mastication, the preauricular area, and/or the TMJ. Patients with TMD often have limited or asymmetric mandibular movements and joint sounds that are commonly described as clicking, pop-ping, grating, or crepitus. Studies indicate that TMD is a chronic pain condition that shares the major characteristic of other common chronic pain conditions. It is widely recognized that psychological factors may be involved in the pain perception process. Although the etiology of TMD has not been established, psychological factors have been implicated in the predisposition, initiation, and perpetuation of TMD and psychological therapies have been found to be beneficial for some TMD patients. The importance of psychosocial issues was recently highlighted in the development of the Research Diagnostic Criteria for Tempomandibular Disorders (RDC/TMD). Dworkin and LeResche recommend that, in addition to the physical diagnosis (Axis I), a psychosocial assessment of TMD patients be codified on Axis II. Axis II involves the psychosocial impact of chronic pain, characteristic pain intensity, and disability attributed to TMD pain. This emphasis on the importance of psychological issues is reflected in the findings of several studies of TMD patients. The objective of this study was to identify differences between 3 groups of TMD patients, those with muscle problems, articular problems, or both and compare these differences on psychosocial domains. The RDC/TMD data for Axes I and II for 116 patients with a history of TMD, and after was compared the level of depression, somatization and chronic pain grade in patients in single and multiple RDC/TMD diagnostic group. Within the limitations of this study, concluded that female and patients diagnosed with muscle and articular problems was more prevalent, with higher levels of chronic pain grade, tends to show more somatization, and patients diagnosed with articular problems with lower levels of chronic pain grade and Depression. |
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Reis, Rodrigo Sant'Anna Aguiar dosMoreira, Edson Jorge LimaPereira Júnior, Francisco JoséFernandes, Paulo Roberto BrasilTeixeira, Nilda Maria2016-11-11T17:56:44Z2009-06-29TEXEIRA, Nilda Maria. Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD). 2009. 52 f. Dissertação (Mestrado em Odontologia) - Universidade do Grande Rio “Prof. José de Souza Herdy", Duque de Caxias.http://localhost:8080/tede/handle/tede/101Temporomandibular disorders (TMD) is a collective term embracing a number of clinical problems that involve the masticatory musculature, the temporomandibular joints (TMJ), or both. The most frequently sign at presentation is pain, usually localized in the muscles of mastication, the preauricular area, and/or the TMJ. Patients with TMD often have limited or asymmetric mandibular movements and joint sounds that are commonly described as clicking, pop-ping, grating, or crepitus. Studies indicate that TMD is a chronic pain condition that shares the major characteristic of other common chronic pain conditions. It is widely recognized that psychological factors may be involved in the pain perception process. Although the etiology of TMD has not been established, psychological factors have been implicated in the predisposition, initiation, and perpetuation of TMD and psychological therapies have been found to be beneficial for some TMD patients. The importance of psychosocial issues was recently highlighted in the development of the Research Diagnostic Criteria for Tempomandibular Disorders (RDC/TMD). Dworkin and LeResche recommend that, in addition to the physical diagnosis (Axis I), a psychosocial assessment of TMD patients be codified on Axis II. Axis II involves the psychosocial impact of chronic pain, characteristic pain intensity, and disability attributed to TMD pain. This emphasis on the importance of psychological issues is reflected in the findings of several studies of TMD patients. The objective of this study was to identify differences between 3 groups of TMD patients, those with muscle problems, articular problems, or both and compare these differences on psychosocial domains. The RDC/TMD data for Axes I and II for 116 patients with a history of TMD, and after was compared the level of depression, somatization and chronic pain grade in patients in single and multiple RDC/TMD diagnostic group. Within the limitations of this study, concluded that female and patients diagnosed with muscle and articular problems was more prevalent, with higher levels of