medigraphic.com
SPANISH

Neurología, Neurocirugía y Psiquiatría

ISSN 0028-3851 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2011, Number 4

<< Back Next >>

Rev Neurol Neurocir Psiquiat 2011; 44 (4)

Effect of psychotherapy combined with conservative treatment in patients with temporomandibular disorders muscle

Taddeo MMM, Vejar AI
Full text How to cite this article

Language: Spanish
References: 10
Page: 122-127
PDF size: 89.09 Kb.


Key words:

Psychotherapy, disturbance of temporomandibular muscle.

ABSTRACT

Introduction. Patients with temporomandibular muscle disorders (TMD) have difficulty chewing and mouth opening and the same headache, or earsbring as consequences of sleep disorders and irritability.
Objective. Determine the influence of combined psychotherapywith conservative treatment produces better control of pain on mouth opening and pain on chewing cervical compared to the application only conservative treatment in patients with TMD muscle of Hospital.
Methods. Intervention study, longitudinal and comparative. Formed two groups of patients, 20 of group A and 27 group B, patients who visited the serviceMaxillofacial Surgery of the Central Military Hospital TTM muscle. Were diagnosed by a history, physical examination, complementary examinations and psychometric tests, were operated with conservative treatment (group A) and treatment combined with psychotherapy conservative (group B). The Statistical analysis was performed using the parametric Ttest for comparison of means two independent samples, using the package statistics for social sciences version 19.
Results. Favorable effects were found (p ‹ 0.05) treatment conservative combined with psychotherapy with conservative treatment only, in conjunction with pain control to open the mouth, the chewing and neck pain, anxiety and depression.
Conclusions. The results agree with those of current studies. It favors the interpretation biopsychosocial etiology of disorders of Temporomandibular muscle. We recommend interdisciplinary approach, considering the psychotherapy as a measure of secondary care.


REFERENCES

  1. Buescher JJ. Temporomandibular Joint Disorders. Am Fam Physician 2007: 1476-82, 1483-84.

  2. Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. 6a. Ed. Madrid: Elsevier; 2009.

  3. Wright EF. Manual of Temporomandibular Disorders. 2ª. Ed. Oxford: John Wiley & Sons; 2009.

  4. Swartz MH. Tratado de semiología. Anamnesis y exploración. 6a. Ed. Barcelona: Elsevier; 2010.

  5. Aggarwal VR, Tickle M, Javidi H, Peters S. Reviewing the evidence: can cognitive behavioral therapy improve outcomes for patients with chronic orofacial pain? J Orofac Pain 2010; 24(2): 163-71.

  6. Kröner-Herwig B. Chronic pain syndromes and their treatment by psychological interventions. Curr Opin Psychiatry 2009; 22(2): 200-4.

  7. Sadock BJ, Sadock VJ. Manual de bolsillo de psiquiatría clínica. 4a. Ed. USA: Ediciones Wolters Kluwer Lippincott; 2008: 412-77.

  8. Woda A. Psychologic versus somatic? Is it a pertinent alternative? J Orofac Pain 2007: 21(2): 85-6.

  9. Jerjes W, Upile T, Abbas S, Kafas P, Vourvachis M, Rob J, Mc Carthy E, et al. Muscle disorders and dentition-related aspects in temporomandibular disorders: controversies in the most commonly used treatment modalities. Int Arch Med 2008; 1(1): 23.

  10. Licini F, Nojelli A, Segù M, Collesano V. Role of psychosocial factors in the etiology of temporomandibular disorders: Relevance of a biaxial diagnosis. Minerva Stomatol 2009; 58(11- 12): 557-66.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Neurol Neurocir Psiquiat. 2011;44