Systemic diseases and other painful conditions in patients with temporomandibular disorders and migraine

Contreras, Edwin Fernando Ruiz; Fernandes, Giovana; Jordani, Paula Cristina; Campi, Letícia Bueno; Gonçalves, Daniela

doi:10.1590/1807-3107bor-2018.vol32.0077

Cited by 19 publications

(10 citation statements)

References 33 publications

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“…Since vitamin D deficiency is more prevalent in women, and is usually associated with poorer musculoskeletal health in community-living people in Taiwan [ 39 ], it is not surprising that female sex might be a risk factor for TMD. In a previous study by Contreras [ 35 ], peptic ulcer disease has been associated with the presence of painful TMD in the univariate analysis, whereas this association was not shown in the multivariable model. In our current study, we found peptic ulcer disease to be an independent risk factor for incident TMD in SA patients.…”

Section: Discussionmentioning

confidence: 87%

“…Traditionally, female sex has been suggested as a risk factor for the development of TMD. For example, Contreras et al found a higher TMD prevalence in women [ 35 ]. Sexual hormones, especially estrogen, might play an important role in the sensitivity of pain, even in the muscles of mastication, and therefore, might contribute to the pathogenesis of TMD [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

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The Association between Temporomandibular Disorder and Sleep Apnea—A Nationwide Population-Based Cohort Study

Lee

Kuo

et al. 2020

IJERPH

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An increased incidence of temporomandibular disorders (TMD) among patients with sleep apnea (SA) has been reported. However, the association between TMD and SA has not been demonstrated in a large-scale study. This population-based cohort study with the Taiwan National Health Insurance (NHI) Research Database aimed to understand the association between SA and TMD. We identified adult patients with suspected SA (identified with diagnostic codes) and excluded those diagnosed with TMD prior to SA. Patients with SA diagnosis after polysomnography were also identified as probable SA patients. The index dates were the dates of their initial SA diagnosis. Ten control subjects were matched, by age and sex, to each SA patient, and were assigned the same index dates as the SA patients. In total, 10,408 suspected SA patients (including 4105 probable SA patients) matched to 104,080 control subjects (including 41,050 subjects matched to the probable SA patients) in this study. The TMD incidence rate was significantly higher in the SA patients than in the control subjects (2.8 vs. 1.0 per thousand-patient-year in probable SA patients vs. the corresponding control subjects, with an adjusted incidence rate ratio [95% confidence interval] = 2.5 [2.3–2.7], p < 0.0001). SA patients significantly showed a higher cumulative incidence of TMD than the corresponding control subjects (p < 0.0001). Multivariable Cox regression analysis revealed SA as an independent risk factor for the development of TMD (adjusted hazard ratio = 2.5 [1.7–3.7], p < 0.0001). In summary, this study confirmed an increased TMD incidence in the SA patients. While treating TMD patients, dentists should pay careful attention to the potential underlying SA.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

The Association between Temporomandibular Disorder and Sleep Apnea—A Nationwide Population-Based Cohort Study

Lee

Kuo

et al. 2020

IJERPH

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“…TMD most often coexist with other systemic diseases which can modulate the course of TMD. There are more severe symptoms observed in patients with comorbidities than with isolated TMD [ 65 , 66 ]. Abnormalities in female reproductive hormone levels correlate with the frequency of TMD, intensify their symptoms, extend their duration or hinder the effectiveness of treatment.…”

Section: Discussionmentioning

confidence: 99%

TMD in Females with Menstrual Disorders

Jedynak

Jaworska-Zaremba

Grzechocińska

et al. 2021

IJERPH

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Background: Temporomandibular disorders (TMD) are a common reason for patients to present at dental offices. The majority of people with TMD are women between the age of 20 and 40 years. The purpose of this study was to assess the types and prevalence of temporomandibular disorders in female patients of reproductive age with menstrual disorders. Materials and methods: The study involved 65 females of reproductive age (18–40 years, an average of 28.00 ± 6.27 years). The women who qualified for the study were patients of the University Center for Maternal and Newborn’s Health hospitalized because of infertility or menstrual cycle disorders. Women with confirmed estrogen metabolism disorders participated in a clinical study with the use of Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Results: In the studied female patients with menstrual disorders, temporomandibular disorders (92.3%) were frequent occurrences. The most common type was intra-articular joint disorders (68%). Other reported complaints included masticatory muscle pain (44.62%), and degenerative joint diseases (12.3%). Conclusions: 1. In women with menstrual disorders, TMD may exist. 2. In women with TMD symptoms, their medical history should be extended to include the diagnosis of female hormone disorders.

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“…Numerous factors can cause condylar angle discrepancies, [9,10] so it is important to distinguish the normal and abnormal condylar anatomy in order to recognize its diseases and disorders. In our study, we excluded any patients with disease that could alter the normal anatomy; such as systemic diseases, [11] bone diseases, [12] trauma [13] and any metabolic diseases. [14] In a study done by Pamukcu et al, [9] temporomandibular joints of 3 groups of people were investigated on healthy controls and patients unilateral and bilateral temporomandibular joint disease.…”

Section: Discussionmentioning

confidence: 99%

Mandibular condyle and ramus angles in healthy individuals: a multidedector computed tomography study

Çifçi¹,

Aydın²

2021

Anatomy

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Objectives: The aim of this study was to determine the distribution of the mandibular condyle horizontal inclination angle and condyle-ramus angle among different age and gender groups in asymptomatic healthy individuals. Methods: This study was conducted including computerized tomography (CT) images of 100 patients aged between 18–90 years. Results: The mean horizontal angle was 22.37° on the right side, 23.32° on the left; the condyle-ramus angle was 97.40° on the right side, 98.39° on the left. Conclusion: Knowing mandibular condyle horizontal inclination angle and condyle-ramus angle would be useful for radiologist during CT evaluation of mandible after a surgery or trauma and for surgeons to plan their approaches properly during surgical interventions.

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Systemic diseases and other painful conditions in patients with temporomandibular disorders and migraine

Cited by 19 publications

References 33 publications

The Association between Temporomandibular Disorder and Sleep Apnea—A Nationwide Population-Based Cohort Study

The Association between Temporomandibular Disorder and Sleep Apnea—A Nationwide Population-Based Cohort Study

TMD in Females with Menstrual Disorders

Mandibular condyle and ramus angles in healthy individuals: a multidedector computed tomography study

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