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Impacto da disfunção temporomandibular (DTM) e do bruxismo na qualidade do sono e qualidade de vida
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Authors
Abstract(s)
Introdução: A disfunção temporomandibular dolorosa, é uma condição que pode se encontrar associada à presença de dor crónica. Tem vido a ser estudada a relação da presença de dor crónica os distúrbios de sono e a redução de qualidade de vida dos indivíduos. Sendo importante para uma boa abordagem terapêutica a compreensão desta relação.
Objetivos: O estudo tem como objetivo principal avaliar a influência do diagnóstico de disfunção temporomandibular dolorosa e bruxismo provável na qualidade de vida e na qualidade do sono de indivíduos de uma população adulta.
Materiais e Métodos: Foi feito o diagnóstico clínico de 93 participantes, os quais foram organizados por grupos conforme. A todos os participantes foram aplicados questionários para aferir a pontuação de qualidade de vida e qualidade de sono por autorrelato, e foram realizadas medições de palpação padronizada com palpometros.
Foram comparadas estatisticamente as correlações entre grupos.
Resultados e Discussão: Os resultados mostraram que o diagnóstico de disfunção temporomandibular dolorosa e bruxismo provável se relacionam significativamente com a qualidade de vida dos indivíduos. Porém a relação dos grupos com a qualidade de sono não apresentou valores significativos. Relativamente à correlação entre variáveis, está presente entre a qualidade de sono e qualidade de vida, assim como da dor cronica com a qualidade de vida. A palpação padronizada mostrou relação significativa com o diagnostico de disfunção temporomandibular e bruxismo provável.
Conclusões: Concluímos que a presença de um diagnóstico de disfunção temporomandibular e bruxismo provável está relacionada com uma pior qualidade de vida. Assim como uma pior qualidade de vida está associada a uma pior qualidade de sono. Foi ainda possível concluir que os resultados da palpação com os palpometros acompanha os resultados do diagnóstico clínico.
Introduction: Painful temporomandibular disorder is a condition that can be associated with the presence of chronic pain. The relationship between the presence of chronic pain, sleep disorders and the reduction in quality of life has been studied. It is important for a good therapeutic approach to understand this relationship. Objectives: The main objective of the study is to evaluate the influence of the diagnosis of painful temporomandibular disorder and probable bruxism on the quality of life and quality of sleep of individuals in an adult population. Materials and Methods: A clinical diagnosis was made for 93 participants; they were organized into groups accordingly. Questionnaires were administered to all participants to assess the quality of life and sleep quality scores by self-report, and standardized palpation measurements were performed with palpometers. Correlations between groups were statistically compared. Results and Discussion: The results showed that the diagnosis of painful temporomandibular disorder and probable bruxism are significantly related to the quality of life of individuals. However, the relationship between the groups and sleep quality did not show significant values. Regarding the correlation between variables, it is present between quality of sleep and quality of life, as well as chronic pain with quality of life. Standardized palpation showed a significant relationship with the diagnosis of temporomandibular dysfunction and probable bruxism. Conclusions: We conclude that the presence of a diagnosis of temporomandibular disorder and probable bruxism is related to a worse quality of life. Just as a worse quality of life is associated with a worse quality of sleep. It was also possible to conclude that the results of palpation with palpometers follow the results of clinical diagnosis.
Introduction: Painful temporomandibular disorder is a condition that can be associated with the presence of chronic pain. The relationship between the presence of chronic pain, sleep disorders and the reduction in quality of life has been studied. It is important for a good therapeutic approach to understand this relationship. Objectives: The main objective of the study is to evaluate the influence of the diagnosis of painful temporomandibular disorder and probable bruxism on the quality of life and quality of sleep of individuals in an adult population. Materials and Methods: A clinical diagnosis was made for 93 participants; they were organized into groups accordingly. Questionnaires were administered to all participants to assess the quality of life and sleep quality scores by self-report, and standardized palpation measurements were performed with palpometers. Correlations between groups were statistically compared. Results and Discussion: The results showed that the diagnosis of painful temporomandibular disorder and probable bruxism are significantly related to the quality of life of individuals. However, the relationship between the groups and sleep quality did not show significant values. Regarding the correlation between variables, it is present between quality of sleep and quality of life, as well as chronic pain with quality of life. Standardized palpation showed a significant relationship with the diagnosis of temporomandibular dysfunction and probable bruxism. Conclusions: We conclude that the presence of a diagnosis of temporomandibular disorder and probable bruxism is related to a worse quality of life. Just as a worse quality of life is associated with a worse quality of sleep. It was also possible to conclude that the results of palpation with palpometers follow the results of clinical diagnosis.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Bruxismo Disfunção Temporomandibular Sono Qualidade de vida