对巴西一所公立大学颞下颌功能障碍护理机构的患者进行回顾性分析

Wellington Pereira de Moura, P. L. P. D. Silva, G. Lemos, P. Bonan, R. V. Montenegro, A. Batista
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引用次数: 3

摘要

背景和目的:本研究的目的是对巴西一所公立大学医疗服务部门颞下颌紊乱患者的病历进行回顾性分析。记录颞下颌紊乱的体征和症状的患病率、相关因素、诊断和与治疗相关的观察。方法:2013年3月至2014年12月,由一名调查员对213份病历进行评估。收集社会人口学因素、颞下颌紊乱症状的患病率和治疗需求(Fonseca遗忘指数)、临床检查、诊断、治疗和转诊等信息。结果:患者以女性(81.7%)、单身(53.0%)、学生(23.3%)居多,年龄在20 ~ 29岁(26.8%)。50.4%的患者报告疼痛。根据FAI, 41.8%的患者被分类为严重颞下颌紊乱症状,73.2%的患者被确定需要治疗。颞下颌紊乱症状的存在(p = 0.001)和治疗需求(p <0.001)与女性显著相关。最常见的诊断是颞下颌肌紊乱(41.5%),最常见的是咬肌(21.3%)。最常见的治疗方法是咬合夹板(27.6%)和心理咨询(22.6%)。结论:颞下颌紊乱患者以年轻、单身、女性、主诉疼痛为主。颞下颌障碍症状的患病率很高,肌肉障碍是最常见的,对转到巴西公立大学颞下颌障碍护理机构的患者进行回顾性研究。对巴西国立大学pública的颞下颌障碍护理机构进行回顾性研究。安德烈·尤利西斯·丹塔斯·巴蒂斯塔1 .巴西联邦大学Paraíba, jo o Pessoa, PB。2 .巴西联邦大学Paraíba,餐饮 牙科学系,jo o Pessoa, PB。4.巴西坎皮纳斯州立大学。巴西联邦大学Paraíba, Clínico社会牙科学系,jo o Pessoa, PB。提交于2016年10月24日。2017年5月15日接受发表。利益冲突:无-赞助来源:无。通信地址:Cidade Universitária,地址:Castelo Branco 58051-900 jo o Pessoa, PB,巴西。E-mail: lemos.george@yahoo.com.br©Sociedade Brasileira para o Estudo da Dor的流行发现和大多数治疗是可逆的和保守的。转介到与颞下颌紊乱相关的其他专科的频率较低。关键词:颞下颌紊乱,口面部疼痛,流行病学
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective review of patients referred to a temporomandibular dysfunction care setting of a Brazilian public university
Background and oBjectives: The objective of this study is to describe the restrospective analysis of medical records of patients with temporomandibular disorder in a healthcare service of a Brazilian public university. The prevalence of signs and symptoms of temporomandibular disorder, associated factors, diagnosis and observations related to the treatment were recorded. MetHods: Two hundred and thirteen medical records were assessed by one single surveyor from March 2013 to December 2014. Information about sociodemographic factors, prevalence of symptoms of temporomandibular disorder and treatment need were collected (Fonseca Anamnestic Index), clinical examination, diagnosis, treatments and referral to other professionals. resuLts: The majority of patients were female (81.7%), single (53.0%), students (23.3%) between 20 and 29 years of age (26.8%). Pain was reported by 50.4% of patients. According to FAI, 41.8% of patients were classified with severe synptoms of temporomandibular disorder and 73.2% identified with the need of treatment. Presence of temporomandibular disorder symptoms (p = 0.001) and need of treatment (p <0.001) were significantly associated to the female gender. The most prevalent diagnosis was muscle temporomandibular disorder (41.5%) and the most affected muscle was the masseter (21.3%). The most common treatments were occlusal splint (27.6%) and counseling (22.6%). concLusion: The greater demand for temporomandibular disorder treatment came from young patients, single, female, complaining from pain. The prevalence of temporomandibular disorder symptoms was high, muscular disorders was the most Retrospective review of patients referred to a temporomandibular dysfunction care setting of a Brazilian public university Revisão retrospectiva de pacientes encaminhados a um serviço de disfunção temporomandibular de uma universidade pública brasileira Wellington Pereira de Moura1, Pâmela Lopes Pedro da Silva2, George Azevedo Lemos3, Paulo Rogério Ferreti Bonan4, Robinsom Viégas Montenegro2, André Ulisses Dantas Batista2 1. Universidade Federal da Paraíba, João Pessoa, PB, Brasil. 2. Universidade Federal da Paraíba, Departamento de Restauração Dental, João Pessoa, PB, Brasil. 3. Universidade Estadual de Campinas, Campinas, SP, Brasil. 4. Universidade Federal da Paraíba, Departamento Clínico e Odontologia Social, João Pessoa, PB, Brasil. Submitted in October 24, 2016. Accepted for publication in May 15, 2017. Conflict of interests: none – Sponsoring sources: none. correspondence to: Cidade Universitária, s/n Castelo Branco 58051-900 João Pessoa, PB, Brasil. E-mail: lemos.george@yahoo.com.br © Sociedade Brasileira para o Estudo da Dor prevalent findings and most of the treatments were reversible and conservative. The frequency of referral to other specialties related to temporomandibular disorder was low. keywords: Temporomandibular disorder, Orofacial pain, Epidemiology.
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