Relação entre os escores dos sistemas funcionais na escala EDSS em pacientes com esclerose múltipla e a presença de disfunção temporomandibular

Abstract

Temporomandibular dysfunction (TMD) has been diagnosed in patients with Multiple Sclerosis (MS), according to some studies found in the literature. Objectives: To correlate the score of each Expanded Disability Status Scale (EDSS) functional system of MS patients and the presence of TMD. To evaluate MS time, gender and age as predictors of TMD symptoms. Methods: Thirty patients diagnosed with relapsing-remitting MS were evaluated according to the revised McDonald (2017) and TMD criteria. To evaluate TMD symptoms, the European Academy of Craniomandibular Disorders (EACD) questionnaire was applied. To diagnose TMD and define its subtypes, the Research Diagnostic Criteria / Temporomandibular Disorders (RDC / TMD) was applied. To assess the level of involvement of MS, the EDSS scale and its respective functional systems were used. Results: There was a higher incidence of TMD symptoms in female patients, the older they were, the lower the symptoms and the longer the disease, the greater the TMD symptoms observed. Correlating the functional systems with the TMD diagnosis, the Cerebellar system presented values close to statistical significance (p = 0.06). When one looks at each functional system separately and its relationship with TMD symptoms, there was no statistically significant difference. The symptom that came closest to significance was “Headache” in sensory function (P = 0.052). When one looks at each functional system separately and its relationship with TMD subtypes, the highest values are related to the cerebellar system, especially for muscle subtype dysfunct