Influência do autocuidado utilizando as práticas integrativas e complementares durante a pandemia da COVID-19 em crianças e adolescentes de 4 a 13 anos com bruxismo e disfunção temporomandibular
10.15343/0104-7809.202246074084
Palavras-chave:
Bruxismo. COVID-19. Criança. Disfunção temporomandibular.Resumo
O Bruxismo é um comportamento da musculatura mandibular, caracterizado pelo apertamento e/ou rangimento dental, tanto em estado de vigília quanto no sono, que pode acarretar na Disfunção Temporomandibular (DTM). Altamente prevalente em crianças e etiologia multifatorial, destacam-se os aspectos psicossociais, principalmente o estresse e ansiedade. A necessidade de distanciamento social durante a pandemia da COVID-19 trouxe consequências para as crianças e fez surgir novos formatos de ações na Odontologia. Esse estudo avaliou a influência do autocuidado nas manifestações do Bruxismo/DTM em crianças que estavam em tratamento, antes da pandemia, no Serviço de Atendimento de Bruxismo e DTM na Infância (SABDI) da FORP/USP, por meio de intervenções assistidas, implementadas remotamente, de Práticas Integrativas e Complementares (PICs). Previamente às intervenções (T0), os pais responderam o questionário (Q1) sobre a criança (no formato Google Forms, enviado por WhatsApp e e-mail). As práticas propostas foram explicadas em reuniões virtuais (Google Meet) e foram realizadas durante 21 dias, registradas em um “Diário de Controle”. Um novo questionário (Q2) foi preenchido para análise comparativa após as intervenções (T1). Das 37 crianças que estavam em tratamento, a amostra final das 18 que concluíram todas as etapas propostas apresentou diferença quantitativa nos itens: “dor na boca/rosto quando mastiga”; “dor ou dificuldade de abrir e fechar a boca”; “acorda com dor no rosto ou dor de cabeça” e, “dor de cabeça durante o dia ou à noite”, “range os dentes em vigília”; “frequência que range os dentes em vigília”; “range os dentes enquanto dorme” e, “frequência que range os dentes enquanto dorme”, “sono agitado”; “pesadelo” e “insônia”. Observou-se evidência de diferença estatística com valor P<0,05, no item “aperta os dentes em vigília” (p=0,0057). Conclui-se que as intervenções propostas influenciaram as manifestações do Bruxismo favorecendo o seu controle.
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Referências
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9. Wu T, Jia X, Shi H, Niu J, Yin X, Xie J, Wang X. Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2021;281:91-98. DOI: 10.1016/j.jad.2020.11.117.
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19. Scariot R, Brunet L, Olsson B, Palinkas M, Regalo SCH, Rebellato NLB, Brancher JA, Torres CP, Diaz-Serrano KV, Küchler EC, Zielak JC. Single nucleotide polymorphisms in dopamine receptor D2 are associated with bruxism and its circadian phenotypes in children. Cranio 2019;23:1-8. DOI: 10.1080/08869634.2019.1705629.
20. Calvano Küchler E, Arid J, Palinkas M, Ayumi Omori M, de Lara RM, Napolitano Gonçalves LM, Hallak Regalo SC, Paes Torres Mantovani C, Rezende Vieira A, Diaz-Serrano K. Genetic Polymorphisms in ACTN3 Contribute to the Etiology of Bruxism in Children. J Clin Pediatr Dent. 2020;44(3):180-184. DOI: 10.17796/1053-4625-44.3.8
21. Serra-Negra JM, Ribeiro MB, Prado IM, Paiva SM, Pordeus IA. Association between possible sleep bruxism and sleep characteristics in children. Cranio. 2017;35:315-320. DOI: 10.1080/08869634.2016.1239894.
22. Drumond CL, Paiva SM, Vieira-Andrade RG, Ramos-Jorge J, Ramos-Jorge ML, Provini F, Serra-Negra JMC. Do family functioning and mothers' and children's stress increase the odds of probable sleep bruxism among schoolchildren? A case control study. Clin Oral Investig. 2020;24(2):1025-1033. DOI: 10.1007/s00784-019-02997-8.