chronic pain grade, tends to show more somatization, and patients diagnosed with articular problems with lower levels of chronic pain grade and Depression.Desordens Temporomandibulares (DTM) é um termo coletivo envolvendo um número de problemas clínicos que envolvem os músculos mastigatórios, a articulação temporomandibular, ou ambos. O sinal mais frequente de desta condição é dor, usualmente localizada nos músculos da mastigação, na área pré - auricular, e/ ou na ATM. O paciente com DTM frequentemente tem os movimentos mandibulares limitados ou assimétricos e sons articulares que são comumente descritos como clique ou estalido, rangido ou crepitação. Estudos indicam que as DTM è um conjunto de condições de dor crônica que compartilham importantes características com outras condições de dor crônica comum. É amplamente reconhecido que fatores psicológicos podem ser envolvidos no processo de percepção da dor. Apesar da etiologia das DTM não ter sido estabelecida, fatores psicológicos tem sido implicados na predisposição, iniciação e perpetuação das DTM e Terapias psicológicas tem sido consideradas benéficas para alguns pacientes de DTM. A importância da questão psicossocial foi destacada no desenvolvimento dos Critérios para diagnóstico e pesquisa para Desodens Temporomandibulares (RDC/TMD). Dworkin e LeResche recomendaram que, além do diagnostico físico (Eixo I), uma avaliação psicossocial (Eixo II) também deveria ser realizada nos pacientes de DTM. O Eixo II envolve o impacto psicossocial da dor crônica, característica da intensidade da dor, e a incapacidade atribuída a dor da DTM. Esta ênfase na importância das questões psicossociais é refletida nas conclusões de vários estudos de pacientes de DTM. O objetivo deste estudo foi identificar as diferenças entre os 3 grupos de pacientes de DTM, aqueles com problemas musculares, problemas articulares ou ambos, e comparar essas diferenças na área psicossocial. Os dados do RDC/TMD para o Eixo I e Eixo II foram aplicados a 116 pacientes com história de DTM e depois comparados o nível de depressão, somatização e grau de dor crônica nos pacientes com um ou mais diagnostico do RDC/TMD. De acordo com o observado neste estudo, concluímos que o sexo feminino foi predominante, os pacientes diagnosticados com DTM mista foram mais prevalentes, com um maior grau de dor crônica, tendendo a apresentar mais somatização, e os pacientes com diagnóstico de DTM articular teve menor Grau de Dor Crônica e menos Depressão.Submitted by Janser dos Santos Nascimento (janser.nascimento@unigranrio.com.br) on 2016-11-11T17:56:43Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Nilda Maria Teixeira.pdf: 802219 bytes, checksum: 8e1ad4c19275a966c2fd337a21789872 (MD5)Made available in DSpace on 2016-11-11T17:56:44Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Nilda Maria Teixeira.pdf: 802219 bytes, checksum: 8e1ad4c19275a966c2fd337a21789872 (MD5) Previous issue date: 2009-06-29CNPqapplication/pdfporUniversidade do Grande RioPrograma de Pós-Graduação em OdontologiaUNIGRANRIOBrasilUnigranrio::Odontologiahttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessOdontologiaArticulação temporomandibular - DoençasDor facialODONTOLOGIAAvaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisreponame:Biblioteca Digital de Teses e Dissertações da UNIGRANRIOinstname:Universidade do Grande Rio (UNIGRANRIO)instacron:UNIGRANRIOLICENSElicense.txtlicense.txttext/plain; charset=utf-81982http://localhost:8080/tede/bitstream/tede/101/1/license.txt4a50535e8405f611398e6e2d408dbd1bMD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://localhost:8080/tede/bitstream/tede/101/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://localhost:8080/tede/bitstream/tede/101/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://localhost:8080/tede/bitstream/tede/101/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54ORIGINALNilda Maria Teixeira.pdfNilda Maria Teixeira.pdfapplication/pdf802219http://localhost:8080/tede/bitstream/tede/101/5/Nilda+Maria+Teixeira.pdf8e1ad4c19275a966c2fd337a21789872MD55tede/1012016-11-11 15:56:44.029oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.unigranrio.edu.br/PUBhttp://tede.unigranrio.edu.br/oai/requestrepositorio@instituicao.br||repositorio@instituicao.bropendoar:2016-11-11T17:56:44Biblioteca Digital de Teses e Dissertações da UNIGRANRIO - Universidade do Grande Rio (UNIGRANRIO)false |
dc.title.por.fl_str_mv |
Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD) |
title |
Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD) |
