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

Sabsoob, Omar; Elsaraj, Sherif M; Gornitsky, Mervyn; Laszlo, Elise; Fricton, James R.; Schiffman, Eric L; Velly, Ana Míriam

doi:10.1111/joor.13283

Cited by 12 publications

(13 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(4) The absence of history of TMD treatment and masticatory pain in the last 30 days were considered indicators of acute (or first onset) myogenous TMD but the present study lacks of reliable criteria to differentiate acute and chronic pain patients (e.g. International Association for the Study of Pain chronic pain definition [45]); this is important since although transition from acute to chronic TMD pain is common [46], acute TMD typically represent simpler cases that can be managed by a single clinician with self-care, but chronic TMD are more complex and should be managed interdisciplinary [34].…”

Section: Discussionmentioning

confidence: 99%

Thermoformed Occlusal Splints for the Treatment of Masticatory Muscle Pain: A Clinical Trial

2022

View full text Add to dashboard Cite

Objective: Compare the clinical effectiveness of custom thermoformed occlusal splints (OS) alongside behavioral and self-care therapy (BST) in the management of myalgia of the masticatory muscles. Material and methods: A controlled clinical trial was conducted with a total of 46 subjects with a diagnosis of myalgia according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). All subjects were treated with BST at the beginning of the study and were then randomized into four groups: behavioral and self-care control group; Thermoformed Tough-elastic splint group; Thermoformed Soft-elastic splint group, and non-occlusive splint group. Follow-ups were carried out at 2, 6, and 10 weeks, where it was evaluated: pain in the masticatory muscles, mandibular range of motion, mandibular functional limitation, and occlusal discomfort. Data were analyzed with Doornik and Hansen, Shapiro-Wilk, and ANOVA at p=0.05. Results: All the variables showed significant improvement (p<0.05) from the first follow-up and were maintained later. BST control group, as well as groups with BST associated with OS, were able to reduce pain and increase the mandibular range of motion without significant differences between them (p>0.05), while the Thermoformed Tough-elastic splint was the most efficient in terms of the mandibular functional limitation. The occlusal discomfort decreased over time, but without statistically significant differences in terms of time and design of OS. Conclusion: The addition of thermoformed OS to behavioral and self-care therapy does not have a significant impact on myalgia of the masticatory muscles.

show abstract

Section: Discussionmentioning

confidence: 99%

Thermoformed Occlusal Splints for the Treatment of Masticatory Muscle Pain: A Clinical Trial

2022

View full text Add to dashboard Cite

show abstract

“…A few studies have investigated differences between patients with acute and chronic TMD pain. Sabsoob and coworkers in a critical review including seven studies found no significant difference regarding age, race, gender and socioeconomical status between the groups ( 33 ). However, one of the included studies reported that chronic TMD pain was more prevalent in females than in males ( 34 ).…”

Section: The Transition From Acute To Chronic Tmd Painmentioning

confidence: 98%

Clinical aspects of mastication myalgia—an overview

Barjandi,

Svedenlöf,

Jasim

et al. 2024

Front. Pain Res.

View full text Add to dashboard Cite

Mastication myalgia is the most common cause of non-odontogenic pain in the orofacial region and is often associated with a reduced quality of life. The purpose of this review is to provide an overview of the clinical aspects of myalgia based on available research. The review includes epidemiological, diagnostic, and etiological aspects. In addition, the potential risk factors related to the transition from acute to chronic myalgia are explored and treatment strategies are presented for its management. As a result, this review may increase clinical knowledge about mastication myalgia and clarify strategies regarding prevention, diagnostics, and management to improve prognosis and reduce patient suffering.

show abstract

“…A recent critical review found a few differences between acute and chronic TMD. 20 Nguyen et al found that coexisting pain beyond orofacial areas (e.g., facial pain, neck, abdomen) was more common among patients with chronic pain–related TMDs and only participants with chronic pain–related TMDs presented certain comorbidities (e.g., fibromyalgia, chronic fatigue syndrome). 21 A borderline difference was found with disability score ( P = 0.07) between the two TMD pain groups.…”

Section: Introductionmentioning

confidence: 99%

Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders

Botros

Gornitsky

Samim

et al. 2022

Canadian Journal of Pain

Self Cite

View full text Add to dashboard Cite

Background Temporomandibular disorders (TMDs) are common and cause persistent pain. Comorbidities are associated with TMDs and can affect the effectiveness of their treatments. The literature is lacking enough evidence on the difference between acute and chronic pain, particularly in TMDs. Investigating this difference could highlight potential risk factors for the transition from acute to chronic pain–related TMDs. Aim To compare the likelihood of back and neck pain (BP, NP) between acute and chronic pain–related TMDs (AP-TMD, CP-TMD) as defined by pain duration and pain-related disability.‎ Methods Participants with AP-TMDs (≤3 months) and CP-TMDs (>3 months) were recruited according to the diagnostic criteria and research diagnostic criteria of TMD. BP and NP were assessed using a self-reported checklist. CP-TMDs defined by disability (chronic disability) and depression and anxiety symptoms were assessed using validated instruments. Logistic regression analyses were employed. Results This study enrolled 487 adults with AP-TMD ( n = 118) and CP-TMD ( n = 369). Relative to AP-TMD, participants with CP-TMD had twice the odds of reporting NP (odds ratio [OR] = 2.17‎, 95% CI 1.27–3.71) but not BP ‎‎(OR = 0.96, 95% CI 0.57–1.64). Participants with chronic disability were twice as likely to report NP ‎(OR = 1.95‎, 95% CI 1.20–3.17‎) but not BP (OR = 1.13, 95% CI 0.69–1.82)‎ compared to those without. All analyses were adjusted for age, sex, and anxiety and depression symptoms. Conclusions Within the limitations of this study, results suggest that central dysregulation or trigeminocervical convergence mechanisms are implicated in the process of pain-related TMD chronification and highlight the relevance of considering disability when defining CP-TMDs.

show abstract

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

Cited by 12 publications

References 54 publications

Thermoformed Occlusal Splints for the Treatment of Masticatory Muscle Pain: A Clinical Trial

Thermoformed Occlusal Splints for the Treatment of Masticatory Muscle Pain: A Clinical Trial

Clinical aspects of mastication myalgia—an overview

Back and neck pain: A comparison between acute and chronic pain–related Temporomandibular Disorders

Contact Info

Product

Resources

About