Post-traumatic stress disorder and temporomandibular dysfunction: a review and clinical implications
Post-traumatic stress disorder and temporomandibular dysfunction: a review and clinical implications
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DOI：
10.5935/2595-0118.20180012
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发表时间：
2018-03-01
期刊：
影响因子：
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通讯作者：
Conti, Paulo César Rodrigues
中科院分区：
文献类型：
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作者：
Ferreira, Dyna Mara Araújo Oliveira;Vaz, Camila Cristine de Oliveira;Conti, Paulo César Rodrigues
摘要背景和后果：创伤后应激障碍是一种致残性障碍，可在一个人经历或暴露于创伤事件后发展。有证据表明创伤后应激障碍与慢性疼痛性疾病（如颞下颌关节功能障碍）并存。本研究旨在回顾文献，以描述创伤后应激障碍与颞下颌关节功能障碍的共存关系。 内容：在Pubmed、BVS和LILACS数据库中进行非系统性检索，以评价创伤后应激障碍与颞下颌关节功能障碍之间关系的研究。选择了过去10年发表的临床研究，这些研究提出了经验证的颞下颌关节功能障碍和创伤后应激障碍的诊断标准。六项研究被纳入审查。结果表明，创伤后应激障碍常发生于颞下颌关节功能障碍患者，同时创伤后应激障碍患者颞下颌关节功能障碍的患病率较高。有一种趋势是创伤后应激障碍和肌肉疼痛之间的联系比颞下颌关节疼痛更大。创伤后应激障碍的存在调节颞下颌关节功能障碍患者的身体，心理和行为参与水平，并可以预测这种疼痛状况的发作。 结论：该综述显示创伤后应激障碍和疼痛性颞下颌关节功能障碍之间存在复杂的共存关系。
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.