medigraphic.com
ISSN 1870-199X (Print)
Órgano oficial de la Facultad de Odontología, UNAM

2006, Number 3

<< Back Next >>

Rev Odont Mex 2006; 10 (3)

Temporomandibular disorders,its relation with psychological profile in students from Puebla

Espinosa De SI, Reyes GM, Vaillard JE, Vargas GH, Reyes GY

Language: Spanish
References: 18
Page: 115-118
PDF size: 179.18 Kb.


ABSTRACT

Temporomandibular disorders (TMD) make up a group of painful conditions that affect temporomandibular articulation and masticatory muscles. Its relationship with alterations in occlusion and physical aspects has been questioned putting aside the patient’s emotional aspect and its relevance in complete management of said illness, fact which has been documented since 1955. Main: To determine the association in psychological profile with SCL90 instrument and symptoms and signs in temporomandibular joint in students of Puebla. Method: In a descriptive, analytic and cross sectional study, a sample of 500 individuals of the city of Puebla, between 12 and 24 years of age was studied. Each one of them was evaluated clinically to asses the temporomandubular joint and the psychological profile of each one of them through the Spearman test. The presence of signs was graded dicotomically and the psychological profile was graded with the SCL90 survey in ordinal scale. Results: The values found in SCL90 according with presence of signs and symptoms of TMD was higher in all subscales in the group of patients with positive signs and symptoms, with statistical differences for the majority of subscales; were somatization profile outstands. There was also a significative relation between psychological profile and TMD presence in the majority of subscales. Conclusions: There is a correlation (p ≤ 0.05) between the signs and symptoms of temporomandibular disorders and the psychological profile, for which it should be evaluated as part of the protocol of diagnosis and treatment.


REFERENCES

  1. Dworkin S, LeResche L. Research diagnostic criteria for temporomandibular disorders; review criteria, examination and specifications, critique. J Craniomand Disord 1992; 6: 301-55.

  2. Swanljung O, Rantanen T. Functional disorders of the masticatory system in the southwest Finland, Community. Dent Oral Epidemiol 1979; 7(3): 177-182.

  3. Rieder CE, Martinoff JT, Wilcox SA. The prevalence of mandibular dysfunction. I. Sex and age distribution of related signs and symptoms. J Prosthet Dent 1983; 50(1): 81-88.

  4. Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, truelove E, Sommers E. Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. JADA 1990; 120: 273-281.

  5. Magnusson T, Egermark I, Carlsson GE. A longitudinal epidemiologic study of signs and symptoms of temporomandibular disorders from 15 to 35 years of age. J Orofacial Pain 2000; 14(4): 310-9.

  6. LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997; 8(3): 291-305.

  7. Phillips JM, Gatchel RJ, Wesley AL, Ellis E. Clinical implications of sex in acute temporomandibular disorders. J Am Dent Assoc 2001; 132(1): 49-57.

  8. Schwartz LL. Pain associated with the temporomandibular joint. J Am Dent Assoc 1955; 51: 393-397.

  9. Pankhurst CL. Controversies in the etiology of temporomandibular disorders. Part I. Temporomandibular disorders: all in the mind? Prim Dent Care 1997; 41: 25-30.

  10. Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. Cuarta edición. Harcourt Brace. Capítulo 7. Etiología de los trastornos funcionales del sistema masticatorio. 1999: 149-179:

  11. Kinney R, Gatchell R, Ellis E et al. Major psychological disorders in chronic TMD. Patients: implications for successful management. J Am Dent Assoc 1992; 10: 49-54.

  12. Lara-Muñoz C, Espinosa-De Santiillana I, Cárdenas L, Fócil M, Cabazos J. Confiabilidad y validez de la SCL 90 en la evaluación de psicopatología en mujeres. Salud Mental Pública 2005; 28(3): 42-50.

  13. Salonen L, Hellden L, Carlsson GE. Prevalence of signs and symptoms of dysfunction in the masticatory system: An epidemiology study in an adult Swedish population. J Craniomandib Disord Facial Oral Pain 1990; 4: 241-50.

  14. Matsuka Y, Yatani H, Kuboki T, Yamashita A. Temporomandibular disorders in the adult population of Okayama City, Japan. J Craniomandib Pract 1996; 14: 158-62.

  15. Peveler R, Fairburn CG. Medición de síntomas neuróticos por cuestionario de autoreporte: Validez del SCL 90. R Psychological Medicine 1990; 20: 873-879.

  16. Derogatis LR, Lipman RS, Covi L. SCL 90: Una escala de evaluación psiquiátrica de pacientes externos. Reporte preliminar. Psychopharmacology Research branch, National Institute of Mental Health, Rockville, Maryland.

  17. Rothwell PS. Personality and temporomandibular joint dysfunction. Oral Surgery 1972; 34: 734-42.

  18. Krogstad BS, Jokstad A. Relationships between risk and treatment outcome in a group of patients with temporomandibular disorders. J Orofacial Pain 1996; 10:48-53.




2020     |     www.medigraphic.com