ABSTRACT
Temporomandibular disorder (TMD) is a common condition. This study is part of a research group and it investigated the prevalence of TMD and myofascial pain and its association with gender, age and socioeconomic class. The sample comprised 100 subjects, aged 15 to 70, users of the Family Health Units' services, in the city of Recife, PE, Brazil. The TMD degree was evaluated using the Research Diagnostic Criteria for TMD and socioeconomic class by the Economic Classification Criteria Brazil. Categorical variables were analyzed by chi-square test for proportions and Fisher's exact test for 2x2 tables, and binary logistic analysis to track the relationship between the independent and dependent variables. According to the results, 42% of the subjects had TMD and 14% myofascial pain. No statistically significant association could be found between TMD and gender or socioeconomic class, but it was found to have statistically significant association with age, and myofascial pain was associated with socioeconomic class. Considering that the results of the present study should be confirmed by further studies and the fact that this was a pilot study, the prevalence must be analyzed with caution.
Subject(s)
Temporomandibular Joint Disorders/epidemiology , Adolescent , Adult , Age Factors , Aged , Brazil/epidemiology , Cross-Sectional Studies , Facial Pain/epidemiology , Female , Humans , Male , Middle Aged , Pilot Projects , Prevalence , Sex Factors , Social Class , Temporomandibular Joint Dysfunction Syndrome/epidemiology , Urban Health/statistics & numerical data , Young AdultABSTRACT
Temporomandibular disorder (TMD) is a common condition. This study is part of a research group and it investigated the prevalence of TMD and myofascial pain and its association with gender, age and socioeconomic class. The sample comprised 100 subjects, aged 15 to 70, users of the Family Health Units' services, in the city of Recife, PE, Brazil. The TMD degree was evaluated using the Research Diagnostic Criteria for TMD and socioeconomic class by the Economic Classification Criteria Brazil. Categorical variables were analyzed by chi-square test for proportions and Fisher's exact test for 2x2 tables, and binary logistic analysis to track the relationship between the independent and dependent variables. According to the results, 42% of the subjects had TMD and 14% myofascial pain. No statistically significant association could be found between TMD and gender or socioeconomic class, but it was found to have statistically significant association with age, and myofascial pain was associated with socioeconomic class. Considering that the results of the present study should be confirmed by further studies and the fact that this was a pilot study, the prevalence must be analyzed with caution.
Disfunção temporomandibular (DTM) é uma condição comum. Este estudo é parte de um grupo de pesquisa e investigou a prevalência de DTM e dor miofascial e suas associações com sexo, idade e classe socioeconômica. A amostra foi composta por 100 indivíduos, com idades entre 15 e 70 anos, usuários das Unidades de Saúde da Família, na cidade de Recife, PE. O grau de DTM foi avaliado usando os Critérios de Diagnósticos Científicos em DTM, e classe socioeconômica com o Critério de Classificação Econômica Brasil. As variáveis categóricas foram analisadas pelo teste do qui-quadrado para proporções e teste exato de Fisher para tabelas 2x2, e a análise logística binária para traçar a relação entre as variáveis independentes e dependentes. De acordo com os resultados, 42% dos indivíduos tinham DTM e 14% dor miofascial. Não houve associação estatisticamente significativa entre DTM e sexo ou classe socioeconômica, mas houve associação estatisticamente significativa com a idade e a dor miofascial foi associada com a classe socioeconômica. Considerando-se que os resultados do presente estudo devam ser confirmados em outros estudos e por causa de sua natureza piloto, a prevalência deve ser analisada com cautela.
Subject(s)
Gene Expression Regulation, Bacterial , Operon , Phenylacetates/metabolism , Pseudomonas putida/genetics , Pseudomonas putida/growth & development , Cell Culture Techniques , Cell Division , Culture Media , Carbon/metabolism , Coenzyme A Ligases/biosynthesis , Coenzyme A Ligases/genetics , Inorganic Chemicals/metabolism , Oxygenases/biosynthesis , Oxygenases/genetics , Pseudomonas putida/metabolism , Reproducibility of Results , Succinic Acid/metabolism , Transcriptional ActivationABSTRACT
OBJECTIVES: To analyze the influence of socioeconomic and demographic factors (gender, economic class, age and marital status) on the occurrence of temporomandibular disorder. Study DESIGN: One hundred individuals from urban areas in the city of Recife (Brazil) registered at Family Health Units was examined using Axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) which addresses myofascial pain and joint problems (disc displacement, arthralgia, osteoarthritis and oeste- oarthrosis). The Brazilian Economic Classification Criteria (CCEB) was used for the collection of socioeconomic and demographic data. Then, it was categorized as Class A (high social class), Classes B/C (middle class) and Classes D/E (very poor social class). The results were analyzed using Pearson's chi-square test for proportions, Fisher's exact test, nonparametric Mann-Whitney test and Binary logistic regression analysis. RESULTS: None of the participants belonged to Class A, 72% belonged to Classes B/C and 28% belonged to Classes D/E. The multivariate analysis revealed that participants from Classes D/E had a 4.35-fold greater chance of exhibiting myofascial pain and 11.3-fold greater chance of exhibiting joint problems. CONCLUSIONS: Poverty is a important condition to exhibit myofascial pain and joint problems
Subject(s)
Humans , Temporomandibular Joint Disorders/epidemiology , Risk Adjustment/methods , Risk Factors , Logistic Models , Facial Pain/epidemiology , Poverty/statistics & numerical data , Cultural DeprivationABSTRACT
A popularização da informática vem proporcionando ao cirurgião-dentista utilizar esses recursos no seu ambiente de trabalho. Desta forma, com o avanço dos sistemas de gerenciamento digital em odontologia, é permitida a transformação da documentação escrita para o meio eletrônico. Temos como objetivo apontar os aspectos legais que devem constar nos prontuários dgitais utilizados na prática clínica para o seu reconhecimento jurídico. As considerações finais dessa revisão sugeriram que é necessária uma adequação do profissional ao uso desse sistema dinâmico de informação. Não existindo mais nenhum impedimento para o profissional em usar os meios eletrônicos desde que seja feita uma autenticação realizada pela ICP-Brasil a fim de lhes conferirem a mesma fé existente nos documentos de papel.
The popularization of computer science comes providing surgeon-dentist to use these resources in its work environment. In such a way, with the advance of the systems of digital management in dentistry, is allowed the transformation of the written documentation for the electronic midia. We have as objective to point the legal aspects that must consist in the digital handbooks in the practical clinic for its legal recognition. The final considerations of this revision had suggested that an adequacy of the professional to the use of this dynamic system of information is necessary. Not existing plus no impediment for the professional in using the eletronic midia since that an authentication carried through for ICP-Brazil is made in order to confer them the same existing faith of paper documents.