23. Lamenha Lins RM, Cavalcanti Campêlo MC, Mello Figueiredo L, Vilela Heimer M, Dos Santos-Junior VE. Probable Sleep Bruxism in Children and its Relationship with Harmful Oral Habits, Type of Crossbite and Oral Breathing. J Clin Pediatr Dent. 2020;44(1):66-69. DOI: 10.17796/1053-4625-44.1.12
24. Chisini LA, San Martin AS, Cademartori MG, Boscato N, Correa MB, Goettems ML. Interventions to reduce bruxism in children and adolescents: a systematic scoping review and critical reflection. Eur J Pediatr. 2020;179(2):177-189. DOI:10.1007/ s00431-019-03549-8.
25. Ierardo G, Mazur M, Luzzi V, Calcagnile F, Ottolenghi L, Polimeni A. Treatments of sleep bruxism in children: A systematic review and meta-analysis. Cranio. 2021;39(1):58-64. DOI: 10.1080/08869634.2019.1581470.
26. Slemon A, Jenkins EK, Bailey E. Enhancing conceptual clarity of self-care for nursing students: A scoping review. Nurse Educ Pract. 2021;55:103178. DOI: 10.1016/j.nepr.2021.103178.
27. Cleo G, Beller E, Glasziou P, Isenring E, Thomas R. Efficacy of habit-based weight loss interventions: a systematic review and meta-analysis. J Behav Med. 2020;43(4):519-532. DOI: 10.1007/s10865-019-00100-w.
28. Rippe JM. Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. Am J Lifestyle Med. 2018;12(6):499- 512. DOI: 10.1177/1559827618785554.
29. Beleigoli AM, Andrade AQ, Cançado AG, Paulo MN, Diniz MFH, Ribeiro AL. Web-Based Digital Health Interventions for Weight Loss and Lifestyle Habit Changes in Overweight and Obese Adults: Systematic Review and Meta-Analysis. J Med Internet Res. 2019;8;21(1):e298.
30. Resende MM, Costa FE, Gardona RG, Araújo RG, Mundim FG, Costa MJ. Preventive use of Bach flower Rescue Remedy in the control of risk factors for cardiovascular disease in rats. Complement Ther Med. 2014;22(4):719-23. DOI: 10.1016/j. ctim.2014.06.008.
31. Alves WCP, Sousa M do S, Costa DA. A Terapia Floral frente à ansiedade em Tratamento Odontológico. Psicol Saúde Debate. 2020;6(2):162–183. DOI: 10.22289/2446-922X.V6N2A12.
32. Dixit UB, Jasani RR. Comparison of the effectiveness of Bach flower therapy and music therapy on dental anxiety in pediatric patients: A randomized controlled study. J Indian Soc Pedod Prev Dent. 2020;38(1):71-78.
33. Carissimo TDN, de Oliveira LC. Estudo da eficácia da terapia floral em alunos submetidos a estresse. Cadern Escola Saúde 2012;2(8):1-10.
34. Waits A, Tang YR, Cheng HM, Tai CJ, Chien LY. Acupressure effect on sleep quality: A systematic review and meta-analysis. Sleep Med Rev. 2018;37:24-34. DOI: rg/10.1016/j.smrv.2016.12.004.
35. Yeung WF, Ho FY, Chung KF, Zhang ZJ, Yu BY, Suen LK, Chan LY, Chen HY, Ho LM, Lao LX. Self-administered acupressure for insomnia disorder: a pilot randomized controlled trial. J Sleep Res. 2018;27(2):220-231. DOI: /10.1111/jsr.12597.
36. Santos LFS, Pereira MCA. A efetividade da terapia manual no tratamento de disfunções temporomandibulares (DTM): uma revisão da literatura. Rev Atenção Saúde. 2016(49):3596. DOI: 10.13037/ras.vol14n49.3596>.
