Association of temporomandibular disorders with pain sensitivity: A cohort study

Knuutila, Jarno; Kivipuro, Juhani; Näpänkangas, Ritva; Auvinen, Juha; Pesonen, Paula; Karppinen, Jaro; Paananen, Markus; Pirttiniemi, Pertti; Raustia, Aune; Sipilä, Kirsi

doi:10.1002/ejp.1844

Cited by 13 publications

(14 citation statements)

References 44 publications

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“…The diagnostic characterization of the sample demonstrates the variability found when open classification systems like DC/TMD are used, which allow the inclusion of a patient in multiple categories. Furthermore, it demonstrates the heterogeneity of clinical conditions that translate into pain in the orofacial area lasting more than 3 months and are often simply categorized as TMDs, in line with literature using similar methodology [ 21 ]. Care must be taken when reading and interpreting a population of TMD patients.…”

Section: Discussionmentioning

confidence: 83%

Magnetic Resonance Imaging Evaluation of Closed-Mouth TMJ Disc-Condyle Relationship in a Population of Patients Seeking for Temporomandibular Disorders Advice

Tresoldi¹,

Dias

Segù

et al. 2021

Pain Research and Management

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Objective. To characterize the closed-mouth temporomandibular joint (TMJ) disc-condyle relationship in a population of individuals who sought hospital services for temporomandibular disorders (TMD). Methods. Two hundred and twenty-four TMJ magnetic resonance images (MRIs) of 112 patients were assessed in all spatial planes to classify disc position with respect to the condyle in a closed-mouth position. Results. Disc displacement (DD) was present in 62.1% and superior disc position in 29.9% of the patients. Position could not be determined in 8% of the cases. Among DD, pure anteriorized position was the most common condition (34.4%), with different combined translational and rotational displacements in all the other joints (27.7%). Conclusion. There is a wide biological variability in disc position in closed mouth among patients seeking for TMD advice. Getting deeper into the correlation with clinical symptoms is recommended to refine the potential relevance of any diagnostic and management strategies based on the imaging evaluation of TMJ disc position.

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Section: Discussionmentioning

confidence: 83%

Magnetic Resonance Imaging Evaluation of Closed-Mouth TMJ Disc-Condyle Relationship in a Population of Patients Seeking for Temporomandibular Disorders Advice

Tresoldi¹,

Dias

Segù

et al. 2021

Pain Research and Management

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“…1 It is also a frequent cause of orofacial pain (OFP). 2, 3 The etiopathogenesis of TMD is multifactorial and multifaceted; however, risk factors that are commonly associated with TMD include bruxism, 4 trauma, 5 psychological stress (such as anxiety and/or depression), 6, 7 and disk and TMJ morphology and positioning. 8 Patients with TMD often present with symptoms such as preauricular pain (PP) and swelling.…”

Section: Introductionmentioning

confidence: 99%

Association Between Temporomandibular Joint Disorders and Metastatic Breast Cancer—A Mapping Review

Shaikh,

Christidis,

Zafar

et al. 2024

Journal of Advanced Oral Research

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Aim: The authors of the present study speculate that metastasis of breast cancer cells to the temporomandibular joint (TMJ) region mimics classical signs and symptoms of temporomandibular disorders (TMD). The aim of this mapping review was to investigate the association between metastatic breast cancer (MBC) and TMD. Materials and Methods: The focused question was, “Is there an association between MBC and TMD?” Indexed databases (PubMed/Medline, EMBASE, OVID, Scopus, Google Scholar, and Web of Science) were electronically searched up to and including March 2022. These databases were searched using different combinations of the following keywords: cancer, carcinoma, temporomandibular disorders, temporomandibular joint, disc displacement disorder, nociception, and tumor. Original clinical studies that meet the inclusion criteria were included. The risk of bias (RoB) was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for case reports. The structure of this current evidence-based review was tailored to primarily condense the relevant information. Results: Fifteen case reports were selected after screening the retrieved records from the electronic search. Fifteen out of 16 patients were women aged between 32 and 78 years. All patients were diagnosed with MBC, and most presented with adenocarcinoma. The symptoms identified in patients with TMD included: (a) preauricular pain; (b) preauricular swelling; (c) limited mouth opening; and (d) malocclusion. Fourteen of the included studies had a low RoB, while one had a moderate RoB. Conclusion: Based on the currently available evidence, a direct association between TMD and MBC or vice versa cannot be established. Routine visits to medical and oro-dental healthcare providers can contribute toward early diagnosis and management of TMD and MBC.

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“…Subjects with chronic pain conditions experience other comorbid chronic pain conditions; painful TMD has been frequently associated with widespread pain [9]. In fact, patients with painful TMD seem to be more sensitive to experimental pain stimuli and have a lower pain tolerance than non-TMD subjects [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Acupuncture for Non-Responding TMD Patients: a Retrospective Observational Study in General Practice

Serritella

Galluccio

Paolo

2023

J Acupunct Meridian Stud

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Background: Pain related to Temporomandibular Disorders (TMD) is severe, negatively affecting patients' quality of life, and often resistant to conventional treatments. Abdominal Acupuncture (AA) is known to be particularly effective for pain, especially chronic and musculoskeletal pain, but it is still poorly studied and never investigated in TMD patients. Objectives: To analyze the efficacy of AA for the treatment of patients with subacute and chronic pain related to TMD and non-responding to previous conventional therapies (occlusal splint, medications, physical therapy). Methods: Twenty-eight patients, 24 F and four M (mean age 49.36 years), were recruited from January 2019-February 2021. All patients underwent AA treatment: two sessions per week for four weeks, for a total of eight sessions. At the beginning of therapy (T0) and at the end of the cycle (T1) the following data were evaluated: maximum mouth opening (MMO); cranio-facial pain related to TMD (verbal numeric scale, VNS); pain interference with normal activities and quality of life of patients (Brief Pain Inventory, BPI); oral functioning (Oral Behavior Checklist, OBC); impression of treatment effectiveness (Patients' Global Impression of Improvement, PGI-I Scale). Statistical comparison of data before and after the AA treatment was performed by Wilcoxon's signed-rank test (significance level p < 0.05). Results:The MMO values were significantly improved after one cycle of AA (p = 0.0002). In addition, TMD-related pain had a statistically significant decline following AA treatment (all p < 0.001). Patients' general activity and quality of life (BPI) were described as improved following a course of AA, with statistically significant values for all aspects considered (all p < 0.05). Conclusion: Abdominal acupuncture resulted in effective treatment of subacute/chronicresistant pain related to TMD, capable of improving mandibular function and facial pain, and reduced the interference of pain affecting patients' quality of life.

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Association of temporomandibular disorders with pain sensitivity: A cohort study

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution-NonCo mmercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Cited by 13 publications

References 44 publications

Magnetic Resonance Imaging Evaluation of Closed-Mouth TMJ Disc-Condyle Relationship in a Population of Patients Seeking for Temporomandibular Disorders Advice

Magnetic Resonance Imaging Evaluation of Closed-Mouth TMJ Disc-Condyle Relationship in a Population of Patients Seeking for Temporomandibular Disorders Advice

Association Between Temporomandibular Joint Disorders and Metastatic Breast Cancer—A Mapping Review

Abdominal Acupuncture for Non-Responding TMD Patients: a Retrospective Observational Study in General Practice

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