Avaliação da ocorrência e dos conhecimentos sobre disfunção temporomandibular em profissionais da Equipe de Saúde da Família do Grupo Hospitalar Conceição / Evaluation of occurrence and knowledge on temporomandibular dysfunction in professionals of the Family Health Teams of the Conceição Hospital Group

Objetivo: considerando-se o elevado número de pessoas com disfunção temporomandibular (DTM) e que a busca por tratamento tem aumentado nos últimos anos, o objetivo do presente estudo foi avaliar a prevalência de DTM entre os integrantes da Equipe de Saúde da Família (ESF) e o conhecimento dos profissionais em relação a essa condição. Métodos: os questionários foram aplicados em 87 profissionais da ESF do Grupo Hospitalar Conceição. No primeiro questionário, avaliou-se a prevalência de DTM, no segundo, foram coletados os dados sociodemográficos e, no terceiro e último, avaliou-se o conhecimento sobre a etiologia, o diagnóstico e o tratamento das DTMs. A análise dos dados foi realizada por meio dos testes Qui-Quadrado ou Teste T de Student para um p ≤ 0,05. Resultados: os resultados demonstraram que os profissionais incluídos, em sua maioria, apresentam DTM leve e que o percentual de acertos dos dentistas foi superior estatisticamente ao dos médicos apenas no item tratamento. Conclusão: é de suma importância que os profissionais das ESFs estejam preparados para atender a demanda de pacientes que apresentam sinais e sintomas compatíveis com DTM.(AU)

Objectives: considering the high number of people affected by TMD and the demand for treatment has increased in the last years, the objective of the present study was to assess the prevalence of TMD among the members of the Family Health Team (FHT) and professionals' knowledge regarding this condition. Methods: three questionnaires were applied to 87 professionals from the Family Health Teams of the Hospital Conceição Group. The first questionnaire evaluated the prevalence of TMD, the second one collected the sociodemographic data and, finally, the research questionnaire sought to evaluate the professionals knowledge about the etiology, diagnosis and treatment of TMD. The data analysis were performed by the Chi-square or Student's T-Test for a p ≤ 0.05. Results: the results demonstrated that the professionals included in the sample have most have slight TMD. Regarding the professional knowledge, the percentage of correct answers of the dentists was statistically superior to the one of the doctors only in treatment. Conclusion: it is of the utmost importance that FHT professionals are prepared to meet the demand of patients with signs and symptoms compatible with TMD.(AU)

Effective evaluation of autogenous coronoid process reengineering condylar arthroplasty with simultaneous genioplasty / 重庆医学

Objective To evaluate the clinical effects of autogenous coronoid process reengineering condylar arthroplasty with simultaneous genioplasty for the correction of temporomandibular joint(TMJ)ankylosis accompanying micrognathia.Methods 21 cases of TMJ ankylosis with micrognathia from July 2003 to January 2012 were treated by autogenous coronoid process re-engineering condylar arthroplasty with simultaneous genioplasty.The follow-up period was 24 months to 8 years.TMJ function, mouth opening,occlusion,facial contour and the imaging manifestations were evaluated.Results After observation of follow-up,19 cases were improved obviously in the mandibular movement and mouth opening.Two cases had the recurrence of TMJ ankylosis. The facial appearance in all cases was significantly improved compared with before operation and the occlusal relationship had no large change compared with before operation.The coracoid process and mandibular ramus reached bone union with good reconstruc-tion by the panoramic radiographs.Compared with preoperation;the cephalometric results showed that the facial contour and process had statistical differences between postoperation and preoperation(P <0.05).Conclusion Autogenous coronoid process re-engineering condylar arthroplasty with simultaneous genioplasty can treat TMJ ankylosis accompanying micrognathia.