Widespread pain and central sensitization in adolescents with signs of painful temporomandibular disorders
Autor: | Guilherme Vinícius do Vale Braido, Paula Cristina Jordani Ongaro, Letícia Bueno Campi, Daniela Aparecida de Godoi Gonçalves, Giovana Fernandes, Corine Miriam Visscher |
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Přispěvatelé: | Oral Kinesiology, Academic Centre for Dentistry Amsterdam, Universidade Estadual Paulista (Unesp), Acad Ctr Dent Amsterdam ACTA |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Pain Threshold
medicine.medical_specialty Fibromyalgia Central sensitization Adolescent temporomandibular disorders Research Diagnostic Criteria 03 medical and health sciences symbols.namesake 0302 clinical medicine SDG 3 - Good Health and Well-being Facial Pain Internal medicine Threshold of pain medicine Humans pain Dentistry (miscellaneous) Child Fisher's exact test Central Nervous System Sensitization business.industry central sensitization 030206 dentistry Temporomandibular Joint Disorders medicine.disease stomatognathic diseases Anesthesiology and Pain Medicine Increased risk adolescent Widespread pain symbols fibromyalgia Neurology (clinical) Predictive variables business human activities Brazil 030217 neurology & neurosurgery |
Zdroj: | Journal of oral & facial pain and headache, 34(1), 83-91. Quintessence Publishing Company Web of Science Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP Campi, L B, Visscher, C M, Ongaro, P C J, do Vale Braido, G V, Fernandes, G & Gonçalves, D A G 2020, ' Widespread pain and central sensitization in adolescents with signs of painful temporomandibular disorders ', Journal of oral & facial pain and headache, vol. 34, no. 1, pp. 83-91 . https://doi.org/10.11607/ofph.2288 |
ISSN: | 2333-0384 |
DOI: | 10.11607/ofph.2288 |
Popis: | Made available in DSpace on 2020-12-10T19:46:54Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-12-01 Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Aims: To investigate the associations between signs of painful temporomandibular disorders (TMD) and number of tender points (TPs) and fibromyalgia in adolescents, as well as the relationship between TPs and pressure-pain threshold (PPT) in individuals presenting with local, regional, or widespread pain as a way to investigate the presence of central sensitization (CS). Methods: The sample consisted of 690 Brazilian adolescents with and without signs of painful TMD, aged 12 to 14 years old. Painful TMD was classified according to the Research Diagnostic Criteria for TMD (RDC/TMD) Axis I. The criteria established by Yunus were applied to assess juvenile fibromyalgia and TPs. Mann-Whitney and chi-square tests were applied to test the associations between signs of painful TMD and demographic variables. Regression models were used to estimate the association between signs of painful TMD and number of TPs and to determine which additional predictive variables were associated with TPs. Regression analyses were performed to test the associations between PPT values and number of TPs. Fisher test was used to estimate the association between signs of painful TMD and FM. Results: Significant associations between signs of painful TMD and the number of TPs (P < .001), as well as between TPs and the PPT values for local, regional, and widespread pain (P < .001), were found. No association between signs of painful TMD and fibromyalgia was found (P = .158). Conclusion: Individuals with signs of painful TMD presented with more TPs compared to pain-free adolescents. Moreover, the higher the number of TPs, the lower the PPT. This finding suggests that adolescents with signs of painful TMD are at increased risk of presenting with CS. Sao Paulo State Univ, UNESP, Sch Dent, Dept Dent Mat & Prosthodont, Araraquara, SP, Brazil Acad Ctr Dent Amsterdam ACTA, Dept Oral Kinesiol, Amsterdam, Netherlands Sao Paulo State Univ, UNESP, Sch Dent, Dept Dent Mat & Prosthodont, Araraquara, SP, Brazil FAPESP: 2012/23451-5 |
Databáze: | OpenAIRE |
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