Evaluation of body painful areas in patients with muscular temporomandibular disorder: a retrospective study

• Autor(a) principal: Correia,Luci Mara França
• Data de Publicação: 2015
• Outros Autores: Guimarães,Antonio Sergio, Teixeira,Marcelo Luschesi, Rodrigues,Luciane Lacerda
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Dor
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132015000400249
• topic: Cervical pain; Generalized pain; Myofascial pain; Temporomandibular disorder

ABSTRACT BACKGROUND AND OBJECTIVES: Among temporomandibular disorder classifications, masticatory muscles myofascial pain is the most frequent. Its multifactorial etiology makes its treatment difficult. Identifying other painful sites related to temporomandibular disorders may help controlling comorbidities and, as a consequence, improving their symptoms. This study aimed at evaluating the presence of body pain in temporomandibular location. METHODS: We have evaluated 328 medical charts of the Dental Research Center São Leopoldo Mandic, with diagnosis of muscular temporomandibular disorder. Patients were evaluated by means of a body map to locate pain complaints. RESULTS: From 328 analyzed medical charts, 180 (55%) had body pain (160 females, 20 males), and 148 (45%) had facial pain only (116 females, 32 males). Areas with most frequent pain reports were cervical, lumbar and shoulders.Females had more body pain (with pain n=160, without pain n=116, p≤0.001) as compared to males (with pain n=20, without pain n=32) with statistical difference.In most cases pain has affected both body sides (bilateral face 67%, bilateral body 92%). CONCLUSION: Most patients with temporomandibular disorder had pain in body parts different from the face. Regions marked in human body drawings with more pain were cervical followed by lumbar and shoulders.