The Relationship Between Level of Mandibular Pain and Dysfunction and Stage of Temporomandibular Joint Internal Derangement

Schiffman, Eric L; Anderson, Gary Clayton; Fricton, James R.; Lindgren, Bruce R.

doi:10.1177/00220345920710110901

Cited by 26 publications

(10 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Theoretically, trauma or noxious stimulation of TMJ tissues can produce a sustained excitation of masticatory muscles that may serve to protect the masticatory system from potentially damaging movements and stimuli (Sessle and Hu, 1991). Clinically, the frequent comorbidity of arthralgia and myalgia (Huang et al , 2002) has led to such hypotheses linking their etiologies, but these have not been proven (Schiffman et al , 1992). Such comorbidity may reflect sensitization and referral patterns mediated by primary afferents in the TMJ and muscles of mastication cosynapsing on dorsal horn neurons (convergence).…”

Section: Pathophysiology Of Pompmentioning

confidence: 99%

Persistent orofacial muscle pain

Benoliel

Svensson

et al. 2011

Oral Diseases

View full text Add to dashboard Cite

The pathophysiology of persistent orofacial myalgia has been the centre of much controversy. In this article we suggest a novel descriptive term; Ôpersistent orofacial muscle pain' (POMP) and review current evidence that supports the hypothesis that the induction of POMP involves the interplay between a peripheral nociceptive source in muscle, a faulty central nervous system component and decreased coping ability. In this context it is widely accepted that a complex interaction of variable intrinsic and extrinsic factors act to induce POMP and dysfunction.

show abstract

Section: Pathophysiology Of Pompmentioning

confidence: 99%

Persistent orofacial muscle pain

Benoliel

Svensson

et al. 2011

Oral Diseases

View full text Add to dashboard Cite

show abstract

“…Furthermore, MRI use to gather further data would not be practical considering economic costs in a large sample. Additionally, the grading system used in this study to gather data more accurately, has been encouraged by recent research suggesting that clinicians should replace the concept of an epidemic of mandibular dysfunction with the concept of various levels or gradients of adaptive and maladaptive mandibular dysfunction 17 . In other words, a grading system comparing specific internal derangements by the degree of severity and the presence of otalgia, would render more accurate data in epidemiological and/or clinical studies.…”

Section: Criteria For the Presence Of Osteoartrhitismentioning

confidence: 99%

Is inflammation a mechanism in arthrogenic TMJ Otalgia?

Molina¹,

Aquilino²,

Rank³

et al. 2001

Rev Neurocienc

View full text Add to dashboard Cite

Objective. To test the hypothesis that otalgia occurs frequently in CMDs patients and increases with the severity of Temporomandibular internal derangements (TMJ-IDs). Method. 221 CMDs patients and two control groups were evaluated. We used clinical examination, questionnaires, biomechanical tests and established criteria for TMJ-IDs. Individuals were allocated to TMJ-ID groups to compare otalgia frequencies. Following assessment of frequency of otalgia in the CMD group, individuals were allocated to TMJ-ID subgroups with capsulitis, retrodiskal pain, disk-attachment pain, arthralgia and osteoarthritis (OA). Results. Otalgia frequency was higher in CMDs patients than in the two control groups and the difference was statistically significant (p<0.0001 and p><0.003). Otalgia frequency increased with the severity of TMJ-IDs (Chi-square trend analysis p><0.0001). Frequency of otalgia was higher in the disk attachment pain, arthralgia and osteoarthritis subgroups. Conclusion. The frequency of otalgia was higher in CMDs and increases with the severity of TMJ-ID. Those presenting more severe TMJ-IDs demonstrated higher frequencies of otalgia. The results of this study suggest a relationship between disk displacement, stages of internal joint derangements, pain and TMJ otalgia.>

show abstract

“…The mechanisms involved in temporomandibular disorder (TMD) pain are not well defined (1, 2). However, evidence of a lack of progressive peripheral tissue destruction (3) and a disassociation between pain symptoms and tissue injury, when present (4, 5), suggest that central modulation of nociception plays an important role. This is supported by research indicating enhanced responses to sensory stimuli evoked from regions not innervated by the trigeminal nerve (6–10).…”

Section: Introductionmentioning

confidence: 99%

Self‐reported severity of taste disturbances correlates with dysfunctional grade of TMD pain

Nixdorf

John²,

Schierz

et al. 2009

J of Oral Rehabilitation

View full text Add to dashboard Cite

Altered central neural processing of sensory information may be associated with temporomandibular joint disorders (TMD) pain. The study objectives were to compare the prevalence of self-reported taste disturbances in TMD pain patients and in a control population, and to determine whether frequency of taste disturbances is correlated with TMD pain severity. Subjects were 2026 people within a German population sample and 301 consecutive TMD pain patients diagnosed using the Research Diagnostic Criteria. Taste disturbances were measured using two questions from the Oral Health Impact Profile. Severity of TMD pain was measured using the Graded Chronic Pain Scale. A two-sample test of proportions revealed that TMD pain patients reported a greater frequency of taste disturbances, 6%, than did the general population subjects, 2% (p<0.001). Moreover, the frequency of taste disturbances correlated with the severity of TMD pain. For each 1-unit increase in taste disturbance, the odds of observing a higher grade of TMD pain increased by 29% (95%CI: 3–63%, p=0.03). Analysis by individual taste question and adjustment for age and gender did not substantially affect the results. Self-reported frequency of taste disturbances is greater in TMD pain patients than in the general population and the frequency of taste disturbances correlates with severity of TMD pain. These findings are consistent with a central neural dysfunction in TMD pain and suggest that a common neural substrate may underlie sensory disturbances of multiple modalities in chronic pain patients. Further research regarding taste disturbances and trigeminally-mediated pains, such as in TMD, is warranted.

show abstract

The Relationship Between Level of Mandibular Pain and Dysfunction and Stage of Temporomandibular Joint Internal Derangement

Cited by 26 publications

References 21 publications

Persistent orofacial muscle pain

Persistent orofacial muscle pain

Is inflammation a mechanism in arthrogenic TMJ Otalgia?

Self‐reported severity of taste disturbances correlates with dysfunctional grade of TMD pain

Contact Info

Product

Resources

About