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Temporomandibular dysfunction (TMD) can be triggered by several factors, such as parafunctional habits, among them: smoking. However, the relationship between these two conditions is unclear. The aim of this study was to describe the repercussions of smoke habits in patients with TMD. This is an integrating review with a guiding question considered Population, Intervention, Comparison and Outcomes (PICO). The search strategy was conducted following some Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the methodological quality analysis of the studies was carried out according to New Castle Otawa for cross-sectional studies. The databases: Cumulative Index to Nursing and Allied Health Literature, Medline via Pubmed, Web of Science and Scopus. The risk of bias in the analysis, extraction and inclusion of the manuscripts was reduced by independent peer evaluation. In conclusion smoking is able to negatively affect the pain perception of patients with TMD, besides influencing comorbid aspects such as fatigue, pain control, sleep quality and psychological distress. Moreover, it is not possible to consider that there is an association between worsening of pain intensity and biomechanical aspects of smoking because of the scarcity of good evidence.

Repercussions of Smoking Habit on Orofacial Pain and Temporomandibular Dysfunction: Integrative Review