Temporomandibular Disorders in a Sample Population of the Brazilian Northeast

Mello, Victor Villaça Cardoso de; Barbosa, André Cavalcante da Silva; Morais, M.; Gomes, Simone Guimarães Farias; Vasconcelos, Márcia Maria Vendiciano Barbosa; Júnior, Arnaldo de França Caldas

doi:10.1590/0103-6440201302250

Cited by 24 publications

(21 citation statements)

References 12 publications

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“…According to the SQ-TMD survey results of a working population of 2203 subjects, the prevalence of the H-TMD was 16.4% [9]. It was reported that TMD were a significant public health problem affecting approximately 5% to 12% of the population [2], and the prevalence among those younger than 30 years was higher than in those older than 30 years [14, 15]. Our result was consistent with the results of these studies.…”

Section: Discussionsupporting

confidence: 90%

Relationship Between Wind Instrument Playing Habits and Symptoms of Temporomandibular Disorders in Non-Professional Musicians

Nishiyama¹,

Tsuchida²

2016

TODENTJ

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Background:In this study, we focused on the habits of wind instrumentalists as well as the presence of playing instruments, and investigated associations between the risk of temporomandibular disorders (TMD) and playing wind instruments in non-professional musicians.Material and Methods:Seventy-two non-professional players of wind instruments (instrument group) (mean(SD), 20.0(1.1) y; 42 women) and 66 non-players (control group) (22.0(2.6) y; 45 women) participated in this study. Factors were investigated using questionnaires (a screening questionnaire for TMD, instrument playing habits, years of experience, and time played per day).Result:The prevalence of a high risk of TMD was not significantly different between the instrument group (29.2%) and control group (21.2%). In the instrument group, the frequency of subjects who felt mouthpiece pressure in the high risk of TMD group (47.6%) was significantly greater than that in the low risk of TMD group (21.6%). Mouthpiece pressure was found to be a significant factor contributing to a high risk of TMD (odds ratio, 3.31; 95% CI, 1.12–9.79).Conclusion:This study suggests that pressure from the mouthpiece was one of the contributing factors related to a high risk of TMD in non-professional wind instrument players.

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Section: Discussionsupporting

confidence: 90%

Relationship Between Wind Instrument Playing Habits and Symptoms of Temporomandibular Disorders in Non-Professional Musicians

Nishiyama¹,

Tsuchida²

2016

TODENTJ

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“…Most of the patients with TMD are young adults aged between 20 and 40 years, and more commonly, females. [10] Early intervention can reduce the severity of disease. TMJ osteoarthritis represents a destructive process in which the bony surfaces of condyle and fossa become altered.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of the detection of simulated condylar lesions on panoramic radiography and cone-beam computed tomography

Mani¹,

Raghavan²,

Birur³

et al. 2018

JCRI

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Background: Degenerative temporomandibular joint (TMJ) disease is characterized by destruction of the articular surface of mandibular condyle. Aims and Objectives: The aim of the present study was to assess the smallest lesion on mandibular condyle that could be detected on panoramic radiograph compared to conebeam computed tomography (CBCT). Materials and Methods: A total of 15 dry human mandibles were included in the study. Three surgical carbide drill bits of diameters 1.8 mm, 2.3 mm, and 4.5 mm length were used to drill holes on anterior, posterior, lateral, medial, and superior surfaces of the condyles. Panoramic and CBCT images were obtained and evaluated by two observers to detect lesions. Interobserver variability was obtained by the application of Cohen's kappa coefficient statistical measure. Results: On panoramic images, kappa value showed fair (0.324), moderate (0.537), and substantial agreement (0.667) for small, shallow, and deeper lesion on condyle, respectively. 16.6% of small, 43.3% of shallow, and 46.3% of deeper lesions were visualized on panoramic images compared to CBCT images. These lesions were predominantly on the superior surface of the condyle. Conclusion: Panoramic radiography can be used to detect lesions on the superior surface of the condyle of more than 2.3 mm diameter or more than 4.5 mm depth. Additional imaging modality such as CBCT is recommended for TMJ degenerative disorders.

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“…Apesar do número reduzido de sujeitos, o estudo se encontra em concordância com a literatura, uma vez que estudos mostram que a DTM tem maior prevalência no sexo feminino 9,11,17 . Pesquisas referem que este dado ocorre em decorrência das mulheres apresentarem maior busca a tratamentos em relação aos homens, ao maior nível de estrogê-nio, ao ciclo menstrual 2 e até pela maior ansiedade neste gênero 5 .…”

Section: Discussionunclassified

“…com a Academia Americana de Dor Orofacial, que aponta uma prevalência de DTM entre a segunda e quarta década de vida 2,11,18,19 . Com relação aos sintomas das DTMs investigados pelo questionário de anamnese desenvolvido pelos autores, estudos relatam que os mais frequentemente encontrados são a cefaleia 10,20 , os sintomas otológicos 11 , o ruído articular e limitação de amplitude de movimentos articulares 6,9,17 . Estes achados da literatura concordam com o quadro inicial de sintomas apresentado pelos pacientes do estudo.…”

