Impact in oral health and the prevalence of temporomandibular disorder in individuals with Parkinson’s disease

Silva, Paula Fernanda da Costa; Biasotto‐Gonzalez, Daniela Aparecida; Motta, Lara Jansiski; Silva, Soraia Micaela; Mesquita‐Ferrari, Raquel Agnelli; Fernandes, Kristianne Porta Santos; Bussadori, Sandra Kalil

doi:10.1589/jpts.27.887

Cited by 24 publications

(19 citation statements)

References 26 publications

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“…To set the sample size, calculations were based on the concepts and formulas available in the literature, using the parameters of 95% confidence interval; 5% accuracy; 5% alpha and 20% beta. The expected proportion of TMD in PD was 20.33% 15 . The considered population size was 300 people registered in the Neurology Outpatient Clinic of the HC.…”

Section: Methodsmentioning

confidence: 95%

Pain, click and crepitation as factors associated with temporomandibular dysfunction in Parkinson’s disease

Silva¹,

Sobral²,

Silva³

et al. 2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Parkinson's disease leads to mandibular movements that affect the masticatory cycle and induce orofacial pain, one of the main clinical alterations found in temporomandibular dysfunction. Thus, the present study aimed to analyze the possible factors associated with temporomandibular dysfunction and to verify the frequency of the dysfunction in this population. METHODS: This was a cross-sectional study in which the participants were evaluated using the Diagnostic Criteria for Temporomandibular Dysfunction research, used to classify the temporomandibular dysfunction and to obtain by physical examination and self-report the variables studied. RESULTS: A total of 139 people with Parkinson's disease were evaluated. Of these, 77 met the eligibility criteria, with 70% of the sample being male, with an average age of 62±9 years; Parkinson's disease diagnosis time of 6±4 years and with 71% of the sample in the moderate stage of Parkinson's disease. No significant associations were found between age, gender, time and stage of the disease with temporomandibular dysfunction. Of the variables analyzed, the significant results showed that the presence of pain (OR=10.92, 95% CI=2.25-59.93, p<0.001) has a greater chance of developing temporomandibular dysfunction, crepitation (Kappa=0.34, p<0.004) reflects moderate accuracy in the classification of temporomandibular joint disorder and the click (negative predictive value=77%, p<0.032) increases the probability of having temporomandibular dysfunction.

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Section: Methodsmentioning

confidence: 95%

Pain, click and crepitation as factors associated with temporomandibular dysfunction in Parkinson’s disease

Silva¹,

Sobral²,

Silva³

et al. 2018

Brazilian Journal of Pain

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show abstract

“…The sampling strategy calculated the following parameters: 95% confidence interval, precision 5%, alpha 5%, and beta 20%. The results led to a sample of 124 potentially eligible people; the expected TMD proportion in PD was 20,33% 18 .…”

Section: Methodsmentioning

confidence: 99%

Chronic pain and depression as factors associated with temporomandibular dysfunction in older adults with Parkinson's disease

et al. 2020

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Purpose: to investigate whether chronic pain and depression are factors associated with temporomandibular dysfunction (TMD) in older adults with Parkinson's disease. Methods: a cross-sectional study using the Research Diagnostic Criteria for Temporomandibular Disorders questionnaire. The clinical variables studied were chronic pain, depression, nonspecific physical symptoms including and excluding items of pain, and dentures use. The associations between the dependent and independent variables were evaluated by the chi-square odds ratio, with a 95% confidence interval. Results: a total of 81 older adults met the eligibility criteria - 67% were males, 74% were married or had a partner, 43% reported earning 1 to 2 minimum wages, and 47% were in the moderate stage of Parkinson's disease. TMD was identified in 22% of the sample, 12% reporting chronic pain. The statistical analysis showed an association between TMD and chronic pain (p = 0.001, OR = inf, 95% CI = 12.13 - inf) and between TMD and moderate-to-severe depression (p = 0.014, OR = 4.8, 95% CI = 1.14 - 23.51). Conclusion: it was verified that chronic pain and moderate-to-severe depression were the factors associated with TMD in older adults presented with Parkinson's disease.

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“…Herbst appliances are an option, but because of rigidity and bradykinesia the patients may need assistance for placement (27,30).…”

Section: Recommendations For Homecarementioning

confidence: 99%

A Review of dental health issues in Parkinson`s disease patients

Ivanov¹,

Peev²,

Milkov³

et al. 2015

MedInform

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Impact in oral health and the prevalence of temporomandibular disorder in individuals with Parkinson’s disease

Cited by 24 publications

References 26 publications

Pain, click and crepitation as factors associated with temporomandibular dysfunction in Parkinson’s disease

Pain, click and crepitation as factors associated with temporomandibular dysfunction in Parkinson’s disease

Chronic pain and depression as factors associated with temporomandibular dysfunction in older adults with Parkinson's disease

A Review of dental health issues in Parkinson`s disease patients

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