The occurrence of Temporomandibular Disorders in subjects presented with dentofacial deformities
Ocorrência de disfunção temporomandibular em indivíduos com deformidade dentofacial
Dannyelle Christinny Bezerra de Oliveira Freitas Passos; Paulo César Rodrigues Conti; Hugo Nary Filho; Giédre Berretin-Felix
Abstract
Purpose: to investigate the occurrence of temporomandibular dysfunction in subjects with dentofacial deformity.
Methods: 60 subjects of both sexes and aged between 18 and 40 years (mean = 27 years) and formed two groups, one composed of 30 subjects with dentofacial deformity undergoing presurgical orthodontic treatment were evaluated and a control group consisted of 30 individuals with dentofacial balance, paired to dentofacial group, according to gender and age. Anamnestic questionnaire of temporomandibular dysfunction and Axis 1 of Research Diagnostic Criteria for Temporomandibular Disorders were applied, respectively, so as to verify and rate the degree and type of temporomandibular disorders.
Results: the results of the questionnaire demonstrated that dentofacial group presented a greater dysfunction degree and score than control group (p <0.01). From the Research Diagnostic Criteria for Temporomandibular Disorders, a greater occurrence of diagnoses involving disc displacement (p = 0.02) and arthritis, arthrosis and arthralgia (p <0.01) for dentofacial group, in relation to control group, was verified.
Conclusion: individuals with dentofacial deformity had increased incidence of temporomandibular dysfunction, compared with individuals with dentofacial equilibrium, in the sample studied.
Keywords
Resumo
Objetivo: verificar a ocorrência de disfunção temporomandibular em indivíduos com deformidade dentofacial.
Métodos: foram avaliados 60 indivíduos de ambos os gêneros e idade entre 18 e 40 anos (média=27 anos), sendo formados dois grupos, um composto por 30 sujeitos com deformidade dentofacial, em tratamento ortodôntico pré-cirúrgico e um grupo controle constituído por 30 indivíduos com equilíbrio dentofacial, pareados segundo o gênero e a idade com o grupo deformidade. Para avaliação da articulação temporomandibular, foram aplicados o questionário anamnésico de disfunção temporomandibular e o Eixo 1 do Research Diagnostic Criteria for Temporomandibular Disorders para verificar e classificar o grau e o tipo da disfunção temporomandibular, respectivamente.
Resultados: os resultados da aplicação do questionário demonstraram que o grupo com deformidade apresentou maior grau e escore da disfunção que o grupo controle (p<0,01). A partir do Research Diagnostic Criteria for Temporomandibular Disorders verificou-se maior ocorrência de diagnósticos de deslocamento de disco (p=0,02) e de artrite, artralgia e artrose (p<0,01) no grupo com deformidade em relação ao grupo controle.
Conclusão: indivíduos com deformidade dentofacial apresentaram maior ocorrência de disfunção temporomandibular, quando comparados aos indivíduos com equilíbrio dentofacial, na amostra estudada.
Palavras-chave
References
1. Gonçales ES. Cirurgia ortognática: guia de orientação para portadores de deformidades faciais esqueléticas. São Paulo: Editora Santos; 2010.
2. Manganello LCS, Silveira ME, Cappellette M, Garducci M, Lino AP. Cirurgia ortognática e ortodontia. São Paulo: Santos; 1998.
3. Hall B, Jamsa T, Soukka T, Peltomaki T. Duration of surgical-orthodontic treatment. Acta Odontol Scand. 2008;66(5):274-7.
4. Okasaki LK. Quando indicar uma cirurgia ortognática. In: Araújo A, organizador. Cirurgia Ortognática. São Paulo: Santos; 1999. P.7-18.
5. Wigdorowicz-Makowerowa N, Grodzki C, Panek H, Ma'slanka T, Plonka K, Palacha A. Epidemiologic studies on prevalence and etiology of functional disturbances of the masticatory system. J Prosthet Dent. 1979;41(1):76-82.
6. Gesch D, Bernhardt O, Mack F, John U, Kocher T, Alte D. Association of malocclusion and functional occlusion with subjective symptoms of TMD in adults: results of the Study of Health in Pomerania (SHIP). Angle Orthod. 2005;75(2):183-90.
7. Conti ACCF, Freitas MR, Conti PCR. Avaliação da posição condilar e disfunção temporomandibular em pacientes com má oclusão de classe III submetidos à protrusão mandibular ortopédica. R Dental Press Ortodon Ortop Facial. 2008;13(2):49-60.
8. Thilander B, Rubio G, Pena L, de Mayorga C. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. Angle Orthod. 2002;72(2):146-54.
9. Oliveira AS, Dias EM, Contato RG, Berzin F. Prevalence study signs and symptoms of temporomandibular disorder in Brazilian college students. Braz Oral Res. 2006;20 (1):3-7.
10. Okeson JP. Management of temporomandibular disorders and occlusion. 6th ed. St.Louis: Elsevier; 2008.
11. Valle-Corotti KM, Pinzan A, Conti PCR, Janson G. A oclusão e a sua relação com as disfunções temporomandibulares (DTM) em jovens com e sem tratamento ortodôntico: um estudo comparativo. Revista Dental Press Ortodon. 2003;8(6):79-87.
