Estudio para el diagnóstico objetivo de la sensibilidad muscular en maseteros y temporalesdeterminación de parámetros fisiológicos y psicopatológicos

Résumé

Within the clinical diagnosis of bruxism, there are data such as the perception of the patient's pain by the dentist on muscle and joint palpation, susceptible to varied interpretations depending on the clinician. The objective of this study is to determine if a series of physiological and psychological parameters are capable of determining objective traits in the pain perception of the study subjects. For this, a sample of 51 university students was determined, to determine if the influence of knowledge and gender was linked to the perception of pain. SLC90-R and STAI questionnaires were applied and physiological constants, EDA, SK-TMP, BVP and HR were measured using an Empatica E4 ® wearable device, at rest and during muscle palpation. It was observed that muscle and joint pain was higher in women in general, being statistically significant in masseters, with no differences regarding dental knowledge. The SK-TMP in all stimuli produced statistically significant changes, highlighting those individuals with higher pain perception in the study show lower skin temperatures, both at rest and in palpation stimuli. The psychological parameters established small and medium correlations without statistical significance with the physiological parameters of the study, but they were not linked to pain perception. Painful perceptions are mediated by a multitude of physical, psychological, environmental issues. The comprehensive knowledge of the patients helps us to be able to establish an accurate diagnosis and an individualized and multidisciplinary treatment plan. In the future, SK-TMP may be a key parameter to determine a greater perception of pain in patients before clinical interventions.