Considering Depression and Anxiety as Risk Factors for Temporomandibular Joint Disorder

2020 ◽  
pp. 152-159
Author(s):  
Stefan Kindler ◽  
Marike Bredow-Zeden
Keyword(s):  
Risk Factors ◽  
Chronic Pain ◽  
Temporomandibular Joint ◽  
Facial Pain ◽  
Masticatory Muscles ◽  
Depression And Anxiety ◽  
Temporomandibular Joint Disorder ◽  
Social Emotional ◽  
Symptoms Of Depression ◽  
Joint Disorder

Temporomandibular joint disorder (TMD) is a painful functional disorder of the temporomandibular joint, masticatory muscles, and associated musculoskeletal structures of the head and neck. TMD is a type of chronic pain and is widely used as a model for chronic pain. The etiology of TMD pain is multifactorial. Biological, behavioral, environmental, social, emotional, and cognitive factors can contribute to TMD. TMD can manifest with musculoskeletal facial pain complaints and with different forms of jaw dysfunction. Biobehavioral studies suggest an association between TMD pain and coexisting psychopathology, including depression and anxiety. This chapter presents practical clinical recommendations on how to treat patients with symptoms of depression, anxiety, and TMD pain. The authors underline the importance of considering depression and anxiety as risk factors for TMD.

Role of Sex Hormones on Pain

2019 ◽  
Author(s):  
Dayna L. Averitt ◽  
Rebecca S. Hornung ◽  
Anne Z. Murphy
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Temporomandibular Joint ◽  
Sex Hormones ◽  
Molecular Mechanisms ◽  
Current Knowledge ◽  
Protective Effects ◽  
Temporomandibular Joint Disorder ◽  
Preclinical Research ◽  
Joint Disorder

The modulatory influence of sex hormones on acute pain, chronic pain disorders, and pain management has been reported for over seven decades. The effect of hormones on pain is clearly evidenced by the multitude of chronic pain disorders that are more common in women, such as headache and migraine, temporomandibular joint disorder, irritable bowel syndrome, chronic pelvic pain, fibromyalgia, rheumatoid arthritis, and osteoarthritis. Several of these pain disorders also fluctuate in pain intensity over the menstrual cycle, including headache and migraine and temporomandibular joint disorder. The sex steroid hormones (estrogen, progesterone, and testosterone) as well as some peptide hormones (prolactin, oxytocin, and vasopressin) have been linked to pain by both clinical and preclinical research. Progesterone and testosterone are widely accepted as having protective effects against pain, while the literature on estrogen reports both exacerbation and attenuation of pain. Prolactin is reported to trigger pain, while oxytocin and vasopressin have analgesic properties in both sexes. Only in the last two decades have neuroscientists begun to unravel the complex anatomical and molecular mechanisms underlying the direct effects of sex hormones and mechanisms have been reported in both the central and peripheral nervous systems. Mechanisms include directly or indirectly targeting receptors and ion channels on sensory neurons, activating pain excitatory or pain inhibitory centers in the brain, and reducing inflammatory mediators. Despite recent progress, there remains significant controversy and challenges in the field and the seemingly pleiotropic role estrogen plays on pain remains ambiguous. Current knowledge of the effects of sex hormones on pain has led to the burgeoning of gender-based medicine, and gaining further insight will lead to much needed improvement in pain management in women.

scholarly journals Prevalence of temporomandibular joint disorder symptoms in Cibodas Maribaya Village Bandung District

2010 ◽  
Vol 22 (1) ◽  
Author(s):  
Erna Kurnikasari
Keyword(s):  
Temporomandibular Joint ◽  
Muscle Pain ◽  
Mouth Opening ◽  
Masticatory Muscles ◽  
Temporomandibular Joint Disorder ◽  
Limited Mouth Opening ◽  
Stomatognathic System ◽  
The People ◽  
Joint Disorder ◽  
System Disorder

Temporomandibular joint disorder is a stomatognathic system disorder causing mandibular function disturbance that clinically shows the following symptoms: clicking, crepitation, limited mouth opening, pain in masticatory muscles, pain in the jaw area, deviated mouth opening, ringing ear, pain around ear area, and headache. Experts stated that the prevalence of joint disorder was high. A study was conducted to the people of Cibodas Maribaya Village Bandung District who came to the Community Work event with results showing that the prevalence of clicking was 34 people or 32.4%, the deviation was found in 36 people or 34.3%, muscle pain was found in 28 people or 26.7%, a headache was found in 35 people or 33.3%, ear disorders was found in 23 people or 21.9%.

scholarly journals The severity of temporomandibular joint disorder by teeth loss in the elderly

