Avaliando Dissociação em Pacientes com Transtornos Craniomandibulares

Uso de Ansiolíticos e Antidepressivos

Autores

  • Omar Franklin Molina MDS, PA, Post Doct in Orofacial Pain, Professor and Researcher, UNIRG, Gurupi-TO, Brazil;
  • Zeila Coelho Santos MDS in Orthodontics, Specialist in Orofacial Pain, Professor of Orofacial Pain, UNIRG, Gurupi-TO, Brazil;
  • Bruno Huber Simião DDS, MDS, Professor and Researcher in Prosthodontics, UNIRG, Gurupi-TO, Brazil;
  • Rogério Ferreira Marquezan MDS, Psychologist, Research Dean, UNIRG, Gurupi-TO, Brazil;
  • Ricardo Léllis Marçal DDS, MDS, Professor of Restorative Dentistry, UNIRG, Gurupi-TO, Brazil;
  • Juliana Romanelli Marçal DDS, MDS, Professor, Researcher Restorative Dentistry/Orofacial Pain, UNIRG, Gurupi-TO, Brazil;
  • Márllos Peres de Melo MDS, Statistician and Researcher, UNIRG, Gurupi, TO, Brazil.

DOI:

https://doi.org/10.34024/rnc.2013.v21.8157

Palavras-chave:

Transtornos Craniomandibulares, Dissociação, Ansiolíticos, Antidepressivos

Resumo

Objetivo. Apresentar método de classificação, avaliar frequência, grau de dissociação em pacientes com Distúrbios craniomandibulares e dissociação e verificar uso de ansiolíticos e antidepressivos. Método. Exame clínico, gravidade do bruxismo e a Escala de Experiência de Dissociação, foram aplicados em 243 indivíduos com DCMs e 43 controles. Os indivíduos com DCM e controles foram classificados como portadores de dissociação, ausente, leve, moderada, grave e mui­to grave. Resultados. Os indivíduos com DCM apresentaram mais dissociação do que aqueles sem (73,3% e 30,2% respectivamente e p=0.0001. Os pacientes com graus leve (55%) e moderados (24,2%) foram mais frequentes do que aqueles de graus grave (11,8%) e muito grave (9%). Os indivíduos com DCMs e dissociação usaram mais an­siolíticos do que aqueles sem dissociação (31%) usaram mais ansiolíti­cos do que aqueles sem dissociacáo (4,6% , p=0.03). Os pacientes com DCMs e dissociação (62%) não usaram mais antidepressivos do que aqueles sem dissociação (40%, p=0.32), mas apresentaram maior uso de antidepressivos do que o grupo controle (62% e 8,3%, p=0,0001). Uso de ansiolíticos e antidepressivos aumentou com a gravidade da dissociação (p=0.009 e p=0.04). Conclusão. A frequência de dis­sociação foi maior no grupo DCM, a dissociação leve e moderada ocorreram mais frequentemente do que a grave e muito grave. Os ansiolíticos foram usados mais frequentemente no grupo DCM com dissociação do que nos grupos DCM sem dissociação e controle.

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Publicado

2013-09-30

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1.
Molina OF, Santos ZC, Simião BH, Marquezan RF, Marçal RL, Marçal JR, et al. Avaliando Dissociação em Pacientes com Transtornos Craniomandibulares: Uso de Ansiolíticos e Antidepressivos. Rev Neurocienc [Internet]. 30º de setembro de 2013 [citado 20º de junho de 2025];21(3):369-76. Disponível em: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8157