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Acta Médica Peruana
versão On-line ISSN 1728-5917
Resumo
BENITES-VEGA, Juan Carlos e TRUJILLO-HERRERA, Teresa. Prevalence and diagnosis of temporomandibular dysfunction in outpatient adults clinical practice at General Hospital Maria Auxiliadora. Acta méd. Peru [online]. 2021, vol.38, n.2, pp.97-103. ISSN 1728-5917. http://dx.doi.org/10.35663/amp.2021.382.2106.
The objective of this study was to determine the diagnosis and prevalence of temporomandibular joint dysfunction (TMJD) in Maria Auxiliadora General Hospital in Lima, Peru, during 2019.
Material and Methods:
This is a prospective randomized longitudinal descriptive study. The sample included 76 patients, and Research Criteria for Diagnosing Temporomandibular Joint Disorders were used.
Results:
We found that 73.7% patients were female, particularly belonging to the 30-39 years age group (35.6%). TMJD etiology is multifactorial and it is related to structural, functional, and psychological factors. When diagnosing TMJD, headache was the main symptom (38.1%), and pain on palpation (51.4%) was the most prominent sign on clinical examination, particularly in females (38.2%). Mixed anxiety-depressive disorder, was the most frequent mental status alteration associated with TMJD found on clinical examination (50.0%), and it also was more frequently found in females (38.2%). A combination of general clinical and ear, nose, and throat examination allowed reaching a diagnosis in 77.6% of all subjects.
Conclusion:
Patients with TMJD who present with headache and concomitantly with anxiety-depression, require integrative and early therapy management, so they may be reinstalled to their working environment and improve their productivity. TMJD should be considered as a frequent cause of headache.
Palavras-chave : headache; anxiety; depression; Temporomandibular Dysfunction.