Fatores de risco associados à disfunção temporomandibular dolorosa em adolescentes

Detalhes bibliográficos
Ano de defesa: 2014
Autor(a) principal: Fernandes, Giovana [UNESP]
Orientador(a): Não Informado pela instituição
Banca de defesa: Não Informado pela instituição
Tipo de documento: Tese
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Estadual Paulista (Unesp)
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: http://hdl.handle.net/11449/127617
http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/24-08-2015/000846040.pdf
Resumo: In order to better understanding the temporomandibular disorder (TMD) pain and the sleep bruxism in adolescents, it is important to study the associated factors associated. Therefore, the aims of the present cross sectional study were to investigate the potential predictor factors for TMD pain and sleep bruxism in adolescents, thereby including factors from the biopsychosocial and multifactorial model, respectively. Moreover, it was test the hypothesis that TMD pain could act as a confounder variable in the association between psychosocial factors and sleep bruxism. One thousand and ninety-four adolescents, aged 12-14 years, composed the sample. The presence of TMD pain was assessed using the RDC/TMD Axis I, and the possible sleep bruxism was diagnosed by self-report. Apart from demographical characteristics, the roles of parafunctional habits, psychosocial aspects, menarche, and other bodily pain complaints were evaluated for TMD pain. The gender, the sleep bruxism family history, and psychosocial factors were evaluated for sleep bruxism. Single and multiple logistic regression models showed that TMD pain was associated with sleep bruxism (OR=1.8 95% CI=1.34-2.34), awake bruxism (OR=2.1 95% CI=1.56-2.83), other parafunctional habits (OR=2.2 95% CI=1.17-4.08), and bodily pain complaints (OR=5.0 95% IC=3.48-7.28). Likewise, sleep bruxism was associated with gender (OR=1.8 95% CI=1.34-2.37), positive sleep bruxism family history (OR=2.5 95% CI=1.83-3.32), and anxiety (OR=1.6 95% IC=1.08-2.22). There were no signs of multicollinearity. The analysis of TMD pain as a third variable revealed a confounding effect in the association between sleep bruxism and anxiety, because a previously significant association (OR=1.6 95% IC=1.08-2.22), became non-significant after testing (OR=1.4 95% IC=1.00-2.05). In summary, parafunctional habits and other bodily pain complaints associated factors to TMD pain in ... (Complete abstract electronic access below)