Temporomandibular disorder, body pain and systemic diseases: assessing their associations in adolescents
Painful temporomandibular disorders (TMD) in children and adolescents may impact negatively the individual´´´ s life. The presence of comorbidities associated with TMD tends to increase the persistence of pain and to facilitate its chronification. Objective: To investigate the presence of...
| Autores: | , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2021 |
| País: | Brasil |
| Institución: | Universidade de São Paulo (USP) |
| Repositorio: | Journal of applied oral science (Online) |
| Idioma: | inglés |
| OAI Identifier: | oai:revistas.usp.br:article/190449 |
| Acceso en línea: | https://www.revistas.usp.br/jaos/article/view/190449 |
| Access Level: | acceso abierto |
| Palabra clave: | Adolescent Facial pain Temporomandibular joint dysfunction syndrome |
| Sumario: | Painful temporomandibular disorders (TMD) in children and adolescents may impact negatively the individual´´´ s life. The presence of comorbidities associated with TMD tends to increase the persistence of pain and to facilitate its chronification. Objective: To investigate the presence of other painful conditions and systemic diseases and their association with painful TMD. Methodology: In this cross-sectional study, 690 adolescents aged between 12-14 years old were evaluated through questionnaires and clinical examinations. Results: Painful TMD was found in 16.2% of the sample, with a significant association with bronchitis (OR=2.5; p=0.003) and asthma (OR=3.1; p=0.013), reported by the parents/legal guardians of the participants. Adolescents with regional and widespread pain were 2.7 (95% CI: 1.65-4.55) and 3.6 (95% CI: 1.29-10.14) more likely to also present painful TMD. Painful TMD was associated with a higher number of body pain sites in the last 12 months (4.26 vs. 2.90; p<0.001), as well as a higher number of systemic diseases (1.48 vs. 1.18; p=0.048), when compared to adolescents without painful TMD. Conclusion: The findings of this study point out the importance of considering the presence of comorbid conditions in the diagnosis and management of painful TMD in adolescents. A multidisciplinary approach would contribute to better control of painful TMD and decrease its chronification risk. |
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