Preclinical perspectives on disorders of the temporomandibular joint: Tracing the past, navigating the present, and shaping the future.

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY
John K Neubert, Kyle Allen, Tamara Alliston, Alejandro J Almarza, Kyriacos A Athanasiou, Basak Donertas-Ayaz, Bruna Balbino de Paula, Roxanne Bavarian, Nidhi Bhutani, Brian E Cairns, Robert M Caudle, Yang Chai, Jian-Fu Chen, Yong Chen, Glenn T Clark, Yenisel Cruz-Almeida, Alexandre F DaSilva, Paul L Durham, Airam Vivanco Estela, Millie Embree, Roger Fillingim, Fernando Guastaldi, Shruti Handa, Sunil D Kapila, David Keith, Keith L Kirkwood, Phillip Kramer, Katherine T Martucci, Niall P Murphy, Andrea G Nackley, Richard Ohrbach, Benedikt Sagl, Shad B Smith, Feng Tao, Beth Winkelstein, Hai Yao, Simon Young, Michael S Gold
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引用次数: 0

Abstract

Temporomandibular disorders (TMDs) are complex conditions characterized by orofacial pain and dysfunction, affecting a significant portion of the population. TMDs may involve joint and/or muscle pain, dysfunction (e.g., noise, limited or altered jaw movements), or both, leading to a marked decrease in quality of life. Patients often experience functional limitations that hinder eating, speaking, and daily activities. Additionally, TMDs are frequently associated with psychological distress, including anxiety and depression, which further impacts overall well-being. Despite the profound individual and societal impact of TMDs, effective therapies remain elusive, partly due to deficiencies in translational research. A primary limitation in the TMD field is the scarcity of animal models that accurately replicate disease features in humans. This may ultimately be due to species differences, but likely also reflects the etiological and symptomatic heterogeneities of TMDs, as there are over 30 different conditions in this umbrella term. Both factors pose a significant challenge in developing and using animal models for TMD research. This review highlights preclinical TMD research to enhance clinical care, focusing on anatomy/physiology, pain and behavior models, functional and tissue modeling, biopsychosocial factors, and technological considerations. The "TMD Research Community" collaborated to produce this review, with the Discussion offering a proposal for a path forward.

颞下颌关节疾病的临床前研究:追溯过去,导航现在,塑造未来。
颞下颌紊乱(TMDs)是一种以口面部疼痛和功能障碍为特征的复杂疾病,影响了很大一部分人群。tmd可能涉及关节和/或肌肉疼痛、功能障碍(例如,噪音、下颌运动受限或改变),或两者兼而有之,导致生活质量显著下降。患者经常经历功能限制,妨碍进食、说话和日常活动。此外,tmd通常与心理困扰有关,包括焦虑和抑郁,这进一步影响了整体健康。尽管tmd对个人和社会产生了深远的影响,但有效的治疗方法仍然难以捉摸,部分原因是翻译研究的不足。TMD领域的一个主要限制是缺乏能够准确复制人类疾病特征的动物模型。这可能最终是由于物种差异,但也可能反映了tmd的病因和症状异质性,因为在这个总称中有30多种不同的病症。这两个因素对开发和使用动物模型进行TMD研究构成了重大挑战。本文综述了临床前TMD研究,以加强临床护理,重点是解剖学/生理学,疼痛和行为模型,功能和组织模型,生物心理社会因素和技术考虑。“TMD研究界”合作编写了这篇综述,讨论会上提出了前进道路的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
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