Characteristics of middle-aged and older patients with temporomandibular disorders and burning mouth syndrome

Honda, Mika; Iida, Takashi; Komiyama, Osamu; Masuda, Manabu; Uchida, Takashi; Nishimura, Hitoshi; Okubo, Masao; Shimosaka, Michiharu; Narita, Noriyuki; Niwa, Hideo; Kubo, Hideyuki; Laat, Antoon De; Kawara, Misao; Makiyama, Yasuhide

doi:10.2334/josnusd.57.355

Cited by 13 publications

(10 citation statements)

References 20 publications

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“…No significant difference in depression, anxiety and stress were detected between the three age groups ( P > .05). Honda et al assessed the relationship between pain and psychosocial characteristics in middle‐aged and older patients with TMDs and burning mouth syndrome (BMS) 42 . Although middle‐aged BMS patients had significantly higher levels of depression than older ones, there was no difference perceived for TMD patients as with the current study.…”

Section: Discussionmentioning

confidence: 53%

“…40,41 The age classification adopted paralleled that of another age-related TMD/oro-facial pain study to facilitate comparison and was coupled to data from the Baltimore Longitudinal Study of Aging. 42,43 Women of child-bearing age formed about 62% (431/692) of the total TMD cohort. This was in agreement with many other TMD studies.…”

Section: Gender and Tmd Subtypesmentioning

confidence: 99%

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Age‐related differences in diagnostic categories, psychological states and oral health–related quality of life of adult temporomandibular disorder patients

Yap

Cao

Zhang

et al. 2020

J of Oral Rehabilitation

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Objectives: The peak prevalence of temporomandibular disorders (TMDs) may occur in middle age. This study determined the proportion of matured adults seeking TMD treatment and compared their diagnostic, psychological and oral health-related quality-of-life (OHRQoL) profiles to younger patients. Methods: Adult subjects were recruited from a tertiary TMD centre and assigned to three age groups, namely 18-44 years (young adults [YA]), 45-64 (middle-aged adults [MA]) and ≥65 (old adults [OA]). TMD diagnoses were established with the Diagnostic Criteria for TMDs and categorised as pain-related (PT), intra-articular (IT) and combined (CT) TMDs. Psychological states and OHRQoL were assessed with the Depression, Anxiety, and Stress Scale-21 (DASS-21) and Oral Health Impact Profile-TMDs (OHIP-TMDs). Demographic, DASS-21, and OHIP-TMDs data were analysed using chi-square test, one-way ANOVA and Pearson's correlation (P < .05). Results: Middle-aged (19.7%; 136/692) and old (4.0%; 28/692) adults comprised about a quarter of the TMD patients. Although gender distribution was comparable, significant differences in TMD categories were observed (P < .001). Pain-related TMDs were more prevalent in the MA/OA groups while intra-articular TMDs were more frequent in the YA group. No significant difference in DASS-21 and total OHIP scores was noted among three groups. However, the MA and OA groups had significantly lower OHRQoL in the physical pain domain. Correlations between DASS-21 and OHIP-TMDs scores varied with age and ranged from r s = 0.47-0.92. Conclusions: Matured patients constituted a quarter of TMD cohort and presented higher frequencies of painful TMDs. They have similar psychological profiles to younger patients but experienced lower OHRQoL in physical pain domain.

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Section: Discussionmentioning

confidence: 53%

Section: Gender and Tmd Subtypesmentioning

confidence: 99%

Age‐related differences in diagnostic categories, psychological states and oral health–related quality of life of adult temporomandibular disorder patients

Yap

Cao

Zhang

et al. 2020

J of Oral Rehabilitation

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“…Temporomandibular disorders (TMD), trigeminal neuralgia (TN) and burning mouth syndrome (BMS) are painful orofacial conditions that dentists must assess, diagnose, and manage [12345].…”

Section: Introductionmentioning

confidence: 99%

Effect of 8% lidocaine spray on the sensory and pain thresholds of the skin of the face and hands evaluated by quantitative sensory testing

