A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações do UTP |
Texto Completo: | http://tede.utp.br:8080/jspui/handle/tede/1475 |
Resumo: | Functional disorders in individuals with cleft lip and palate (FL/P) may compromise the structures of the stomatognathic system (MIYAWAKI; TAKADA, 1997), and may be the cause of any complaints. The mechanisms of orofacial pain, in particular temporomandibular disorders (TMD), may be related to these conditions, causing a diffuse, non-specific or referred pain, correlating these conditions becomes a critical task. The aim of this study was to verify the prevalence of TMD, through validated instruments, in patients with cleft lip and palate (FL/P). This was a cross-sectional observational study of a quantitative and intentional random sample in patients with FL/P (n = 66) and a group of patients with TMD (n = 28), where three questionnaires were used - TMD screening questionnaire (AAOP), Graded Chronic Pain Scale (GCPS) and Neuropathic Pain Questionnaire (DN4). In the screening questionnaire, where the total of the studied sample answered affirmatively to at least one question, question 2 (p= .01) and question 7 (p = .021) showed the importance of investigating TMD in this group of patients. In the application of the Chronic Pain Scale (GCPS) the results showed that the interference of pain in daily activities (p= .034) is statistically more significant for the fissured than the control group. Regarding neuropathic pain, there was no statistically significant difference. It can be concluded that the evaluation for orofacial pain, in particular TMD pain, has proven to be a valid approach that can be implemented - by the presence of TMD signs and symptoms - as a routine for services that work with patients with cleft lip and palate, and thus guide them to seek help for these pains that affect the ability to perform daily activities. |
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Stechman Neto, JoséGuariza Filho, OdilonTonocchi, Rita de Cassiahttp://lattes.cnpq.br/4443708789523329Ravazzi, Glória Maria Nogueira Cortz2018-07-25T17:57:49Z2018-03-29Ravazzi, Glória Maria Nogueira Cortz. A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal. 2018. 58 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2018.http://tede.utp.br:8080/jspui/handle/tede/1475Functional disorders in individuals with cleft lip and palate (FL/P) may compromise the structures of the stomatognathic system (MIYAWAKI; TAKADA, 1997), and may be the cause of any complaints. The mechanisms of orofacial pain, in particular temporomandibular disorders (TMD), may be related to these conditions, causing a diffuse, non-specific or referred pain, correlating these conditions becomes a critical task. The aim of this study was to verify the prevalence of TMD, through validated instruments, in patients with cleft lip and palate (FL/P). This was a cross-sectional observational study of a quantitative and intentional random sample in patients with FL/P (n = 66) and a group of patients with TMD (n = 28), where three questionnaires were used - TMD screening questionnaire (AAOP), Graded Chronic Pain Scale (GCPS) and Neuropathic Pain Questionnaire (DN4). In the screening questionnaire, where the total of the studied sample answered affirmatively to at least one question, question 2 (p= .01) and question 7 (p = .021) showed the importance of investigating TMD in this group of patients. In the application of the Chronic Pain Scale (GCPS) the results showed that the interference of pain in daily activities (p= .034) is statistically more significant for the fissured than the control group. Regarding neuropathic pain, there was no statistically significant difference. It can be concluded that the evaluation for orofacial pain, in particular TMD pain, has proven to be a valid approach that can be implemented - by the presence of TMD signs and symptoms - as a routine for services that work with patients with cleft lip and palate, and thus guide them to seek help for these pains that affect the ability to perform daily activities.Os distúrbios funcionais em indivíduos com fissura labiopalatal (FL/P) podem comprometer as estruturas do sistema estomatognático, sendo uma causa de eventuais queixas desses indivíduos. Inúmeros mecanismos de dor orofacial, em particular as disfunções temporomandibulares (DTM) dolorosas, podem estar relacionados a essas condições e têm potencial de ser a causa de uma dor difusa, não específica ou referida. Torna-se, portanto, uma tarefa crítica correlacionar essas condições. Assim, foi objetivo deste estudo verificar a prevalência de DTM dolorosa através de instrumentos validados