Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests: Dentistry, Biomedical Engineering, Nonparametric Statistics, Adolescent, Medicine, and 15 moreHumans, Female, Risk factors, Aged, Middle Aged, Adult, Time Factors, Chi Square Distribution, Risk Factors, Self report, Cross Sectional Studies, Pain Measurement, Temporomandibular Joint Disorders, Severity of Illness Index, and Sleep Bruxism
SummaryTo gain a better understanding of temporomandibular disorders (TMD) pain in adolescents, it is important to study the factors associated with its presence. Therefore, the aim of this study was to investigate potential predictors... more
SummaryTo gain a better understanding of temporomandibular disorders (TMD) pain in adolescents, it is important to study the factors associated with its presence. Therefore, the aim of this study was to investigate potential predictors for TMD pain in adolescents, thereby including a diversity of factors from the biopsychosocial model to determine the strongest predictors. The sample of this cross‐sectional study consisted of 1094 adolescents. The presence of TMD pain was assessed using the RDC/TMD, Axis I. Apart from demographical characteristics, the roles of parafunctional habits, psychosocial aspects, menarche and other bodily pain complaints were evaluated. Single and multiple logistic regression models were used to identify associations between the predictor variables and TMD pain. Painful TMD had a prevalence of 25·5%. Logistic regression analyses showed that TMD pain was associated with sleep bruxism (OR = 1·8 95% CI = 1·34–2·34), awake bruxism (OR = 2·1 95% CI = 1·56–2·83), other parafunctional habits (OR = 2·2 95% CI = 1·17–4·08) and bodily pain complaints (OR = 5·0 95% CI = 3·48–7·28). Parafunctional habits and other bodily pain complaints may play an important role in the presence of TMD pain in adolescents. Of course, it remains unclear whether the observed associations between the investigated factors and the adolescent's TMD pain have a true causal linkage.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
ABSTRACT Apesar do desenvolvimento de novas técnicas e materiais odontológicos, a adaptação marginal ainda consiste em um fator de preocupação na longevidade das restaurações. O objetivo deste estudo foi avaliar a adaptação marginal de... more
ABSTRACT Apesar do desenvolvimento de novas técnicas e materiais odontológicos, a adaptação marginal ainda consiste em um fator de preocupação na longevidade das restaurações. O objetivo deste estudo foi avaliar a adaptação marginal de "inlays" de porcelana em função de diferentes cimentos resinosos. A adaptação marginal das restaurações foi medida na região cervical, antes e depois da cimentação das mesmas com os seguintes cimentos: Variolink (Vivadent), Enforce (Dentsply) e Scotchbond Resin Cement (3M). A análise estatística dos resultados mostrou que todos os cimentos promoveram um aumento significativo na desadaptação marginal, não tendo havido diferenças significantivas de comportamento entre eles.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
A population-based cross-sectional study was conducted to estimate the prevalence of migraine, episodic tension-type headaches (ETTH), and chronic daily headaches (CDH), as well as the presence of symptoms of temporomandibular disorders... more
A population-based cross-sectional study was conducted to estimate the prevalence of migraine, episodic tension-type headaches (ETTH), and chronic daily headaches (CDH), as well as the presence of symptoms of temporomandibular disorders (TMD) in the adult population. The potential comorbidity of headache syndromes and TMD has been established mostly based on clinic-based studies. A representative sample of 1230 inhabitants (51.5% women) was interviewed by a validated phone survey. TMD symptoms were assessed through 5 questions, as recommended by the American Academy of Orofacial Pain, in an attempt to classify possible TMD. Primary headaches were diagnosed based on the International Classification of Headache Disorders. When at least 1 TMD symptom was reported, any headache happened in 56.5% vs 31.9% (P < .0001) in those with no symptoms. For 2 symptoms, figures were 65.1% vs 36.3% (P < .0001); for 3 or more symptoms, the difference was even more pronounced: 72.8% vs 37.9%. (P < .0001). Taking individuals without headache as the reference, the prevalence of at least 1 TMD symptom was increased in ETTH (prevalence ratio = 1.48, 95% confidence interval = 1.20-1.79), migraine (2.10, 1.80-2.47) and CDH (2.41, 1.84-3.17). At least 2 TMD symptoms also happened more frequently in migraine (4.4, 3.0-6.3), CDH (3.4; 1.5-7.6), and ETTH (2.1; 1.3-3.2), relative to individuals with no headaches. Finally, 3 or more TMD symptoms were also more common in migraine (6.2; 3.8-10.2) than in no headaches. Differences were significant for ETTH (2.7 1.5-4.8), and were numerically but not significant for CDH (2.3; 0.66-8.04). Temporomandibular disorder symptoms are more common in migraine, ETTH, and CDH relative to individuals without headache. Magnitude of association is higher for migraine. Future studies should clarify the nature of the relationship.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Estudios recientes han demostrado resultados consistentes con el uso de la terapia fisica en casos de dolor y limitacion del movimiento por disfuncion temporomandibular. Esta investigacion tuvo como objetivo evaluar el efecto de 10... more
