Pain Duration and Intensity Are Related to Coexisting Pain and Comorbidities Present in Temporomandibular Disorder Pain Patients

Nguyen, Tra Thu; Vanichanon, Phanomporn; Bhalang, Kanokporn; Vongthongsri, Suknipa

doi:10.11607/ofph.2088

Cited by 12 publications

(18 citation statements)

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“…neck pain, back pain and irritable bowel syndrome) was more common among adult patients with chronic painful TMD than the acute group. 43 It is possible that the marginally similar magnitude of the ORs for shortand long-term painful TMD is due to the inclusion of adolescents with painful TMD for more than 3 months in the short-term painful TMD group, thus adding chronic painful TMD to this group.…”

Section: Discussionmentioning

confidence: 99%

Painful and non‐painful comorbidities associated with short‐ and long‐term painful temporomandibular disorders: A cross‐sectional study among adolescents from Brazil, Canada and France

Velly

Botros

Bolla

et al. 2021

J of Oral Rehabilitation

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Background: Temporomandibular disorder (TMD) pain is common among adolescents. The association between painful TMD and other comorbidities has been demonstrated. However, the difference between short-term (<6 months) and long-term (≥ 6 months) painful TMD is not yet clear. Objective:The aim of this study was to assess the association between comorbidities and short-and long-term painful TMD among adolescents. Methods:In this cross-sectional study, adolescents were recruited from Montreal (Canada), Nice (France) and Arceburgo (Brazil). Self-reported painful TMD, comorbidities, school absence and analgesic intake were assessed using reliable instruments.Multivariable logistic regression analyses were conducted to assess the study aims. Results:The prevalence of short-and long-term painful TMD was estimated at 22.29% and 9.93% respectively. The number of comorbidities was associated with short-(OR = 1.71, 95%CI = 1.53-1.90) and long-term painful TMD (OR = 1.79, 95%CI = 1.55-2.08) compared to controls. Frequent headaches (OR short-term = 4.39, 95%CI = 3.23-5.98, OR long-term = 3.69, 95%CI = 2.45-5.57) and back pain (OR short-term = 1.46, 95%CI = 1.06-2.03, OR long-term = 1.69, 95%CI = 1.11-2.59) were associated with both painful TMD groups. Frequent neck pain (OR = 2.23, 95%CI = 1.53-3.26) and allergies were only associated with short-term painful TMD (OR = 1.54, 95%CI = 1.13-2.10). Frequent stomach pain was related to long-term (OR = 2.01, 95%CI = 1.35-3.26), and it was the only comorbidity significantly more frequent among the long than short-term TMD (OR = 1.82, 95%CI: 1.14-2.90). These analyses were adjusted by sex, age and city. Conclusion:In this multi-centre study, both short-and long-term painful TMD are associated with frequent headaches and back pain, whereas frequent neck pain and allergies are related to only short-term and frequent stomach pain with long-term painful TMD.

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Section: Discussionmentioning

confidence: 99%

Painful and non‐painful comorbidities associated with short‐ and long‐term painful temporomandibular disorders: A cross‐sectional study among adolescents from Brazil, Canada and France

Velly

Botros

Bolla

et al. 2021

J of Oral Rehabilitation

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“…Of the remaining 287 potential articles, 280 articles were excluded. Ultimately, seven articles satisfied the eligibility criteria and were included in this review: one case-control study, 27 three cross-sectional studies, [28][29][30] and three cohort studies. [31][32][33] The quality of these studies ranges from 22% to 56%, and thus the risk of bias needs to be considered (Table 2).…”

Section: Ta B L E 1 Medical Subject Headingmentioning

confidence: 99%

“…Reiter et al 28 and Nguyen et al 29 conducted cross-sectional studies where chronic TMD pain was defined as pain that persists for 3 months or more. In Cao et al's 30 cross-sectional study, chronic TMD pain was defined as pain that persists for more than 3 months.…”

Section: Factors Differentiating Acute From Chronic Tmd Painmentioning

confidence: 99%

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

Sabsoob

Elsaraj

Gornitsky

et al. 2021

J of Oral Rehabilitation

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Temporomandibular disorders (TMD) are a group of musculoskeletal disorders which affect the muscles of mastication, the temporomandibular joints, and/or associated structures. 4 Studies demostrate several biopsychosocial factors associated with the risk of TMD pain. [5][6][7][8][9][10][11][12] Persistence of TMD pain is common; about one-third to half of TMD patients continue to suffer TMD pain after followup. [13][14][15] Thus, it is crucial to prevent acute TMD pain from becoming chronic, which is more challenging to treat.