em pacientes com fissura labiopalatal (FL/P). O estudo foi observacional transversal de caráter quantitativo e amostra aleatória intencional em pacientes com FL/P (n=66) e em um grupo de pacientes com DTM dolorosa (n=28), aos quais foram aplicados três questionários: de triagem para DTM dolorosa (AAOP); de escala graduada de dor crônica (GCPS); de dor neuropática (DN4). No questionário de triagem, em que o total da amostra estudada respondeu afirmativamente a pelo menos uma questão, a questão 2 (p=0,01) e a questão 7 (p=0,021) mostraram a importância de investigar as DTMs dolorosas nesse grupo de pacientes. Na aplicação da escala graduada de dor crônica (GCPS), os resultados demonstraram que a prevalência de interferência da dor nas atividades diárias é maior no grupo de indivíduos com fissura em relação ao grupo controle de pacientes com DTM dolorosa (p=0,034). Com relação às dores neuropáticas não houve diferença estatisticamente significativa. Pode-se concluir que a avaliação para as dores orofaciais, em particular as dores provenientes das DTMs dolorosas, demonstrou ser uma abordagem válida, que pode ser implantada - pela presença de sinais e sintomas de DTM dolorosa - como uma rotina para os serviços que atuem com pacientes com FL/P e, dessa forma, orientá-los a buscar auxílio para tais dores, que afetam a capacidade na execução das atividades diárias.Submitted by Divanete Paiva (divanete.paiva@utp.br) on 2018-07-25T17:57:49Z No. of bitstreams: 1 A RELACAO ENTRE A DISFUNCAO.pdf: 3554399 bytes, checksum: eedf6804dbb6725101ff93438f0a9fae (MD5)Made available in DSpace on 2018-07-25T17:57:49Z (GMT). No. of bitstreams: 1 A RELACAO ENTRE A DISFUNCAO.pdf: 3554399 bytes, checksum: eedf6804dbb6725101ff93438f0a9fae (MD5) Previous issue date: 2018-03-29Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade Tuiuti do ParanaMestrado em Distúrbios da ComunicaçãoUTPBrasilDistúrbios da ComunicaçãoFissura labiopalatinaFenda labialFissura palatinaDor orofacialCleft lip and palateCleft lipCleft palateOrofacial painCIENCIAS DA SAUDE::FONOAUDIOLOGIAA relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-6104338271566220491500500600600-1465691230269154980-14466703303253913472075167498588264571info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações do UTPinstname:Universidade Tuiuti do Paranáinstacron:UTPLICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1475/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51ORIGINALA RELACAO ENTRE A DISFUNCAO.pdfA RELACAO ENTRE A DISFUNCAO.pdfapplication/pdf3554399http://localhost:8080/tede/bitstream/tede/1475/2/A+RELACAO+ENTRE+A+DISFUNCAO.pdfeedf6804dbb6725101ff93438f0a9faeMD52tede/1475oai:localhost:tede/14752018-07-25 14:57:49.917TEDEtede@utp.brTk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSw5NQUklBIExJQ0VOw4dBCkVzdGEgbGljZW7Dp2EgZGUgZXhlbXBsbyDDqSBmb3JuZWNpZGEgYXBlbmFzIHBhcmEgZmlucyBpbmZvcm1hdGl2b3MuCgpMSUNFTsOHQSBERSBESVNUUklCVUnDh8ODTyBOw4NPLUVYQ0xVU0lWQQoKQ29tIGEgYXByZXNlbnRhw6fDo28gZGVzdGEgbGljZW7Dp2EsIHZvY8OqIChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSDDoCBVbml2ZXJzaWRhZGUgClhYWCAoU2lnbGEgZGEgVW5pdmVyc2lkYWRlKSBvIGRpcmVpdG8gbsOjby1leGNsdXNpdm8gZGUgcmVwcm9kdXppciwgIHRyYWR1emlyIChjb25mb3JtZSBkZWZpbmlkbyBhYmFpeG8pLCBlL291IApkaXN0cmlidWlyIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0csO0bmljbyBlIAplbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mgw6F1ZGlvIG91IHbDrWRlby4KClZvY8OqIGNvbmNvcmRhIHF1ZSBhIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBwb2RlLCBzZW0gYWx0ZXJhciBvIGNvbnRlw7pkbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIApwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIHRhbWLDqW0gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPDs3BpYSBhIHN1YSB0ZXNlIG91IApkaXNzZXJ0YcOnw6NvIHBhcmEgZmlucyBkZSBzZWd1cmFuw6dhLCBiYWNrLXVwIGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIGRlY2xhcmEgcXVlIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyDDqSBvcmlnaW5hbCBlIHF1ZSB2b2PDqiB0ZW0gbyBwb2RlciBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcyAKbmVzdGEgbGljZW7Dp2EuIFZvY8OqIHRhbWLDqW0gZGVjbGFyYSBxdWUgbyBkZXDDs3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyBuw6NvLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3XDqW0uCgpDYXNvIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jw6ogbsOjbyBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2PDqiAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc8OjbyBpcnJlc3RyaXRhIGRvIGRldGVudG9yIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBwYXJhIGNvbmNlZGVyIMOgIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSAKb3MgZGlyZWl0b3MgYXByZXNlbnRhZG9zIG5lc3RhIGxpY2Vuw6dhLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