Estudios recientes han demostrado resultados consistentes con el uso de la terapia fisica en casos de dolor y limitacion del movimiento por disfuncion temporomandibular. Esta investigacion tuvo como objetivo evaluar el efecto de 10 sesiones de terapia fisica, ejercicio y terapia por laser en el tratamiento del dolor muscular y artralgias en una mujer con disfuncion temporomandibular. El alivio de los sintomas dolorosos obtenido por sesion fue sobre un 20 % al acercarse a 0 en las ultimas semanas y se mantuvo estable despues de 60 dias de finalizar el tratamiento. Los resultados mostraron que el protocolo de tratamiento utilizado fue eficaz para reducir el dolor de la articulacion temporomandibular y la tension del musculo masetero, a su vez le permitio al paciente reducir el uso de medicamentos. Sin embargo, son necesarios mas estudios para definir con mayor precision el efecto de otros programas de fisioterapia y su interaccion con otras modalidades de tratamiento.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
ABSTRACT Apesar do desenvolvimento de novas técnicas e materiais odontológicos, a adaptação marginal ainda consiste em um fator de preocupação na longevidade das restaurações. O objetivo deste estudo foi avaliar a adaptação marginal de... more
ABSTRACT Apesar do desenvolvimento de novas técnicas e materiais odontológicos, a adaptação marginal ainda consiste em um fator de preocupação na longevidade das restaurações. O objetivo deste estudo foi avaliar a adaptação marginal de "inlays" de porcelana em função de diferentes cimentos resinosos. A adaptação marginal das restaurações foi medida na região cervical, antes e depois da cimentação das mesmas com os seguintes cimentos: Variolink (Vivadent), Enforce (Dentsply) e Scotchbond Resin Cement (3M). A análise estatística dos resultados mostrou que todos os cimentos promoveram um aumento significativo na desadaptação marginal, não tendo havido diferenças significantivas de comportamento entre eles.
Research Interests:
Research Interests:
Cefaléias primárias estão freqüentemente relacionadas à disfunção temporomandibular, sendo o aumento da sensibilidade dolorosa um achado comum nesses pacientes. Este estudo propôs investigar a sensibilidade dolorosa à palpação em... more
Cefaléias primárias estão freqüentemente relacionadas à disfunção temporomandibular, sendo o aumento da sensibilidade dolorosa um achado comum nesses pacientes. Este estudo propôs investigar a sensibilidade dolorosa à palpação em pacientes com disfunção temporomandibular crônica, comparando grupos com presença ou ausência de cefaléias primárias. A disfunção temporomandibular e o tipo de cefaléia primária foram diagnosticados, respectivamente por meio dos critérios de diagnóstico para pesquisa das desordens temporomandibulares e por um questionário baseado na Classificação Internacional de Cefaléias (2004). A localização, avaliação e o agrupamento dos sítios musculares e articulares para palpação foram realizados segundo os critérios de diagnóstico para pesquisa das desordens temporomandibulares, considerando-se o temporal, masseter, articulação temporomandibular e sítios cervicais bilateralmente. A amostra foi composta por 213 (88,0 %) mulheres e 29 (12,0 %) homens, com faixa etária...
Research Interests:
Estudos sobre a relação entre disfunção temporomandibular e cefaleia primária. Avaliações populacional e clínica Daniela Aparecida de Godoi Gonçalves Tese apresentada ao Programa de Pós-
Research Interests:
patients ´ pain complaints is essential for determining adequate diagnosis and therapeutic interventions in oro-facial pain (OFP). Thus, the aim of this study was to ver-ify the frequency of reported pain complaints compared to those... more
patients ´ pain complaints is essential for determining adequate diagnosis and therapeutic interventions in oro-facial pain (OFP). Thus, the aim of this study was to ver-ify the frequency of reported pain complaints compared to those marked on patients ´ body pain maps. METHOD: Data were collected from the Orofacial Pain Clinic archives (532 patients) of the Orofacial Pain Clin-ic, Araraquara Dental School. All individuals answered a questionnaire to report their pain complaints and com-pleted a body map indicating their pain areas. The fre-quency of reported pain complaints was compared to the frequency of painful sites identified on body maps. Nine anatomic regions were considered: head, face, neck, shoulders, arms, chest, abdomen, back, and legs. In addi-tion, sensitivity, specificity and kappa values were calcu-lated comparing the pain reports to body pain drawings, the latter being considered the golden standard. RESULTS: Mean age of total sample was 33.5 ± 13.8 Body pain maps ...