Braido Guilherme Vinícius do Vale, Campi Leticia Bueno, Jordani Paula Cristina, Fernandes Giovana, GonÇalves Daniela Aparecida de Godoi
Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Materiais Dentários e Prótese, Araraquara, São Paulo, Brasil.
J Appl Oral Sci. 2020 Sep 7;28:e20190608. doi: 10.1590/1678-7757-2019-0608.
Painful temporomandibular disorders (TMD) in children and adolescents may impact negatively the individual´s life. The presence of comorbidities associated with TMD tends to increase the persistence of pain and to facilitate its chronification.
To investigate the presence of other painful conditions and systemic diseases and their association with painful TMD.
In this cross-sectional study, 690 adolescents aged between 12-14 years old were evaluated through questionnaires and clinical examinations.
Painful TMD was found in 16.2% of the sample, with a significant association with bronchitis (OR= 2.5; p=0.003) and asthma (OR=3.1; p=0.013), reported by the parents/legal guardians of the participants. Adolescents with regional and widespread pain were 2.7 (95% CI: 1.65-4.55) and 3.6 (95% CI: 1.29-10.14) more likely to also present painful TMD. Painful TMD was associated with a higher number of body pain sites in the last 12 months (4.26 vs. 2.90; p<0.001), as well as a higher number of systemic diseases (1.48 vs. 1.18; p=0.048), when compared to adolescents without painful TMD.
The findings of this study point out the importance of considering the presence of comorbid conditions in the diagnosis and management of painful TMD in adolescents. A multidisciplinary approach would contribute to better control of painful TMD and decrease its chronification risk.
儿童和青少年的疼痛性颞下颌关节紊乱症（TMD）可能会对个体生活产生负面影响。与TMD相关的合并症往往会增加疼痛的持续时间，并促使其慢性化。
调查其他疼痛性疾病和全身性疾病的存在情况及其与疼痛性TMD的关联。
在这项横断面研究中，通过问卷调查和临床检查对690名12至14岁的青少年进行了评估。
在样本中发现16.2%的人患有疼痛性TMD，参与者的父母/法定监护人报告称其与支气管炎（OR = 2.5；p = 0.003）和哮喘（OR = 3.1；p = 0.013）有显著关联。有局部和广泛疼痛的青少年患疼痛性TMD的可能性分别高出2.7倍（95%可信区间：1.65 - 4.55）和3.6倍（95%可信区间：1.29 - 10.14）。与无疼痛性TMD的青少年相比，疼痛性TMD与过去12个月内更多的身体疼痛部位（4.26对2.90；p < 0.001）以及更多的全身性疾病（1.48对1.18；p = 0.048）相关。
本研究结果指出了在青少年疼痛性TMD的诊断和管理中考虑合并症存在的重要性。多学科方法将有助于更好地控制疼痛性TMD并降低其慢性化风险。
