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Attributes Germane ...
Attributes Germane to Temporomandibular Disorders and Their Associations with Five Chronic Overlapping Pain Conditions
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- Sharma, Sonia (författare)
- Malmö universitet,Odontologiska fakulteten (OD),Department of Oral Diagnostic Sciences, University at Buffalo, School of Dental Medicine, Buffalo, NY, United States
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- Slade, Gary D. (författare)
- Division of Pediatric and Public Health, Adams School of Dentistry Department of Dental Ecology Department of Epidemiology, Gillings School of Global Public Health University of North Carolina, Chapel Hill, NC, United States
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- Fillingim, Roger B. (författare)
- Department of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida, Gainesville, FL, United States
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- Greenspan, Joel D. (författare)
- Department of Neural and Pain Sciences, Brotman Facial Pain Clinic Center to Advance Chronic Pain Research, School of Dentistry University of Maryland, Baltimore, MD, United States
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- Rathnayaka, Nuvan (författare)
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
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- Ohrbach, Richard (författare)
- Department of Oral Diagnostic Sciences, University at Buffalo, School of Dental Medicine, Buffalo, NY, United States
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(creator_code:org_t)
- Quintessence, 2020
- 2020
- Engelska.
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Ingår i: Journal of Oral & Facial Pain and Headache. - : Quintessence. - 2333-0384. ; 34:Suppl, s. 57-72
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Aims: To investigate whether TMD-related characteristics are indeed specific to TMD or whether they are also associated with other chronic overlapping pain conditions (COPCs). Methods: In this cross-sectional study, 22 characteristics related broadly to TMD (eg, jaw kinesiophobia, overuse behaviors, and functional limitation) were measured in 178 painful TMD cases who were also classified according to four COPCs: headache, low back pain, irritable bowel syndrome, and fibromyalgia. Differences in mean subscale scores were compared according to individual chronic pain conditions and according to number of COPCs. Results: Headache, low back pain, irritable bowel syndrome, and fibromyalgia were each associated (P < .05) with higher values of at least one TMD-relevant characteristic. In the multivariable analysis, TMD was independently associated with 20 of the 22 characteristics (P < .01), and other COPCs were associated variably. A critical threshold existed between the number of COPCs and TMD characteristics: all characteristics were elevated for subjects with >= 3 COPCs (P <=.01). Conclusion: The overlap between COPCs and characteristics typically regarded as specific to painful TMD has implications for treatment targeted at both the local TMD condition and the broader pain disorder underlying the COPC(s). In TMD patients, the overall burden of pain from COPCs may create a shift in the pain-processing systems that underlie these TMD-relevant characteristics.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
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