Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.07020
Revista de Odontologia da UNESP
Original Article

Características clínicas da doença de Parkinson associadas à dor ao tratamento odontológico

Clinical characteristics of Parkinson’s disease associated with dental treatment-related pain

Etenildo Dantas CABRAL; Érica Alves da SILVA; Lícia Vasconcelos Carvalho da SILVA; Carla Cabral dos Santos Accioly LINS; Maria das Graças Wanderley de Sales CORIOLANO

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Resumo

Resumo: Introdução: A Doença de Parkinson (DP) resulta em condições clínicas desfavoráveis para a saúde bucal e não existe estudo publicado sobre dor ao tratamento odontológico em pacientes com DP.

Objetivo: Pesquisar associação entre características clínicas da DP e a intensidade de dor em decorrência de tratamentos odontológicos.

Material e método: Foi utilizada uma amostra consecutiva de 70 pacientes com DP, nos quais foram realizados 217 procedimentos odontológicos invasivos. Tempo de DP foi coletado do prontuário odontológico; estágio da DP foi definido por meio da escala de Hoehn e Yahr; défice cognitivo, por meio do Mini Exame do Estado Mental; depressão, por meio do Inventário de Depressão de Beck; e comprometimento motor, por meio da escala UPDRS/AVD. Os pacientes foram questionados se no último mês sentiram alguma sensação de dormência, formigamento, queimação ou dor bem como dificuldade para sentir cheiros ou gostos. A dor relacionada ao tratamento foi coletada por meio de uma escala numérica de dor com valores de 0 a 10.

Resultado: O nível de dor percebida pelos pacientes durante o tratamento odontológico não apresentou associação significativa com tempo de DP, estágio da DP, comprometimento motor nem ocorrência de depressão. Maior nível de dor foi estatisticamente mais frequente entre aqueles com défice cognitivo e aqueles que relataram a presença de maior número de sintomas sensitivos, sobretudo dormência e queimação.

Conclusão: A dor ao tratamento odontológico em pacientes com DP está associada aos sintomas não motores desses pacientes, especificamente o défice cognitivo e a presença de sintomas sensitivos.

Palavras-chave

Doença de Parkinson, dor, dor processual, percepção da dor, disfunção cognitiva

Abstract

Abstract: Introduction: Parkinson's disease (PD) results in unfavorable clinical conditions for oral health and there is no published study on pain during dental treatment in PD patients.

Objective: To investigate association between clinical characteristics of PD and the intensity of pain due to dental treatments.

Material and method: A consecutive sample of 70 patients with PD was used, in which 217 invasive dental procedures were performed. PD duration was collected from dental records; PD stage was defined using the Hoehn and Yahr scale; cognitive deficit, using the Mini Mental State Examination; depression, using the Beck Depression Inventory; and motor impairment, using the UPDRS-AVD scale. Patients were asked whether in the last month they felt any numbness, tingling, burning or pain sensation; as well as difficulty in smelling or tasting. Treatment-related pain was collected using a Numerical Pain Scale with values ranging from 0 to 10.

Result: the level of pain perceived by patients during dental treatment was not significantly associated with PD duration, PD stage, motor impairment or occurrence of depression. The frequency of patients who reported a higher level of pain was statistically higher among those with cognitive impairment and those who reported the presence of a greater number of sensory symptoms, especially numbness and burning.

Conclusion: Pain related to dental treatment in PD patients is associated with non-motor symptoms of these patients, specifically the cognitive impairment and the presence of sensory symptoms.
 

Keywords

Parkinson’s disease, pain, procedural pain, pain perception, cognitive dysfunction

References

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Submitted date:
10/19/2020

Accepted date:
10/28/2020

5ff3588d0e8825af53770dea rou Articles
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