Are female patients with orofacial pain medically compromised?

Leeuw, Reny de; Klasser, Gary D.; Albuquerque, Romulo

doi:10.14219/jada.archive.2005.0201

Cited by 43 publications

(47 citation statements)

References 63 publications

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“…Our results support the hypothesis that MTMD patients are at greater risk of suffering other medical conditions than the healthy population, which is in agreement with previous studies (9-12). We found 10 health variables showing statistical difference between the MTMD Group and the Control Group.…”

Section: Discussionsupporting

confidence: 94%

Myogenic temporomandibular disorders: Clinical systemic comorbidities in a female population sample

Pedro

Mesa-Jiménez²,

Fernández‐de‐las‐Peñas³

et al. 2016

Med Oral

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BackgroundMyogenic temporomandibular disorders (MTMD) frequently coexist with other clinical conditions in the same individual. In the last decades, several authors have analyzed these comorbidities looking for the origin of this overlapping.ObjetivesThe aim of this study was to perform a comparative anaylisis between a group of patients with MTMD and a control group of dental patients without dysfunctional pathology to assess whether there are significant differences in the presence of systemic medical comorbidities between the two groups.Material and MethodsRestrospective epidemiological analysis, based on medical questionnaires in a group of 31 patients, women, aged from 24 to 58 (average 39.96 years), diagnosed with MTMD (Masticatory Myofascial Pain), with a control group with the same number of individuals, gender and age range to evaluate if there is a significant statistical difference in the presence of medical comorbidities in this group of patients with MTMD and if they are in a higher risk of suffering different pathological conditions.ResultsIt was found that the group affected by MTMD presented many more associated medical conditions than the control group: health changes during the last year, medical evaluations and treatments, presence of pain, sinus disease, tinnitus, headache, joint pain, ocular disorders, fatigue, dizziness, genitourinary disorders and xerostomia among others; and they were also in a higher risk to suffer other pathological entities as headaches and articular pain.ConclusionsThese results reinforce our hypothesis that MTMD belong to a group of medical conditions triggered by a loss of equilibrium of the individual’s Psycho-Neuro-Endocrine-Immune (PNEI) Axis that produces alterations in the response against external stimuli in some genetically predisposed individuals. It is, therefore, necessary to change the way of diagnosing and managing these individual’s medical conditions, being mandatory to look from a more multidisciplinary perspective than the one we are currently offering. Key words:Temporomandibular joint disorders, myofascial pain syndromes, comorbidity, chronic pain, health status, health questionnaire, self report.

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Section: Discussionsupporting

confidence: 94%

Myogenic temporomandibular disorders: Clinical systemic comorbidities in a female population sample

Pedro

Mesa-Jiménez²,

Fernández‐de‐las‐Peñas³

et al. 2016

Med Oral

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“…2 Studies of patients with TMD have shown that many of them, especially females, experience a multitude of other functional (nonorganic) disorders, such as fibromyalgia, interstitial cystitis, irritable bowel syndrome and pelvic pain, while others have reported multiple pain sites throughout their bodies. 17 These high levels of comorbidity with other conditions have given rise to hypotheses about centrally mediated deregulatory problems producing multiple symptoms in susceptible patients. 15 In an effort to better understand and treat these disorders, they were unified under one term called "central sensitivity syndromes," also called "functional syndromes," "functional somatic syndromes," or "somatoform syndromes".…”

Section: Discussionmentioning

confidence: 99%

Orofacial pain and temporomandibular disorders: the impact on oral health and quality of life

et al. 2012

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Many conditions may cause painful symptoms in orofacial structures. Among the chronic conditions that affect this area, temporomandibular disorders are the most common. Temporomandibular Disorder is a collective term that includes a number of clinical complaints involving the masticatory muscles, the Temporomandibular Joint and associated structures. In some cases, these complaints can be associated with depression, catastrophizing behavior and impact on quality of life. The present study aims to explain the relationship between Temporomandibular Disorders and pain chronification and their relation to a variety of psychosocial and behavioral comorbid conditions. The mechanisms of pain conduction and suggestions for management are also addressed.

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“…Pain-related symptoms can vary from mild discomfort to debilitating pain, including severe limitations of masticatory function (13,14). The most common and typical symptoms are myofascial pain, disk dislocations and disabilities, degenerative conditions like osteoarthritis and osteoarthrosis, as well as autoimmune diseases (2,18,20).…”

Section: Introductionmentioning

confidence: 99%