Importance of Pain Drawing Profiles and Their Association With Pain Intensity/Interference and Clinical TMD Diagnoses Among Tertiary Care TMD Pain Patients.
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引用次数: 0
Abstract
Background: Body pain widespreadness may be related to biopsychosocial impact in TMD (temporomandibular disorders) pain patients.
Objectives: The aim was to assess, by using pain drawings (PDs), the whole-body pain locations/widespreadness and their association with pain-related intensity/interference and clinical Axis I diagnoses among Finnish tertiary care TMD pain patients using the DC/TMD-FIN (Diagnostic Criteria for TMD-FIN).
Methods: Based on PDs, 197 TMD pain patients were divided into PD profile subgroups: PD-1 (local head/face pain), PD-2 (regional head and neck/shoulder pain) and PD-3 (widespread pain). Using the Graded Chronic Pain Scale 2.0 (GCPS 2.0) assessing pain-related intensity/interference, the patients were classified into TMD subtypes (1 = uncompromised, 2 = moderately, 3 = severely compromised). Based on quantitative analysis of PDs, PD score was calculated, considering the pain widespreadness. Differences between PD profile subgroups in TMD subtypes, PD scores and Axis I diagnoses were evaluated with Independent Samples Kruskal-Wallis and chi-squared tests and pairwise comparisons with Mann-Whitney U test with Bonferroni correction. PD score sum was explored by linear regression with age, sex, Axis I diagnoses and TMD subtype as independent variables.
Results: Patients were evenly distributed by PD profiles. Patients with widespread PD-3 profiles were significantly more often classified into TMD subtype 3, had higher PD scores and more pain-related Axis I diagnoses as compared to local PD-1 and regional PD-2.
Conclusion: Among TMD pain patients widespread pain associates with biopsychosocial impact. PD is an important adjunct tool in biopsychosocial Axis II assessment of TMD pain patients for treatment planning and personalised care.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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