37. Avisa P, Kamatham R, Vanjari K, Nuvvula S. Effectiveness of Acupressure on Dental Anxiety in Children. Pediatr Dent. 2018;40(3):177-183.
38. James J, Retnakumari N, Vadakkepurayil K, e t a l. Effectiveness of Aromatherapy and Music Distraction in Managing Pediatric Dental Anxiety: A Comparative Study. Int J Clin Pediatr Dent 2021;14(2):249-253. DOI: 10.5005/jp-journals-10005-1911.
39. Rafii F, Ameri F, Haghani H, Ghobadi A. The effect of aromatherapy massage with lavender and chamomile oil on anxiety and sleep quality of patients with burns. Burns. 2020;46(1):164-171. DOI: 10.1016/j.burns.2019.02.017.
40. Zamanifar S, Bagheri-Saveh MI, Nezakati A, Mohammadi R, Seidi J. The Effect of Music Therapy and Aromatherapy with Chamomile-Lavender Essential Oil on the Anxiety of Clinical Nurses: A Randomized and Double-Blind Clinical Trial. J Med Life. 2020;13(1):87-93. DOI: 10.25122/jml-2019-0105.
41. Hsiu-Chin Hsu, Mei-Hsiang Lin, Hsiu-Fang Lee, Chiu-Yen Wu, Chih-Ting Chou, Shu-Fen Lin, Effects of aromatherapy with essential oil massage on the sleep quality of critical care nurses: A randomized controlled trial, Complem Ther Clinical Pract. 2021;43:1744-3881. DOI: 10.1016/j.ctcp.2021.101358.
42. Perry-Parrish C, Copeland-Linder N, Webb L, Sibinga EM. Mindfulness-Based Approaches for Children and Youth. Curr Probl Pediatr Adolesc Health Care. 2016;46(6):172-8. DOI: 10.1016/j.cppeds.2015.12.006.
43. Kabat-Zinn J. Mindfulness-Based Interventions in Context: Past, Present, and Future. Clin Psychol: Sci Pract. 2003;10(2):144– 56. DOI: 10.1093/clipsy.bpg016.
44. Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: A meta-analysis. J Psychosom Res. 2015;78(6):519-28. DOI: 10.1016/j.jpsychores.2015.03.009.
45. Schonert-Reichl KA, Oberle E, Lawlor MS, Abbott D, Thomson K, Oberlander TF, Diamond A. Enhancing cognitive and social-emotional development through a simple-to-administer mindfulness-based school program for elementary school children: a randomized controlled trial. Rev Psychol. 2015;51:52-66. DOI: 10.1037/a0038454.
2. Melo G, Duarte J, Pauletto P, Porporatti AL, Stuginski-Barbosa J, Winocur E, Flores-Mir C, De Luca Canto G. Bruxism: An umbrella review of systematic reviews. J Oral Rehabil. 2019 Jul;46(7):666-690. DOI: 10.1111/joor.12801.
3. Díaz-Serrano KV, Dias T de Melo, Vasconcelos P, Sousa LG, Siéssere S, Regalo S, Palinkas M. Impact of temporomandibular disorders on the stomatognathic system in children. Med Oral Patol Oral Cir Bucal. 2017;1;22:e723-9. DOI: 10.4317/ medoral.22000.
4. Almeida-Leite CM, Stuginski-Barbosa J, Conti PCR. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? J Appl Oral Sci. 2020;28:e20200263. DOI: 10.1590/1678-7757-2020- 0263.
5. Yuksel D, McKee GB, Perrin PB, Alzueta E, Caffarra S, Ramos-Usuga D, Arango-Lasprilla JC, Baker FC. Sleeping when the world locks down: Correlates of sleep health during the COVID-19 pandemic across 59 countries. Sleep Health. 2021:S2352- 7218(20)30328-4. DOI: 10.1016/j.sleh.2020.12.008.