2011 ◽  
Vol 23 (2) ◽  
Author(s):  
Indry Herdiyani ◽  
Erna Kurnikasari ◽  
Lisda Damayanti
Keyword(s):  
Nursing Home ◽  
Temporomandibular Joint ◽  
The Elderly ◽  
Masticatory Muscles ◽  
Survey Method ◽  
Temporomandibular Joint Disorder ◽  
Temporomandibular Joint Dysfunction ◽  
Temporomandibular Joints ◽  
Joint Disorder ◽  
Clinical Problems

Temporomandibular joint dysfunction is a term that covers a number of clinical problems that involves masticatory muscles, temporomandibular joints, and related structures, or both. Loss of tooth was an etiology of temporomandibular joint dysfunction. The purpose of this study was to obtain the description of temporomandibular joint dysfunction level that caused by tooth loss of elderly in three nursing home Bandung. This was a descriptive study using the survey method of the elderly in three nursing home Bandung. A total of 34 people consist 6 males and 28 females. The subjects were examined by symptoms of temporomandibular joint dysfunction and the dysfunction level was assessed by Helkimo Clinical Dysfunction Index. The result of this study shows that elderly in Nursing Home Bandung have mild dysfunction level was 7 (14.71%), moderate dysfunction level was 22 (64.71%), and severe dysfunction level is 5 (20.58%). It can be concluded that loss of the teeth is one of the etiologies of temporomandibular joint disorder. Based on the research conducted, it can be concluded that all elderly with teeth loss will have the temporomandibular joint disorder and the most severity happens based on teeth loss by using the Helkimo Clinical Disfunction Index score was the moderate disorder.

scholarly journals Otological manifestation of temporomandibular joint disorder in Ekiti, a sub-Saharan African country

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199651
Author(s):  
Waheed Atilade Adegbiji ◽  
Gabriel Toye Olajide ◽  
Anthony Tosin Agbesanwa ◽  
Omotola Oluwaseyi Banjo
Keyword(s):  
Temporomandibular Joint ◽  
Clinical Features ◽  
Temporomandibular Joint Disorder ◽  
Prehospital Treatment ◽  
Muscle Disorders ◽  
Joint Disorder ◽  
Study Population ◽  
Male Patients ◽  
Sub Saharan ◽  
Nose And Throat

Objective To determine the prevalence, sociodemographic features, and clinical presentation of temporomandibular joint disorder in otorhinolaryngological practice. Methods This prospective hospital-based study involved patients diagnosed with temporomandibular joint disorder in our institution’s ear, nose, and throat department. Data for this study were obtained from the patients using pretested interviewer-assisted questionnaires. Results The prevalence of temporomandibular joint disorder in this study was 1.3%. The study population included 17 (26.2%) male patients with a male:female ratio of 1.0:2.8. Joint disorder accounted for 75.4% of all disorders, while both mastication muscle and joint disorder accounted for 21.5%. A majority of the patients (47.7%) presented between weeks 1 and 13 of the illness. Unilateral temporomandibular joint disorder accounted for 98.5% of all disorders. The main otologic clinical features were earache and a dull tympanic membrane in 100% and 35.4% of patients, respectively. Middle ear assessment revealed type A in 73.8% of patients and type B in 20.0% according to Jerger’s classification system of tympanometry. Most patients (81.5%) were referred by their family physician. All patients had undergone prehospital treatment prior to presentation. Conclusion Temporomandibular joint disorder is a common presentation in medical practice. Common clinical features include ear, joint, and mastication muscle disorders.

scholarly journals Sleep patterns and symptoms of anxiety and depression in patients with chronic pain

2009 ◽  
Vol 67 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Martha M.C. Castro ◽  
Carla Daltro
Keyword(s):  
Chronic Pain ◽  
Sleep Disturbances ◽  
Myofascial Pain ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Sleep Patterns ◽  
Symptoms Of Depression ◽  
High Prevalence ◽  
The Mean

BACKGROUND: Sleep disturbances and symptoms of anxiety and depression have been shown to be involved in the genesis and perpetuation of chronic pain. OBJECTIVE: To evaluate sleep patterns and the prevalence of symptoms of anxiety and depression in patients with chronic pain. METHOD: Four hundred consecutive patients referred to a chronic pain outpatient clinic were investigated using patient charts, the numerical Visual Analogue Scale for the evaluation of pain, the Hospital Anxiety and Depression scale and the Mini-Sleep Questionnaire. RESULTS: The mean age of patients was 45.6±11.4 years. The most frequent medical diagnosis was myofascial pain followed by neuropathic pain. The prevalence of symptoms of anxiety was 72.8%, depression 93% and altered sleep patterns 93%. CONCLUSION: This study revealed a high prevalence of symptoms of depression and anxiety and alterations in sleep patterns in patients with chronic pain, justifying investigation into these disturbances in this group of patients.

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