Efetividade a curto prazo de terapias conservadoras na dor, qualidade de vida e do sono de pacientes com disfunção temporomandibular: ensaio clínico randomizado

Abstract

Introduction: Temporamandibular dysfunction (TMD) can have a major impact on a patient's daily life, limiting their quality of life and sleep. In view of the variety of existing treatments, it is necessary to determine which ones inferred in these factors. Objective: To evaluate the effectiveness of different conservative therapies in the quality of life, sleep and pain in TMD diagnosed patients. Methods: The clinical trial consisted of 89 patients and distributed in four modalities: occlusal splints (n=24), manual therapy (n = 21), counseling (n = 19) and occlusal splints in association with counseling (n = 25), counseling and occlusal s in association with counseling. The critters were evaluated by means of the Visual Analogue Pain Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), World Health Organization Quality of Life (WHOQOL-BREF) and Oral Health Impact Profile (OHIP-14). Slip Plot ANOVA statistical test was used to observe the results, with a confidence level of 95%. Results: All therapy modalities were successful in TMD treatment over time with regard to pain (p <0.001), sleep quality (p = 0.001), oral health impact on quality of life (p <0.001) and quality of life (p<0.006), but there was no significant difference between therapies. Conclusion: The conservative therapies studied were effective in improving pain, quality of sleep and quality of life, however, no therapeutic group was superior to the other.