Temporomandibular disorders

Palmer, Julia; Durham, Justin

doi:10.1016/j.bjae.2020.11.001

Cited by 23 publications

(19 citation statements)

References 80 publications

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“…TMD is a heterogenous group of muscular and TMJ disorders, which can include inflammation especially when the TMJ is affected. Although our TMD case definition is based on myofascial pain, the presence or absence of arthralgia was not an exclusion criterion, therefore one cannot rule out that different pathophysiological mechanisms that could be related to arthralgia 35 , 75 , such as for example inflammation (e.g., due to arthritis) 76 – 78 , could lead to jaw pain exacerbations. Against this possibility is the fact that the presence of arthralgia was equally present among TMD cases (86.7% in each TMD group).…”

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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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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“…TMD comprises a varied group of pathologies (muscle disorders, disc displacements, and arthritic disorders) [ 5 ] with multiple causes [ 6 ]. Despite gender (females are reported to be at more risk) [ 7 ] and trauma [ 8 ], other suggested etiological factors seem controversial.…”

Section: Introductionmentioning

confidence: 99%

Malocclusion Complexity in Patients with Myofascial Pain with or without Mouth-Opening Limitation: A Case-Control Study

Zúñiga-Herrera

Herrera-Atoche

Aguilar‐Pérez

et al. 2022

BioMed Research International

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Background. This study is aimed at determining the association between myofascial pain with or without mouth-opening limitation and malocclusion complexity. Methods. A prospective, cross-sectional, case-control study was conducted. The Research Diagnostic Criteria were used to evaluate the presence of myofascial pain, chronic pain, and depression. The Index of Complexity, Outcome, and Need (ICON) was applied to quantify malocclusion complexity. A total of 96 patients with myofascial pain were grouped into two: subjects without mouth-opening limitation ( n = 76 , group A) and subjects with mouth-opening limitation (group B, n = 20 ). Both groups were compared with 231 controls (group C). A Chi-squared test and a multinomial logistic regression ( p ≤ 0.05 ) were used to identify associations between the variables. Results. Statistically significant associations were found between myofascial pain and the variables gender, malocclusion complexity, and depression ( p ≤ 0.05 ). Age was not significantly associated ( p = 0.327 ). Concerning malocclusion complexity, 77.9% of the controls were distributed in the first three ICON levels; however, 76.5% of group A subjects and 90% of group B were in the last three ( p < 0.001 ). The multinomial logistic regression showed a significant association between malocclusion complexity in group A ( p < 0.05 ) and an association between depression and group B ( p < 0.05 ). Group B had the highest grades of chronic pain. Conclusions. Females had greater risk of myofascial pain without mouth-opening limitation. As the complexity of the malocclusion increases, so do the odds of presenting myofascial pain without mouth-opening limitation. Myofascial pain with mouth-opening limitation frequently coexists with depression and chronic pain.

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“…Há evidências de que as mulheres são mais suscetíveis a DTM do que os homens (Andre et al, 2022;Ferneini, 2021). Além de causar desconforto sensorial, as DTM dolorosas são emocionalmente desvantajosas, causando sentimentos como ansiedade, estresse, culpa, miséria, isolamento e até mesmo dificuldades para dormir, o que pode levar ao desenvolvimento de depressão (Palmer & Durham, 2021;Portero et al, 2009;Tarn et al, 2019).…”

Section: Introductionunclassified

Causas e consequências da disfunção temporomandibular

Neto¹,

Afonso

Araújo

et al. 2022

RSD

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O termo desordens temporomandibulares (DTM) engloba diversas circunstancias que atingem a articulação temporomandibular , os músculos mastigatórios ou ambos. A DTM pode ser dolorosa e não dolorosa. Além de causar desconforto sensorial, as DTM dolorosas são emocionalmente desvantajosas, causando sentimentos como ansiedade, estresse, culpa, miséria, isolamento e até mesmo dificuldades para dormir, o que pode levar ao desenvolvimento de depressão. Para a construção deste trabalho foi feito um levantamento bibliográfico nas bases de dados SciVerse Scopus, Scientific Eletronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) e ScienceDirect, utilizando o gerenciador de referências Mendeley. DTM são um conjunto complexo de distúrbios que muitas vezes podem levar à dor crônica. À medida que os avanços na pesquisa são feitos, uma maior compreensão da etiologia multifatorial da DTM dolorosa está se desenvolvendo. Isso provavelmente levará ao desenvolvimento de melhores estratégias de prevenção, diagnóstico e tratamento de DTM, que visam mecanismos individuais e fatores contribuintes. Aconselha-se um quadro biopsicossocial de cuidados para o tratamento da DTM, abrangendo uma abordagem multidisciplinar através de um único caminho de tratamento integrado. A pesquisa sugere que o estabelecimento de centros regionais especializados em dor orofacial pode fornecer uma abordagem de gerenciamento mais simplificada e econômica na atenção secundária ou terciária.

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Temporomandibular disorders

Cited by 23 publications

References 80 publications

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

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

Malocclusion Complexity in Patients with Myofascial Pain with or without Mouth-Opening Limitation: A Case-Control Study

Causas e consequências da disfunção temporomandibular

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