3TDoSBjbGFyYW1lbnRlIAppZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250ZcO6ZG8gZGEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFRFU0UgT1UgRElTU0VSVEHDh8ODTyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0PDjU5JTyBPVSAKQVBPSU8gREUgVU1BIEFHw4pOQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PIFFVRSBOw4NPIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0PDiiBERUNMQVJBIFFVRSBSRVNQRUlUT1UgVE9ET1MgRSBRVUFJU1FVRVIgRElSRUlUT1MgREUgUkVWSVPDg08gQ09NTyAKVEFNQsOJTSBBUyBERU1BSVMgT0JSSUdBw4fDlUVTIEVYSUdJREFTIFBPUiBDT05UUkFUTyBPVSBBQ09SRE8uCgpBIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lIChzKSBvdSBvKHMpIG5vbWUocykgZG8ocykgCmRldGVudG9yKGVzKSBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgZGEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvLCBlIG7Do28gZmFyw6EgcXVhbHF1ZXIgYWx0ZXJhw6fDo28sIGFsw6ltIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2Vuw6dhLgo= |
dc.title.por.fl_str_mv |
A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal |
title |
A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal |
spellingShingle |
A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal Ravazzi, Glória Maria Nogueira Cortz Fissura labiopalatina Fenda labial Fissura palatina Dor orofacial Cleft lip and palate Cleft lip Cleft palate Orofacial pain CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal |
title_full |
A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal |
title_fullStr |
A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal |
title_full_unstemmed |
A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal |
title_sort |
A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal |
author |
Ravazzi, Glória Maria Nogueira Cortz |
author_facet |
Ravazzi, Glória Maria Nogueira Cortz |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Stechman Neto, José |
dc.contributor.referee1.fl_str_mv |
Guariza Filho, Odilon |
dc.contributor.referee2.fl_str_mv |
Tonocchi, Rita de Cassia |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4443708789523329 |
dc.contributor.author.fl_str_mv |
Ravazzi, Glória Maria Nogueira Cortz |
contributor_str_mv |
Stechman Neto, José Guariza Filho, Odilon Tonocchi, Rita de Cassia |
dc.subject.por.fl_str_mv |
Fissura labiopalatina Fenda labial Fissura palatina Dor orofacial |
topic |
Fissura labiopalatina Fenda labial Fissura palatina Dor orofacial Cleft lip and palate Cleft lip Cleft palate Orofacial pain CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Cleft lip and palate Cleft lip Cleft palate Orofacial pain |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.description.sponsorship.fl_txt_mv |
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES |
dc.description.abstract.eng.fl_txt_mv |
Functional disorders in individuals with cleft lip and palate (FL/P) may compromise the structures of the stomatognathic system (MIYAWAKI; TAKADA, 1997), and may be the cause of any complaints. The mechanisms of orofacial pain, in particular temporomandibular disorders (TMD), may be related to these conditions, causing a diffuse, non-specific or referred pain, correlating these conditions becomes a critical task. The aim of this study was to verify the prevalence of TMD, through validated instruments, in patients with cleft lip and palate (FL/P). This was a cross-sectional observational study of a quantitative and intentional random sample in patients with FL/P (n = 66) and a group of patients with TMD (n = 28), where three questionnaires were used - TMD screening questionnaire (AAOP), Graded Chronic Pain Scale (GCPS) and Neuropathic Pain Questionnaire (DN4). In the screening questionnaire, where the total of the studied sample answered affirmatively to at least one question, question 2 (p= .01) and question 7 (p = .021) showed the importance of investigating TMD in this group of patients. In the application of the Chronic Pain Scale (GCPS) the results showed that the interference of pain in daily activities (p= .034) is statistically more significant for the fissured than the control group. Regarding neuropathic pain, there was no statistically significant difference. It can be concluded that the evaluation for orofacial pain, in particular TMD pain, has proven to be a valid approach that can be implemented - by the presence of TMD signs and symptoms - as a routine for services that work with patients with cleft lip and palate, and thus guide them to seek help for these pains that affect the ability to perform daily activities. |
dc.description.abstract.por.fl_txt_mv |