Okayasu

Komiyama

Ayuse

et al. 2018

J Dent Anesth Pain Med

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BackgroundRecently, we examined the effects of 2% lidocaine gel on the tactile sensory and pain thresholds of the face, tongue and hands of symptom-free individuals using quantitative sensory testing (QST); its effect was less on the skin of the face and hands than on the tongue. Consequently, instead of 2% lidocaine gel, we examined the effect of 8% lidocaine spray on the tactile sensory and pain thresholds of the skin of the face and hands of healthy volunteers.MethodsUsing Semmes-Weinstein monofilaments, QST of the skin of the cheek and palm (thenar skin) was performed in 20 healthy volunteers. In each participant, two topical sprays were applied. On one side, 0.2 mL of 8% lidocaine pump spray was applied, and on the other side, 0.2 mL of saline pump spray was applied as control. In each participant, QST was performed before and 15 min after each application. Pain intensity was measured using a numeric rating scale (NRS).ResultsBoth the tactile detection threshold and filament-prick pain detection threshold of the cheek and thenar skin increased significantly after lidocaine application. A significant difference between the effect of lidocaine and saline applications was found on the filament-prick pain detection threshold only. NRS of the cheek skin and thenar skin decreased after application of lidocaine, and not after application of saline.ConclusionThe significant effect of applying an 8% lidocaine spray on the sensory and pain thresholds of the skin of the face and hands can be objectively scored using QST.

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“…In another study comparing middle‐aged and older patients with TMD and burning mouth, reported pain intensities were significantly higher in the older burning mouth group (65−84 years) while higher somatization and depression scores were found in the younger group (45−64 years). No such differences between the old and young groups were found among TMD patients but there was a significantly higher ratio of women in both the TMD and burning mouth patients (Honda et al, 2015 ). Overall, these findings confirm that burning mouth may constitute a significant problem among older patients and especially in women.…”

Section: Introductionmentioning

confidence: 99%

Temporal changes and gender differences related to orofacial symptoms in two cohorts of 75‐year‐old Swedish subjects examined in 2007 and 2017: A repeated cross‐sectional study

Johansson

Omar

Sannevik

et al. 2022

Clinical & Exp Dental Res

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Objectives To compare two cohorts of 75‐year‐old persons, born 10 years apart, in regard to reported symptoms related to temporomandibular disorders (TMD) and orofacial complaints with special reference to gender differences. Material and Methods In 2007, a questionnaire comprising questions on social factors, general and oral health, and a series of attitude‐related questions was mailed to all individuals born in 1932 living in two Swedish counties (N = 5195), and in 2017 to all born in 1942 (N = 7204). The response rate for the cohort examined in 2007 was 71.9% (n = 3735) and 70.7% (n = 5091) for the cohort examined in 2017. Bivariate statistical analyses were applied. Results Reported bruxism and pain from the temporomandibular joint were significantly higher in the 1942 cohort compared to the 1932 cohort, while reports of oral lesions and daytime dry mouth were lower. Women reported problems significantly more frequently in most of the domains investigated in both 2007 and 2017, that is, TMD, burning mouth, sensitive teeth, oral lesions, taste changes, daytime/night‐time dry mouth, except bad breath. Conclusions TMD‐related symptoms increased while complaints from oral lesions and daytime mouth dryness decreased between 2007 and 2017. Temporal changes were otherwise few, but the findings underline the gender inequalities that exist, to the disadvantage of women. This must be considered when planning for clinical care/dental education to appropriately address the needs of older people.

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Characteristics of middle-aged and older patients with temporomandibular disorders and burning mouth syndrome

Cited by 13 publications

References 20 publications

Age‐related differences in diagnostic categories, psychological states and oral health–related quality of life of adult temporomandibular disorder patients

Age‐related differences in diagnostic categories, psychological states and oral health–related quality of life of adult temporomandibular disorder patients

Effect of 8% lidocaine spray on the sensory and pain thresholds of the skin of the face and hands evaluated by quantitative sensory testing

Temporal changes and gender differences related to orofacial symptoms in two cohorts of 75‐year‐old Swedish subjects examined in 2007 and 2017: A repeated cross‐sectional study

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