Comparison of Risk Factors in Patients With Acute and Chronic Orofacial Pain

Abstract

Management of patients with orofacial pain may benefit from a better understanding about patient factors that may lead pain chronicity. In this study, we retrospectively compared physical and psychological factors in patients with acute and chronic orofacial pain. We analyzed data from 854 patients presenting to the Orofacial Pain Center, Department of Dental Anesthesiology, Tokyo Dental College, Suidobashi Hospital between April 2010 and March 2014. We categorized patients into the acute group if their condition had persisted <6 months and the chronic group if their condition had lasted 6 months or longer, based on the classification by the International Association for the Study of Pain. The retrospective data were analyzed by using univariate analysis on background factors from a health questionnaire, pain evaluation sheet, and psychological test completed at the time of presentation. Multiple logistic regression was applied on these factors. Our results suggest that female gender and high trait anxiety may be involved in orofacial pain becoming chronic.

Preclinical models of deep craniofacial nociception and temporomandibular disorder pain

“…The greater prevalence of females in TMD patients cannot be ignored to discuss the basis for TMD pain [ 43 , 78 , 79 ]. Evidence has demonstrated the sex differences in the deep craniofacial nociception [ 37 , [80] , [81] , [82] ].…”

Acute and Chronic Temporomandibular Disorder Pain: A critical review of differentiating factors and predictors of acute to chronic pain transition

“…Cohort studies 14. Were key potential confounding variables measured and adjusted statistically for their impact on the relationship between exposure(s) and outcome(s)? (15)(16)(17)(18)(19)(20), affective disorders , anxiety disorders (1-25). Prevalence base rates of current Axis I disorder in general population: somatoform disorders (0.03), substance abuse (3-5), affective disorders (3-6), anxiety disorders (7), eating disorders (0.5-3).…”

Insomnia in Patients Seeking Care at an Orofacial Pain Unit

“…According to community based surveys, the prevalence of OPD varies greatly, from 5 to 57% depending on the study period, population, location, and other factors (1). Chronic OPD affect women more frequently (2,3). Impaired sleep and insomnia are commonly reported by patients with OPD (4,5).…”