Utilization of pharmaceuticals among patients with temporomandibular disorders: a controlled study.

• Pharmaceuticals are among factors that might be associated with temporomandibular disorders (TMDs), but knowledge about their utilization is limited. The purpose was to systematically register the regular use of medication in general among TMD patients and matched controls to enable comparisons to be made.Three hundred consecutive patients referred for diagnosis and treatment of TMDs and fulfilling the Research Diagnostic Criteria were examined prospectively and any medication recorded. Matched controls were registered parallel in time. The pharmaceuticals used were categorized according to the Anatomical Therapeutic Chemical Classification System (ATC).Forty-four percent of the patients received a main diagnosis of "muscle disorder", 39% "disk disorder", and 17% "joint disorder". Fifty-one percent of all patients used some medication on a regular basis compared to 36% of the controls (p<0.001). The average number of ATC categories used among all patients was 0.9 and among controls 0.5 (p<0.001). Of the female patients with the diagnosis "muscle disorder", 23% used antidepressants (N06A), 6% tranquilizers (N05B), and 7% sleep medication or sedatives (N05C) significantly more frequently than controls. Of the female patients diagnosed with a "joint disorder", 26% used antidepressants (N06A) significantly more frequently than controls. All other ATC categories differed non-significantly.The results suggest that the use of pharmaceuticals differs between patients and controls. TMD patients, particularly women diagnosed with "muscle" or "joint" disorders, appear to use drugs for depression more frequently than ordinary dental patients.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

Adolescent

Adult

Aged

Aged

80 and over

Anti-Inflammatory Agents

Non-Steroidal

therapeutic use

Antidepressive Agents

therapeutic use

Arthralgia

classification

Arthritis

classification

Case-Control Studies

Contraceptives

Oral

therapeutic use

Drug Therapy

classification

Female

Humans

Hypnotics and Sedatives

therapeutic use

Male

Masticatory Muscles

physiopathology

Middle Aged

Prospective Studies

Sex Factors

Temporomandibular Joint Disc

physiopathology

Temporomandibular Joint Disorders

classification

complications

Thyroid Hormones

therapeutic use

Tranquilizing Agents

therapeutic use

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)