Abstract

MEEDER BELLA, W. et al. Temporomandibular disorders: clinical profile, comorbility, etiological associations and therapeutical guidelines. Av Odontoestomatol [online]. 2010, vol.26, n.4, pp.209-216. ISSN 2340-3152.

Purpose: The aim of this study was to elucidate the etiologic factors and assess comorbidity in patients with temporomandibular disorders (TMD) and orofacial pain (OFP), to define therapeutic guidelines. Materials and methods: A clinical-anamnestic study was done between April 2004 and April 2008 in patients who spontaneously attended the university clinic of the specialty. Results: 263 patients were examined, of whom 80.22% were women. The most common complaint was cranio facial pain (84%). A 49.43% of the patients did not recognize the cause of onset of the problem. "Stress/depression" (24.71%) was the most mentioned. TMD eminently represented a chronic condition: the 34.55% of patients reported a duration time between 1-5 years, only 17.58% had the pathology less than 6 months. The relative frequency of diagnoses, non exclusive, was local muscle pain, 81.37%; capsulitis/synovitis, 74.52%, and psychosocial disorders, 61.98%. High comorbidity of TMD was observed with headache, 55.89%; psychosocial disorders, 52.47%; sleep disturbances, 39.54%; and cervical abnormalities, 28.9%. Discussion: The sociodemographic and clinical features of patients that were evaluated match reports of the current literature. We found significant associations between bruxism and local muscle pain (p=0,014); bruxism and capsulitis / synovitis (p=0,025), and depression/moderate and local muscle pain (p=0,006). We conclude that physical self regulation, parafunction control and interdisciplinary collaboration are needed as treatment for patients with TMD.

Keywords : TMD; orofacial pain; chronic pain; comorbidity; psychosocial disorders.

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