Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD?
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1007/s00784-022-04783-5 http://hdl.handle.net/11449/246318 |
Resumo: | Objective: To determine if somatosensory function and symptoms related to central sensitization (CS) differed in individuals with painful temporomandibular disorders (TMD) according to the presence of migraine (MIG) or MIG + headache attributed to TMD (HAT). Materials and methods: This study evaluated 92 adults (20–65 years), presenting painful TMD. Standard diagnostic criteria were applied to classification of painful TMD, MIG, and HAT. CS was assessed through the central sensitization inventory (CSI), wind-up ratio (WUR), pressure pain thresholds (PPT), and the conditioned pain modulation test (CPM). Psychosocial factors were evaluated by validated instruments. Results: There was a significant difference regarding gender, with more women in the group TMD + MIG + HAT (p = 0.028). TMD + MIG and TMD + MIG + HAT had significantly lower PPTs than the TMD group. No group differences were found for the WUR, CPM, or CSI. TMD + MIG + HAT had higher chronic pain intensity (p = 0.001), disability points (p = 0.045), graded chronic pain scale (p = 0.007), and higher somatization (NSPS) scores (p = 0.012), compared to the other groups. Conclusion: Mechanical hyperalgesia was more pronounced in the group with the highest pain and somatization scores, while CPM and WUR did not differ between groups. Altered somatosensory function and CS may partially underlie the pathophysiology of overlapping TMD pain conditions, pointing towards additive effects of comorbid head pains. Clinical relevance: Our results demonstrate the importance of considering the association of primary and secondary headaches during TMD assessment and its implications for maintaining the signs and symptoms of CS. This can influence the conduct of treatment, which must be multidisciplinary, and must include management of mechanisms related to CS. |
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Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD?HeadacheMigraine disordersSensitization of the central nervous systemTemporomandibular DisordersTrigeminal physiologyObjective: To determine if somatosensory function and symptoms related to central sensitization (CS) differed in individuals with painful temporomandibular disorders (TMD) according to the presence of migraine (MIG) or MIG + headache attributed to TMD (HAT). Materials and methods: This study evaluated 92 adults (20–65 years), presenting painful TMD. Standard diagnostic criteria were applied to classification of painful TMD, MIG, and HAT. CS was assessed through the central sensitization inventory (CSI), wind-up ratio (WUR), pressure pain thresholds (PPT), and the conditioned pain modulation test (CPM). Psychosocial factors were evaluated by validated instruments. Results: There was a significant difference regarding gender, with more women in the group TMD + MIG + HAT (p = 0.028). TMD + MIG and TMD + MIG + HAT had significantly lower PPTs than the TMD group. No group differences were found for the WUR, CPM, or CSI. TMD + MIG + HAT had higher chronic pain intensity (p = 0.001), disability points (p = 0.045), graded chronic pain scale (p = 0.007), and higher somatization (NSPS) scores (p = 0.012), compared to the other groups. Conclusion: Mechanical hyperalgesia was more pronounced in the group with the highest pain and somatization scores, while CPM and WUR did not differ between groups. Altered somatosensory function and CS may partially underlie the pathophysiology of overlapping TMD pain conditions, pointing towards additive effects of comorbid head pains. Clinical relevance: Our results demonstrate the importance of considering the association of primary and secondary headaches during TMD assessment and its implications for maintaining the signs and symptoms of CS. This can influence the conduct of treatment, which must be multidisciplinary, and must include management of mechanisms related to CS.Department of Dental Materials and Prosthodontics São Paulo State University (Unesp) School of Dentistry, São PauloSection for Orofacial Pain and Jaw Function Department of Dentistry and Oral Health Aarhus UniversityFaculty of Odontology Malmø UniversityScandinavian Center for Orofacial Neurosciences (SCON)Department of Dental Materials and Prosthodontics São Paulo State University (Unesp) School of Dentistry, São PauloUniversidade Estadual Paulista (UNESP)Aarhus UniversityMalmø UniversityScandinavian Center for Orofacial Neurosciences (SCON)Vale Braido, Guilherme Vinícius do [UNESP]Svensson, Peterdos Santos Proença, Juliana [UNESP]Mercante, Fernanda Gruninger [UNESP]Fernandes, Giovana [UNESP]de Godoi Gonçalves, Daniela Aparecida [UNESP]2023-07-29T12:37:38Z2023-07-29T12:37:38Z2023-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article681-690http://dx.doi.org/10.1007/s00784-022-04783-5Clinical Oral Investigations, v. 27, n. 2, p. 681-690, 2023.1436-37711432-6981http://hdl.handle.net/11449/24631810.1007/s00784-022-04783-52-s2.0-85142002287Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengClinical Oral Investigationsinfo:eu-repo/semantics/openAccess2023-07-29T12:37:38Zoai:repositorio.unesp.br:11449/246318Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T22:35:03.603907Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD? |