Os distúrbios funcionais em indivíduos com fissura labiopalatal (FL/P) podem comprometer as estruturas do sistema estomatognático, sendo uma causa de eventuais queixas desses indivíduos. Inúmeros mecanismos de dor orofacial, em particular as disfunções temporomandibulares (DTM) dolorosas, podem estar relacionados a essas condições e têm potencial de ser a causa de uma dor difusa, não específica ou referida. Torna-se, portanto, uma tarefa crítica correlacionar essas condições. Assim, foi objetivo deste estudo verificar a prevalência de DTM dolorosa através de instrumentos validados em pacientes com fissura labiopalatal (FL/P). O estudo foi observacional transversal de caráter quantitativo e amostra aleatória intencional em pacientes com FL/P (n=66) e em um grupo de pacientes com DTM dolorosa (n=28), aos quais foram aplicados três questionários: de triagem para DTM dolorosa (AAOP); de escala graduada de dor crônica (GCPS); de dor neuropática (DN4). No questionário de triagem, em que o total da amostra estudada respondeu afirmativamente a pelo menos uma questão, a questão 2 (p=0,01) e a questão 7 (p=0,021) mostraram a importância de investigar as DTMs dolorosas nesse grupo de pacientes. Na aplicação da escala graduada de dor crônica (GCPS), os resultados demonstraram que a prevalência de interferência da dor nas atividades diárias é maior no grupo de indivíduos com fissura em relação ao grupo controle de pacientes com DTM dolorosa (p=0,034). Com relação às dores neuropáticas não houve diferença estatisticamente significativa. Pode-se concluir que a avaliação para as dores orofaciais, em particular as dores provenientes das DTMs dolorosas, demonstrou ser uma abordagem válida, que pode ser implantada - pela presença de sinais e sintomas de DTM dolorosa - como uma rotina para os serviços que atuem com pacientes com FL/P e, dessa forma, orientá-los a buscar auxílio para tais dores, que afetam a capacidade na execução das atividades diárias. |
description |
Functional disorders in individuals with cleft lip and palate (FL/P) may compromise the structures of the stomatognathic system (MIYAWAKI; TAKADA, 1997), and may be the cause of any complaints. The mechanisms of orofacial pain, in particular temporomandibular disorders (TMD), may be related to these conditions, causing a diffuse, non-specific or referred pain, correlating these conditions becomes a critical task. The aim of this study was to verify the prevalence of TMD, through validated instruments, in patients with cleft lip and palate (FL/P). This was a cross-sectional observational study of a quantitative and intentional random sample in patients with FL/P (n = 66) and a group of patients with TMD (n = 28), where three questionnaires were used - TMD screening questionnaire (AAOP), Graded Chronic Pain Scale (GCPS) and Neuropathic Pain Questionnaire (DN4). In the screening questionnaire, where the total of the studied sample answered affirmatively to at least one question, question 2 (p= .01) and question 7 (p = .021) showed the importance of investigating TMD in this group of patients. In the application of the Chronic Pain Scale (GCPS) the results showed that the interference of pain in daily activities (p= .034) is statistically more significant for the fissured than the control group. Regarding neuropathic pain, there was no statistically significant difference. It can be concluded that the evaluation for orofacial pain, in particular TMD pain, has proven to be a valid approach that can be implemented - by the presence of TMD signs and symptoms - as a routine for services that work with patients with cleft lip and palate, and thus guide them to seek help for these pains that affect the ability to perform daily activities. |
publishDate |
2018 |
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2018-07-25T17:57:49Z |
dc.date.issued.fl_str_mv |
2018-03-29 |
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Ravazzi, Glória Maria Nogueira Cortz. A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal. 2018. 58 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2018. |
dc.identifier.uri.fl_str_mv |
http://tede.utp.br:8080/jspui/handle/tede/1475 |
identifier_str_mv |
Ravazzi, Glória Maria Nogueira Cortz. A relação entre a disfunção temporomandibular dolorosa e a fissura labiopalatal. 2018. 58 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2018. |
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http://tede.utp.br:8080/jspui/handle/tede/1475 |
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por |
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Universidade Tuiuti do Parana |
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UTP |
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Distúrbios da Comunicação |
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