Efeito de terapias conservadoras na depress?o e dor em pacientes com disfun??o temporomandibular: ensaio cl?nico randomizado

• Main Author: Melo, Rafaela Albuquerque
• Other Authors: 00794853404
• Language: Portuguese
• Published: PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA 2017
• Subjects: CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA; Transtornos da articula??o temporomandibular; Depress?o; Dor
• Online Access: https://repositorio.ufrn.br/jspui/handle/123456789/24094

Submitted by Automa??o e Estat?stica ([e-mail]) on 2017-10-05T00:11:29Z No. of bitstreams: 1 RafaelaAlbuquerqueMelo_DISSERT.pdf: 2625630 bytes, checksum: 982be11955510b17b4f466620f5f679a (MD5) === Approved for entry into archive by Arlan Eloi Leite Silva ([e-mail]) on 2017-10-16T23:35:38Z (GMT) No. of bitstreams: 1 RafaelaAlbuquerqueMelo_DISSERT.pdf: 2625630 bytes, checksum: 982be11955510b17b4f466620f5f679a (MD5) === Made available in DSpace on 2017-10-16T23:35:38Z (GMT). No. of bitstreams: 1 RafaelaAlbuquerqueMelo_DISSERT.pdf: 2625630 bytes, checksum: 982be11955510b17b4f466620f5f679a (MD5) Previous issue date: 2017-07-19 === Introdu??o: A Disfun??o Temporomandibular (DTM) ? uma condi??o de etiologia multifatorial que afeta o sistema estomatogn?tico, possuindo dentre os fatores contribuintes ao seu desenvolvimento, aspectos biopsicossociais. Assim, a sua conduta terap?utica inicial deve ser multidisciplinar, com tratamentos conservadores e revers?veis. Objetivo: Avaliar o efeito da placa oclusal (PO), aconselhamento (AC) e placa com aconselhamento (PAC) sobre dor e sintomas de depress?o em pacientes com DTM ap?s 30 dias de terapia. M?todos: Sesssenta pacientes diagnosticados com DTM por meio do RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders) foram alocados em tr?s grupos de tratamento (21 no PAC, 22 no PO e 17 no AC). Os participantes responderam aos question?rios BDI (Invent?rio da depress?o de Beck) e HADS (Escala Hospitalar de Ansiedade e Depress?o) com rela??o ? depress?o e ? Escala Visual Anal?gica (EVA) quanto ? dor e foram novamente submetidos ao RDC/TMD ap?s a terapia, com 30 (trinta) dias de tratamento. Os dados obtidos foram analisados por meio do programa SPSS (Statistical Package for the Social Science) 22.0 com o teste Split Plot ANOVA, com n?vel de confian?a de 95%. Resultados: Houve uma redu??o significativa nos par?metros depressivos pelo BDI (p=0,002) e HADS (p=0,008) e tamb?m da sintomatologia dolorosa (p=0,001) ap?s 30 dias de tratamento em todos os grupos analisados. Todavia, n?o houve diferen?a estatisticamente significativa entre os grupos de tratamento nos par?metros depressivos, seja pelo BDI (p=0,315) ou HADS (p=0,843) e na dor (p=0,267), mostrando que nenhum grupo terap?utico foi superior em rela??o aos demais na redu??o dos par?metros analisados. Conclus?o: Dentro das limita??es do estudo, pode-se concluir que, em curto prazo, os tratamentos de placa oclusal e aconselhamento, individualmente ou em associa??o, foram efetivos na redu??o da sintomatologia dolorosa e dos aspectos depressivos. Todavia, nenhum grupo terap?utico foi superior ao outro na redu??o dos par?metros observados. === Introduction: Temporomandibular Dysfunction (TMD) is a condition of multifactorial etiology that affects the stomatognathic system, possessing, among the factors contributing to its development, biopsychosocial aspects. Thus, their initial therapeutic management should be multidisciplinary, with conservative and reversible treatments. Objective: To evaluate the effect of occlusal plaque (PO), counseling (CA) and plaque with counseling (PAC) on pain and depression symptoms in patients with TMD after 30 days of therapy. Methods: Sixty patients diagnosed with TMD through RDC / TMD (Research Diagnostic Criteria for Temporomandibular Disorders) were allocated into three treatment groups (21 in PAC, 22 in OP and 17 in CA). Participants responded to the BDI (Beck Depression Inventory) and HADS (Hospital Anxiety and Depression Scale) questionnaires regarding depression and the Visual Analogue Scale (VAS) for pain and were re-submitted to RDC / TMD after therapy, With 30 (thirty) days of treatment. The data were analyzed using SPSS (Statistical Package for the Social Science) 22.0 with the Split Plot ANOVA test, with a confidence level of 95%. Results: There was a significant reduction in the depressive parameters by BDI (p = 0.002) and HADS (p = 0.008) and also pain symptoms (p = 0.001) after 30 days of treatment in all groups analyzed. However, there was no statistically significant difference between the treatment groups in the depressive parameters, either by BDI (p = 0,315) or HADS (p = 0.843) and pain (p = 0.267), showing that no therapeutic group was superior to In the reduction of the analyzed parameters. Conclusion: Within the limitations of the study, it can be concluded that, in a short time, occlusal plaque treatments and counseling, individually or in combination, were effective in reducing pain symptoms and depressive aspects. However, no therapeutic group was superior to the other in reducing the observed parameters.