In a specialized pain clinic, the two pain questions (Q1, Q2) are positive in most patients with pain-related TMD. Therefore, in case of a positive response, further diagnostic procedures for TMD pain are warranted. For the functional screening question (Q3), a positive response is indicative for an intra-articular DC/TMD diagnosis, while in case of a negative outcome, an intra-articular TMD might still be present.
Symptoms of body dysmorphic disorder among people presenting for cosmetic dental treatment: a comparative study of cosmetic dental patients and a general population sample de Jongh, A.; Aartman, I.H.A.; Parvaneh, H.; Ilik, M.
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AbstractObjectives: To determine appearance concerns of patients presenting for cosmetic treatment. Methods: This cross-sectional comparative study included consecutive patients of six different cosmetic clinics (n = 170), and a sample of the general population (n = 878). A study-specific self report questionnaire was administered to document demographic and appearance concerns. Presence of Body Dysmorphic Disorder (BDD) was assessed based on DSM-IV criteria. Results: Cosmetic dental patients did not differ from the reference sample with regard to happiness, and satisfaction with their appearance. However, differences were found with regard to frequency of previous general cosmetic (16.5 % vs 5.9 %) and cosmetic dental (47.9 % vs 24.8 %) procedures. Furthermore, a significantly higher proportion of the cosmetic dental patients sufficed for the two key screening criteria of BDD (9.5 % vs 5.5 %), and for the full diagnostic screen of BDD (4.2 % vs 1.5 %) compared to the respondents of the reference group. Conclusions: The results suggest that symptoms of BDD are relatively common among patients attending cosmetic clinics. It is important to assess the long-term effects of comprehensive cosmetic procedures, particularly in patients with disproportionate appearance concerns.
Background: Myalgia is the most common cause of Temporomandibular Disorders (TMDs) pain, which has a dull and mild character. In some patients with high somatization, it can present itself as severe pain, which can complicate the treatment. Additional pharmacological treatment may thus be needed. Case Report: Two female patients came with similar symptoms but different pain intensities. The first patient had a high intensity of pain, which became severe during examination. The second patient had more complaints but showed typical symptoms of myalgia. Both received physiotherapy sessions, but for the first patient, we added analgesics to help the patient endure physiotherapy. Conclusion: Additional pharmacological treatments, especially analgesics, can be used in helping myalgia patients with high somatization to undergo physiotherapy.
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