Desenvolvimento e Validação da Diretriz Sobre Assistência à Pessoa com Disfunção Temporomandibular e Dor Orofacial, Usuária do Sistema Único de Saúde do Estado da Paraíba

Abstract

Temporomandibular Disorders (TMDs) refer to a wide group of clinical conditions that compromise the Temporomandibular Joint (TMJ), mastication muscles and other associated structures. Of complex etiology and still in need of clarification, they are correlated with physical, socioeconomic, demographic and psychosocial factors. The most prevalent signs and symptoms vary from orofacial pain, joint noises and deviations or limitation of mouth opening. Its multifactorial nature and complex clinical presentation make its therapeutic management difficult. Associated with this, the scarce knowledge of health professionals contributes to individuals being misguided in health units, generating delays in diagnosis and treatment, as well as financial losses and on the quality of life. Therefore, this study aimed to develop and validate a Health Technology (Guideline) on assistance to people with TMD and Orofacial Pain, users of the Unified Health System (SUS) in Paraíba, in order to provide relevant information to assist in the management of this dysfunction. For this, this work had the collaboration of an interdisciplinary team composed of specialists, managers, researchers and professionals involved in care. The construction of the technology took place by carrying out bibliographic surveys, collecting data from various scientific databases and government platforms (SCNES, SIGTAP/SUS, TabNet), developing flowchart models, images, charts and tables. The results are presented in this dissertation (and in the Guideline) in a qualitative and quantitative synthesis of the main findings that are also being partially published as scientific articles. It is expected that the information made available in this work can provide improvements in the assistance provided to people with TMD and Orofacial Pain, reflecting positively on their health and quality of life, as well as on the conduct of users in the Health Care Networks of Paraíba.