Subtypes of acute and chronic temporomandibular disorders: Their relation to psychological and sleep impairments

Cao, Ye; Yap, Adrian Ujin; Lei, Jie; Zhang, Min-Juan; Fu, Kai‐Yuan

doi:10.1111/odi.13692

Cited by 21 publications

(26 citation statements)

References 35 publications

(45 reference statements)

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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%

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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Section: Ta B L E 1 Medical Subject Headingmentioning

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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“…The secondary aim was to assess if the comorbidities imbalance is maintained for girls, boys and cities. The rationale for assessing differences by sex lies on findings that females are more likely to be in the chronic than in the acute painful TMD group among adults, 27 and that painful comorbidities are more frequent among women than men. [28][29][30] We cannot state any specific hypothesis related to cities.…”

Section: Introductionmentioning

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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“…Future studies will need to address the direction of this association more closely, possibly including different diagnostic subgroups or profiles (i.e., only myofascial pain, only arthralgia, combined myofascial pain and arthralgia, etc. ), as their underpinnings and outcomes may differ 79 – 81 .…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular disorders cases with high-impact pain are more likely to experience short-term pain fluctuations

Babiloni

Exposto

Peck

et al. 2022

Sci Rep

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Temporomandibular disorders (TMD) patients can present clinically significant jaw pain fluctuations which can be debilitating and lead to poor global health. The Graded Chronic Pain Scale evaluates pain-related disability and its dichotomous grading (high/low impact pain) can determine patient care pathways and in general high-impact pain patients have worse treatment outcomes. Individuals with low-impact TMD pain are thought to have better psychosocial functioning, more favorable disease course, and better ability to control pain, while individuals with high-impact pain can present with higher levels of physical and psychological symptoms. Thereby, there is reason to believe that individuals with low- and high-impact TMD pain could experience different pain trajectories over time. Our primary objective was to determine if short-term jaw pain fluctuations serve as a clinical marker for the impact status of TMD pain. To this end, we estimated the association between high/low impact pain status and jaw pain fluctuations over three visits (≤ 21-day-period) in 30 TMD cases. Secondarily, we measured the association between jaw pain intensity and pressure pain thresholds (PPT) over the face and hand, the latter measurements compared to matched pain-free controls (n = 17). Jaw pain fluctuations were more frequent among high-impact pain cases (n = 15) than low-impact pain cases (n = 15) (OR 5.5; 95% CI 1.2, 26.4; p value = 0.033). Jaw pain ratings were not associated with PPT ratings (p value > 0.220), suggesting different mechanisms for clinical versus experimental pain. Results from this proof-of-concept study suggest that targeted treatments to reduce short-term pain fluctuations in high-impact TMD pain is a potential strategy to achieve improved patient perception of clinical pain management outcomes.

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Subtypes of acute and chronic temporomandibular disorders: Their relation to psychological and sleep impairments

Cited by 21 publications

References 35 publications

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

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

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

Temporomandibular disorders cases with high-impact pain are more likely to experience short-term pain fluctuations

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