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Clinical Oral Investigations

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01-06-2021 | Joint Pain | Original Article

Clinical variables associated with the presence of articular pain in patients with temporomandibular joint clicking

Authors: Rodrigo Lorenzi Poluha, Giancarlo De la Torre Canales, Leonardo Rigoldi Bonjardim, Paulo César Rodrigues Conti

Published in: Clinical Oral Investigations | Issue 6/2021

Abstract

Objective

To study and estimate the impact of clinical, somatosensory, and psychosocial variables associated with the concomitant presence of temporomandibular joint (TMJ) pain in patients with TMJ clicking.

Materials and methods

Ninety-three individuals composed the sample: patients with painful TMJ clicking (n = 47) and patients with painless TMJ clicking (n = 46). Four categories of data were evaluated: clinical features (gender, maximal interincisal distance (MID), side of complaint, age); bruxism (sleep bruxism (SB), awake bruxism (AB)); somatosensory (mechanical pain threshold (MPT), wind-up ratio (WUR), pressure pain threshold (PPT), conditioned pain modulation (CPM)); and psychosocial (Pittsburgh Sleep Quality Index (PSQI), pain vigilance and awareness questionnaire (PVAQ), Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK/TMD), Oral Behaviors (OBs)).

Results

Female gender, AB, WUR, CPM, PSQI, PCS, and OBs significantly (p < 0.05) increased the chance of the concomitant presence of TMJ pain in patients with TMJ clicking. On the other hand, MID, MPT, and PPT significantly (p < 0.05) decreased this chance. The other variables had no association.

Conclusion

It can be concluded that being a woman, having AB, hyperalgesia in WUR, less efficient CPM, poor sleep quality, pain catastrophizing, and harmful OBs significantly increased the chance of the concomitant presence of TMJ pain in patients with TMJ clicking. In the opposite, high figures of MID, MPT, and PPT decreased the chance.

Clinical relevance

Most patients with TMJ clicking usually postpone seeking treatment until the clicking truly disturbs or there is a concomitant presence of TMJ pain. Understanding the variables associated with this concomitance can be important in clinical practice.

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Title: Clinical variables associated with the presence of articular pain in patients with temporomandibular joint clicking
Authors: Rodrigo Lorenzi Poluha
Giancarlo De la Torre Canales
Leonardo Rigoldi Bonjardim
Paulo César Rodrigues Conti
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Keywords: Joint Pain
Bruxism
Craniomandibular Dysfunction and Stress
Published in: Clinical Oral Investigations / Issue 6/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03685-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical variables associated with the presence of articular pain in patients with temporomandibular joint clicking

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

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