Digital pain drawings are a useful and reliable tool for assessing patients with temporomandibular disorders

Pitance, Laurent; Longhi, Benjamin De; Gerard, Eve; Cayrol, Timothée; Roussel, Nathalie; Cescon, Corrado; Falla, Deborah; Barbero, Marco

doi:10.1111/joor.13168

Cited by 13 publications

(3 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Due to the inherent subjective component of the pain experience, other tools shall be implemented in routine practice to better characterize the patient's pain experience. Such tools can range from the use of a simple numerical rating pain scale for the measurement of pain intensity and its evolution over time (Beauquis et al, 2021) to the innovative use of pain drawings to improve the characterization of pain in complex symptomatology (Pitance et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

What ultimately matters in root canal treatment success and tooth preservation: A 25‐year cohort study

2023

View full text Add to dashboard Cite

Aim There are currently no prospective studies evaluating the long‐term outcomes of non‐surgical root canal treatments beyond 5 years, both in terms of treatment success and tooth preservation, and identifying factors predictive of treatment outcome. The aim of the present work was therefore to fill this gap by assessing these outcomes over time and identifying predictive variables based on systematic data collection over a 25‐year period. Methodology Data concerning the treatments (N = 2500) were systematically collected since 1990. Information was recorded among clinical, technical, radiographic and patient‐related characteristics, i.e., approximately 150 variables for each treatment. The data were analysed regarding both treatment success and tooth preservation by multivariable Cox proportional hazards model, and survival curves were generated. The statistical significance level was set at 0.0125. Results In total, 56.4% of the treatments could be followed over time (0–25 years, mean = 6.5 years, median = 5 years). Survival probability decreased almost linearly for treatment success, with about 85% after 5 years and 60% after 20 years, and for tooth preservation, with about 90% at 5 years and 50% at 20 years. The variables significantly associated with treatment failure were: pre‐operative pain (Hazard Ratio—HR = 1.56 [95% CI 1.23–1.97]), persistent pain (HR = 2.63 [95% CI 1.44–4.80]), good operator rating of treatment prognosis (HR = 0.46 [95% CI 0.36–0.58]), size of periapical bone radiolucency (HR = 1.88 [95% CI 1.67–2.11]), and tooth type (p = .0006). For tooth extraction, they were: combined endodontic‐periodontal lesion (HR = 3.37 [95% CI 1.88–6.05]), pre‐existing complication before treatment (HR = 1.67 [95% CI 1.26–2.21]), good operator rating of treatment prognosis (HR = 0.45 [95% CI 0.33–0.60]), clinical failure of root canal treatment (HR = 2.78 [95% CI 1.98–3.89]) and tooth type (p = .0012). Conclusion Root canal treatment success and tooth preservation on the arch are not static outcomes, but evolve with time. Among a substantial set of potential predictors, only a small proportion was significantly predictive of treatment success and tooth preservation, most of them being disease and patient characteristics, and not technical aspects, except pre‐existing complications. These observations challenge the importance frequently given to byzantine considerations related to the numerous technical details of endodontic procedures, as opposed to general concepts of good clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

What ultimately matters in root canal treatment success and tooth preservation: A 25‐year cohort study

2023

View full text Add to dashboard Cite

show abstract

“…Unlike local TMD, in the case of TMD with widespread pain, especially cervical pain, there is a possibility of prolonged and poor prognosis. 4,5,30,31 (Figure7. )…”

Section: Self-monitoringmentioning

confidence: 99%

Open label randomized controlled trial of a digital therapeutics in temporomandibular disorder (TMD) patients: A preliminary study

