Impact of social distancing related to COVID-19 in patients with temporomandibular disorder




COVID-19, Síndrome da disfunção da articulação temporomandibular, Quarentena


Aim: To evaluate the impact of the social distancing imposed by COVID-19 in the socioeconomic, familiar and health scope of the participants, as well as the relation of the gravity of the sign and symptoms of Temporomandibular disorder. Materials and methods: Two questionnaires were applied, one by telephone interview and the other virtual. The first asked about signs and symptoms of temporomandibular disorder and the second about behavior during the pandemic. Results: The sample was composed by 15 patients, mostly women who lived in Porto Alegre. 64,3% of the subjects declared there was a decrease in household income during this period. Concerning to difficulties found to access health service, make an appointment, and get health care, were the most cited, each pointed to 61,5% of the sample. The presence of anxiety and depression feelings were cited 64,3%. There was an increase in alcohol consumption during the pandemic as a decrease in the frequency of physical activity. Discussion: Several studies that were conducted during and after the pandemic, corroborate the findings that the social distancing cause negative repercussions in the mental health, socioeconomics situations and in the daily habits in the population from all over the world. Conclusion: With this study we could observed and analyzed how the patients who suffered with TMD faced the challenges proposed by the social distancing, due to COVID-19. We can conclude that the pandemic causes several negatives effects in most of the group.


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- International Classification of Orofacial Pain, 1st edition (ICOP). Cephalalgia. 2020 Feb;40(2):129-221.

- Atsü SS, Güner S, Palulu N, Bulut AC, Kürkçüoğlu I. Oral parafunctions, personality traits, anxiety and their association with signs and symptoms of temporomandibular disorders in the adolescents. Afr Health Sci. 2019 Mar;19(1):1801-10.

– Nazeri M, Ghahrechahi HR, Pourzare A, Abareghi F, Samiee-Rad S, Shabani M, et al. Role of anxiety and depression in association with migraine and myofascial pain temporomandibular disorder. Indian J Dent Res. 2018 Nov; 29(5):583-7.

– de Paiva Bertoli FM, Bruzamolin CD, de Almeida Kranz GO, Losso EM, Brancher JA, de Souza JF. Anxiety and malocclusion are associated with temporomandibular disorders in adolescents diagnosed by RDC/TMD. A cross-sectional study. J Oral Rehabil. 2018 out;45(10):747-55.

– Costa YM, Conti PC, de Faria FA, Bonjardim LR. Temporomandibular disorders and painful comorbidities: clinical association and underlying mechanisms. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Mar;123(3):288-97.

– Arya M, Sharma S, Gupta A, Bansal P, Arya A, Gupta H, et al. Incidence and clinical presentation of temporo-mandibular joint disorders and their association with psychological distress and para-functional habits in a non-patient population. J Maxillofac Oral Surg. 2023 Mar;22(1):102-9.

- Brighenti N, Battaglino A, Sinatti P, Abuín-Porras V, Sánchez Romero EA, Pedersini P, et al. Effects of an interdisciplinary approach in the management of temporomandibular disorders: a scoping review. Int J Environ Res Public Health. 2023 Feb 4;20(4):2777.

- De Toledo EG Jr, Silva DP, de Toledo JA, Salgado IO. The interrelationship between dentistry and physiotherapy in the treatment of temporomandibular disorders. J Contemp Dent Pract. 2012 Sep 1;13(5):579-83.

- Kubala E, Lietz-Kijak D, Strzelecka P, Wieczorek A, Skomro P, Gronwald H. Multidisciplinary and nonpharmacological management of pain in temporomandibular disorders (TMDs). Pain Res Manag. 2022 Oct 11; 2022:3604386.

– Mongini F, Ciccone G, Ibertis F, Negro C. Personality characteristics and accompanying symptoms in temporomandibular joint dysfunction, headache, and facial pain. J Orofac Pain. 2000 Winter;14(1):52-8.

– Hekmati A, Mortazavi N, Ozouni-Davaji RB, Vakili M. Personality traits and anxiety in patients with temporomandibular disorders. BMC Psychol. 2022 Apr 4;10(1):86.