6. Organização Mundial da Saúde. Coronavirus disease (COVID-19) pandemic. Disponível em: Acesso em: 10 de set. de 2021.
7. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, Rasoulpoor S, Khaledi-Paveh B. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health. 2020;16(1):57. DOI: ) 16:5710.1186/s12992-020-00589-w.
8. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74:281-82. DOI: 10.1111/pcn.12988.
9. Wu T, Jia X, Shi H, Niu J, Yin X, Xie J, Wang X. Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2021;281:91-98. DOI: 10.1016/j.jad.2020.11.117.
10. Znidarsic J, Kirksey KN, Dombrowski SM, Tang A, Lopez R, Blonsky H, Todorov I, Schneeberger D, Doyle J, Libertini L, Jamie S, Segall T, Bang A, Barringer K, Judi B, Ehrman JP, Roizen MF, Golubić M. Living Well with Chronic Pain: Integrative Pain Management via Shared Medical Appointments. Pain Med. 2021;22(1):181-190. DOI: 10.1093/pm/pnaa418.
11. Tuñas ITC, Silva ET, Santiago SBS, Maia KD, Silva-Júnior GO. Doença pelo Coronavírus 2019 (COVID-19): Uma abordagem preventiva para Odontologia. Rev Bras Odontol. 2020;77:e1766.
12. Tulenko K, Dominique V. Cracks in the system: The effects of the Coronavirus pandemic on public health systems. Am Review Public Adm. 2020;6: 455-466. DOI: 10.1177/0275074020941667.
13. Deshpande S, Patil D, Dhokar A, Bhanushali P, Katge F. Teledentistry: A Boon Amidst COVID-19 Lockdown-A Narrative Review. Int J Telemed Appl. 2021;16:8859746. DOI: 10.1155/2021/8859746.
14. Lotto M, Strieder AP, Ayala Aguirre PE, Oliveira TM, Andrade Moreira Machado MA, Rios D, Cruvinel T. Parental-oriented educational mobile messages to aid in the control of early childhood caries in low socioeconomic children: A randomized controlled trial. J Dent. 2020;101:103456. DOI: 10.1016/j.jdent.2020.103456.
15. Pereira AAC, Destro JR, Picinin Bernuci M, Garcia LF, Rodrigues Lucena TF. Effects of a WhatsApp-Delivered Education Intervention to Enhance Breast Cancer Knowledge in Women: Mixed-Methods Study. JMIR Mhealth Uhealth. 2020;8(7):e17430. DOI: 10.2196/17430.
16. Agência Brasil, 2020. Whatsapp-foi-o-app-mais-baixado-no-brasil-e-no-mundo-em-2019. https://agenciabrasil.ebc.com.br/ geral/noticia/2020-01.
17. Díaz-Serrano KV, da Silva CB, de Albuquerque S, Pereira Saraiva Mda C, Nelson Filho P. Is there an association between bruxism and intestinal parasitic infestation in children? J Dent Child (Chic) 2008;75:276-79.
18. Ribeiro-Lages MB, Jural LA, Magno MB, Vicente-Gomila J, Ferreira DM, Fonseca-Gonçalves A, Maia LC. A world panorama of bruxism in children and adolescents with emphasis on associated sleep features: A bibliometric analysis. J Oral Rehabil. 2021;48(11):1271-1282. DOI: 10.1111/joor.13249.
19. Scariot R, Brunet L, Olsson B, Palinkas M, Regalo SCH, Rebellato NLB, Brancher JA, Torres CP, Diaz-Serrano KV, Küchler EC, Zielak JC. Single nucleotide polymorphisms in dopamine receptor D2 are associated with bruxism and its circadian phenotypes in children. Cranio 2019;23:1-8. DOI: 10.1080/08869634.2019.1705629.
