Post-traumatic stress disorder and temporomandibular dysfunction: a review and clinical implications

Ferreira, Dyna Mara Araújo Oliveira; Vaz, Camila Cristine de Oliveira; Stuginski‐Barbosa, Juliana; Conti, Paulo César Rodrigues

doi:10.5935/2595-0118.20180012

Cited by 3 publications

(5 citation statements)

References 27 publications

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“…Some authors related TMDs with post-traumatic stress disorder (PTSD) syndrome, a form of pathological response to stress, during which individuals are permanently in a state of increased tension, continually re-living life-threatening experiences in their thoughts and dreams, to determine the frequency of subjective symptoms and clinical signs of dysfunction in the stomatognathic system among subjects suffering from PTSD. Some studies show that PTSD frequently occurs in patients with TMDs, and at the same time a higher TMD prevalence is found in PTSD subjects [22]. Uhac [20] found a correlation between war stress and temporomandibular disorder, with 82% of subjects in the group with PTSD having symptoms of dysfunction compared with 24% of the subjects in the healthy control group.…”

Section: Introductionmentioning

confidence: 99%

“…Patients with TMDs reported traumatic stressors of different natures: knowing that a family member or friend was injured or killed, experiencing automobile accidents, and suffering from violent attacks were the most commonly reported traumatic experiences and of personal significance for patients with TMDs [22][23][24][25]. Other significative life events defined as stressors and studied in relation to TMDs are typical life-changing events that can be perceived as stressors according to the various degrees of significance for the average individual [11,26,27].…”

Section: Introductionmentioning

confidence: 99%

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Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms?

Saccomanno

Bernabei

Scoppa

et al. 2020

IJERPH

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Temporomandibular disorders are multi-factorial conditions that are caused by both physical and psychological factors. It has been well established that stress triggers or worsens TMDs. This paper looks to present early research, still unfolding, on the relationship between COVID-19 as a major life stressor and TMDs. The main aims of this study were to: investigate the presence of symptoms related to TMDs and the time of onset and the worsening of painful symptoms in relation to the changes in social life imposed by the coronavirus pandemic; and to evaluate the perception of COVID-19 as a major stressful event in subjects who report worsening of painful TMD symptoms. One hundred and eighty-two subjects answered questionnaires—Axis II of the RDC/TMD, the PSS, and specific items about coronavirus as a stressful event—during the lockdown period for COVID-19 in Italy to evaluate the presence of reported symptoms of TMD and the level of depression, somatization, and stress perceived. The results showed that 40.7% of subjects complained about TMD symptoms in the past month. Regarding the time of onset, 60.8% of them reported that facial pain started in the last three months, while 51.4% of these subjects reported that their symptoms worsened in the last month and were related to the aggravation of pain due to the coronavirus lockdown as a major life event and to the stress experienced. The results of this study seem to support the hypothesis that stress during the pandemic lockdown influenced the onset of temporomandibular joint disorders and facial pain, albeit with individual responses.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms?

Saccomanno

Bernabei

Scoppa

et al. 2020

IJERPH

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show abstract

“…It is also well-known that psychological trauma and long-term stress can produce symptoms of temporomandibular joint dysfunction (TMD) such as temporomandibular joint (TMJ) noise, pain, and restricted opening. Ferreira et al reported a bidirectional relationship between PTSD and painful TMD in their review [27]. Although TMJ symptoms were not investigated in this study, the fact that PTSD was associated with oral symptoms suggests that oral pain may have been affected by the presence of TMD.…”

Section: Discussionmentioning

confidence: 63%

Association between Psychosocial Factors and Oral Symptoms among Residents in Fukushima after the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Funakubo

