Fatores de risco para a disfunção temporomandibular em adolescentes: estudo caso-controle

• Autor(a) principal: Bonafé, Fernanda Salloume Sampaio [UNESP]
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/113927
• topic: Articulação temporomandibular - Doenças; Adolescentes; Risco; Risk

The prevalence of signs and symptoms of Temporomandibular Disorder (TMD) in adolescents has been as frequent as in adults. The aim this study was evaluated potential risk factor enrolled with TMD in adolescents. Participated of this study 100 students with 13.73±0.72 years old, 48 painful TMD patients and 52 without TMD. These groups re matched by gender and age. To characterize the sample sociodemographic, clinical and behavioral information were raised: TMD (Research Diagnostic Criteria for TMD Axis I - RDC/TMD), nutritional status (BMI-z), body pain (Standardized Nordic Questionnaire), parafunctional oral habits, physical activity and self-esteem(Rosenberg Self-Esteem Scale - SES). The validity of the SES was conducted using the Confirmatory Factor Analysis. Descriptive statistics and study of the association using the chi-square (2) and t-Student tests were carried out, adopting a significance level of 5%. Also it estimated odds ratio (OR) and prepared multiple logistic regression model to estimate the probability of developing painful TMD. After removed 5 items of SES, the scale was adjusted (2/df= 0.545; CFI=1.000; GFI=0.991; RMSEA=0.000). Among the variables studied, the report of daytime clenching (=1.394, p=0.003) and neck pain (=1.936, p<0.001) showed significant contribution to the development of painful TMD. Therefore, adolescents who reported parafunctional habit of clenching of teeth during the day and neck pain have a higher chance of present painful TMD than those do not.