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Signs and symptoms of temporomandibular dysfunction in fibromyalgic patients.

Abstract

OBJECTIVE

The objective of this study was to determine the frequency of signs and symptoms of temporomandibular disorder (TMD) in fibromyalgic patients.

METHODS

Sixty subjects of both sexes (mean age, 49.2 ± 13.8 years) with fibromyalgia (FM) diagnosis were included in this study. All patients were examined by a calibrated investigator to identify the presence of TMD using the Research Diagnostic Criteria for TMD.

RESULTS

The most common signs (A) and symptoms (B) reported by FM patients were (A) pain in the masticatory muscles (masseter, 80%; posterior digastric, 76.7%), pain in the temporomandibular joint (83.3%), and 33.3% and 28.3%, respectively, presented joint sounds when opening and closing the mouth; (B) headache (97%) and facial pain (81.7%). In regard to the classic triad for the diagnosis of the TMD, it was found that 35% of the FM patients presented, at the same time, pain, joint sounds, and alteration of the mandibular movements. It was verified that myofascial pain without limitation of mouth opening was the most prevalent diagnosis (47%) for the RDC subgroup I. For the subgroup II, the disk displacement with reduction was the most prevalent diagnosis (21.6%). For the subgroup III, 36.7% of the subjects presented osteoarthritis.

CONCLUSIONS

Thus, there is a high prevalence of signs and symptoms of TMD in FM patients, indicating the need for an integrated diagnosis and treatment of these patients, which suggest that the FM could be a medium- or long-term risk factor for the development of TMD.

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  • Authors+Show Affiliations

    ,

    Health Science, Federal University of Sergipe, Aracaju, Sergipe, Brazil.

    , , , , , , ,

    Source

    MeSH

    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Diagnosis, Differential
    Female
    Fibromyalgia
    Humans
    Male
    Middle Aged
    Pain Measurement
    Prevalence
    Temporomandibular Joint Disorders

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22446432

    Citation

    * When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Signs and symptoms of temporomandibular dysfunction in fibromyalgic patients. AU - Fraga,Byanka P, AU - Santos,Emanuella B, AU - Farias Neto,Jader P, AU - Macieira,José C, AU - Quintans,Lucindo J,Jr AU - Onofre,Alexandre S C, AU - De Santana,Josimari M, AU - Martins-Filho,Paulo Ricardo Saquete, AU - Bonjardim,Leonardo R, PY - 2012/3/27/entrez PY - 2012/3/27/pubmed PY - 2012/8/14/medline SP - 615 EP - 8 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 23 IS - 2 N2 - OBJECTIVE: The objective of this study was to determine the frequency of signs and symptoms of temporomandibular disorder (TMD) in fibromyalgic patients. METHODS: Sixty subjects of both sexes (mean age, 49.2 ± 13.8 years) with fibromyalgia (FM) diagnosis were included in this study. All patients were examined by a calibrated investigator to identify the presence of TMD using the Research Diagnostic Criteria for TMD. RESULTS: The most common signs (A) and symptoms (B) reported by FM patients were (A) pain in the masticatory muscles (masseter, 80%; posterior digastric, 76.7%), pain in the temporomandibular joint (83.3%), and 33.3% and 28.3%, respectively, presented joint sounds when opening and closing the mouth; (B) headache (97%) and facial pain (81.7%). In regard to the classic triad for the diagnosis of the TMD, it was found that 35% of the FM patients presented, at the same time, pain, joint sounds, and alteration of the mandibular movements. It was verified that myofascial pain without limitation of mouth opening was the most prevalent diagnosis (47%) for the RDC subgroup I. For the subgroup II, the disk displacement with reduction was the most prevalent diagnosis (21.6%). For the subgroup III, 36.7% of the subjects presented osteoarthritis. CONCLUSIONS: Thus, there is a high prevalence of signs and symptoms of TMD in FM patients, indicating the need for an integrated diagnosis and treatment of these patients, which suggest that the FM could be a medium- or long-term risk factor for the development of TMD. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/22446432/abstract/Signs_and_symptoms_of_temporomandibular_dysfunction_in_fibromyalgic_patients_ L2 - http://Insights.ovid.com/pubmed?pmid=22446432 DB - PRIME DP - Unbound Medicine ER -