{"title":"肌肉性颞下颌疾病患者疼痛与咀嚼功能的复杂关系。","authors":"Ta-Chung Chen, Chia-Shu Lin","doi":"10.1111/joor.14052","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Previous studies have focused on alleviating pain in patients with temporomandibular disorders (TMDs). However, deficits in masticatory function, including subjective eating experience and masticatory performance, and the associations between pain and mastication have not been fully elucidated.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>The current study aimed to investigate clinical pain, masticatory function, and their associations in patients with muscular TMD before and after treatment.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Twenty-seven patients with muscular TMD and 27 healthy participants (non-TMD group) were included. The groups were matched based on age, sex, and number of missing teeth. The TMD group completed assessments at two timepoints: the first time when they underwent TMD examinations, and 3 months later. All the participants underwent assessments of masticatory function, including subjective experiences of eating difficulty in daily meals and the use of adaptive eating strategies, as well as an objective assessment of masticatory performance. Additionally, current pain and muscle pain were assessed among TMD patients before and after treatment.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>(a) Before treatment, patients with muscular TMD had greater eating difficulty and used more adaptive eating strategies than non-TMD individuals but exhibited similar masticatory performance. (b) Patients with muscular TMD had improved masticatory performance, reduced current pain, and reduced muscle pain after treatment. (c) Before treatment, more severe pain was associated with worse masticatory performance among TMD patients. The association between muscle pain and masticatory performance was nonsignificant.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Patients with muscular TMD had worse masticatory experience than individuals without TMD but maintained adequate masticatory performance. Treatment was associated with improved masticatory performance, and more severe pain before treatment was associated with worse masticatory performance.</p>\n </section>\n </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2084-2094"},"PeriodicalIF":4.0000,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Complex Associations Between Pain and Masticatory Function in Patients With Muscular Temporomandibular Disorders\",\"authors\":\"Ta-Chung Chen, Chia-Shu Lin\",\"doi\":\"10.1111/joor.14052\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Previous studies have focused on alleviating pain in patients with temporomandibular disorders (TMDs). However, deficits in masticatory function, including subjective eating experience and masticatory performance, and the associations between pain and mastication have not been fully elucidated.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>The current study aimed to investigate clinical pain, masticatory function, and their associations in patients with muscular TMD before and after treatment.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Twenty-seven patients with muscular TMD and 27 healthy participants (non-TMD group) were included. The groups were matched based on age, sex, and number of missing teeth. The TMD group completed assessments at two timepoints: the first time when they underwent TMD examinations, and 3 months later. All the participants underwent assessments of masticatory function, including subjective experiences of eating difficulty in daily meals and the use of adaptive eating strategies, as well as an objective assessment of masticatory performance. Additionally, current pain and muscle pain were assessed among TMD patients before and after treatment.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>(a) Before treatment, patients with muscular TMD had greater eating difficulty and used more adaptive eating strategies than non-TMD individuals but exhibited similar masticatory performance. (b) Patients with muscular TMD had improved masticatory performance, reduced current pain, and reduced muscle pain after treatment. (c) Before treatment, more severe pain was associated with worse masticatory performance among TMD patients. The association between muscle pain and masticatory performance was nonsignificant.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Patients with muscular TMD had worse masticatory experience than individuals without TMD but maintained adequate masticatory performance. Treatment was associated with improved masticatory performance, and more severe pain before treatment was associated with worse masticatory performance.</p>\\n </section>\\n </div>\",\"PeriodicalId\":16605,\"journal\":{\"name\":\"Journal of oral rehabilitation\",\"volume\":\"52 11\",\"pages\":\"2084-2094\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-07-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of oral rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/joor.14052\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/joor.14052","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Complex Associations Between Pain and Masticatory Function in Patients With Muscular Temporomandibular Disorders
Background
Previous studies have focused on alleviating pain in patients with temporomandibular disorders (TMDs). However, deficits in masticatory function, including subjective eating experience and masticatory performance, and the associations between pain and mastication have not been fully elucidated.
Objective
The current study aimed to investigate clinical pain, masticatory function, and their associations in patients with muscular TMD before and after treatment.
Methods
Twenty-seven patients with muscular TMD and 27 healthy participants (non-TMD group) were included. The groups were matched based on age, sex, and number of missing teeth. The TMD group completed assessments at two timepoints: the first time when they underwent TMD examinations, and 3 months later. All the participants underwent assessments of masticatory function, including subjective experiences of eating difficulty in daily meals and the use of adaptive eating strategies, as well as an objective assessment of masticatory performance. Additionally, current pain and muscle pain were assessed among TMD patients before and after treatment.
Results
(a) Before treatment, patients with muscular TMD had greater eating difficulty and used more adaptive eating strategies than non-TMD individuals but exhibited similar masticatory performance. (b) Patients with muscular TMD had improved masticatory performance, reduced current pain, and reduced muscle pain after treatment. (c) Before treatment, more severe pain was associated with worse masticatory performance among TMD patients. The association between muscle pain and masticatory performance was nonsignificant.
Conclusion
Patients with muscular TMD had worse masticatory experience than individuals without TMD but maintained adequate masticatory performance. Treatment was associated with improved masticatory performance, and more severe pain before treatment was associated with worse masticatory performance.
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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