Clinical and psychosocial aspects assessed by the research diagnostic criteria for temporomandibular disorder
Aspectos clínicos e psicossociais avaliados por critérios de diagnóstico para disfunção temporomandibular
Chaiane Facco Piccin; Daniela Pozzebon; Laís Chiodelli; Jalusa Boufleus; Fernanda Pasinato; Eliane Castilhos Rodrigues Corrêa
Abstract
Purpose: to analyze the association between the classification of clinical diagnoses classification (myofascial pain, disc and joint disorder) and the chronic pain graduation, depression and nonspecific physical symptoms in subjects with temporomandibular disorder.
Methods: 32 patients with a mean age of 28.71 ± 4.66 years, were included. Axis I and II - as an evaluation tool, the Diagnostic Criteria for Temporomandibular Disorders Research was used. Regarding diagnosis group, 88.13% of patients showed mixed conditions, with 43.75% of groups I and III (muscle and joint disorders) and 34.38% in groups I, II and III (muscle disorders, joint and displacement disk).
Results: according to the axis II, 96.88% of participants were classified as chronic grade I and II (low disability and low intensity, low disability and high intensity) pain. Moderate and severe degrees of depression were observed in 84.38% of the participants. In the evaluation of nonspecific physical symptoms including pain and excluding, respectively, 59.38% had severe symptoms and 71.88% had moderate or severe symptoms. There was a significant relationship between the clinical diagnosis of temporomandibular dysfunction with the degree of non-specific physical symptoms including pain.
Conclusion: some clinical and psychosocial factors are associated in patients with temporomandibular dysfunction, observing a variety of clinical diagnoses with the presence of a significant relationship between clinical diagnoses and the presence of physical symptoms nonspecific with pain. Complaint of greater severity of physical symptoms was found in patients with multiple clinical diagnosis.
Keywords
Resumo
Objetivo: analisar a associação entre a classificação de diagnósticos clínicos (dor miofascial, desordem discal e articular) e a graduação de dor crônica, depressão e sintomas físicos não específicos em sujeitos com disfunção temporomandibular.
Métodos: foram incluídos 32 pacientes, com média de idade de 28,71±4,66 anos. Como instrumento de avaliação, foi utilizado o Critério de Diagnóstico para Pesquisa das Desordens Temporomandibulares – Eixo I e II. Quanto ao grupo diagnóstico, 88,13% dos indivíduos apresentaram diagnóstico misto, sendo 43,75% dos grupos I e III (distúrbios musculares e articulares) e 34,38% dos grupos I, II e III (distúrbios musculares, articulares e deslocamento de disco).
Resultados: de acordo com o eixo II, 96,88% dos participantes foram classificados com dor crônica grau I e II (baixa incapacidade e baixa intensidade; baixa incapacidade e alta intensidade). Graus moderado e grave de depressão foram observados em 84,38% dos participantes. Na avaliação de sintomas físicos não específicos incluindo e excluindo dor, respectivamente, 59,38% apresentaram sintomas severos e 71,88% apresentaram sintomas moderados e severos. Verificou-se relação significante dos diagnósticos clínicos de disfunção temporomandibular com o grau de sintomas físicos não específicos incluindo dor.
Conclusão: alguns aspectos clínicos e psicossociais estão associados em pacientes com disfunção temporomandibular, observando uma multiplicidade de diagnósticos clínicos com a presença de uma relação significante entre os diagnósticos clínicos encontrados e a presença de sintomas físicos inespecíficos com dor. Queixa de maior gravidade de sintomas físicos foi encontrada em pacientes com diagnóstico clínico múltiplo.
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Referências
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Submetido em:
14/05/2015
Aceito em:
29/06/2015
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