Antidepressant use, pain severity and pain at multiple sites in patients with bruxism
ABSTRACT OBJECTIVE: The aim of this study was to compare the duration, pain severity, painful complaints and antidepressant use in patients with craniomandibular disorders (CMDs) and bruxing and control subjects.MATERIAL AND METHODS: Clinical evaluation, questionnaires for pain, br...
| Autores: | , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2011 |
| País: | Brasil |
| Institución: | Instituto Evandro Chagas (IEC) |
| Repositorio: | Revista Pan-Amazônica de Saúde (RPAS) |
| Idioma: | inglés |
| OAI Identifier: | oai:revista.iec.gov.br:article/919 |
| Acceso en línea: | https://ojs.iec.gov.br/rpas/article/view/919 |
| Access Level: | acceso abierto |
| Palabra clave: | Temporomandibular joint disorders Bruxism Facial pain Antidepressant agents Distúrbios Temporomandibulares Bruxismo Dor Facial Agentes Antidepressivos Disturbios temporomandibulares Dolor facial Agentes antidepresivos |
| Sumario: | ABSTRACT OBJECTIVE: The aim of this study was to compare the duration, pain severity, painful complaints and antidepressant use in patients with craniomandibular disorders (CMDs) and bruxing and control subjects.MATERIAL AND METHODS: Clinical evaluation, questionnaires for pain, bruxism and antidepressant use, self-report of signs and symptoms and history regarding pain and muscle palpation were used to evaluate 389 patients presenting with CMDs and bruxing behavior and 69 controls.RESULTS: The mean age of the experimental group was 33.3 years. The duration of the chief complaint was not different in the bruxism and CMD patients (Kruskal-Wallis test p = 0.13, which is non-significant). Severe pain was more frequently observed in the severe bruxing behavior subgroup (Chi-squared test for trends p = 0.01, significant). Patients with severe bruxism had used or were using more antidepressants than patients with mild or moderate bruxism and non-CMD control subjects (Chi-squared test for independence p = 0.006, significant). A greater number of pain complaints was observed in the severe bruxing behavior group (Kruskal-Wallis test p = 0.0001, extremely significant).CONCLUSIONS: Patients with severe bruxism presented with a history of pain. Antidepressant use increased from the mild to the severe bruxing behavior group. In addition, the severe group demonstrated a greater number of painful complaints. |
|---|