Why Seek Treatment for Temporomandibular Disorder Pain Complaints? A Study Based on Semi-structured Interviews

Rollman, Annemiek; Gorter, Ronald C.; Visscher, Corine M.; Naeije, M.

doi:10.11607/jop.1081

Cited by 22 publications

(42 citation statements)

References 6 publications

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“…It could be speculated that a person experiencing jaw symptoms may be more prone to seek treatment, when secondary unpleasantness dominates the picture, that is, when the context in which the symptoms occur is negative or when the person has memories of similar symptoms getting worse in the past. In a qualitative study by Rollman et al, it was shown that care seeking for TMD‐pain complaints was associated with catastrophising, that is, interpreting the pain as alarming and too long‐lasting. It may be useful to further investigate the concept of secondary unpleasantness, its possible similarity as a construct with catastrophising, and the relation with the development of oro‐facial symptoms and care‐seeking behaviour.…”

Section: Discussionmentioning

confidence: 99%

“…11 It could be speculated that a person experiencing jaw symptoms may be more prone to seek treatment, when secondary unpleasantness dominates the picture, that is, when the context in which the symptoms occur is negative or when the person has memories of similar symptoms getting worse in the past. In a qualitative study by Rollman et al, 73 it was shown that care seeking for TMD-pain complaints was associated with catastrophising, that is, Moreover, future longitudinal studies should examine whether an early intervention in patients with non-painful musculoskeletal symptoms may prevent the development of acute painful TMD, or transition of an acute painful state into a chronic one.…”

Section: Non-painful Musculoskeletal Symptomsmentioning

confidence: 99%

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To what extent is bruxism associated with musculoskeletal signs and symptoms? A systematic review

Baad‐Hansen

Thymi

Lobbezoo

et al. 2019

J of Oral Rehabilitation

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The aim of the present systematic review was to answer the overall research question: “To what extent is bruxism associated with musculoskeletal signs and symptoms?”. The review was performed in accordance with the PRISMA guidelines. A PubMed search of articles published until 23 November 2017 was conducted. The search string included both MeSH terms and text words. Results were presented in categories according to study design, study population (eg, adults, children), bruxism sub‐type (awake, sleep), assessment methods for bruxism and musculoskeletal symptoms (self‐report, validated test) and type of outcome (pain, non‐painful musculoskeletal symptoms). It could be concluded that bruxism is to some extent associated with musculoskeletal symptoms, even though the evidence is conflicting and seems to be dependent on many factors, such as age, whether the bruxism occurs during sleep or wakefulness, and also the quality of the diagnostic methodology regarding bruxism and musculoskeletal signs and symptoms. The literature does not support a direct linear causal relationship between bruxism and such symptoms, but points more in the direction of a multifaceted relationship dependent on the presence of other risk factors. Pain is by far the most commonly assessed symptom, whereas non‐painful musculoskeletal symptoms have generally not been systematically evaluated. In the light of recent findings indicating that non‐painful symptoms may precede TMD pain, it is suggested to increase the scientific focus on non‐painful musculoskeletal symptoms in future studies. Also, future studies should use validated methods for case definition and outcome assessments.

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Section: Discussionmentioning

confidence: 99%

Section: Non-painful Musculoskeletal Symptomsmentioning

confidence: 99%

To what extent is bruxism associated with musculoskeletal signs and symptoms? A systematic review

Baad‐Hansen

Thymi

Lobbezoo

et al. 2019

J of Oral Rehabilitation

View full text Add to dashboard Cite

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“…6 In addition, confidence in medical care is an important factor among care-seeking individuals. 7 The estimated treatment need related to TMD varies, and a previous meta-analysis showed a median treatment need of 16% in the adult population. 8 A clinician's estimated treatment need and a patient's perceived treatment need may differ, 9 but in the clinical situation the final decision to initiate treatment should be based on the mutual agreement between the patient and the clinician.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…The perceived treatment need also seems to be associated with pain intensity, fear of movements and gender differences . In addition, confidence in medical care is an important factor among care‐seeking individuals . The estimated treatment need related to TMD varies, and a previous meta‐analysis showed a median treatment need of 16% in the adult population .…”

Section: Introductionmentioning

confidence: 99%

Patients' perceived treatment need owing to temporomandibular disorders and perceptions of related treatment in dentistry—A mixed‐method study

Fjellman‐Wiklund

Näsström

Wänman

et al. 2019

J of Oral Rehabilitation

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Background To easily identify patients who could benefit from a temporomandibular disorder (TMD) examination, three screening questions (3Q/TMD) have been introduced in large parts of Sweden. The questions are related to a TMD diagnosis. However, how the questions relate to a treatment need is unknown. Objectives The first aim of the study was to identify predicting factors for perceived treatment need among adult individuals who screened positive to the 3Q/TMD. The second aim was to explore individuals' thoughts and experiences related to treatment of their TMD complaint. Methods This mixed‐method study with a case‐control design was conducted in Västerbotten, Sweden, during 2014. Individuals who screened positive to at least one of the 3Q/TMD questions were allocated 3Q‐positives, whereas those with negative answers to all questions were allocated 3Q‐negatives. In total, 300 individuals (140 randomly selected 3Q‐positives, and 160 age‐ and gender‐matched 3Q‐negatives) were included. All individuals answered questions related to treatment need. The answers were analysed in a qualitative approach with qualitative content analysis. Results In total, 81% of 3Q‐positives expressed a treatment need related to their TMD symptoms. The perceived treatment need was predicted by frequent pain (Q1) and frequent functional disturbances (Q3). Among the 3Q‐positives, 54% reported mistrust in dentists' ability to treat TMD symptoms. The informants expressed a need for information about their symptoms and possible treatment options. Conclusion Affirmative answers to 3Q/TMD were associated with TMD treatment need. Dentists should give advice to patients with TMD symptoms and address their concerns.

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“…Despite the benefits of early identification and treatment of patients with TMD pain, there is a known discrepancy between the estimated treatment need and traceable received treatment for these patients [11][12][13]. This may partly be explained by described difficulties among clinicians in primary care to properly recognize and address TMD conditions [14,15].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic accuracy of three screening questions (3Q/TMD) in relation to the DC/TMD in a specialized orofacial pain clinic

Lövgren

Parvaneh

Lobbezoo

et al. 2018

Acta Odontologica Scandinavica

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In a specialized pain clinic, the two pain questions (Q1, Q2) are positive in most patients with pain-related TMD. Therefore, in case of a positive response, further diagnostic procedures for TMD pain are warranted. For the functional screening question (Q3), a positive response is indicative for an intra-articular DC/TMD diagnosis, while in case of a negative outcome, an intra-articular TMD might still be present.

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Why Seek Treatment for Temporomandibular Disorder Pain Complaints? A Study Based on Semi-structured Interviews

Cited by 22 publications

References 6 publications

To what extent is bruxism associated with musculoskeletal signs and symptoms? A systematic review

To what extent is bruxism associated with musculoskeletal signs and symptoms? A systematic review

Patients' perceived treatment need owing to temporomandibular disorders and perceptions of related treatment in dentistry—A mixed‐method study

Diagnostic accuracy of three screening questions (3Q/TMD) in relation to the DC/TMD in a specialized orofacial pain clinic

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