Relação entre os distúrbios temporomandibulares e a disfunção da coluna cervical

: revisão sistemática

Abstract

Introduction: Temporomandibular disorders (TMD) is a term used to understand a series of clinical problems that involve the masticatory system. The musculoskeletal and neuromuscular conditions in TMD constitute morphological and functional deformities that generate damage to the entire masticatory system. Cervical spine dysfunction (CSD) refers to a set of common signs and symptoms and conditions that affect the cervical region. These pathologies are found simultaneously in the same individual, having one or more factors related to each other. Therefore, the aim of this systematic review is to evaluate the possible relationship between CSD and TMD, evaluating the inherent variables of each dysfunction. Material and Methods: This systematic review was developed according to the PRISMA methodology. Research was performed in the PubMed/MEDLINE®, Embase® and Web of Science databases until February 2022. Two investigators performed independently the selection of studies. The quality of the studies was assessed using the Downs and Black checklist and the inter-examiner agreement was assessed using the Cohen's kappa coefficient. Results: Through the research, 438 articles were identified. After eliminating duplicates and triplicates, the title of 344 articles was analyzed, of which 154 were analyzed by abstract and 73 by full reading. In the end, 15 articles were eligible for analysis. Conclusions: According to the studies included in this review, the relationship between TMD and CSD is remarkable. It was found that those who have temporomandibular disorders have a higher incidence of factors related to cervical dysfunction. Thus, it is concluded that there is a relationship between TMD and CSD, and that the most frequent variables in patients with TMD were neck pain, increased muscle sensitivity and decreased range of cervical motion.

Date of Award	15 Jul 2022
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Vanessa Maria Barroso dos Santos Silva (Supervisor) & Patrícia Fonseca (Co-Supervisor)