Avaliação da disfunção temporomandibular e condições biopsicossociais em pacientes pós-Covid-19

Abstract

The objective of this research was to identify cases of temporomandibular disorder (TMD) in post-COVID-19 patients, as well as the levels of anxiety and perceived stress of all participants. Cross-sectional quantitative research, carried out with 57 intentionally selected individuals, who were evaluated with the Clinical Protocol and Assessment Instruments, to identify cases of TMD and anxiety levels, and the Stress Perception-10 instrument, to assess the level of perceived stress . Based on the evaluation, participants were divided into two groups: post-COVID-19 groups and control group. It was identified that 26 patients had already been affected by COVID-19 (47%), of which 13 (50%) were diagnosed with TMD, the majority of whom were women (77%), with an average age of 24±7 years. and TMD of muscular origin is the most prevalent (54%). Parafunctional habits were present in both groups. Anxiety levels among participants were 9.2±5.5 (moderate) and perceived stress was 19.2±7.9 (moderate), also not different between groups (p=0.568 anxiety, p=0.104 stress). Anxiety and stress were not significantly associated with COVID-19 (p=0.566 anxiety, p=0.653 stress), nor with TMD diagnoses (p=0.665 anxiety, p=0.344 stress). It is concluded that there were a large number of TMD cases in post-COVID-19 patients, but not associated with anxiety and stress. Therefore, other factors must be considered, such as bruxism, sleep quality, lifestyle and oral health.

Keywords: Anxiety.  Psychological Distress. Sars-CoV-2.  Temporomandibular Joint Disorders.