Prevalence of temporomandibular disorder in patients with fibromyalgia: a systematic review / Prevalência de distúrbio temporomandibular em pacientes com fibromialgia: uma revisão sistemática

Luiza Pereira do Nascimento, Karinna Veríssimo Meira Taveira, Fernanda Berretta, Juliana Stuginski- Barbosa, Beatriz Dulcineia Mendes de Souza, Daniel Ciampi Araújo de Andrade, Graziela De Luca Canto, André Luís Porporatti


INTRODUCTION: Temporomandibular Disorders (TMDs) and Fibromyalgia (FM) may share similar signs and symptoms. Among them, muscle pain may be involved and significantly reduce the quality of life of these patients. AIM: The aim of this systematic review was to determine the prevalence of TMD in patients with FM.MATERIALS AND METHODS: In this systematic review six electronic databases (LILACS, LIVIVO, PubMed, ScienceDirect, PsycINFO, and Web of Science), as well as three grey literature databases (Google Scholar, Open Grey, and ProQuest) were searched. Cross-sectional studies were selected by two independent reviewers and analyzed in two-phases, following the PRISMA statement. Risk of bias was assessed through the MASTARI (Meta-Analysis of Statistics Assessment and Review Instrument for observational studies from the Joana Briggs Institute).RESULTS: From 660 articles, 51 were eligible for full-text reading and six were finally included. None of the articles met all quality methodological criteria. Therefore, considering the overall risk of bias, one article was judged with moderate risk and five with low risk of bias. A heterogeneity was considered high; thus, a meta-analysis was not performed. From the qualitative analysis it was possible to determine that between 13% to 87.1% of patients with FM can present TMD.CONCLUSION: The prevalence of TMD in patients with FM ranged from 13% to 87.1%. It is suggested that further studies be carried out, mainly with longitudinal design and better quality methodology to help answer whether fibromyalgia is a risk factor for the development of TMDs.


Cross-sectional studies, signs and symptoms, chronic pain syndrome.

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