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“…Nevertheless, the fact that the correlation between dysmorphic concern and pain has not previously been reported warrants further investigations. This study did not examine the presence of additional painful comorbidities, although patients experiencing prolonged painful TMDs are at increased risk of suffering from other painful conditions (82). Furthermore, we did not employ a specific instrument for measuring well-being, such as the Warwick-Edinburgh Mental Well-Being Scale (83).…”

Section: Study Limitationsmentioning

confidence: 99%

The Pain–to–Well-Being Relationship in Patients Experiencing Chronic Orofacial Pain

Bhalang

Steiger²,

Lukic

et al. 2020

Front. Neurol.

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Introduction: Orofacial pain features may negatively influence a person's well-being and vice versa. Some aspects of well-being can be measured with axis II instruments that assess patients' psychosocial and behavioral status. The aim of this study was to investigate associations between pain features and psychosocial variables as indicators of well-being.Materials and Methods: Seven hundred ninety-nine anonymized datasets collected using the Web-based Interdisciplinary Symptom Evaluation (WISE) of patients reporting to the Interdisciplinary Orofacial Pain Unit, University of Zurich, between March 19, 2017 and May 19, 2019, were analyzed. Pain features including intensity, number of locations, impact, and duration were evaluated. Psychometric measures assessed pain-related catastrophizing and disability, illness perception, distress, anxiety, depression, injustice experience, dysmorphic concerns, and insomnia.Results: Most patients were between 30 and 59 years old (58.3%), female (69.8%), working (66.0%), and experienced pain for more than 6 months (68.5%). Pain intensities were higher in women than men and higher in disabled than working patients. Scores indicating elevated stress and depression were also observed in disabled patients. The sample prevalence rates of clinically relevant axis II instrument scores were as follows: Graded Chronic Pain Scale for the Head (GCPS-H), 27%; Patient Health Questionnaire 4 (PHQ4), 21%; PHQ9, 21%; Pain Catastrophizing Scale (PCS), 20%; General Anxiety Disorder 7 (GAD7), 15%; Insomnia Severity Index (ISI), 15%; Injustice Experience Questionnaire (IEQ), 14%; GCPS for the Body (GCPS-B), 13%; PHQ for Stress (PHQstr), 6%; and Dysmorphic Concern Questionnaire (DCQ), 2%. Noteworthy results of correlation analysis of the clinically relevant axis II scores and pain measures were as follows: the PHQstr had moderate associations (0.34–0.43) with the sum of pain intensity at rest and during function, number of pain locations, and typical pain intensity. The IEQ scores were moderately associated with typical pain intensity at 0.39. The DCQ scores were moderately associated with pain extension at 0.41.Conclusions: Moderate correlations of certain pain and well-being measures were found in patients reporting clinically relevant stress, injustice experience, and dysmorphic concern, all of which reflect impaired well-being. PHQ4 is suitable for routine distress screening in the clinical setting.

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Pain Duration and Intensity Are Related to Coexisting Pain and Comorbidities Present in Temporomandibular Disorder Pain Patients

Cited by 12 publications

References 0 publications

Painful and non‐painful comorbidities associated with short‐ and long‐term painful temporomandibular disorders: A cross‐sectional study among adolescents from Brazil, Canada and France

Painful and non‐painful comorbidities associated with short‐ and long‐term painful temporomandibular disorders: A cross‐sectional study among adolescents from Brazil, Canada and France

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

The Pain–to–Well-Being Relationship in Patients Experiencing Chronic Orofacial Pain

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