Risk Factors for Diagnostic Subgroups of Painful Temporomandibular Disorders (TMD)

Abstract

Temporomandibular Disorders (TMD) encompass several entities, which may have differing etiologies. To test this hypothesis, we investigated risk factors for three diagnostic subgroups of painful TMD. Ninety-seven subjects with myofascial pain only, 20 with arthralgia only, 157 with both myofascial pain and arthralgia, and 195 controls without TMD pain met criteria for study eligibility. Investigated risk factors included both physical and psychological variables. Adjusted odds ratios were calculated by multiple logistic regression analyses. Myofascial pain occurring alone was significantly associated with trauma (Odds Ratio [OR] = 2.0), clenching (OR = 4.8), third molar removal (OR = 3.2), somatization (OR = 3.7), and female gender (OR = 4.2). Myofascial pain with arthralgia was significantly associated with trauma (OR = 2.1), clenching (OR = 3.3), third molar removal (OR = 4.0), somatization (OR = 5.1), and female gender (OR = 4.7). No significant associations were found for the small-arthralgia-only group.

Personality Traits and Subjective Health Complaints in Female TMD Patients and Healthy Controls

“…However, others [57] have not observed such differences. Moreover, it generally seems difficult to allocate TMD patients into only one subgroup, as a combination of myalgic and arthralgic symptoms seems to be the norm for most of these patients [22,58].…”

Total and Partial Cases of Missing Teeth, the Treatment with Conventional and Implant Prosthesis to Investigate the Clinical Efficacy of Artex Articulator Use

“…Huang ve ark. 9 myofasyal ağrı sendromu için risk faktörlerinin fasyal travma, diş gıcırdatma, 3. molar dişin çekimi, somatizasyon, stres, depresyon, telefonu omuzda tutarak konuşma olduğunu söylemişler ve myofasyal ağrı oluşumunda potansiyel risk faktörlerini araştırdıkları bir çalışmada en çok diş gıcırdatma, 3. molar diş çekimi ve telefonu omuzda tutarak konuşmayı saptamışlardır. Myofasyal ağrı sendromu tetik noktaların varlığı ile karakterize bir durumdur.…”

Trastornos temporomandibulares: algunas consideraciones de su etiología y diagnóstico

“…Esta última consideración relacionada con el género femenino fue documentada previamente por otros autores como Huang, cuya investigación tenía como objetivo determinar factores de riesgo relacionados con esta entidad patológica, mostrando una asociación estadísticamente significativa entre el dolor miofacial y el género femenino (or: 4,7) [27].…”