Influência de abordagens biopsicossociais e autocuidados no controle das disfunções temporomandibulares crônicas

Abstract

BACKGROUND AND OBJECTIVES: Temporomandibular joint disorder (TMD), which is a musculoskeletal condition of the masticatory system, may become chronic and further worsen quality of life (QL) of patients. Due to the interrelation between physical and emotional symptoms, there is increasing search for the integrative model, which includes psychosocial approaches for the treatment of painful conditions. This study aimed at reviewing in the literature the impact of education and simple self-care modalities on pain and disorders related to chronic painful TMD. CONTENTS: Psychosocial factors are often involved with pain chronicity, making bio-behavioral approaches increasingly more indicated to change pain perception and to decrease distress and psychosocial changes which go along with persistent pain. CONCLUSION: Current literature, although not extensive, indicates positive results of education and self-care methods for chronic painful TMD. Further studies are needed to reinforce such findings and spread the application of such approaches to control chronic and TMD pain. Keywords: Facial pain and temporomandibular joint disorder syndrome, Self-care. RESUMO JUSTIFICATIVA E OBJETIVOS: A disfunção temporomandibular (DTM), condição musculoesquelética do sistema mastigatório, pode se tornar crônica, causando maior comprometimento na qualidade de vida (QV) dos pacientes. Devido à inter-relação entre sintomas físicos e emocionais, há uma crescente busca pelo modelo integrativo, o qual inclui aborda-Influence of biopsychosocial approaches and self-care to control chronic pain and temporomandibular disorders* Influência de abordagens biopsicossociais e autocuidados no controle das disfunções temporomandibulares crônicas

Disfunção Temporomandibular segundo o Nível de Ansiedade em Adolescentes

“…A DTM está associada ao conceito do modelo biopsicossocial que considera questões biológicas, psicológicas e sociológicas, não havendo separação entre mente e corpo (Campi, Camparis, Jordani, & Gonçalves, 2013). Indivíduos com DTM frequentemente apresentam sofrimento psicológico significativo, sendo exemplificado na literatura por distúrbios de humor, elevados índices de ansiedade e de estresse (Burris, Evans, & Carlson 2010).…”

Síndrome da disfunção da articulação temporomandibular e o estresse presente no trabalho policial: revisão integrativa

“…There are citations of bruxism, a sign of stress, as a risk factor for TMD 24,28 . TMD adversely affects the quality of life, health and work of those who suffer from the disease because of the pain it causes 5,7,29,30 and is a disease more commonly found in women 27 . Psychosocial factors may make pain caused by TMD 7 a chronic one.…”

“…For the improvement of pain symptoms and discomfort, Campi et al 7 reported a positive approach to adopting approaches based on the biopsychosocial model of pain, through the application of educational methods and self-care in TMD.…”

“…However, it is not a matter of fact that the mere presence of stress can sufficient to generate the occurrence of TMD. Studies indicate that, usually, a single factor alone is not sufficient to establish a TMD condition, but that the association between factors may converge to the development of some signs or symptoms of the syndrome 7,25,27,46 .…”

“…Also, otologic symptoms are noted, such as tinnitus, otalgia, dizziness/vertigo, hearing fullness, hypoacusis and hyperacusis 6 . All these factors interfere in the daily social and work activities of the individual, as well as in their emotional and physical health 7 .…”