- Daly M, Robinson E. Depression, and anxiety during COVID-19. Lancet. 2022 Feb 5;399(10324):518.

- Aranha RLB, Martins RC, de Aguilar DR, Moreno-Drada JA, Sohn W, Martins CC, et al. Association between stress at work and temporomandibular disorders: a systematic review. Biomed Res Int. 2021 May 15;2021:2055513.

- Machado NAG, Costa YM, Quevedo HM, Stuginski-Barbosa J, Valle CM, Bonjardim LR, et al. The association of self-reported awake bruxism with anxiety, depression, pain threshold at pressure, pain vigilance, and quality of life in patients undergoing orthodontic treatment. J Appl Oral Sci. 2020 Mar 27;28: e20190407.

- Han W, Kwon SC, Lee YJ, Park C, Jang EC. The associations between work-related factors and temporomandibular disorders among female fulltime employees: findings from the Fourth Korea National Health and Nutrition Examination Survey IV (2007-2009). Ann Occup Environ Med. 2018 Jun 20; 30:42.

– Saccomanno S, Bernabei M, Scoppa F, Pirino A, Mastrapasqua R, Visco MA. Coronavirus lockdown as a major life stressor: does it affect TMD symptoms? Int J Environ Res Public Health. 2020 Nov 30;17(23):8907.

– Shah SGS, Nogueras D, van Woerden HC, Kiparoglou V. The COVID-19 pandemic: a pandemic of lockdown loneliness and the role of digital technology. J Med Internet Res. 2020 Nov 5;22(11):e22287.

– Rolandi E, Vaccaro R, Abbondanza S, Casanova G, Pettinato L, Colombo M, et al. Loneliness and social engagement in older adults based in lombardy during the COVID-19 lockdown: the long-term effects of a course on social networking sites use. Int J Environ Res Public Health. 2020 Oct 28;17(21):7912.

– Haider N, Osman AY, Gadzekpo A, Akipede GO, Asogun D, Ansumana R, et al. Lockdown measures in response to COVID-19 in nine sub-Saharan African countries. BMJ Glob Health. 2020 Oct;5(10):e003319.

– Kharroubi S, Saleh F. Are lockdown measures effective against COVID-19? Front Public Health. 2020 Oct 22;8:549692.

- Kupcova I, Danisovic L, Klein M, Harsanyi S. Effects of the COVID-19 pandemic on mental health, anxiety, and depression. BMC Psychol. 2023 Apr 11;11(1):108.

- Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, et al. Depression, anxiety and stress during COVID-19: associations with changes in physical activity, sleep, tobacco, and alcohol use in Australian adults. Int. J. Environ Res Public Health. 2020 Jun;17(11):4065.

- Minervini G, Franco R, Marrapodi MM, Mehta V, Fiorillo L, Badnjević A, et al. The association between COVID-19 related anxiety, stress, depression, temporomandibular disorders, and headaches from childhood to adulthood: a systematic review. Brain Sci. 2023 Mar 12;13(3):481.

- Rusu LC, Ardelean LC, Tigmeanu CV, Matichescu A, Sauciur I, Bratu EA. COVID-19 and Its repercussions on oral health: a review. Medicina (Kaunas). 2021 Nov 1;57(11):1189.

- De Felicio CM, Melchior M de O, Da Silva MA. Clinical validity of the protocol for multi-professional centers for the determination of signs and symptoms of temporomandibular disorders. Part II. Cranio. 2009 Jan;27(1):62-7.

- Instituto de Comunicação e Informação Científica e Tecnológica. Fiocruz. ConVid - Pesquisa de Comportamentos. [acesso 7 mar. 2023]. Maio, 2020. Disponível em:

- Silva LLSD, Lima AFR, Polli DA, Razia PFS, Pavão LFA, Cavalcanti MA, et al. Medidas de distanciamento social para o enfrentamento da COVID-19 no Brasil: caracterização e análise epidemiológica por estado. Cad Saúde Pública. 2020 Set;36(9):e00185020.

