Orientador: Daniela Aparecida de Godoi Gonçalves / Resumo: Em adultos, a disfunção temporomandibular (DTM) frequentemente está associada com outras condições dolorosas, como a fibromialgia (FM). Os tender points (TPs), que são parte dos critérios diagnósticos para FM, indicam um aumento da sensibilidade à dor generalizada. Objetivos: Investigar a associação entre DTM dolorosa e o número de TPs em adolescentes, bem como a relação entre o número de TPs e o limiar de dor à pressão (LDP) para dor local, regional e generalizada, como possíveis indicativos de sensibilização central (SC). Ainda, explorar a associação entre DTM dolorosa e FM, investigar o impacto da DTM dolorosa na qualidade de vida (QV) do adolescente e a influência de outras condições comórbidas (dor no corpo, qualidade do sono, doenças sistêmicas, sedentarismo, obesidade, sintomas depressivos) nessa associação. Métodos: A amostra foi composta por 690 adolescentes brasileiros com (n=112) e sem DTM dolorosa (n=578), de 12 a 14 anos. A DTM dolorosa foi classificada de acordo com os Critérios de Diagnóstico de Pesquisa para DTM (RDC/TMD) - Eixo I. Os critérios estabelecidos por Yunus foram aplicados para avaliar a FM juvenil e os TPs. O questionário Pediatric Quality of Life InventoryTM foi aplicado para avaliar a QV. Estatísticas descritivas foram utilizadas para caracterizar os participantes, estratificando pela presença de DTM dolorosa. Testes de Mann-Whitney e χ2 foram aplicados para testar a associação entre DTM dolorosa e variáveis demográficas. Modelos de regressão for... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Temporomandibular disorder (TMD) in adults is often associated with other painful conditions, such as fibromyalgia (FM). The tender points (TPs), which are part of the diagnostic criteria for FM, indicate increased sensitivity to generalized pain. Aims: To investigate the association between painful TMD and the number of TPs in adolescents, as well as the relationship between the number of TPs and the pressure pain threshold (PPT) for local, regional and generalized pain, as possible indicative of central sensitization (CS). Also, to explore the association between painful TMD and FM, to investigate the impact of painful TMD on adolescent's quality if life (QoL) and the influence of other comorbid conditions (body pain, sleep quality, systemic diseases, sedentary lifestyle, obesity, depressive symptoms). Methods: The sample consisted of 690 Brazilian adolescents with and without painful TMD, aged 12-14 years old. Painful TMD was classified according to the Research Diagnostic Criteria for TMD (RDC/TMD) - Axis I. The criteria that were established by Yunus were applied to assess juvenile fibromyalgia and TPs. The generic Pediatric Quality of Life InventoryTM was applied to evaluate the QoL. Descriptive statistics were used to characterize the participants, stratifying by the presence of painful TMD. MannWhitney and χ2 -tests were applied to test the association between painful TMD and demographic variables. Regression models were used to estimate the association between painful TMD and TPs and to determine which additional predictive variables were associated with TPs. Regression analyses were performed to test the associations between the PPT values and number of TPs. Fisher's test was used to estimate the association between painful TMD and FM. Linear regression analyzes were performed with painful TMD and one of the other possible predictors... (Complete abstractelectronic access below) / Doutor
| Identifer | oai:union.ndltd.org:UNESP/oai:www.athena.biblioteca.unesp.br:UEP01-000912714 |
| Date | January 2019 |
| Creators | Campi, Leticia Bueno. |
| Contributors | Universidade Estadual Paulista "Júlio de Mesquita Filho" Faculdade de Odontologia (Campus de Araraquara). |
| Publisher | Araraquara, |
| Source Sets | Universidade Estadual Paulista |
| Language | Portuguese |
| Detected Language | English |
| Type | text |
| Format | 120 f. |
| Relation | Sistema requerido: Adobe Acrobat Reader |
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