Systemic diseases and other painful conditions in patients with temporomandibular disorders and migraine
AUTOR(ES)
Contreras, Edwin Fernando Ruiz, Fernandes, Giovana, Ongaro, Paula Cristina Jordani, Campi, Leticia Bueno, Gonçalves, Daniela Aparecida Godoi
FONTE
Braz. oral res.
DATA DE PUBLICAÇÃO
23/07/2018
RESUMO
Abstract Temporomandibular disorders (TMD) are a highly prevalent, painful musculoskeletal condition affecting the masticatory system, and are frequently associated with migraines (M) and other diseases. This study aimed to investigate the association between painful TMD and M with other painful conditions and systemic diseases, such as cervicalgia, body pain (BP), ear-nose-throat disorders, musculoskeletal disorders, diabetes, cardiopulmonary diseases and gastritis/peptic ulcer. Methods: This was a cross-sectional study conducted in a sample of 352 individuals. Participants were stratified into three groups according to the presence of painful TMD and M: controls [individuals free of TMD and any headache (HA)]; TMD only (presence of painful TMD, but free of any HA); and TMD+M (presence of painful TMD and M). TMD was classified according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) - Axis I. Nonspecific physical symptoms (NSPS) were assessed by RDC/TMD - Axis II. The International Classification of Headache Disorders - II criteria, second edition, were applied to identify and classify primary HA. Other painful conditions and systemic diseases were assessed by volunteers’ self-report. The prevalence of all assessed conditions was higher in the TMD+M group. Multiple regression models showed that cervicalgia was associated with the TMD only group (p<0.05), whereas gender (p<0.05), cervicalgia (p<0.05), BP (p<0.05) and NSPS (p<0.05) were significantly associated with the TMD+M group. Our results suggest that individuals with a comorbidity (TMD associated with M) have a more severe condition than those presenting only painful TMD.
Documentos Relacionados
- Craniofacial Morphology Affects Bite Force in Patients with Painful Temporomandibular Disorders
- Pain and temporomandibular disorders in patients with eating disorders
- Association between painful temporomandibular disorders, sleep bruxism and tinnitus
- Influence of cognitive performance on the response to pain education guidelines in patients with chronic painful temporomandibular disorders
- Outcomes and organ dysfunctions of critically ill patients with systemic lupus erythematosus and other systemic rheumatic diseases