A survey of the management of patients with temporomandibular disorders by general dental practitioners in southern Brazil

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dc.contributor.authorAldrigue, Raquel Haidê Santos
dc.contributor.authorSánchez-Ayala, Alfonso
dc.contributor.authorUrban, Vanessa Migliorini
dc.contributor.authorPavarina, Ana Claudia
dc.contributor.authorJorge, Janaina Habib [UNESP]
dc.contributor.authorCampanha, Nara Hellen
dc.contributor.institutionUniversidade Estadual de Ponta Grossa (UEPG)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2015-08-06T16:13:08Z
dc.date.available2015-08-06T16:13:08Z
dc.date.issued2014
dc.description.abstractPurpose: Temporomandibular disorders (TMD) are recognized as one of the mostcontroversial topics in dentistry, despite the fact that both basic science and clinicalresearchers have currently reached some degree of consensus. This study aimed toconduct a questionnaire-based survey about the management of TMD patients bygeneral dental practitioners (GDPs).Materials and Methods: One hundred fifty-one GDPs with a private practice in a cityof southern Brazil were included, independent of school of origin, gender, graduationyear, and curriculum content. All participants were administered a questionnaire aboutthe management of patients with TMD, and the responses were analyzed by binomialand chi-square tests (α = 0.05).Results: Of the GDPs, 88.7% received TMD patients, who were primarily diagnosedon the basis of medical history (36.6%) or physical examination (30.4%). Of these,65.4% referred the patients elsewhere, primarily to specialists in occlusion (36.1%) ororthodontics (29.7%). Occlusal splinting was the most commonly used managementmodality (20.8%), followed by occlusal adjustment (18.1%) and pharmacotherapy(16.6%). Splints were fabricated in maximum habitual intercuspation or centric re-lation depending on individual patient (54.8%). The hard stabilization form was themost common type of appliance used (35.0%). Moreover, 73.8% of the GDPs didnot employ semi-adjustable articulators, and 69.5% adjusted the appliances at thetime of fixing. The duration of splint use and the frequency of follow-up were con-sidered patient dependent by 62.1% and 72.8%, respectively. GDPs considered thetwo major TMD etiologic categories as multifactorial (20.8%) and occlusion (19.9%).Multidisciplinary medical and dental treatment was considered necessary by 97.9%.Conclusions: The evaluated general dental practitioners manage TMD patients ac-cording to international guidelines.en
dc.description.affiliationUniversidade Estadual de Ponta Grossa, Departamento de Odontologia
dc.description.affiliationUnespUniversidade Estadual Paulista Júlio de Mesquita Filho, Departamento de Materiais Odontológicos e Prótese, Faculdade de Odontologia de Araraquara
dc.identifierhttp://onlinelibrary.wiley.com/doi/10.1111/jopr.12255/abstract?systemMessage=Wiley+Online+Library+will+have+intermittent+access+on+8th+August+2015+from+10%3A00-16%3A00+BST+%2F+05%3A00-11%3A00+EDT+%2F+17%3A00-23%3A00+SGT+for+essential+maintenance.++Apologies+for+the+inconvenience.
dc.identifier.citationJournal of Prosthodontics, 2014.
dc.identifier.doi10.1111/jopr.12255
dc.identifier.issn1059-941X
dc.identifier.lattes8867670539105403
dc.identifier.lattes8605087609369467
dc.identifier.urihttp://hdl.handle.net/11449/125794
dc.language.isoeng
dc.relation.ispartofJournal of Prosthodontics
dc.relation.ispartofjcr1.745
dc.rights.accessRightsAcesso restrito
dc.sourceCurrículo Lattes
dc.subjectTemporomandibular disordersen
dc.titleA survey of the management of patients with temporomandibular disorders by general dental practitioners in southern Brazilen
dc.typeArtigo
unesp.author.lattes8867670539105403[4]
unesp.author.lattes8605087609369467
unesp.author.orcid0000-0002-9135-3455[5]
unesp.author.orcid0000-0002-9231-1994[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt
unesp.departmentMateriais Odontológicos e Prótesept

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