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Órgano Oficial de la Asociación Dental Mexicana

2018, Number 4

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Rev ADM 2018; 75 (4)

Prevalence of temporomandibular disorders in psychogenic patients: clinical case presentation

Gómez RCL, Pacheco RG, Morales VDM

Language: Spanish
References: 26
Page: 237-242
PDF size: 385.74 Kb.


ABSTRACT

Background: Temporomandibular disorders (TMD), according to worldwide studies, are a very frequent problem, approximately between 70-90% of the general population has at least one clinical sign. While between 5-13% show significant symptomatology clinically; TMD is a pathology considered present in the busy industrial society of today, the disease of modern society. Laskin in 1969 began to defend the etiology of the TMD, giving special importance to stress and psychological state. More than 340 million people currently suffer from some type of clinical depression, based on data reported by the World Health Organization (WHO 2008). According to studies in 2012, the University of Greifswald, in Germany, has proposed that the symptoms of depression and anxiety should be considered as risk factors in TMD. Material and methods: We went to the Psychology Service of the Family Medicine Unit (FMU) No. 26 in Monterrey, Nuevo Leon (NL). And in conjunction with the psychologist, were researched patients without a history of trauma or cervical injuries and were assessed. A survey was applied, an epidemiological record was drawn up, a clinical assessment was made and a case was selected for its presentation. Results: The patient comes to monthly checks after myorelaxing therapy, referring improvement to oral opening. Conclusions: The stomatologist, maxillofacial surgeon, and psychologist in the care of people with TMD require interdisciplinary work; included home physiotherapy with self-care strategies, patient education, and lifestyle modifications. Treatment with dental and psychological approaches at the same time seems to be more effective and obtains better results. Patients should be aware that habits do not change on their own and they are responsible for these behavioral changes. The correction of a habit can be achieved by making the patient aware that this habit exists, how he should correct it and why he should do it.


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