Avaliação da síndrome de Kelly como fator associado ao desenvolvimento de alterações ósseas na articulação temporomandibular

Abstract

The aim of this study was to evaluate the malocclusion caused by Kelly syndrome (KS) as associated factor in the development of bone changes in temporomandibular joint (TMJ). It was a transversal type study where 80 were selected patient records that met the criteria for inclusion of 178 assessed in the period from march 2008 to march 2014. The clinical evaluation index used for the diagnosis of temporomandibular joint disorder (TMD) was the RDC (Research Diagnostic Criteria – axes I and II). Exams of the resonance imaging were analyzed following the reports of Radiologists. There were approximately 5,5 times higher prevalence (1,65 < RP < 18,20 IC95%) of the TMJ with bone alteration in volunteers with change emotional compared to the patients emotionally balanced (p=0,005 – Test Qui-square) and three times higher prevalence (1,25 < RP < 6,23 IC95%) in volunteers with KS compared of the toothed (p=0,012 – Test Qui-square). There was no association between the occurrence of bone changes and the following variables: gender, age, displacement of the joint disc and muscular disorder. It can be concluded that KS and emotional state of the patient are factors associated with the occurrence of osteoarthritis in TMJ.