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Aplicação do RDC (Research Diagnostic Criteria) no diagnóstico precoce de DTM
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Introdução: O aparelho estomatognático é composto por vários elementos importantes para o seu equilíbrio, entre os quais a articulação temporomandibular (ATM). As parafunções podem afetar a ATM, os músculos orofaciais e/ou os dentes, podendo originar desordens temporomandibulares (DTM), patologias de etiologia multifatorial. Os “Research Diagnostic Criteria for Temporomandibular Disorders” (RDC/TMD) surgem para facilitar o diagnóstico e a compreensão das DTM.
Objetivos: A partir dos RDC/TMD, pretende-se gerar hipóteses esclarecedoras respeitante à deteção precoce da DTM, tendo em conta as características da comunidade estudantil do ICS-UCP e populacional da região de Viseu que frequentam a clínica universitária.
Materiais e Métodos: A amostra é constituída por 72 indivíduos - pacientes e alunos da clínica universitária do ICS-UCP. A todos os pacientes foi prestado um consentimento informado, livre e esclarecido assim como garantida a confidencialidade dos dados recolhidos. De forma aleatória, foi avaliada a sua condição oclusal pela aplicação do RDC/TMD e registou-se o diagnóstico mais provável. Para a análise estatística foram utilizados os programas Microsoft® Excel® for Mac 2011 e IBM® SPSS v.22.
Resultados: Verificou-se que os valores quantitativos de todas as variáveis (movimentos de abertura, lateralidade, protrusão, trespasse vertical e horizontal) encontram-se dentro dos valores descritos na literatura. Os diagnósticos encontrados mais prevalentes foram a artralgia e a anteposição discal redutível. O género feminino foi o que se relacionou mais com a presença de dor. No geral, as diferentes correlações de sinais e sintomas de DTM com as diferentes variáveis demonstraram-se coincidentes com outros estudos equivalentes.
Conclusão: Tendo em conta as limitações e características da amostra, as conclusões obtidas comparam-se ao conhecimento atual. É importante desenvolver mais estudos para um aperfeiçoamento crescente deste método,permitindo tratar, o paciente de forma mais objetiva, direcionada e individualizada.
Introduction: The stomatognathic system is composed by several important elements for its balance, including the temporomandibular joint (TMJ). Some parafunctions may affect TMJ, muscles and/or teeth, which can cause temporomandibular disorders (TMD), a pathology with multifactorial aetiology. Research Diagnostic Criteria for Temporomandibular Disorders appear to facilitate the diagnosis and understanding of TMD. Objectives: From the RDC/TMD, it was intended to generate hypothesis regarding to early DTM detection according with the characteristics of ICS-UCP student community and population of the Viseu region, who attends at the clinic university. Materials and Methods: The sample comprised 72 individuals - patients and students of the ICS-UCP clinic university. All patients were requested to read the informed consent, free and clear data collected confidentiality was guaranteed. Randomly, it was evaluated their occlusal condition for the RDC/TMD application and recorded the most likely diagnosis. For statistical analysis, the Microsoft® Excel® for Mac 2011 and IBM® SPSS v.22 were used. Results: The quantitative values of all variables (opening motion, lateral motion, protrusion, overbite and overjet) were found to be within the expected literature data. Moreover, the most prevalent diagnostics discovered were arthralgia and disk displacement with reduction, and the female gender was related the most to the presence of pain. Globally, all of the TMD signs and symptoms correlated show to be similar with other studies. Conclusion: Considering the limitations and characteristics of the sample, the conclusions made are comparable to the current knowledge. It is important more studies to increase improvement of this method and to allow a better treatment, more objective, precise and individualized.
Introduction: The stomatognathic system is composed by several important elements for its balance, including the temporomandibular joint (TMJ). Some parafunctions may affect TMJ, muscles and/or teeth, which can cause temporomandibular disorders (TMD), a pathology with multifactorial aetiology. Research Diagnostic Criteria for Temporomandibular Disorders appear to facilitate the diagnosis and understanding of TMD. Objectives: From the RDC/TMD, it was intended to generate hypothesis regarding to early DTM detection according with the characteristics of ICS-UCP student community and population of the Viseu region, who attends at the clinic university. Materials and Methods: The sample comprised 72 individuals - patients and students of the ICS-UCP clinic university. All patients were requested to read the informed consent, free and clear data collected confidentiality was guaranteed. Randomly, it was evaluated their occlusal condition for the RDC/TMD application and recorded the most likely diagnosis. For statistical analysis, the Microsoft® Excel® for Mac 2011 and IBM® SPSS v.22 were used. Results: The quantitative values of all variables (opening motion, lateral motion, protrusion, overbite and overjet) were found to be within the expected literature data. Moreover, the most prevalent diagnostics discovered were arthralgia and disk displacement with reduction, and the female gender was related the most to the presence of pain. Globally, all of the TMD signs and symptoms correlated show to be similar with other studies. Conclusion: Considering the limitations and characteristics of the sample, the conclusions made are comparable to the current knowledge. It is important more studies to increase improvement of this method and to allow a better treatment, more objective, precise and individualized.
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Palavras-chave
Articulação temporomandibular Patologia articular Desordens temporomandibulares Diagnóstico precoce Critérios de diagnóstico Temporomandibular joint Joint pathology temporomandibular disorders Early diagnosis Diagnostic criteria