– Werneck GL, Carvalho MS. A pandemia de COVID-19 no Brasil: crônica de uma crise sanitária anunciada. Cad Saúde Pública. 2020 maio;36(5):e00068820.

- Instituto de Brasileiro de Geografia e Estatística. Pesquisa Nacional por Amostras de Domicílio Contínua 2012/2021. Rio de Janeiro; 2021.

- Malta DC, Gomes CS, Szwarcwald CL, Barros MBDA, Silva AGD, Prates EJS, et al. Distanciamento social, sentimento de tristeza e estilos de vida da população brasileira durante a pandemia de Covid-19. Saúde Debate. 2020 dez;44(4):177-90.

- Moura AAM de, Bassoli IR, Silveira BV da, Diehl A, Santos MA dos, Santos RA dos, et al. Is social isolation during the COVID-19 pandemic a risk factor for depression? Rev Bras Enferm. 2022 mar;75:1-9.

- Ettman CK, Abdalla SM, Cohen GH, Sampson L, Vivier PM, Galea S. Prevalence of depression symptoms in US adults before and during the COVID-19 pandemic. JAMA Netw Open. 2020 Sep1;3(9):1-12.

- Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated psychological problems. Asian Journal of Psychiatry 2020 Jun;51:102092.

– Sidor A, Rzymski P. Dietary Choices and habits during COVID-19 lockdown: experience from Poland. Nutrients. 2020 jun;12(6):1657.

- García-García JÁ, Garza-Sánchez RI, Cabello-Garza ML. Dimensiones de los estilos de vida saludable durante el confinamiento por COVID-19 en población mexicana. Prospectiva. Revista de Trabajo Social e intervención social. 2022 jul;34:249-70.

- Castellanos RE, Aguirre LA, Ruano AF, Valencia V, Medina D, Giraldo G. Percepción del comportamiento alimentario en los hogares de Cali para el primer trimestre de la cuarentena por COVID-19 en 2020. Salud UIS. 2022 jun;54.

- Castañeda-Babarro A, Arbillaga-Etxarri A, Gutiérrez-Santamaría B, Coca A. Physical activity change during COVID-19 confinement. Int J Environ Res Public Health. 2020 set;17(18):6878.

- Brasil. Ministério da saúde. Glossário Saúde Brasil. Comportamento Sedentário. [acesso 7 mar 2023]. 18 de jan de 2023. Disponível em:

- Faria TMTR, Silva AGD, Claro RM, Malta DC. Time trends and COVID-19 post pandemic changes in physical activity and sedentary behavior prevalence among Brazilian adults between 2006 and 2021. [Preprint]. 2022 [acesso 7 mar 2023]:1-22. Disponível em:

- Malta DC, Szwarcwald CL, Barros MB de A, Gomes CS, Machado ÍE, Souza Júnior PRB de, et al. A pandemia da COVID-19 e as mudanças no estilo de vida dos brasileiros adultos: um estudo transversal, 2020. Epidemiol Serv Saúde. 2020 set;29(4)1-13.

– Malta DC, Gomes CS, Silva AG da, Cardoso LS de M, Barros MB de A, Lima MG, et al. Uso dos serviços de saúde e adesão ao distanciamento social por adultos com doenças crônicas na pandemia de COVID-19, Brasil, 2020. Ciência & Saúde Coletiva. 2021 mar;26(7)2833-42.

- Frank K. Difficulties accessing health care in canada during the COVID-19 pandemic: comparing individuals with and without chronic conditions. Health Reports. 2022 nov;33(11):16-26.

- Pujolar G, Oliver-Anglès A, Vargas I, Vázquez ML. Changes in access to health services during the COVID-19 pandemic: a scoping review. Int J Environ Res Public Health. 2022 fev;19(3):1749.




Como Citar

Delazere Teles, G., Colares da Costa Otavio, A., de Lavra Pinto Aleixo, B., & Dantur Batista Chaves, K. (2023). Impact of social distancing related to COVID-19 in patients with temporomandibular disorder. Revista Da Faculdade De Odontologia De Porto Alegre, 64, e133407.



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