12. Al-Ani MZ, Davies SJ, Gray RJ, Sloan P, Glenny AM. Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. Cochrane Database Syst Rev. 2004;(1):CD002778. Review.
13. Koh H, Robinson PG. Occlusal adjustment for treating and preventing temporomandibular joint disorders. J Oral Rehabil. 2004;31(4):287-92. Review.
14. Mohlin B, Axelsson S, Paulin G, Terttu P, Bondemark L, Brattstrom V, et al. TMD in relation to malocclusion and orthodontic treatment. Angle Orthodontist. 2007;77(3):542-8.
15. Wolford LM, Karras S, Mehra P. Concomitant temporomandibular joint and orthognathic surgery: a preliminary report. J Oral Maxillofac Surg. 2002;60(4):356-62.
16. Wolford LM, Reiche-Fischel O, Mehra P. Changes in temporomandibular joint dysfunction after orthognathic surgery. J Oral Maxillofac Surg. 2003;61(6):655-60.
17. Aoyama S, Kino K, Kobayashi J, Yoshimasu H, Amagasa T. Clinical evaluation of the temporomandibular joint following orthognathic surgery – multiple logistic regression analysis. J Med Dent Sci. 2005;52:109-14.
18. Farella M, Michelotti A, Bocchino T, Cimino R, Laino A, Steenks MH. Effects of orthognathic surgery for class III maloclusion on signs and symptoms of temporomandibular disorders and on pressure pain thresholds of the jaw muscles. Int J Oral Maxillofac Surg. 2007;36(7):583-7.
19. Pahkala RH, Kellokoski JK. Surgical-orthodontic treatment and patients'functional and psychosocial well-being. Am J Orthod Dentofacial Orthop. 2007;132(2):158-64.
20. Oland J, Jensen J, Melsen B. Factors of importance for the functional outcome in orthognathic surgery patients: a prospective study of 118 patients. J Oral Maxillofac Surg. 2010;68(9):2221-31.
21. Ramieri G, Piancino MG, Frongia G, Gerbino G, Fontana PA, Debernardi C, et al. Clinical and instrumental evaluation of temporomandibular joint before and after surgical correction of asymptomatic skeletal class III patients. J Craniofac Surg. 2011;22(2):527-31.
22. Silva MMA, Ferreira AT, Migliorucci RR, Nary Filho H, Berretin-Felix G. Influência do tratamento ortodôntico-cirúrgico nos sinais e sintomas de disfunção temporomandibular em indivíduos com deformidades dentofaciais. Rev Soc Bras Fonoaudiol. 2011;16(1):80-4.
23. Panula K, Somppi M, Finne K, Oikarinen K. Effects of orthognathic surgery on temporomandibular joint dysfunction. A controlled prospective 4-year follow-up study.Int J Oral Maxillofac Surg. 2000;29(3):183-7.
24. Dervis E. Tuncer E. Long-term evaluations of temporomandibular disorders in patients undergoing orthognathic surgery compared with a control group. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94(5):554-60.
25. Genaro KF, Berretin-Felix G, Rehder MIBC, Marchesan IQ. Avaliação miofuncional orofacial – protocolo MBGR. Rev CEFAC. 2009;11(2):237-55.
26. Conti PC, Ferreira PM, Pegoraro LF, Conti JV, Salvador MC. A cross-sectional study of prevalence and etiology of signs and symptoms of temporomandibular disorders in high school and university students. J Orofac Pain. 1996;10(3):254-62.
27. Egermark I, Blomqvist JE, Cromvik U, Isaksson S. Temporomandibular dysfunction in patients treated with orthodontics in combination with orthognathic surgery. Eur J Orthod. 2000;22(5):537-44.
28. Felício CM de, Braga APG. Sinais e sintomas de desordem temporomandibular em pacientes orto-cirúrgicos. J Bras Ortodon Ortop Facial. 2005;10(56):187-94.
29. Abrahamsson C, Ekberg E, Henrikson T, Nilmer M, Sunzel B, Bondemark L. TMD in consecutive patients referred for orthognathic surgery. Angle Orthod. 2009;79(4):621-7.
30. Mazzone N, Matteini C, Incisivo V, Belli E. Temporomandibular joint disorders and maxillomandibular malformations: role of condylar "repositionin" plat. J Craniofc Surg. 2009;20(3):909-15.
31. Madeira MC. Anatomia da Face – Bases Anátomo-Funcionais para a Prática Odontológica. São Paulo: Sarvier; 1998.
32. Toll DE, Popovic N, Drinkuth N. The use of MRI dignostics in orthognathic surgery: prevalence of TMJ pathologies in Angle Class I, II, III patients. J Orofac Orthop. 2010;71(1):68-80.
33. Bourzgui F, Sebbar M, Nadour A, Hamza M. Prevalence of temporomandibular dysfunction in orthodontic treatment. Int Orthod. 2010;8(4):386-98.
Submitted date:
09/07/2014
Accepted date:
01/08/2015
Facebook
Twitter
LinkedIn
Mendeley
Email