20. Calvano Küchler E, Arid J, Palinkas M, Ayumi Omori M, de Lara RM, Napolitano Gonçalves LM, Hallak Regalo SC, Paes Torres Mantovani C, Rezende Vieira A, Diaz-Serrano K. Genetic Polymorphisms in ACTN3 Contribute to the Etiology of Bruxism in Children. J Clin Pediatr Dent. 2020;44(3):180-184. DOI: 10.17796/1053-4625-44.3.8
21. Serra-Negra JM, Ribeiro MB, Prado IM, Paiva SM, Pordeus IA. Association between possible sleep bruxism and sleep characteristics in children. Cranio. 2017;35:315-320. DOI: 10.1080/08869634.2016.1239894.
22. Drumond CL, Paiva SM, Vieira-Andrade RG, Ramos-Jorge J, Ramos-Jorge ML, Provini F, Serra-Negra JMC. Do family functioning and mothers' and children's stress increase the odds of probable sleep bruxism among schoolchildren? A case control study. Clin Oral Investig. 2020;24(2):1025-1033. DOI: 10.1007/s00784-019-02997-8.
23. Lamenha Lins RM, Cavalcanti Campêlo MC, Mello Figueiredo L, Vilela Heimer M, Dos Santos-Junior VE. Probable Sleep Bruxism in Children and its Relationship with Harmful Oral Habits, Type of Crossbite and Oral Breathing. J Clin Pediatr Dent. 2020;44(1):66-69. DOI: 10.17796/1053-4625-44.1.12
24. Chisini LA, San Martin AS, Cademartori MG, Boscato N, Correa MB, Goettems ML. Interventions to reduce bruxism in children and adolescents: a systematic scoping review and critical reflection. Eur J Pediatr. 2020;179(2):177-189. DOI:10.1007/ s00431-019-03549-8.
25. Ierardo G, Mazur M, Luzzi V, Calcagnile F, Ottolenghi L, Polimeni A. Treatments of sleep bruxism in children: A systematic review and meta-analysis. Cranio. 2021;39(1):58-64. DOI: 10.1080/08869634.2019.1581470.
26. Slemon A, Jenkins EK, Bailey E. Enhancing conceptual clarity of self-care for nursing students: A scoping review. Nurse Educ Pract. 2021;55:103178. DOI: 10.1016/j.nepr.2021.103178.
27. Cleo G, Beller E, Glasziou P, Isenring E, Thomas R. Efficacy of habit-based weight loss interventions: a systematic review and meta-analysis. J Behav Med. 2020;43(4):519-532. DOI: 10.1007/s10865-019-00100-w.
28. Rippe JM. Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. Am J Lifestyle Med. 2018;12(6):499- 512. DOI: 10.1177/1559827618785554.
29. Beleigoli AM, Andrade AQ, Cançado AG, Paulo MN, Diniz MFH, Ribeiro AL. Web-Based Digital Health Interventions for Weight Loss and Lifestyle Habit Changes in Overweight and Obese Adults: Systematic Review and Meta-Analysis. J Med Internet Res. 2019;8;21(1):e298.
30. Resende MM, Costa FE, Gardona RG, Araújo RG, Mundim FG, Costa MJ. Preventive use of Bach flower Rescue Remedy in the control of risk factors for cardiovascular disease in rats. Complement Ther Med. 2014;22(4):719-23. DOI: 10.1016/j. ctim.2014.06.008.
31. Alves WCP, Sousa M do S, Costa DA. A Terapia Floral frente à ansiedade em Tratamento Odontológico. Psicol Saúde Debate. 2020;6(2):162–183. DOI: 10.22289/2446-922X.V6N2A12.
32. Dixit UB, Jasani RR. Comparison of the effectiveness of Bach flower therapy and music therapy on dental anxiety in pediatric patients: A randomized controlled study. J Indian Soc Pedod Prev Dent. 2020;38(1):71-78.
33. Carissimo TDN, de Oliveira LC. Estudo da eficácia da terapia floral em alunos submetidos a estresse. Cadern Escola Saúde 2012;2(8):1-10.
