Efeito de terapias conservadoras na depressão e dor em pacientes com disfunção temporomandibular: ensaio clínico randomizado

• Ano de defesa: 2017
• Autor(a) principal: Melo, Rafaela Albuquerque
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA
• Palavras-chave em Português: Transtornos da articulação temporomandibular; Depressão; Dor; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: https://repositorio.ufrn.br/jspui/handle/123456789/24094

Introduction: Temporomandibular Dysfunction (TMD) is a condition of multifactorial etiology that affects the stomatognathic system, possessing, among the factors contributing to its development, biopsychosocial aspects. Thus, their initial therapeutic management should be multidisciplinary, with conservative and reversible treatments. Objective: To evaluate the effect of occlusal plaque (PO), counseling (CA) and plaque with counseling (PAC) on pain and depression symptoms in patients with TMD after 30 days of therapy. Methods: Sixty patients diagnosed with TMD through RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders) were allocated into three treatment groups (21 in PAC, 22 in OP and 17 in CA). Participants responded to the BDI (Beck Depression Inventory) and HADS (Hospital Anxiety and Depression Scale) questionnaires regarding depression and the Visual Analogue Scale (VAS) for pain and were re-submitted to RDC / TMD after therapy, With 30 (thirty) days of treatment. The data were analyzed using SPSS (Statistical Package for the Social Science) 22.0 with the Split Plot ANOVA test, with a confidence level of 95%. Results: There was a significant reduction in the depressive parameters by BDI (p = 0.002) and HADS (p = 0.008) and also pain symptoms (p = 0.001) after 30 days of treatment in all groups analyzed. However, there was no statistically significant difference between the treatment groups in the depressive parameters, either by BDI (p = 0,315) or HADS (p = 0.843) and pain (p = 0.267), showing that no therapeutic group was superior to In the reduction of the analyzed parameters. Conclusion: Within the limitations of the study, it can be concluded that, in a short time, occlusal plaque treatments and counseling, individually or in combination, were effective in reducing pain symptoms and depressive aspects. However, no therapeutic group was superior to the other in reducing the observed parameters.