RESUMO
Objective: This study reports the findings from the psychological assessment of temporomandibular pain dysfunction syndrome (TMJPDS) patients and the treatment outcome following a multidisciplinary team management of this condition. Methods: Three patients suffering from TMJPDS were administered the following psychological assessment questionnaires: Eysenck Personality Questionnaire (EPQ), Symptom Distress Checklist 90 (SCL - 90), Spielberger's State-Trait Anxiety Inventory (STAI), Index of self Esteem (ISE) and Chronic Pain Grade (CPG). The completed questionnaires by the patients were analyzed by a Clinical Psychologist. Case Reports: Case 1 was a 32 years old male. Psychological assessment showed that he manifested high peak position to being anxious and high feeling of tension associated with dental treatment. He also showed an increased pain perception and disability caused by TMJPDS. Case 2 was a 61 years old female. Psychological test showed that despite her high level of trait anxiety, the feeling of tension associated with dental treatment was low. She perceived her abnormal pain and disability caused by the disease to be low. Case 3 was a 39 years old female. Psychological assessment revealed that her predisposition to being anxious was high; however, her anxiety related to dental care was low. She also reported a reduced pain perception and disability caused by the disease condition. Conclusion: This study shows that TMJPDS is often associated with psychological problems, such as anxiety, with or without tension related to dental care, abnormal pain perception and psychological disability. A multidisciplinary team approach including dentists and mental health experts in the management of patients suffering from TMJPDS is recommended
Assuntos
Nigéria , Clínicas de Dor , Resiliência Psicológica , Transtornos da Articulação Temporomandibular , Síndrome da Disfunção da Articulação TemporomandibularRESUMO
Background: It has been reported that Tempro-Mandibular-disorders (TMD) is the most common orofacial pain source of non-dental origin. The aim of this cross-sectional observational study is to explore the prevalence of signs and symptoms of TMD among a group of dental students in Benghazi-Libya.Methods: The examined group comprised 100 students [17 males and 83 females; mean age: 24.8±2.23 years. The assessment was undertaken following Helkimo's measures. The prevalence and severity of TMD was determined using a self-reported anamnestic questionnaire and clinical examination. Descriptive statistics was employed to explore the frequencies of the examined variables. Linear correlation coefficient was conducted between the reported symptoms and recorded signs and between the reported symptoms and the clinical dysfunction scores (CDS). The level of significance was set at P<0.05.Results: A total of 37% of the students reported some level of TMD symptoms [32% mild (Ai1); 5% severe (AiII)]. On the other hand, majority of the students (93%) demonstrated a range of TMD signs [76% mild (DiI); 17% moderate (DiII)].Although linear correlation coefficient between the reported symptoms (Ai) and the recorded signs (Di) (r=0.32) and between the reported symptoms (Ai) and the CDS (r=0.37) were low, they were statistically significant (P<0.05.Conclusion: Mild to moderate prevalence of TMD appears to exist among Libyan dental students
Assuntos
Dor Facial , Líbia , Prevalência , Estudantes de Odontologia , Transtornos da Articulação TemporomandibularRESUMO
Complete or partial dislocation of the temporomandibular joint occurs readily in some patients. Some patients may have a history of recurrent dislocation. Dislocation may also be caused by injudicious use of mouth gags. If it occurs it should be reduced immediately