ABSTRACT
Abstract The prevalence of temporomandibular disorders (TMD) is higher in females, reaching their high peak during reproductive years, probably because of the action of some female hormones, which alter pain threshold. This study aimed to investigate the prevalence of TMD in postmenopausal women and its relationship with pain and hormone replacement therapy (HRT). In total, 284 patients were evaluated and classified using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Pain was measured using the Visual Analogue Scale (VAS), and patients were also asked about the use of HRT. All data was analyzed using analysis of variance (ANOVA) and chi-square test. In total, 155 subjects did not have TMD and 129 had TMD; TMD group patients were classified according to RDC/TMD axis I classification as follows: muscle disorder group (1.6%), disk displacement group (72.87%), and arthralgia, osteoarthritis, and osteoarthrosis group (37.98%). Pain was registered in 35 patients who belonged to the TMD group, while 48 patients reported the use of HRT. There was a similar percentage of TMD and non TMD patients; moreover, the use of exogenous hormones was no associated with TMD, suggesting that there is no influence on the pain threshold.
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Facial Pain/physiopathology , Facial Pain/epidemiology , Temporomandibular Joint Disorders/physiopathology , Temporomandibular Joint Disorders/epidemiology , Estrogen Replacement Therapy , Postmenopause/physiology , Osteoarthritis/physiopathology , Osteoarthritis/epidemiology , Severity of Illness Index , Pain Measurement , Facial Pain/diagnosis , Brazil/epidemiology , Temporomandibular Joint Disorders/diagnosis , Prevalence , Analysis of Variance , Arthralgia/physiopathology , Arthralgia/epidemiology , Middle AgedABSTRACT
A síndrome da boca ardente (SBA) se caracteriza, essencialmente, por sintoma de queimação na mucosa oral, não se evidenciando achados clínicos ou laboratoriais que justifiquem tal sensação. As mulheres menopausadas representam a maioria dos indivíduos queixosos, especulando-se, a partir disso, a influência de fatores hormonais. Depressão, ansiedade, diabetes, deficiência nutricional são fatores que parecem estar ligados a SBA, justificando-se o uso de antidepressivos, benzodiazepínicos e o controle de causas-base que atualmente trazem os melhores resultados no alívio dos sintomas.