Temporomandibular disorders: Guidelines and Self-Care for Patients During COVID-19 Pandemic

Simone Saldanha Ignácio De Oliveira ,Denise Mandarino,Sunny Yamaguche Nogueira Barreto,Fatima Henriques Cantini,Fillipi Babiere Matta,Renata Matuck Roque Rangel,Thiago Sousa Almada,Karoline Ferreira Farias Catarino,Edicleia Neves Lima,Luciana Uemoto,George Patrick Boggiss,Julia Mattos Fedozzi,João Paulo Colesanti Tanganeli,Bianca Bravim,Karin De Mello Weig,Julio Anibal Tablada Sanchez,Maria Theresa Alves Da Cunha Kalil,Edilania Andrade Furley,Thales Ribeiro Magalhães Filho,Omar Efrain Roque Martinez,Sergio Luiz Melo Gonçalvez,Camila Diuana De Almeida ,Rafael Bonato ,Taísa Figueiredo Chagas ,Martha Alayde Alcantara Salim Venâncio ,Klenise S Paranhos ,Jennifer Guedes Sobral,Roberto Prado,Adalsa Hernández‐Andara

doi:10.14295/bds.2020.v23i2.2255

Abstract

Background: Temporomandibular disorder (TMD) belongs to a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, musculature and adjacent components. These conditions can generate signs and symptoms and be influenced by an altered biopsychosocial condition. Objective: This study aims to seek information to assist the patient in the presence of TMD signs and symptoms and Orofacial Pain, associated with the period of social isolation during the COVID-19 pandemic. Material and methods: For the preparation of this manual, a bibliographic search was performed in the databases PubMed, Latin American and Caribbean Health Sciences Literature (LILACS), BBO (BVS), Scopus, Web of Science and The Cochrane Library, using the keywords: orofacial pain, temporomandibular disorders, bruxism, stress, anxiety, biopsychosocial, diagnosis, self-care with important information on how to reduce and control the signs and symptoms of TMD and Orofacial Pain in this moment of pandemic that we are experiencing a social detachment. Results: The results show that the pandemic of COVID-19 and the need for social isolation, generates psychological impact that raises the pattern of anxiety and can directly affect patients with bruxism and TMD. Conclusion: Psychological factors associated with the pandemic can lead to an increased risk of developing, worsening and perpetuating bruxism, especially waking bruxism and TMD, so dentists should be aware of the occurrence of signs and symptoms to manage the multifactorial aspects of this condition. At that time, individual self-management strategies are advised for the patient, which consist of self-massage techniques, body education, exercise practices, sleep hygiene, meditation and making available the use of tools and online devices that facilitate this activity.KeywordsOrofacial pain; Temporomandibular disorders; Bruxism; Stress; Anxiety; Biopsychosocial; Diagnosis; Self-care; COVID-19.

Highlights

Temporomandibular disorder (TMD) belongs to a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, musculature and adjacent components
The results show that the pandemic of COVID-19 and the need for social isolation, generates psychological impact that raises the pattern of anxiety and can directly affect patients with bruxism and TMD
In the outbreak of COVID-19 there was a prevalence of signs and symptoms of TMD and orofacial pain that has been increasing during the pandemic period, in relation to the increase in chronic pain, dry mouth, burning mouth syndrome, bruxism, periodontal diseases and stress-related illnesses [1]

Summary

Introduction

Temporomandibular disorder (TMD) belongs to a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, musculature and adjacent components These conditions can generate signs and symptoms and be influenced by an altered biopsychosocial condition. Material e Métodos: Para a elaboração deste manual, foi realizada uma pesquisa bibliográfica nas bases de dados PubMed, Latin American and Caribbean Health Sciences Literature (LILACS), BBO (BVS), Scopus, Web of Science e The Cochrane Library, utilizando as palavras-chaves: dor orofacial, desordem temporomandibular, bruxismo, estresse, ansiedade, biopsicossocial, diagnóstico e autocuidados, com informações importantes sobre como reduzir e controlar os sinais e sintomas de DTM e Dor Orofacial nesse momento de pandemia. According to the American Academy of Orofacial Pain, Temporomandibular Disorder (TMD) belongs to a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, musculature and adjacent components [2]. In case of persistence or refractory to treatment and guidelines, the patient should be referred to the specialist for TMD and Orofacial Pain [5]

Objectives

Methods

Results

Conclusion