Section: Discussionunclassified

“…Fazem parte de um espectro de síndromes associadas ao estresse e são caracterizados por fatores ambientais e psicológicos 3 , incluindo fadiga, prejuízo das atividades do trabalho e escola, distúrbios do sono e do apetite/alimentação, ansiedade e depressão 4. A etiologia das disfunções da ATM é multifatorial 5 e os fatores que contribuem para o desenvolvimento das mesmas incluem má oclusão, fatores traumáticos, doenças sistêmicas, hábitos parafuncionais 6 , alterações posturais e stress e ansiedade 7 . Sabe-se que os sinais e sintomas mais observados em pacientes com DTM são limitações da amplitude de movimentos mandibulares, dor ou desconforto, ruído articular, dificuldade na mastigação e cefaleia (8)(9)(10)(11) . A DTM tem sido identificada como a primeira causa de dor não dental em região orofacial 4 .…”

Section: Introductionunclassified

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Atuação fonoaudiológica em disfunção temporomandibular em dois casos: análise comparativa dos efeitos da terapia tradicional e o uso da bandagem terapêutica associada

et al. 2017

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ResumoObjetivo: verificar e comparar os efeitos da terapia fonoaudiológica tradicional e o uso associado da bandagem terapêutica no tratamento de disfunções temporomandibulares musculares em dois casos. Descrição e histórico de procedimentos: O estudo foi composto por dois indivíduos do sexo feminino, ambos com trinta e três anos de idade, diagnosticados com disfunção temporomandibular através do Research Diagnostic Criteria for Temporomandibular Disorders. O primeiro indivíduo denominado como TT foi submetido à terapia fonoaudiológica tradicional em disfunção temporomandibular e o segundo indivíduo denominado como TB, além desses mesmos recursos contou com a utilização de bandagem elástica no músculo masseter bilateral. Os seguintes parâmetros foram verificados de forma qualitativa e descritiva: sinais e sintomas, intensidade de dor e amplitude dos movimentos funcionais mandibulares. Resultados: Os sinais e sintomas presentes no início da terapia foram cessados em ambas as terapêuticas. O paciente TB teve o quadro álgico reduzido em um número reduzido de sessões em relação ao seu par. Ambas as terapêuticas mostram-se efetivas quanto ao aumento de excursões mandibulares. Conclusão: A fonoterapia utilizando-se de técnicas tradicionais e a aplicação da bandagem elástica associada a estas demonstram benefícios terapêuticos em sujeitos com disfunção temporomandibular. O uso da bandagem elástica aparenta ter promovido eficiência terapêutica em menor tempo.Palavras-chave: Síndrome da Articulação Temporomandibular; Articulação Temporomandibular; Avaliação de Eficácia-Efetividade de Intervenções; Bandagens. AbstractObjective: Verify and compare the effects of traditional speech therapy and the associated use of therapeutic bandage for treating muscle temporomandibular disorders in two cases. Description and history of procedures: The study was composed by two female subjects, both thirty-three years old, diagnosed with temporomandibular dysfunction through the Research Diagnostic Criteria for Temporomandibular Disorders. The first person called as TT underwent traditional speech therapy in temporomandibular disorders and the second individual named as TB, in addition to these resources included the use of elastic bandage in bilateral masseter muscle. The following parameters were verified in qualitative and descriptive form: signs and symptoms, pain intensity and range of mandibular functional movements. Results: The signs and symptoms present at the start of therapy ended on both therapies. The TB patient had reduced pain symptoms in a small number of sessions in relation to its pair. Both therapies demonstrated to be effective in increasing mandibular excursions. Conclusion: speech therapy using traditional techniques and application of elastic bandage associated with these demonstrates therapeutic benefits in subjects with temporomandibular disorders. The use of elastic bandage seems to have promoted therapeutic efficiency in less time.Keywords: Temporomandibular Joint Dysfunction Syndrome; Temporomandibular Joint; E...

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Temporomandibular Disorders in a Sample Population of the Brazilian Northeast

Cited by 24 publications

References 12 publications

Relationship Between Wind Instrument Playing Habits and Symptoms of Temporomandibular Disorders in Non-Professional Musicians

Relationship Between Wind Instrument Playing Habits and Symptoms of Temporomandibular Disorders in Non-Professional Musicians

Accuracy of the detection of simulated condylar lesions on panoramic radiography and cone-beam computed tomography

Atuação fonoaudiológica em disfunção temporomandibular em dois casos: análise comparativa dos efeitos da terapia tradicional e o uso da bandagem terapêutica associada

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