Guízar-Mendoza JM, Amador-Licona N, Salinas-Escoboza CR, Pérez-Vázquez PJ, González-García CF

Language: Spanish
References: 0
Page: 41-50
PDF size: 194.15 Kb.

ABSTRACT

Background: Temporomandibular dysfunction has as a key sign the presence of chronic pain and sleep disorders, the latter also related to other health disturbances.
Objectivoe: To determine the frequency of cardiovascular risk factors and sleep disturbances in patients with temporomandibular dysfunction.
Materials and Methods: A cross-sectional study was carried out from January to December 2019 in patients with temporomandibular dysfunction. Sleep quality and cardiovascular risk factors were evaluated.
Resultados: There were included 40 patients with temporomandibular dysfunction (9 men and 31 women), mean age of 34.5 ± 11.2 years. Two patients with myofacial pain were identified; 11 with joint damage and 27 with degenerative joint disease and arthralgia. Of the 40 patients, 22 had poor sleep quality. In this group, older age was observed (38.5 vs 29.6 years; p = 0.01), expressed pain (16.8 vs 7.7; p = 0.01), proportion of metabolic syndrome (36.4 vs 5.5%; p = 0.01) and therefore higher values of some of its components, such as systolic blood pressure, glucose, triglycerides, and insulin resistance index, than in those with adequate quality of sleep. The level of pain referred by the patients in the whole group correlated with the Pittsburgh index score (r = 0.47; p = 0.001).
Conclusions: Patients with temporomandibular dysfunction and sleep disorders have a higher cardiovascular risk, which is related to the intensity of pain.