No abstract

The pain from temporomandibular disorder (TMD) is often associated with physical symptoms of other chronic pain disorders and comorbidities, such as generalised muscle and joint pain. However, this association is not widely studied. To evaluate the prevalence of comorbid pain in joints, specifically in the knees, hips, ankles, shoulders, wrists and elbows, in individuals with and without TMD. We evaluated 337 patients from a public hospital in the city of Rio de Janeiro, Brazil. The Research Diagnostic Criteria for TMD questionnaire were used for the diagnosis of TMD. To assess the presence of other joint pain, the patients were asked to answer questions considering: the presence of pain in the knee, hip, ankle, shoulder, wrist and elbow joints and time duration of pain. Individuals with TMD are 5·5 times more likely to present with other joint pain compared with those without the disorder. TMD muscle disorders were most associated with a higher number of pain at the other locations. There was a significant association between the presence of pain at the other locations, muscle (P < 0·001) and joint disorders (P = <0·001), as well as age advance, in TMD participants, showed to be a covariate factor for pain at the other locations. Individuals with TMD showed a high prevalence of pain in other joints of the body when compared with individuals without the disorder, and knee pain was the most prevalent pain complaint.

No abstract

A anquilose da articulação temporomandibular é a fusão entre o côndilo mandibular e a cavidade glenóide, gerando restrição aos movimentos articulares, função mastigatória limitada além de consequências estéticas e psicossociais. A condição ainda apresenta influência no desenvolvimento facial, erupção e posicionamento dentários quando ocorre em pacientes em crescimento. O estudo relata um caso clínico de AATM unilateral esquerda com infecção otológica prévia. A alteração evoluiu com completa impossibilidade de abertura bucal e complicações odontológicas e psicossociais. Artroplastia interposicional foi a técnica de escolha com utilização de retalho do músculo temporal como material de interposição acompanhada de coronoidectomia ipsilateral. Após o procedimento cirúrgico, obteve-se abertura bucal de 45 mm e o caso seguiu com tratamento multidisciplinar com fonoterapia e ortodontia. Dois anos após a cirurgia, o paciente apresentou abertura interincisal máxima de 37 mm e ausência de sinais de recidiva, o que confere estabilidade a conduta terapêutica proposta. (Rev Port Estomatol Med Dent

<p>Temporomandibular Disorders (TMD) are a set of painful and / or functional clinical problems that affect the joints and / or muscles of the orofacial region. The practice of self-medication, defined as the consumption of unprescribed drugs, is explained in most TMD patient cases by the occurrence of constant pain, producing discomfort and fatigue, while performing essential functions such as chewing, speaking, and swallowing, causing a drop in the quality of life of patients who have this disorder. Because of this, many see medication as a quick and sufficient means of addressing the problem of pain, and do not seek help from a professional. This study therefore aimed to evaluate, through guided interviews, the practice of self-medication in patients with temporomandibular disorder. The researchers interviewed 115 patients who were referred for treatment at the Diagnosis and Treatment Service for Patients with Temporomandibular Disorder (TMJ Service), School of Dentistry, Federal University of Juiz de Fora. In the sample studied there was a high prevalence of self-medication among the patients interviewed, of whom 71.3% used medication without a prescription, with a majority being female (84.14%). Headache was the main complaint reported by patients who self-medicated (39.53%), analgesics the most used drug class (58.13%), and most of the pain relief drugs were acquired through old prescriptions (40.25%). Thus, this work emphasizes the importance of guiding the patient and the professional regarding this practice.</p>