Effect of educational and self-care therapies on masticatory performance of women with painful temporomandibular disorder

Gabriela Giro,Marcela Dantas Dias Da Silva,Danny Omar Mendoza Marin,Daniela Aparecida De Godoi Gonçalves,Ana Carolina Pero

doi:10.1590/1807-2577.04718

Gabriela Giro, Marcela Dantas Dias Da Silva + Show 3 more

Open Access

https://doi.org/10.1590/1807-2577.04718

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Abstract

Abstract Introduction Temporomandibular disorders (TMD) can compromise masticatory performance due to the presence of pain, muscular dysfunction and limitation of mandibular movements. Substantial improvements in TMD pain can be achieved through therapeutic approaches including education and self-care. Objective The aim of the present study was to investigate the impact of these treatment modalities in the masticatory performance of women with painful TMD. Material and method Fifty-two women were randomly divided into three groups: Control Group (CG); Education Group (received education about TMD) (EG); Self-Care and Education Group (received education about TMD and instructions self-care therapies) (SEG). The education instructions about TMD and self-care therapies were transmitted through a video and printed illustrative material. The masticatory performance was evaluated through the sieves method with natural tested foods in the evaluation periods: baseline evaluation, 30 days after and 60 days of follow-up. Data were analyzed and used with a one-way ANOVA parametric test for mean comparison of CG, EG and SEG groups (α = 0.05). Result The masticatory performance of the participants was similar, irrespective of the proposed treatments, at baseline (p=.604), 30 days (p=.450) and 60 days (p=.669). Conclusions The results indicated that treatment with educational and self-care therapies over a period of 60 days had no impact on the masticatory performance of women with painful TMD.

Highlights

Temporomandibular disorders (TMD) can compromise masticatory performance due to the presence of pain, muscular dysfunction and limitation of mandibular movements
Previous studies have been demonstrating that TMD are more prevalent in women, maybe due to the presence of estrogen receptors in the ATM or because they are more susceptible to psychosomatic stress men[5]
Calibrated researcher dentist performed the clinical and functional examinations necessary to make the TMD diagnosis and classification according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC-TMD)[13,14], which classifies DTM using a dual-axis system

Summary

Introduction

Temporomandibular disorders (TMD) can compromise masticatory performance due to the presence of pain, muscular dysfunction and limitation of mandibular movements. Substantial improvements in TMD pain can be achieved through therapeutic approaches including education and self-care. Objective: The aim of the present study was to investigate the impact of these treatment modalities in the masticatory performance of women with painful TMD. Conclusions: The results indicated that treatment with educational and self-care therapies over a period of 60 days had no impact on the masticatory performance of women with painful TMD. Temporomandibular disorders (TMD) represent a cluster of clinical problems involving the masticatory muscles and/or the temporomandibular joint (TMJ), as well as associated structures[1]. They are characterized by musculoskeletal pain, joint sounds, muscle fatigue and impairment of mandibular moviment[2]. Treatments approaching only biomedical factors are considered insufficient to promote long-term improvement of TMD8

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