Abstract
Although most cases of temporomandibular muscle and joint disorders (TMJD) are mild
and self-limiting, about 10% of TMJD patients develop severe disorders associated
with chronic pain and disability. It has been suggested that fibromyalgia and widespread
pain play a significant role in TMJD chronicity. This paper assessed the effects of
fibromyalgia and widespread pain on clinically significant TMJD pain (GCPS II-IV).
Four hundred eighty-five participants recruited from the Minneapolis/St. Paul area
through media advertisements and local dentists received examinations and completed
the Graded Chronic Pain Scale (GCPS) at baseline and at 18 months. Baseline widespread
pain (OR: 2.53, P = .04) and depression (OR: 5.30, P = .005) were associated with onset of clinically significant pain (GCPS II-IV) within
18 months after baseline. The risk associated with baseline fibromyalgia was moderate,
but not significant (OR: 2.74, P = .09). Persistence of clinically significant pain was related to fibromyalgia (OR:
2.48, P = .02) and depression (OR: 2.48, P = .02). These results indicate that these centrally generated pain conditions play
a role in the onset and persistence of clinically significant TMJD.
Perspective
Fibromyalgia and widespread pain should receive important consideration when evaluating
and developing a treatment plan for patients with TMJD.
Key words
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Article info
Publication history
Published online: May 13, 2010
Accepted:
February 12,
2010
Received in revised form:
January 31,
2010
Received:
September 22,
2009
Footnotes
This study was funded by NIH/NIDCR grant R01DE11252 and the University of Minnesota Oral Health Research Center (NIH/NIDCR grant DE09737-09). This project was also supported by the National Institute of Dental and Craniofacial Research's TMJ Implant Registry and Repository (NIH/NIDCR Contract # N01-De-22635).
Identification
Copyright
© 2010 American Pain Society. Published by Elsevier Inc. All rights reserved.
