Impact event and orofacial pain amid the COVID-19 pandemic in Brazil: a cross-sectional epidemiological study

Abstract

Impact event and orofacial pain amid the COVID-19 pandemic in Brazil: a cross-sectional epidemiological study Objectives: This study aims to assess the impact of social isolation, due to the Covid-19 pandemic, on mental health, Temporomandibular Disorder (TMD) and orofacial pain in men and women. Methodology: Individuals living in Brazil answered an online questionnaire on their sociodemographic and behavioral aspects, emotional scale (DASS-21), Impact of Event Scale, and Pain Screener in Temporomandibular Disorders (TMD-Pain Screener) during June 2020. Descriptive statistical analyses and logistic and linear regressionswere applied (5% significance). Results: Overall, 2301 individuals were included, 89.1% practiced social isolation, 72.6% were employed/studying, at least 15% presented severe or extremely severe levels of emotional distress and presence of powerful (34.1%) and severe impact event (15%).During the outbreak, 53.2% perceived feeling worse and 31.8% reported that orofacial pain started or worsened after the pandemic outbreak. Gender was associated with "social class" (P=0.036), "pain/stiffness in the jaw on awakening" (P=0.037), "change of pain during jaw habits" (P=0.034) and "perception of change in the situations mentioned in the TMD-Pain Screener" (P=0.020), "depression" (P=0.012), "anxiety" (P=0.006) and "impact of the event" (P=8.3E-11). Social isolation had a lesser chance to change the routine, to be practiced by the unemployed/not studying, and to be practiced by men (all with P<0.001). Associations were found between social class and all subscales of the DASS-21 and IES, all with P<0.001. Conclusions: The practice of social isolation has social determinants. High levels of psychological and event impacts were detected. The presence of orofacial pain seemed to increase during the health crisis, and there were gender differences in the response to the COVID-19 pandemic.

Adverse Impacts of Temporomandibular Disorders Symptoms and Tooth Loss on Psychological States and Oral Health-Related Quality of Life During the COVID-19 Pandemic Lockdown

“…For instance, a study conducted during the pandemic in Israeli and Polish indicated that COVID-19-related mental disorders led to the intensification of bruxism and TMD symptoms, and consequently OFP increased (38). Gender differences has been proven to be an influential factor contributed to such processes: the anxiety and stress caused by COVID-19 participate in deteriorating stomatognathic diseases, and women were generally more influential than men (36,39). The crosssectional study from Wuhan lockdown showed a significantly higher impact of COVID-related stress in TMD patients in comparison to orthodontic patients and control population (40).…”

Experiência com a COVID-19 e Sintomas Relacionados à Saúde Menta

“…Ainda, após realização de um refi namento buscando apenas estudos que apresentem prevalências de sintomas de depressão, ansiedade, estresse e sofrimento, excluindo preprints e duplicatas, obtém-se 29 estudos 1 que apresentam um panorama global do acometimento dos brasileiros e apontam para uma alta prevalência de sintomas. Esses estudos apresentam dados do primeiro ano pandêmico (Apêndice B) e representam um ponto de partida importante para discussão e refl exão em relação à saúde mental e prevenção da instalação de transtornos que poderão vir a confi gurar uma 1 Adinolfi et al, 2021;Antonelli-Ponti et al, 2020;Barros et al, 2020;Brunoni et al, 2021;Camargo et al, 2021;Campos et al, 2020;Caxias et al, 2021;Christofaro et al, 2021;D. C. S. Ferreira et al, 2020;F.…”

Orofacial and facial pain during the new coronavirus infection (COVID-19) pandemic. Choosing a non-steroid anti-inflammator – focus on nimesulide

“…Влияние социальной изоляции из-за пандемии COVID-19 на психическое здоровье, расстройства ВНЧС и ОФБ изучалось в бразильском исследовании [21]…”