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Título

SLEEP QUALITY INDEX IN TEMPOROMANDIBULAR DISORDER PATIENTS SUBMITTED TO CONSERVATIVE TREATMENT

Introdução

Temporomandibular Disorders (TMD) is a collective term embracing a number of medical and dental conditions affecting the temporomandibular joints, masticatory muscles and contiguous tissue components. They are the most common cause of non-dental pain in the orofacial region. The etiology of TMD is complex, multifactorial, and consistent with the biopsychosocial model of illness. As sleep disorders are a frequent manifestation in diseases where pain plays an important role, in the management of patients with painful manifestations, sleep quality should be evaluated.

Objetivo

To evaluate the subjective quality of sleep in conservatively treated TMD patients.

Métodos

Thirty female individuals with a mean age of 41.3 years with a diagnosis of TMD (according to the validated Research Diagnostic Criteria for Temporomandibular Disorders) were analyzed. They also answered the PSQI-BR questionnaire (Brazilian version of the Pittsburgh Sleep Quality Index), which aims to measure the subjective quality of sleep. Ten patients were submitted to conservative treatment and evaluated by blind evaluator for six months and completed the questionnaires, PSQI-BR, OHIP-14 (Brazilian version of the short-form of the oral health impact profile), B-PCS (Brazilian version of the pain Catastrophizing Scale ) and visual analogue scale at the beginning and end of treatment.

Resultados

In 20 (66.6%) patients the quality of sleep is poor, 9 (30%) patients present sleep disturbance and 1 (3.33%) patient has good sleep quality. After treatment, according to the index, no patient showed improvement in PSQI_BR, 9 (90%) patients, decreased PCS index, 8 (80%) patients had decreased OHIP-14 index, 05 (50%) patients. obtained clinical improvement according to pain scale.

Conclusões

TMD patients have poor sleep quality.TMD patients in this study did not show changes in sleep quality after conservative treatment. This study suggests that individuals with TMD should be investigated about their sleep quality in order to establish an interdisciplinary treatment program between these two conditions in order to achieve satisfactory remission of symptoms.

Palavras-chave

Temporomandibular disorders, sleep quality, Conservative treatment

Área

Área Clínica

Autores

Carmen Paz Hoyuela, Monique Lalue Sanches, Fabio Jennings, Jamil Natour