Temporomandibular disorders in fibromyalgia: a critical view
DOI:
https://doi.org/10.14295/bds.2012.v15i2.777Keywords:
Disfunção temporomandibular, fibromialgia, dor facialAbstract
A disfunção temporomandibular (DTM) e a fibromialgia (FM) são sindromes musculo-esqueléticas que parecerem estar associadas. Vários estudos na literatura relatam sinais e sintomas da DTM em pacientes com FM. O objetivo deste trabalho foi analisar a literatura recente quanto a associação clínica entre fibromialgia e as disfunções temporomandibulares. Apesar destes distúrbios possuírem etiologias diferente, o mecanismo de modulação de dor são semelhantes. Muitas pesquisas desenvolvidas nessa área buscam elucidar esta questão ainda pouco compreendida. Mas sugere-se que estas síndromes são caracterizadas por uma diminuição no limiar de dor e na capacidade de atenuação de sistemas descendente de modulação da dor. Além disso, há um certo grau de comorbidade entre estas duas patologias, que compartilham muitas características clínicas. Muitos pacientes com FM apresentam vários sinais e sintomas de DTM, entretando, uma pequena quantidade de indivíduos com DTM recebem um diagnóstico de FM. Portanto, é importante uma avaliação precisa e adequada do sistema estomatognático em pacientes com fibromialgia englobando o diagnóstico de disfunção temporomandibular na intervenção terapêutica.Downloads
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