Kim

Park

Kim

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Temporomandibular disorder (TMD) is a common condition that affects the temporomandibular joint (TMJ) and the muscles of the jaw, resulting in pain and dysfunction. TMD is affected by both behavioral and psychological factors. However, the effectiveness of conservative treatments varies among patients. Digital therapeutics (DTx) is a new treatment approach where a software based medical device is used such as smartphone application. DTx can expect therapeutic effects by controlling behavioral factors through delivery of appropriate intervention and cognitive behavioral therapy. DTx have emerged as a promising alternative treatment option for various chronic conditions, but the development of DTx and the efficacy for TMD have not been fully evaluated. Objective: The aim of this study is to evaluate the efficacy of a DTx for TMD called ‘Clickless®’, which is the first DTx using a smartphone application for TMD. Methods: We recruited 40 participants diagnosed with TMD who visited the Bundang Seoul National University Hospital from March to May 2022. Participants were randomly divided into an intervention test group (DTx use) and a control group. The intervention group received the usual treatment process for TMD in addition to the use of the DTx. The control group received the usual treatments only. The patients were followed up in 3-4 weeks for both groups, and the outcome data were collected and analyzed. Result: The intervention group showed a significant reduction in pain score as measured by the numeral rating scale (NRS) (mean difference 0.82, p = 0.038). Additionally, the intervention test group showed a statistically significant increase in maximal mouth opening compared to the control group. (mean difference 1.38(mm), p = 0.040] However, there was no significant difference of improvement in jaw functional limitation scale, oral behavior checklist, and patient health questionnaire-4 between the two groups. Conclusion: DTx is an effective treatment option for TMD patients when it applied with the conventional treatments, however further research is necessary to confirm its efficacy and wider application.

show abstract

“…18 A few studies have explored clinical applications with regard to the cervical spine, starting 2007, where the interrater reliability and between-session reliability was deemed adequate. [19][20][21][22][23][24] Using pain pattern recognition to guide spinal level specific diagnostics has very limited evidence. 22,25 Involvement of the second cervical nerve root, hereafter referred to as C2 involvement, however, may be identified by the corresponding characteristic pain pattern, 17,[26][27][28][29][30][31] and the sometimesaccompanying symptoms such as dizziness.…”

Section: Introductionmentioning

confidence: 99%

The Significance of Pain Drawing as a Screening Tool for Cervicogenic Headache and Associated Symptoms in Chronic Fatigue

Bernhoff¹,

Huhmar²,

Rasmussen-Barr³

et al. 2022

JPR

View full text Add to dashboard Cite

Purpose Patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) present with a broad spectrum of symptoms, including headache. A simple, yet powerful tool – the pain drawing identifies essential aspects such as pain distribution. The aim with this study was to 1) evaluate the significance of pain drawing as a screening tool for cervicogenic headache using a predefined C2 pain pattern, 2) assess whether there was an association between dizziness/imbalance and a C2 pain pattern, and 3) compare subgroups according to the pain drawing with respect to pain characteristics and quality of life. Patients and Methods Pain drawings and clinical data from 275 patients investigated for ME/CFS were stratified into: 1) cervicogenic headache as determined by a C2 pain pattern, 2) headache with no C2 pain pattern, and 3) no headache. For inference logistic regression presented with odds ratios (OR) and 95% confidence intervals (95% CI) and Kruskal–Wallis test were applied. Results One hundred sixteen participants (42%) were stratified to the group for which the pain drawing corresponded to the C2 pain pattern, thus indicating putative cervicogenic origin of the headache. Dizziness/imbalance was strongly associated with a C2 pain pattern; OR 6.50 ([95% CI 2.42–17.40] p ˂ 0.00), whereas this association was non-significant for patients with headache and no C2 pain pattern. Those demonstrating a C2 pain pattern reported significantly higher pain intensity (p = 0.00) and greater pain extent (p = 0.00) than the other groups, and lower health-related quality of life (p = 0.00) than the group with no headache. Conclusion For patients with chronic fatigue who present with a C2 pain pattern (interpreted as cervicogenic headache) the pain drawing seems applicable as a screening tool for signs associated with neuropathic and more severe pain, dizziness and reduced quality of life as detection of these symptoms is essential for targeted treatment.

show abstract

Digital pain drawings are a useful and reliable tool for assessing patients with temporomandibular disorders

Cited by 13 publications

References 59 publications

What ultimately matters in root canal treatment success and tooth preservation: A 25‐year cohort study

What ultimately matters in root canal treatment success and tooth preservation: A 25‐year cohort study

Open label randomized controlled trial of a digital therapeutics in temporomandibular disorder (TMD) patients: A preliminary study

The Significance of Pain Drawing as a Screening Tool for Cervicogenic Headache and Associated Symptoms in Chronic Fatigue

Contact Info

Product

Resources

About