Estudo da prevalência dos fatores etiológicos em pacientes com dor miofascial orofacial
Study of the prevalence of etiologic factors in patients with orofacial myofascial pain
Rocha, S.S.; Mendonça, J.F.; Alencar Jr., F.G.P.
Rev. odontol. UNESP, vol.36, n1, p.41-46, 2007
Resumo
O objetivo deste trabalho foi avaliar a prevalência dos diferentes fatores etiológicos de dor miofascial nos pacientes atendidos na Clínica de Dor Orofacial da Faculdade de Odontologia de Araraquara - UNESP. Foram catalogadas 273 fichas clínicas de pacientes atendidos nos anos de 2003 e 2004, compreendendo 239 pacientes do gênero feminino e 34 do masculino, com idade entre 10 e 73 anos, e de todas as etnias. Foram incluídos os pacientes que apresentaram diagnóstico de dor miofascial, podendo haver outros diagnósticos de desordens temporomandibulares associados, como dor muscular local, mioespasmo ou desordens funcionais da ATM. Foram excluídos pacientes que apresentavam diagnóstico de desordens sistêmicas (fibromialgia, lupus eritematoso ou AIDS). Entre os resultados obtidos foi observado que, na amostra estudada, os hábitos parafuncionais foram os fatores mais relevantes (87%), seguidos de postura inadequada do sono (76%), postura inadequada de trabalho (61%), reduzida ingestão de água (49%), distúrbios do sono (48%), número inadequado de refeições (36%), baixo condicionamento físico (27%), elevado consumo de cafeína (27%) e distúrbios endócrinos ou metabólicos (15%).
Palavras-chave
Dor orofacial, prevalência, músculo
Abstract
The aim of this study was to evaluate the prevalence of the different etiologic factors of myofascial pain in patients seen at the Orofacial Pain Clinic of the Araraquara Dental School/UNESP. 273 treatment charts were analyzed. The charts referred to patients who were seen during the past two years, 239 females and 34 males, ages ranged from 10 to 73 years. The patients had been diagnosed for myofascial pain, but could also present other associated craniomandibular disorders, such as regional muscular pain, cramps or temporomandibular dysfunctions. Patients were excluded from the study if they presented systemic disorders (fibromyalgia, lupus erythematosus or AIDS). Among the results obtained can be observed that in sample studied, the parafunctional habits were the more relevant factors with 87%, followed of the inadequate sleep posture (76%), inadequate occupational activity (61%), reduced water ingestion (49%), sleep disturbances (48%), inadequate number of meals (36%), low physical conditioning (27%), high caffeine use (27%) and metabolic and endocrine disorders (15%).
Keywords
Facial pain, prevalence, muscle
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