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Abstract(s)
Introdução: A oclusão é definida como o contacto que existe entre os dentes maxilares e mandibulares. O termo disfunção temporomandibular (DTM) é utilizado para reunir um grupo de doenças que acometem os músculos mastigatórios, a articulação temporomandibular (ATM) e as estruturas adjacentes. Os principais sintomas da DTM são dor, limitação de abertura, sons articulares, desvio mandibular e dificuldades mastigatórias. Estes sintomas podem aparecer isolados ou combinados. A dor é o sintoma mais comum das DTM e é esta a razão pela qual os pacientes se dirigem ao médico dentista. Os pacientes têm dores quando realizam movimentos mandibulares, em repouso ou quando lhes é feita a palpação muscular. Os portadores de DTM são particularmente importantes do ponto de vista psicológico, sendo necessário avaliar os fatores psicossomáticos na presença de dores crónicas orofaciais.
Objetivo: Realizar uma revisão bibliográfica em que se avalie o papel dos fatores psicossomáticos nas disfunções temporomandibulares.
Materiais e Métodos: A pesquisa dos artigos a rever foi realizada no Pubmed, Google Académico e ScienceDirect.
Nos motores de busca acima citados, os termos de pesquisa utilizados foram: “Occlusion”, “TMJ”, “TMD” , “Stress”, “Anxiety”, “Depression”, “TMD+Stress”, “TMD+Anxiety” e “TMD+Depression”.
Os artigos publicados antes do ano de 2000 foram excluídos da revisão bibliográfica.
Resultados: Foram selecionados 14 artigos que relacionam a disfunção temporomandibular com os fatores psicossomáticos. Dos 14 artigos escolhidos, 11 são de caráter observacional e 3 de caráter experimental.
Conclusão: Os fatores psicossomáticos têm um papel muito importante nas disfunções temporomandibulares. Os indivíduos portadores desta patologia apresentam maiores níveis de ansiedade, stress e depressão comparativamente com os pacientes saudáveis.
Introduction: Occlusion is defined as the contact that exists between the maxillary and mandibular teeth. The term temporomandibular disorders (TMD) are used to join a group of diseases that affect the masticatory muscles, the temporomandibular joint (TMJ) and adjacent structures. The main symptoms of TMD are pain, opening limitation, joint sounds, and mandibular deviation and chewing difficulties. These symptoms may appear alone or together. Pain is the most common symptom of TMD and this is the reason why patients go to the dentist. Patients have pain when jaw movements occur or when someone made to them muscle palpation. The patients with TMD are particularly important from a psychological point of view. It is necessary to evaluate the psychosomatic factors in the presence of orofacial chronic pain. Objective: Evaluate the role of psychosomatic factors in temporomandibular disorders through a literature review. Materials and Methods: The search of the articles to review was conducted in PubMed, Google Scholar and ScienceDirect. The terms used in the research were: "Occlusion", "TMJ", "TMD", "Stress", "Anxiety," "Depression," "TMD + Stress", "TMD + Anxiety" and "TMD + Depression". The articles published before 2000 were excluded from the literature review. Results: We selected 14 articles relating TMD and psychosomatic factors. From the 14 articles, 11 are observational and 3 are experimental. Conclusion: Psychosomatic factors have an important role in temporomandibular disorders. People with this disease have higher levels of anxiety, stress and depression compared to healthy patients.
Introduction: Occlusion is defined as the contact that exists between the maxillary and mandibular teeth. The term temporomandibular disorders (TMD) are used to join a group of diseases that affect the masticatory muscles, the temporomandibular joint (TMJ) and adjacent structures. The main symptoms of TMD are pain, opening limitation, joint sounds, and mandibular deviation and chewing difficulties. These symptoms may appear alone or together. Pain is the most common symptom of TMD and this is the reason why patients go to the dentist. Patients have pain when jaw movements occur or when someone made to them muscle palpation. The patients with TMD are particularly important from a psychological point of view. It is necessary to evaluate the psychosomatic factors in the presence of orofacial chronic pain. Objective: Evaluate the role of psychosomatic factors in temporomandibular disorders through a literature review. Materials and Methods: The search of the articles to review was conducted in PubMed, Google Scholar and ScienceDirect. The terms used in the research were: "Occlusion", "TMJ", "TMD", "Stress", "Anxiety," "Depression," "TMD + Stress", "TMD + Anxiety" and "TMD + Depression". The articles published before 2000 were excluded from the literature review. Results: We selected 14 articles relating TMD and psychosomatic factors. From the 14 articles, 11 are observational and 3 are experimental. Conclusion: Psychosomatic factors have an important role in temporomandibular disorders. People with this disease have higher levels of anxiety, stress and depression compared to healthy patients.
Description
Keywords
ATM Disfunção temporomandibular Stress Ansiedade Depressão TMJ Temporomandibular disorders Anxiety Depression