Association of oral conditions with quality of working life of brazilian police officers

Objective: to evaluate the impact on the quality of working life of brazilian police officers with temporomandibular disorders (TMD). materials and methods: the sample consisted of 52 subjects and information was collected through the WHOQOL-BREF questionnaire and the Fonseca anamnesis index to evaluate the level of temporomandibular disorder (TMD), followed by clinical examination to determine the experience of dental caries, by means of the DMFT index. descriptive and inferential statistical analysis (chi-square test) was performed through the statistical package for the social sciences software. The significance level was 5 percent. results: the sample was predominantly composed of males (94.2 percent) with a mean age of 39.4 years (±9.4) and mean service length of 17.3 years (±11.0). the mean DMFT index value was 15.6 (±6.1), especially the "filled" component, whose mean was 12.1 (±5.4). the presence of TMD was found in 67.3 percent of the sample, of predominating mild degree (91.4 percent). quality of working life (QWL) was classified as unsatisfactory/neutral by 57.7 percent of participants. there was a statistically significant association between QWL and presence of TMD (p<0.05); however, there was no association between DMFT index and the presence of TMD (p>0.05). conclusion: although military police officers presented a high mean DMFT index value, there was highest prevalence of the "filled" component, evidencing a past experience of caries and evidencing that this population has access to oral health services. the occurrence of TMD was high, predominating the mild degree, and there was an association with QWL.

Is playing string or wind musical instruments a risk factor for temporomandibular dysfunction? a systematic review

AIM. medical problems specifically affecting professional musicians are commonly mentioned in the literature. the present study is aimed to evaluate, through a systematic review, the possible association between the practice of string with bow and wind musical instruments and the occurrence of temporomandibular dysfunction (TMD). METHODS. the search for articles was conducted in PubMed/ Medline, Web of Science, Scopus, Lilacs, Cochrane Library, and Open Gray databases, and there was no restriction on language or date of publication. the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. the MeSH terms used were: "music"; "temporomandibular joint"; "temporomandibular joint disorders"; "temporomandibular joint dysfunction syndrome"; and "occupational diseases". cross-sectional studies, case-control, cohort and clinical trials were included that involved the practice of string with bow and wind musical instruments and the occurrence of temporomandibular dysfunction (TMD). articles were previously selected by title and abstract. qualitative evaluation was done through the Newcastle-Ottawa scale. RESULTS. the literature search identified 732 studies, of which 10 met the inclusion criteria, nine of them cross-sectional studies and one a clinical intervention study. the TMD prevalence ranged from 47.0 percent to 89.0 percent. recruitment of participants took place in professional schools and orchestras, and in bands of professional musicians. all studies reported associations between TMD and the practice of musical instruments, and violinists presented higher prevalence rates when compared to other instrument groups. CONCLUSION. all studies pointed to a possible association between TMD and the practice of string and wind musical instruments. more longitudinal and clinical trials studies are needed to verify any possible interrelationship.