Associação entre os sintomas da disfunção Temporomandibular e sua relação com fatores psicológicos em comunidades de Cuiabá-MT / Association between the symptoms of temporomandibular Dysfunction and its relationship with psychological factors In Cuiabá-MT communities

A articulação temporomandibular (ATM) estabelece a ligação móvel entre o osso temporal e a mandíbula, é uma articulação do tipo sinovial, que se inter-relaciona anatômica e cinesiologicamente com as articulações adjacentes e da coluna cervical. Entre as diversas alterações da ATM, encontram-se as desordens temporomandibulares (DTM), termo este empregado para unir um grupo de problemas clínicos de articulação, dos músculos mastigatórios e estruturas situadas em local próximo. A presença dos sintomas psicológicos pode gerar consequências para o indivíduo e o grupo social em que vive. Objetivo: O presente estudo tem por objetivo analisar a prevalência de DTM nos moradores das comunidades de Cuiabá-MT e sua associação com fatores psicológicos. Metodologia: Trata-se de um estudo exploratório transversal, de abordagem quanti-qualitativa, realizada no município de Cuiabá-MT, com 120 voluntários de ambos os sexos. Resultados: Mostraram que há uma maior prevalência em indivíduos do sexo feminino, com companheiro, que trabalham e estudam e não católicos. Discussão: No que se diz respeito ao questionário EADS-21, a depressão teve maior destaque, para o SF-36 a única variável que não apresentou associação foi à limitação por aspecto físico. Conclusão: Os resultados indicaram que a prevalência dessa doença pode ser alta, tendo relação com fatores psicológicos.

The temporomandibular joint (TMJ) establishes a mobile link between the temporal bone andjaw, it is a joint synovial type, which interrelates anatomically and cynesiologically with the adjacent joints andcervical spine. Among the various changes of the TMJ are temporomandibular disorders (TMD), which is a term used to join a group of clinical problems of articulation, masticatory muscles and structures situated next location.The presence of psychological symptoms may have consequences for the individual and the social group where he lives. Objective: This study aims to analyze the prevalence of TMD in residents of Cuiabá communities, and their association with psychological factors. Methodology: This is a cross-sectional exploratory study of quantitative and qualitative approach, held in the city of Cuiabá, with 120 volunteers of both sexes. Results: The results showed that there is a higher prevalence in females, with a partner, who works and studies and non-catholics. Discussion: As regards the EADS-21 questionnaire, depression was more prominent for the SF- 36; the only variable that showed no association was the limitation of physical appearance. Conclusion: The results indicated that the prevalence of this disease can be high, being related to psychological factors

Longitudinal impact of clinical and socioenvironmental variables on oral health-related quality of life in adolescents

Abstract The aim of the present study was to investigate the impact of oral diseases, socioeconomic status, and family environmental factors on changes in the perception of oral health-related quality of life (OHRQoL) in adolescents. A prospective cohort study was conducted in Juiz de Fora, Minas Gerais, Brazil, with a sample of 286 twelve-year-old adolescents from public and private schools, selected by means of multistage random sampling. The adolescents were clinically examined for dental caries experience (number of decayed, missing, and filled teeth - DMFT index), presence of bleeding, and orthodontic treatment needs. They were asked to complete the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14). In addition, parents answered a questionnaire about their socioeconomic status and family environmental characteristics. After 3 years, the adolescents were contacted again to participate in the research. Logistic regression models, with explanatory variables assessed both individually and jointly, were used to determine which independent variables impacted longitudinally on OHRQoL. The final result demonstrated that only DMFT explained part of the response variability in CPQ11-14 scores. In conclusion, caries experience was an important predictor of OHRQoL in adolescents followed up for 3 years.