Dib KA, Muñoz GM, Espinosa SIA, Lara MMC, Vargas GH

Language: Spanish
References: 13
Page: 698-701
PDF size: 48.46 Kb.

ABSTRACT

Miogenic temporomandibular disorders are the most frecuent temporomandibular disorders (TMD). They are characterized by pain and by an increase of the muscular activity levels, due to multiple psychosocial factors that will increase the frecuence and intensity of the parafunctions controversially considered as a risk factor for the development of TMD. Materials and methods: 61 patients had to present a miogenic TMD according to RDC/TMD were included in this study, of an average of 44 months of associated miogenic TMD signs and symptoms. The mean age of the patients was 35±11.2 and the mean number of aching muscles was 10. The psychosocial features were assessed. Results: the mean referred pain in a numeric scale was 60.6±19.89, the incapacitating days in the last six months were more than ten, with a mean numeric scale discapacity of 35±29.11. The reported average mandibular disfunction was of 31%±21%. 42.6% of the patients reported depression and 63.9% somatization, and more than 17% had III or IV degree chronic pain, which denotes elevated rankings of incapacity, without respect of the reported pain. Conclusion: the psychosocial features of patients with miogenic TMD include elevated rankings that should be considered at the time of diagnosis, prognosis and treatment.

REFERENCES

1. Espinosa, S., Reyes, G., Vaillard, J.E., Vargas, G., Reyes, G., Reyes, G.Y. Relación de desórdenes temporomandibulares-perfil psicológico en estudiantes de Puebla. Revista Odontológica Mexicana. 2006; 10(3):115-118.

2. Okeson, J.P. Tratamiento de oclusión y afecciones temporomandibulares. España. 4a edición. Editorial Mosby-Harcourt, 1999: 149-233.

3. Craig, K., Wall, P., Melzack, R.1994. Emotional aspects of pain. Textbook of Pain. 3ª Ed. Churchill Livingstone; Edinburgh. Capítulo 12.

4. Rugh, J. Dahlström, L. 1994. Psycological management of the orofacial pain patient, en Biological and psychological aspects of orofacial pain. Stohler, C. y Carlson, D. (eds.) Center for Human Growth and Development the University of Michigan, Ann Arbor, Michigan. Volumen 29. Craniofacial Growth Series.

5. Leeuw, J., Steenks, W., Ros, W., Lobbezoo-Scholte, A.M., Bosman, F., Winnubst, J. Assessment of treatment outcome in patients with craniomandibular dysfunction. Journal of Oral Rehabilitation, 1994. Vol. 21, 655-666.

6. Adrian, U. Depression and somatization in patients with temporomandibular disorders. Journal of Oral Rehabilitation. 2002; 88-5.

7. Lara, M., Espinosa, S., Cárdenas, M., Fócil, M., Cavazos, J. Confiabilidad y Validez de la SCL-90 en la evaluación de psicopatológica en mujeres. Edit. Salud Mental. 2005; 28 (3): 42-50.

8. Espinosa, S., Lara, M., Lara, C., Saavedra, G., Vargas, G. Comparación de los aspectos psicosocials (eje II) de los pacientes con trastornos temporomandibulares, de acuerdo a la combinación de diagnósticos físicos (eje I) de los criterios diagnósticos para la investigación de los trastornos temporomandibulares (CDI/TTM). Revista Oral. 2009; 10(30): 477-481.

9. Quinteromarmol, J., Espinosa, S., Martínez, T., Vargas, G. Trastornos Temporomandibulares y funcionamiento familiar. Rev Med Inst Mex Seguro Soc 2008; 46 (5): 473-478.

10. Mintz, E. Craneomandibular dysfunction in children and adolescents. Craneomandibular Pract. 1993. 224- 231.

11. Ash, M. Current concepts in the aetiology, diagnosis and treatment of TMJ and muscle dysfunction. Journal of Oral Rehabilitation. 1986; 13: 1-20.

12. Yemm, R. A neurophysiological approach to the pathology and etiology of temporomandibular dysfunction. Journal of Oral Rehabilitation. 1985; 12: 343-353.

13. Visser, A., Naeije, M., Hanson, T. The temporal/masseter cocontracction and electromyographic and clinical evaluation of short-term stabilization splint therapy in myogenous CMD patients. Journal of Oral Rehabilitation. 1995; 22: 387-389.