Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
Oral medicinePrevalence of temporomandibular disorders in fibromyalgia and failed back syndrome patients: A blinded prospective comparison study
Section snippets
Participants
This was a prospective study that involved recruiting patients visiting the Physical Medicine and Rehabilitation Clinic and patients visiting a FM workshop organized by the Center for the Advancement of Women’s Health at the University of Kentucky between March 2005 and April 2006. The research was approved by the Institutional Review Board for the Protection of Human Patients. The study sample included 32 FM and 19 FBS patients. The FM patients included in the study had received a diagnosis by
Sample size, sociodemographic characteristics, prevalence, severity, and duration of TMD
The total sample was composed of 51 adult patients (male = 6; female = 45). The FM group was composed of 32 patients (male = 0; female = 32) with a mean age of 52.2 ± 7.8 years. The FM group (P = .002) differed with respect to gender from the FBS group, which was composed of 19 patients (male = 6; female = 13) with a mean age of 50.0 ± 9.1 years. The 2 groups also differed with respect to their education level (P = .03), where a greater number of FM (40.5%) patients had college degrees in
Physical findings
This study investigated the prevalence of symptoms and signs of TMD in FM patients compared with another sample of patients with chronic pain, namely FBS. Fifty-three percent of the FM patients compared with 11% of the FBS patients reported face pain indicating that FM patients were 9.6 times more likely to report face pain than the FBS patients. The greater prevalence of face pain among FM patients compared with FBS patients seems logical as FM represents one end of a spectrum of chronic
Conclusion
The present study replicated and extended previous investigations addressing the relationship between TMD and FM. This study confirmed our hypothesis that the prevalence of TMD is greater among FM patients than among FBS patients. High levels of psychosocial distress and PTSD-like symptoms were found in both the FM and FBS patients, but several measures of psychological distress and dysfunction were significantly higher in FM patients than in FBS patients. We speculated that these results could
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2019, Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyCitation Excerpt :The most painful palpation reported was at the masseter17,22,25 and the temporalis muscles.25 In their case control study,15 Balasubramaniam et al. found that palpation was painful in the TMJs and the retrodiskal zone in all if the patients with FM. In a study by Fraga et al.,1 palpation of the TMJs and all of the masticatory muscles was reported to be very painful by patients with FM.
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