Cómo citar
Resumen
The temporomandibular joint (TMJ) may be affected in patients with rheumatoid arthritis and osteoarthritis, especially in elderly and senile adult patients. The objective of this study was to evaluate the signs and / or symptoms of TMJ in elderly subjects retired from a medical institution in Merida, Yucatan, Mexico, previously diagnosed with arthritis, the onset of physical therapy and one month after applying it. July-August 2015. A longitudinal, comparative and analytical study was conducted in 25 subjects ages 60 and older, both sex: men and women. The subjects who agreed to participated signed voluntary consent letter. Also, a medical research card was made, which consisted of: 1) demographic and medical data; 2) a directed interview based on Rodriguez-Osores and modified by Mendiburu-Zavala in 2015 that included 33 dichotomous questions related to signs and / or symptoms of TMJ disorders; 3) the clinical examination was carried out carefully; 4) Finally, a manual prepared by Mendiburu-Zavala exercise based on Rocabado-Seaton and Lawson´s manual. The exercises for relaxation of the jaw and face, posture and managing TMJ noises were taught and explained individually, offering to teach them the times they needed to exercise at home. The questionnaire and clinical examination was applied a month later. The McNemar test was used. It was considered significant if P <0.05. A 28 % of the studied subject were men and 72 % women, with an average age of 65.4 ± 4.8, with a 44 % with osteoarthritis and a 56 % with rheumatoid arthritis. The effect of physiotherapy per month being applied, had a significantly favorable responses of " NO" for variables : blocked, jammed or dislocated jaw (P = 0.0156); Crackles ( P = 0.0195 ) and Snap ( P = 0.0001 ). The application of physiotherapy in this age group with arthritis was favorable.
Citas
Teixeira F. B., Pereira Fernándes L., Tavares Noronha P. A., Raiol Dos Santos M. A., Gomes-Leal W., Ferraz Maia C., Rodríguez Lima R. Masticatory Deficiency as a Risk Factor for Cognitive Dysfunction. Int J Med Sci. 2014; 11 (2): 209-14.
Sidebottom A. J., Salha R. Management of the temporomandibular joint in rheumatoid Disorders. British Journal of Oral and Maxillofacial Surgery. 2013; 51: 191-8.
Aliko A., Ciancaglini R., Alushi A., Tafaj A., Ruci D. Temporomandibular joint involvement in rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis. Int. J. Oral Maxillofac. Surg. 2011; 40 (7): 704-9.
Balik A., Ocak-Çimendur Ö., Özdemir-Karataş M., Ömer M., Gökçen-Röhlig B. Prosthodontic treatment of a patient with rheumatoid arthritis with severe condylar resorption: 4-year follow-up. Journal of Istanbul University Faculty of Dentistry. 2014; 48(3): 67-73.
Ahmed N., Masoud Mustafa H., Catrina A., Alstergren P. Impact of Temporomandibular Joint Pain in Rheumatoid Arthritis. Hindawi Publishing Corporation. 2013:1-6.
Kalladka M., Quek S., Heir G., Eliav E., Mupparapu M., Viswanath A.Temporomandibular Joint Osteoarthritis: Diagnosis and Long-Term Conservative Management: A Topic Review. J Indian Prosthodont Soc. Jan-Mar 2014; 14(1):6–15.
Ferrazzo K. L., Osório L. B., Ferrazzo V. A. CT Images of a Severe TMJ Osteoarthritis and Differential Diagnosis with Other Joint Disorders. Hindawi Publishing Corporation. 2013: 1-5.
Lescas Méndez O., Hernández M. E., Sosa A., Sánchez M., Ugalde Iglesias C., Ubaldo Reyes L., Rojas Granados A., Ángeles Castellanos M. Trastornos temporomandibulares. Revista de la Facultad de Medicina de la UNAM. Enero-Febrero 2012; 55 (1): 4-11.
Shaffer S., Brismee J., Sizer P., Courtney C. A. Temporomandibular disorders. Part 1: anatomy and examination/diagnosis. Journal of Manual and Manipulative Therapy. 2014; 22 (1): 1-12.
Kurt H., Öztaş E., Gençel B., Taşan D. A., Öztaş D. An adult case of temporomandibular joint osteoarthritis treated with splint therapy and the subsequent orthodontic occlusal reconstruction. Contemporary Clinical Dentistry. 2011; 2 (4): 364-7.
Romero Reyes M., Uyanik J. Orofacial pain management: current perspectives. Journal of Pain Research. 2014; 7: 99–115.
Rodrigues Martins W., Castro Blasczyk J., Furlan de Oliveira M., Ferreira Lagôa Gonçalves K., Bonini-Rocha A. C., Dugailly P. M., et, al. Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis. Manual Therapy. 2016; 21: 10-17.
Shaffer S., Brismée J., Sizer P., Courtney C. Temporomandibular disorders. Part 2: Conservative management. Journal of Manual and Manipulative Therapy. 2014; 22 (1): 13-23.
Rodríguez Ozores R. Patología de la articulación temporomandibular. AMF. 2010; 6 (11): 638-43.
Modificación a la Norma Oficial Mexicana NOM-013-SSA2-1994, Para la prevención y control de enfermedades bucales, para quedar como Norma Oficial Mexicana NOM-013-SSA2-2006, Para la prevención y control de enfermedades bucales. Diario Oficial de la Federación: SEGOB/Secretaria de Salud. 2006.
Rocabado Seaton M. Cabeza y Cuello: Tratamiento Articular. Buenos Aires: Intermedica; 1979.
Lawson S. M. TMJ and Dental Sleep Therapy Center of Winnipeg. 2014. [aceso el 18 de marzo de 2015]. Retrieved from http://tmjsleepapneatherapy.com/tmj-treatment-center/.
Conover W. J. Practical nonparametric statistics. 3a Ed. New York: John Wiley & Sons; 1999.
Wayne Wendell D. Applied Nonparametric Statistics. 2a Ed. USA: Duxbury Thomson Learning; 1990. SPSS, Inc. SPSS for Windows version 15. Chicago, USA. 2006.
Diaz W. Treatment of Temporomandibular Joint Disorder. 2015 [acceso el 16 de enero de 2016]: 1-25. Disponible en: www.nyu.edu/classes/keefer/evergreenenergy/diazw.pdf.