Purpose of the study is the evaluation of pain in patients affected by Temporo-Mandibolar Disorders (TMD) with dysfunctional algic symptoms in order to identify the efficacious therapy for non responders to conventional treatment, so that an alternative pharmachological approach with psychotropic drugs might be indicated. This prospective observational study included 9 patients recruited in the period between 1st and 31th October 2015. To all patient, after obtaining informed consent, diagnosis was established with the aid of a 16 item structured clinical interview, the Oral Health Impact Profile and each patient furnished relevant data, regarding the quality of life-the Flanagan clinic scale (QOLS). The patients sample was composed by 67% of females and 33% of males with a mean age of 34.1 yo. The diagnosis was of one case of temporomandibular joint (TMJ) disease, four cases of muscular disease and four cases of combined TMJ disease and muscolar disease. Two patients underwent physical therapy, three combination therapy and four pharmacological therapy (NSAIDs, corticosteroids and/or psychotropic drugs). Higher scores (according to Flanagan scale) correspond to a better quality of life; we found these scores in young women with joint and muscular disease treated also with psychotropic drugs for short time. Temporo-mandibular disorders in patients with dysfunctional algic symptoms can be treated with physical and pharmacological conventional therapies but also alternative pharmacological approaches such as antidepressants and/or anxiolytics. The origin of these diseases have a psychological correlate which would explain the efficacy of psychotropic drugs, even in the absence of an underlying psychiatric pathology or concomitant.
Polipharmacotherapy in temporo-mandibolar disorders (Tmd): Focus on psychotropic drugs
Di Grezia G.;
2016-01-01
Abstract
Purpose of the study is the evaluation of pain in patients affected by Temporo-Mandibolar Disorders (TMD) with dysfunctional algic symptoms in order to identify the efficacious therapy for non responders to conventional treatment, so that an alternative pharmachological approach with psychotropic drugs might be indicated. This prospective observational study included 9 patients recruited in the period between 1st and 31th October 2015. To all patient, after obtaining informed consent, diagnosis was established with the aid of a 16 item structured clinical interview, the Oral Health Impact Profile and each patient furnished relevant data, regarding the quality of life-the Flanagan clinic scale (QOLS). The patients sample was composed by 67% of females and 33% of males with a mean age of 34.1 yo. The diagnosis was of one case of temporomandibular joint (TMJ) disease, four cases of muscular disease and four cases of combined TMJ disease and muscolar disease. Two patients underwent physical therapy, three combination therapy and four pharmacological therapy (NSAIDs, corticosteroids and/or psychotropic drugs). Higher scores (according to Flanagan scale) correspond to a better quality of life; we found these scores in young women with joint and muscular disease treated also with psychotropic drugs for short time. Temporo-mandibular disorders in patients with dysfunctional algic symptoms can be treated with physical and pharmacological conventional therapies but also alternative pharmacological approaches such as antidepressants and/or anxiolytics. The origin of these diseases have a psychological correlate which would explain the efficacy of psychotropic drugs, even in the absence of an underlying psychiatric pathology or concomitant.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