34. Waits A, Tang YR, Cheng HM, Tai CJ, Chien LY. Acupressure effect on sleep quality: A systematic review and meta-analysis. Sleep Med Rev. 2018;37:24-34. DOI: rg/10.1016/j.smrv.2016.12.004.
35. Yeung WF, Ho FY, Chung KF, Zhang ZJ, Yu BY, Suen LK, Chan LY, Chen HY, Ho LM, Lao LX. Self-administered acupressure for insomnia disorder: a pilot randomized controlled trial. J Sleep Res. 2018;27(2):220-231. DOI: /10.1111/jsr.12597.
36. Santos LFS, Pereira MCA. A efetividade da terapia manual no tratamento de disfunções temporomandibulares (DTM): uma revisão da literatura. Rev Atenção Saúde. 2016(49):3596. DOI: 10.13037/ras.vol14n49.3596>.
37. Avisa P, Kamatham R, Vanjari K, Nuvvula S. Effectiveness of Acupressure on Dental Anxiety in Children. Pediatr Dent. 2018;40(3):177-183.
38. James J, Retnakumari N, Vadakkepurayil K, e t a l. Effectiveness of Aromatherapy and Music Distraction in Managing Pediatric Dental Anxiety: A Comparative Study. Int J Clin Pediatr Dent 2021;14(2):249-253. DOI: 10.5005/jp-journals-10005-1911.
39. Rafii F, Ameri F, Haghani H, Ghobadi A. The effect of aromatherapy massage with lavender and chamomile oil on anxiety and sleep quality of patients with burns. Burns. 2020;46(1):164-171. DOI: 10.1016/j.burns.2019.02.017.
40. Zamanifar S, Bagheri-Saveh MI, Nezakati A, Mohammadi R, Seidi J. The Effect of Music Therapy and Aromatherapy with Chamomile-Lavender Essential Oil on the Anxiety of Clinical Nurses: A Randomized and Double-Blind Clinical Trial. J Med Life. 2020;13(1):87-93. DOI: 10.25122/jml-2019-0105.
41. Hsiu-Chin Hsu, Mei-Hsiang Lin, Hsiu-Fang Lee, Chiu-Yen Wu, Chih-Ting Chou, Shu-Fen Lin, Effects of aromatherapy with essential oil massage on the sleep quality of critical care nurses: A randomized controlled trial, Complem Ther Clinical Pract. 2021;43:1744-3881. DOI: 10.1016/j.ctcp.2021.101358.
42. Perry-Parrish C, Copeland-Linder N, Webb L, Sibinga EM. Mindfulness-Based Approaches for Children and Youth. Curr Probl Pediatr Adolesc Health Care. 2016;46(6):172-8. DOI: 10.1016/j.cppeds.2015.12.006.
43. Kabat-Zinn J. Mindfulness-Based Interventions in Context: Past, Present, and Future. Clin Psychol: Sci Pract. 2003;10(2):144– 56. DOI: 10.1093/clipsy.bpg016.
44. Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: A meta-analysis. J Psychosom Res. 2015;78(6):519-28. DOI: 10.1016/j.jpsychores.2015.03.009.
45. Schonert-Reichl KA, Oberle E, Lawlor MS, Abbott D, Thomson K, Oberlander TF, Diamond A. Enhancing cognitive and social-emotional development through a simple-to-administer mindfulness-based school program for elementary school children: a randomized controlled trial. Rev Psychol. 2015;51:52-66. DOI: 10.1037/a0038454.
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2022-05-20
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Soares Caruso França Biagini, A. C., Paes Torres, C., da Silva Lizzi, E. A., Díaz-Serrano, K. V. ., & Borsatto, M. C. (2022). Influência do autocuidado utilizando as práticas integrativas e complementares durante a pandemia da COVID-19 em crianças e adolescentes de 4 a 13 anos com bruxismo e disfunção temporomandibular: 10.15343/0104-7809.202246074084. O Mundo Da Saúde, 46, 074–084. Recuperado de https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/1335
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