spellingShingle |
Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD) Teixeira, Nilda Maria Odontologia Articulação temporomandibular - Doenças Dor facial ODONTOLOGIA |
title_short |
Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD) |
title_full |
Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD) |
title_fullStr |
Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD) |
title_full_unstemmed |
Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD) |
title_sort |
Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD) |
author |
Teixeira, Nilda Maria |
author_facet |
Teixeira, Nilda Maria |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Reis, Rodrigo Sant'Anna Aguiar dos |
dc.contributor.referee1.fl_str_mv |
Moreira, Edson Jorge Lima |
dc.contributor.referee2.fl_str_mv |
Pereira Júnior, Francisco José |
dc.contributor.referee3.fl_str_mv |
Fernandes, Paulo Roberto Brasil |
dc.contributor.author.fl_str_mv |
Teixeira, Nilda Maria |
contributor_str_mv |
Reis, Rodrigo Sant'Anna Aguiar dos Moreira, Edson Jorge Lima Pereira Júnior, Francisco José Fernandes, Paulo Roberto Brasil |
dc.subject.por.fl_str_mv |
Odontologia Articulação temporomandibular - Doenças Dor facial |
topic |
Odontologia Articulação temporomandibular - Doenças Dor facial ODONTOLOGIA |
dc.subject.cnpq.fl_str_mv |
ODONTOLOGIA |
description |
Temporomandibular disorders (TMD) is a collective term embracing a number of clinical problems that involve the masticatory musculature, the temporomandibular joints (TMJ), or both. The most frequently sign at presentation is pain, usually localized in the muscles of mastication, the preauricular area, and/or the TMJ. Patients with TMD often have limited or asymmetric mandibular movements and joint sounds that are commonly described as clicking, pop-ping, grating, or crepitus. Studies indicate that TMD is a chronic pain condition that shares the major characteristic of other common chronic pain conditions. It is widely recognized that psychological factors may be involved in the pain perception process. Although the etiology of TMD has not been established, psychological factors have been implicated in the predisposition, initiation, and perpetuation of TMD and psychological therapies have been found to be beneficial for some TMD patients. The importance of psychosocial issues was recently highlighted in the development of the Research Diagnostic Criteria for Tempomandibular Disorders (RDC/TMD). Dworkin and LeResche recommend that, in addition to the physical diagnosis (Axis I), a psychosocial assessment of TMD patients be codified on Axis II. Axis II involves the psychosocial impact of chronic pain, characteristic pain intensity, and disability attributed to TMD pain. This emphasis on the importance of psychological issues is reflected in the findings of several studies of TMD patients. The objective of this study was to identify differences between 3 groups of TMD patients, those with muscle problems, articular problems, or both and compare these differences on psychosocial domains. The RDC/TMD data for Axes I and II for 116 patients with a history of TMD, and after was compared the level of depression, somatization and chronic pain grade in patients in single and multiple RDC/TMD diagnostic group. Within the limitations of this study, concluded that female and patients diagnosed with muscle and articular problems was more prevalent, with higher levels of chronic pain grade, tends to show more somatization, and patients diagnosed with articular problems with lower levels of chronic pain grade and Depression. |
publishDate |
2009 |
dc.date.issued.fl_str_mv |
2009-06-29 |
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2016-11-11T17:56:44Z |
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TEXEIRA, Nilda Maria. Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD). 2009. 52 f. Dissertação (Mestrado em Odontologia) - Universidade do Grande Rio “Prof. José de Souza Herdy", Duque de Caxias. |
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http://localhost:8080/tede/handle/tede/101 |
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TEXEIRA, Nilda Maria. Avaliação dos aspectos psicossociais em pacientes com desordens temporomandibular de origem muscular, articular e mista por meio dos critérios de diagnóstico para pesquisa de DTM ( RDC/TMD). 2009. 52 f. Dissertação (Mestrado em Odontologia) - Universidade do Grande Rio “Prof. José de Souza Herdy", Duque de Caxias. |
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