J Orofac Pain
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Randomized Controlled Trial Comparative Study Clinical Trial
The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial.
To compare the short-term efficacy of treatment with a stabilization appliance compared with that of a non-occlusal, control appliance in patients with temporomandibular disorders (TMD) of mainly myogenous origin. ⋯ The results of this short-term evaluation suggest that the stabilization appliance is more effective in alleviating symptoms and signs in patients with TMD of mainly myogenous origin than a control, non-occlusal appliance. The stabilization appliance can therefore be recommended for the therapy of these patients.
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Randomized Controlled Trial Clinical Trial
Spread and referral of experimental pain in different jaw muscles.
To test the hypothesis that there would be no differences in perceived pain intensity and spread and referral of pain evoked by injection of a similar amount of hypertonic saline into 6 different jaw-muscle sites in healthy female subjects. ⋯ The data suggest no major differences in pain sensitivity between the examined jaw-muscle sites, but pain in the anterior temporalis muscle spreads to a larger area independent of pain intensity. There are subtle but detectable differences in the location and referral of pain patterns between jaw muscles. This will be helpful in the differential diagnosis of myofascial temporomandibular disorder pain.
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Comparative Study
Prevalence of temporomandibular disorder subtypes, psychologic distress, and psychosocial dysfunction in Asian patients.
To use the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) to investigate the physical diagnoses, psychologic distress, and psychosocial dysfunction in Asian TMD patients. The RDC/TMD Axis I and II findings were compared to those of Swedish and American TMD patients. ⋯ Axis I and II findings of Asian TMD patients were generally similar to their Swedish and American cohorts. In all 3 populations, women of child-bearing age represented the majority of patients. Muscle disorders were the most prevalent type of TMD. A substantial portion of TMD patients were depressed and experienced moderate to severe somatization.
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Comparative Study
Acute oral pain intensity and pain threshold assessed by intensity matching to pain induced by electrical stimuli.
To investigate a recently developed pain-intensity matching device (Painmatcher) in terms of reproducibility, pain intensity, and unpleasantness experienced by healthy individuals upon pain threshold assessment, as well as differences in pain threshold between genders and between healthy individuals and patients with acute oral pain, and the relation between pain-intensity assessments by the Painmatcher and a visual analog scale (VAS) in the patients. ⋯ This study indicates that patients with acute oral pain have lower Painmatcher pain thresholds than healthy individuals, suggesting a general decrease in nociceptive thresholds in these patients. The Painmatcher seems to be as valid as a VAS for acute oral pain assessment. The Painmatcher pain threshold is highly reproducible but associated with unpleasantness.
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Comparative Study
Pain intensity, illness duration, and protein catabolism in temporomandibular disorder patients with chronic muscle pain.
To investigate whether the duration of chronic pain in temporomandibular disorder (TMD) patients is associated with a net depletion of amino acids, and a distinct process from pain intensity. ⋯ In TMD1A patients, total amino acid excretion was positively correlated with pain intensity and negatively correlated with illness duration, which indicated that illness duration was associated with a different set of metabolic anomalies compared with those identified for pain intensity.