Pain threshold, sleep quality and anxiety levels in individuals with temporomandibular disorders

Abstract

Purpose: to evaluate the pressure pain threshold, sleep quality and anxiety levels of individuals with different types of chronic temporomandibular disorders (TMD). Methods: a controlled, observational and cross-sectional study. TMD diagnosis followed the Research Diagnostic Criteria and the volunteers were divided into three groups: A-Muscular Disorder (n = 15), B- Articular Disorder (n = 10) and C- Control Group (n = 15). Evaluation was performed using the Pittsburg Sleep Quality Index, Visual Analog Scale, Algometry and Hospital Anxiety and Depression Scale. The significance level for all tests was 5%. Results: lower threshold of pain was seen in the masticatory and cervical musculature within groups A and B. However, when TMD groups were compared to the control group, only a statistically significant difference in the pain threshold of the masticatory muscle and the trapezius muscle was found. Groups A and B presented poor sleep quality, showing a statistical difference when compared to the control group. Additionally, it was observed that patients in the groups with TMD presented anxiety, while those in the control group, did not present it. Conclusion: individuals presented with TMD show lower levels of pain threshold, sleep quality and anxiety, as compared to healthy subjects. These results do not depend on the type of disorder presented.

Distribution of anxiety and depression among different subtypes of temporomandibular disorder: A systematic review and meta‐analysis

“…The list of excluded studies after full‐text reading is presented in Table . Twenty‐four studies fulfilled the eligibility criteria and were included in the review 24,37–59 . However, four studies 24,49,57,59 did not provide frequency data or any continuous values on the severity of anxiety/depression, so statistical comparisons could not be performed.…”

“…However, four studies 24,49,57,59 did not provide frequency data or any continuous values on the severity of anxiety/depression, so statistical comparisons could not be performed. Twenty studies were included for meta‐analysis 37–48,50–56,58 …”

“…The risk of bias results and summary of findings for the quality assessment of studies according to the review authors' judgments are shown in Figure . Eleven studies 39–41,43–46,48,50,53,54 (46%) showed low risk of bias, whereas five studies 38,42,47,52,56 (21%) and eight studies 24,37,49,51,55,57–59 (33%) presented moderate and high risk of bias respectively. Reporting bias was the criteria with the highest risk of bias, and more than 75% of studies showed an unclear risk of bias regarding the clearness in data/information of measured outcomes.…”

Subjective sleep quality and temporomandibular disorders: Systematic literature review and meta‐analysis

“…Most of the selected papers were published since 2012. Fourteen different countries were included (ie Brazil, 9,[19][20][21][22][23][24][25][26][27] Canada, 22,25,28,29 China, [30][31][32][33] Germany, 34 Greece, 35 Israel, 36 Japan, 37 Holland, 32 Slovenia, 38,39 South Korea, 40 Singapore, 30,33 Sweden, 28,41 Turkey 42,43 and the USA 10,11,28,29,[35][36][37]39,[44][45][46][47][48][49][50][51] ). Most studies (n=31) 10,11,19-21,23,24,27-31,33-51 used the PSQI for subjective sleep quality assessment, and the RDC/TMD for TMD assessment (n = 28) [9]…”

O Que Diz a Literatura Sobre Os Achados Audiológicos Em Crianças Com Microcefalia Por Zika Vírus Congênito: Uma Revisão Integrativa

“…O domínio físico engloba questões relacionadas à dor e desconforto, energia e fadiga, sono e repouso, mobilidade, atividades da vida cotidiana, dependência de medicação ou tratamento e capacidade de trabalho. Estas queixas são frequentes em pessoas com alteração de sono (DAHER et al, 2018), justificando este achado, pois o estado de sonolência pode comprometer a execução das atividades de vida diária, tornando-as muito cansativas e desgastantes.…”