title |
Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD? |
spellingShingle |
Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD? Vale Braido, Guilherme Vinícius do [UNESP] Headache Migraine disorders Sensitization of the central nervous system Temporomandibular Disorders Trigeminal physiology |
title_short |
Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD? |
title_full |
Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD? |
title_fullStr |
Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD? |
title_full_unstemmed |
Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD? |
title_sort |
Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD? |
author |
Vale Braido, Guilherme Vinícius do [UNESP] |
author_facet |
Vale Braido, Guilherme Vinícius do [UNESP] Svensson, Peter dos Santos Proença, Juliana [UNESP] Mercante, Fernanda Gruninger [UNESP] Fernandes, Giovana [UNESP] de Godoi Gonçalves, Daniela Aparecida [UNESP] |
author_role |
author |
author2 |
Svensson, Peter dos Santos Proença, Juliana [UNESP] Mercante, Fernanda Gruninger [UNESP] Fernandes, Giovana [UNESP] de Godoi Gonçalves, Daniela Aparecida [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Aarhus University Malmø University Scandinavian Center for Orofacial Neurosciences (SCON) |
dc.contributor.author.fl_str_mv |
Vale Braido, Guilherme Vinícius do [UNESP] Svensson, Peter dos Santos Proença, Juliana [UNESP] Mercante, Fernanda Gruninger [UNESP] Fernandes, Giovana [UNESP] de Godoi Gonçalves, Daniela Aparecida [UNESP] |
dc.subject.por.fl_str_mv |
Headache Migraine disorders Sensitization of the central nervous system Temporomandibular Disorders Trigeminal physiology |
topic |
Headache Migraine disorders Sensitization of the central nervous system Temporomandibular Disorders Trigeminal physiology |
description |
Objective: To determine if somatosensory function and symptoms related to central sensitization (CS) differed in individuals with painful temporomandibular disorders (TMD) according to the presence of migraine (MIG) or MIG + headache attributed to TMD (HAT). Materials and methods: This study evaluated 92 adults (20–65 years), presenting painful TMD. Standard diagnostic criteria were applied to classification of painful TMD, MIG, and HAT. CS was assessed through the central sensitization inventory (CSI), wind-up ratio (WUR), pressure pain thresholds (PPT), and the conditioned pain modulation test (CPM). Psychosocial factors were evaluated by validated instruments. Results: There was a significant difference regarding gender, with more women in the group TMD + MIG + HAT (p = 0.028). TMD + MIG and TMD + MIG + HAT had significantly lower PPTs than the TMD group. No group differences were found for the WUR, CPM, or CSI. TMD + MIG + HAT had higher chronic pain intensity (p = 0.001), disability points (p = 0.045), graded chronic pain scale (p = 0.007), and higher somatization (NSPS) scores (p = 0.012), compared to the other groups. Conclusion: Mechanical hyperalgesia was more pronounced in the group with the highest pain and somatization scores, while CPM and WUR did not differ between groups. Altered somatosensory function and CS may partially underlie the pathophysiology of overlapping TMD pain conditions, pointing towards additive effects of comorbid head pains. Clinical relevance: Our results demonstrate the importance of considering the association of primary and secondary headaches during TMD assessment and its implications for maintaining the signs and symptoms of CS. This can influence the conduct of treatment, which must be multidisciplinary, and must include management of mechanisms related to CS. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-29T12:37:38Z 2023-07-29T12:37:38Z 2023-02-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1007/s00784-022-04783-5 Clinical Oral Investigations, v. 27, n. 2, p. 681-690, 2023. 1436-3771 1432-6981 http://hdl.handle.net/11449/246318 10.1007/s00784-022-04783-5 2-s2.0-85142002287 |
url |
http://dx.doi.org/10.1007/s00784-022-04783-5 http://hdl.handle.net/11449/246318 |
identifier_str_mv |
Clinical Oral Investigations, v. 27, n. 2, p. 681-690, 2023. 1436-3771 1432-6981 10.1007/s00784-022-04783-5 2-s2.0-85142002287 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Clinical Oral Investigations |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
681-690 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129440815775744 |