Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180012
Brazilian Journal of Pain
Artigo de Revisão

Post-traumatic stress disorder and temporomandibular dysfunction: a review and clinical implications

Transtorno de estresse pós-traumático e disfunção temporomandibular: uma revisão e implicações clínicas

Dyna Mara Araújo Oliveira Ferreira; Camila Cristine de Oliveira Vaz; Paulo César Rodrigues Conti

http://dx.doi.org/10.5935/2595-0118.20180012 BrJP, vol.1, n1, p.55-59, 2018
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Abstract

BACKGROUND AND OBJECTIVES: Post-traumatic stress disorder is a disabling disorder that can be developed after a person has experienced or exposed to a traumatic event. The evidence shows the coexistence between post-traumatic stress disorder and chronic painful conditions as the temporomandibular dysfunction. This study aimed to review the literature to describe the coexistence relation between post-traumatic stress disorder and temporomandibular dysfunction.

CONTENTS: A non-systematic search was carried on the Pubmed, BVS and LILACS databases on studies evaluating the relationship between post-traumatic stress disorder and temporomandibular dysfunction. Clinical studies published in the last 10 years that presented a diagnostic criterion validated for temporomandibular dysfunction and the post-traumatic stress disorder were selected. Six studies were included in the review. The results showed that the post-traumatic stress disorder often occurs in patients with temporomandibular dysfunction and, at the same time, a higher prevalence of temporomandibular dysfunction is found in individuals with post-traumatic stress disorder. There is a trend for a larger connection between post-traumatic stress disorder and muscular pain than pain in the temporomandibular joint. The presence of post-traumatic stress disorder modulates the level of physical, psychological and behavioral involvement in individuals with temporomandibular dysfunction, and can predict the onset of this painful conditions.

CONCLUSION: The review shows a complex coexistence between post-traumatic stress disorder and painful temporomandibular dysfunction.

Keywords

Psychological trauma, Stress disorders, Temporomandibular joint dysfunction syndrome, Trauma

Resumo

JUSTIFICATIVA E OBJETIVOS: Transtorno de estresse pós-traumático é um transtorno incapacitante que pode se desenvolver após exposição ou testemunho de um evento traumático. Evidências demonstram a coexistência entre transtorno de estresse pós-traumático e condições dolorosas crônicas como a disfunção temporomandibular. Este estudo teve como objetivo revisar a literatura para descrever a relação de coexistência entre transtorno de estresse pós-traumático e disfunção temporomandibular.

CONTEÚDO: Foi realizada uma busca não sistemática nas bases de dados Pubmed, BVS e LILACS para estudos avaliando a relação entre transtorno de estresse pós-traumático e disfunção temporomandibular. Foram selecionados estudos clínicos publicados nos últimos 10 anos e que apresentassem critério diagnóstico validado para a disfunção temporomandibular e transtorno de estresse pós-traumático. Seis trabalhos foram incluídos na revisão. Os resultados demonstraram que o transtorno de estresse pós-traumático ocorre frequentemente em pacientes com disfunção temporomandibular e ao mesmo tempo, uma maior prevalência de disfunção temporomandibular é encontrada em indivíduos com transtorno de estresse pós-traumático. Há uma tendência indicando uma associação maior entre transtorno de estresse pós-traumático e dor muscular que dor na articulação temporomandibular. Presença do transtorno de estresse pós-traumático modula o nível de comprometimento físico, psicológico e comportamental em indivíduos com disfunção temporomandibular e pode predizer início desta condição dolorosa.

CONCLUSÃO: A revisão demonstra uma relação de coexistência complexa entre transtorno de estresse pós-traumático e disfunção temporomandibular dolorosa.

Palavras-chave

Síndrome da disfunção da articulação temporomandibular, Transtornos de estresse pós-traumáticos, Trauma, Trauma psicológico

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Submetido em:
25/09/2017

Aceito em:
25/01/2018

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