Carvalho Lucas S C, Matta André P C, Nascimento Osvaldo J M, Guimarães Antônio S, Rodrigues Luciane R
Universidade Federal Fluminense, Niterói, RJ, Brazil.
Centro de Pós-Graduação São Leopolo Mandic, Campinas, SP, Brasil.
Arq Neuropsiquiatr. 2014 Jun;72(6):422-5. doi: 10.1590/0004-282x20140059.
The aim of the present study was to assess the prevalence of symptoms of temporomandibular disorders (TMD) in patients with the relapsing-remitting form of multiple sclerosis (MS), the relationship between TMD and the severity of MS, and the presence of TMD symptoms in the evaluated groups. Sixty individuals were evaluated: 30 patients diagnosed with relapsing-remitting MS and 30 control individuals matched for gender and age range with no neurologic pathology. In order to investigate the TMD symptoms, the questionnaires of the EACD (European Academy of Craniomandibular Disorders) and the RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders), both validated for TMD research, were administered. To assess the extent of disability produced by MS, the Expanded Disability Status Scale (EDSS) was used. The prevalence of TMD symptoms in patients with MS was 56.7% versus 16.7% for the control group, with a statistically significant difference between the groups (p=0.0016). No correlation was found between the severity of MS and the prevalence of TMD symptoms (Fisher's test, p=1.0).
本研究的目的是评估复发缓解型多发性硬化症（MS）患者颞下颌关节紊乱症（TMD）症状的患病率、TMD与MS严重程度之间的关系，以及评估组中TMD症状的存在情况。对60人进行了评估：30名被诊断为复发缓解型MS的患者和30名在性别和年龄范围上匹配且无神经病理学问题的对照个体。为了调查TMD症状，使用了欧洲颅下颌疾病学会（EACD）和颞下颌关节紊乱症研究诊断标准（RDC/TMD）的问卷，这两份问卷均已针对TMD研究进行了验证。为了评估MS导致的残疾程度，使用了扩展残疾状态量表（EDSS）。MS患者中TMD症状的患病率为56.7%，而对照组为16.7%，两组之间存在统计学显著差异（p = 0.0016）。未发现MS严重程度与TMD症状患病率之间存在相关性（Fisher检验，p = 1.0）。
