Clinical and MRI investigation of temporomandibular joint in major depressed patients

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Data

2012-05-01

Autores

Lopes, S. L. P. C. [UNESP]
Costa, A. L. F.
Cruz, A. D.
Li, L. M.
de Almeidas, S. M.

Título da Revista

ISSN da Revista

Título de Volume

Editor

British Inst Radiology

Resumo

Objective: The aim of the present study was to describe the clinical and MRI findings of the temporomandibular joint (TMJ) in patients with major depressive disorders (MDDs) of the non-psychotic type.Methods: 40 patients (80 TMJs) who were diagnosed as having MDDs were selected for this study. The clinical examination of the TMJs was conducted according to the research diagnostic criteria and temporomandibular disorders (TMDs). The MRIs were obtained bilaterally in each patient with axial, parasagittal and paracoronal sections within a real-time dynamic sequence. Two trained oral radiologists assessed all images. For statistical analyses, Fisher's exact test and chi(2) test were applied (alpha = 0.05).Results: Migraine was reported in 52.5% of subjects. Considering disc position, statistically significant differences between opening patterns with and without alteration (p = 0.00) and between present and absent joint noises (p = 0.00) were found. Regarding muscular pain, patients with and without abnormalities in disc function and patients with and without abnormalities in disc position were not statistically significant (p = 0.42 and p = 0.40, respectively). Significant differences between mandibular pathway with and without abnormalities (p=0.00) and between present and absent joint noises (p=0.00) were observed.Conclusion: Based on the preliminary results observed by clinical and MRI examination of the TMJ, no direct relationship could be determined between MDDs and TMDs. Dentomaxillofacial Radiology (2012) 41, 316-322. doi: 10.1259/dmfr/27328352

Descrição

Palavras-chave

major depression disorder, temporomandibular disorders, magnetic resonance imaging, orofacial pain

Como citar

Dentomaxillofacial Radiology. London: British Inst Radiology, v. 41, n. 4, p. 316-322, 2012.