Tsuboi

Eguchi

et al. 2021

IJERPH

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Oral health is closely related to subjective general health and systemic diseases. This cross-sectional study aimed to identify the factors related to oral symptoms and their worsening in relation to psychosocial factors after the Great East Japan Earthquake. In this study, 64,186 residents aged 15–101 years old, who experienced the earthquake on 11 March 2011, were surveyed regarding their oral symptoms; psychological factors, such as post-traumatic reactions and psychological distress; and social factors such as evacuation, work change, and loss of a close person; history of systemic diseases; and lifestyle. Binomial logistic regression analysis was used to calculate odds ratios, and 95% confidence intervals were established for each factor associated with prevalent and exacerbated oral symptoms. The proportions of participants with prevalent and exacerbated oral symptoms were 10.3% and 1.6%, respectively. The multivariate odds ratios and 95% CI of psychosocial factors associated with exacerbated oral symptoms were as follows: post-traumatic stress disorder symptoms, 2.24 (1.64–3.06); work changes, 1.88 (1.34–2.65); history of dyslipidemia, 1.74 (1.27–2.39); and subjective current poor health condition, 2.73 (2.00–3.75). Psychological factors, social factors, and physical factors were associated with both prevalent and exacerbated oral symptoms.

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“…Sabe-se que a dor possui diferentes origens e, dentre elas, quando vivenciada no estresse pós-traumático vem acompanhada de outros sintomas, como ansiedade, aflição emocional, aumento da reatividade a estímulos estressantes, pensamentos negativos e importunos sobre o trauma que se não tratados adequadamente e manejados de uma forma que cure o paciente e não a doença pode levar a sérias complicações no futuro da pessoa. (Ferreira et al,2018).…”

Section: Discussionunclassified

“…Dessa maneira, a dor em indivíduos com transtorno de estresse pós-traumáticopode causar desconforto, aumentar o estresse, apatia e ser gatilho para relembrar o trauma. Todavia, Ferreira et al(2018) relataramque o trauma promove comportamento de hipervigilância e evita a prática de atividades relacionadas à dor que resultam na amplificação da experiência dolorosa.…”

Section: Discussionunclassified

Uso combinado do tratamento medicamentoso e terapia de Reiki em pacientes com dor no stress pós-traumático

Fragoso

Pires

Ferreira

et al. 2021

RSD

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O uso do Reiki vem crescendo nos últimos tempos, sendo uma técnica japonesa que consiste em uma terapia energética. O objetivo é analisar a eficácia da associação do Reiki com a terapia medicamentosa em pacientes com dor e observar como esse tratamento pode amenizar os sintomas.Trata-se de uma revisão sistemática realizada com base em ensaios clínicos randomizados. Realizou-se uma pesquisa naMedical Publishere Biblioteca Virtual em Saúde. Para busca dos artigos utilizaram-se os Descritores em Ciências da Saúde no idioma inglês unidos pelo descritor booleano AND: Reiki e Pain.Dessa forma, os 5artigos foram classificados conforme os critérios estabelecidos no sistema Grading of Recommendations Assessment, Development and Evaluation. A partir dos estudos selecionados observou-se que os grupos oscilaram entre 30 a 90 pacientes, seguido de utilização de opioides, analgésicos e antiinflamatórios para o alívio da dor, associado com o Reiki em tempos de sessões que variaram de 10 a 30 minutos. Além disso, percebeu-se que a associação entre esses e a terapia de Reiki potencializou a eficácia da diminuição da dor, estresse, níveis de ansiedade e tempo de medicação. Alguns estudos, também, se depararam com melhora dos sinais vitais. Concluiu-se que a terapia Reiki associada à terapia medicamentosa, como analgésicos e opioides, tem boa eficácia em pacientes com dor, ficando evidente sua vantagem no uso em indivíduos que precisam de analgesia.

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Post-traumatic stress disorder and temporomandibular dysfunction: a review and clinical implications

Cited by 3 publications

References 27 publications

Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms?

Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms?

Association between Psychosocial Factors and Oral Symptoms among Residents in Fukushima after the Great East Japan Earthquake: A Cross-Sectional Study from the Fukushima Health Management Survey

Uso combinado do tratamento medicamentoso e terapia de Reiki em pacientes com dor no stress pós-traumático

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