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Journal of Oral & Facial Pain and Headache

Ioannis Papadiochos, Sofia Papadiochou, Vassilis Petsinis, Lampros Goutzanis, Charikleia Atsali, Nikolaos Papadogeorgaki
Although the incidence of tetanus disease has radically declined in developed countries, both dental practitioners and oral and maxillofacial surgeons should be knowledgeable about its diagnosis since initial manifestations of the disease, such as trismus and dysphagia, are observed in the orofacial region. This study reports on a case of generalized tetanus diagnosed in a middle-aged man. Before the tetanus diagnosis, the patient had sought medical advice from seven different health care professionals, including a dentist and an oral and maxillofacial surgeon...
October 2016: Journal of Oral & Facial Pain and Headache
Hiroyuki Yoshikawa, Yurie Yamada, Masayuki Kurose, Kensuke Yamamura, Takeyasu Maeda, Kenji Seo
AIMS: To examine the effects of local brain-derived neurotrophic factor (BDNF) produced after nerve injury on the functional regeneration of the damaged nerve. METHODS: The inferior alveolar nerve was transected in adult male rats and 1 μg or 10 μg of BDNF antibody was administered at the injury site; a third group of rats received saline and a fourth group underwent nerve ligation. BDNF mRNA was quantified in the transected tissue and trigeminal ganglion by using real-time polymerase chain reaction (PCR)...
October 2016: Journal of Oral & Facial Pain and Headache
Kayo Suzuki, Lene Baad-Hansen, Maria Pigg, Peter Svensson
AIMS: To compare mechanical pain thresholds (MPTs) in the orofacial region assessed with two different approaches: with an electronic von Frey (EvF) device and with custom-made weighted pinprick stimulators. The test-retest reliability, variability of MPTs, and time duration of each test were also compared, as well as the ability of each test to create stimulus-response (S-R) curves. METHODS: A total of 16 healthy volunteers participated. The MPT and S-R curve measurements were done with the two different techniques at three sites: on the skin of the right cheek (face), on the buccal gingival mucosa of the right upper premolar region (gingiva), and on the tip of the tongue (tongue)...
October 2016: Journal of Oral & Facial Pain and Headache
Camila Corral, Patricio Vildósola Grez, Matías Letelier, Edson Alves Dos Campos, Alessandro Loguercio Dourado, G E Fernández
AIMS: To assess the effects of application of an oxalic acid-based desensitizing agent before restoration of noncarious cervical lesions (NCCLs) with either a silorane-based or a methacrylate-based composite resin on decreasing the absolute risk and intensity of dentin hypersensitivity over the course of a 1-year follow-up. METHODS: NCCLs in 31 patients (age range 24-66 years) were selected and randomly divided into four groups (n = 31 in all groups). In the Z250 and P90 groups, the restorations were performed with a methacrylate-based composite resin (Filtek Z250) and a silorane-based composite resin (Silorane P90), respectively...
October 2016: Journal of Oral & Facial Pain and Headache
Sun-Young Kim, Sung-Pa Park
AIMS: To measure the prevalence of cutaneous allodynia in Korean patients with migraine and to characterize the differential risks of migraine-associated factors and psychiatric disorders in its development. METHODS: The study included consecutive patients with migraine who visited headache clinics at two tertiary care hospitals. Questionnaires including the 12-item Allodynia Symptom Checklist (ASC-12) and the Migraine Disability Assessment (MIDAS) were administered to the patients...
October 2016: Journal of Oral & Facial Pain and Headache
David Bonenfant, Pierre H Rompré, Nathalie Rei, Nicolas Jodoin, Valerie Lynn Soland, Veronica Rey, Christine Brefel-Courbon, Fabienne Ory-Magne, Olivier Rascol, Pierre J Blanchet
AIMS: To determine the prevalence and characteristics of burning mouth syndrome (BMS) in a Parkinson's disease (PD) population through a self-administered, custom-made survey. METHODS: A total of 218 surveys were collected during regular outpatient visits at two Movement Disorders Clinics in Montreal (Canada) and Toulouse (France) to gather information about pain experience, PD-related symptoms, and oral and general health. A neurologist confirmed the diagnosis of PD, drug treatment, Hoehn-Yahr stage, and Schwab & England Activity of Daily Living score...
October 2016: Journal of Oral & Facial Pain and Headache
Outi S Huhtela, Ritva Näpänkangas, Tiina Joensuu, Aune Raustia, Kristina Kunttu, Kirsi Sipilä
AIMS: To evaluate the prevalence of self-reported bruxism and symptoms of temporomandibular disorders (TMD) and to investigate their association in academic and applied science university students in Finland. METHODS: The data were gathered from 4,403 Finnish students included in the Finnish Student Health Survey 2012. The comprehensive questionnaire included five questions concerning bruxism and TMD symptoms. Bivariate associations between self-reported bruxism and TMD symptoms were evaluated using chi-square tests, and logistic regression model was used with age and gender as factors...
October 2016: Journal of Oral & Facial Pain and Headache
Irena Mladenovic, Gordana Supic, Ruzica Kozomara, Slobodan Dodic, Nedeljka Ivkovic, Bojana Milicevic, Ivana Simic, Zvonko Magic
AIMS: To evaluate the association between catechol-O-methyltransferase (COMT) gene polymorphisms and temporomandibular disorders (TMD), TMD pain, psychosocial impairment related to TMD, and postoperative pain. METHODS: A total of 90 patients with a diagnosis of painful TMD and 92 matched controls were investigated for the presence of TMD, TMD pain, and psychosocial variables by the Research Diagnostic Criteria for TMD. In a prospective cohort study of 40 subjects who underwent extraction of at least one fully impacted mandibular third molar, subjects had 6 months post-surgery follow-up of postoperative pain...
October 2016: Journal of Oral & Facial Pain and Headache
Elizangela Bertoli, Reny de Leeuw
AIMS: To investigate the prevalence of suicidal ideation (SI), depression, and anxiety in patients with a chronic temporomandibular disorder (TMD). METHODS: The sample consisted of 1,241 consecutive patients diagnosed with muscle or joint pain, consistent with the Research Diagnostic Criteria for TMD (RDC/TMD), and assigned to one of three groups: Muscle pain (MM) group, joint pain (TMJ) group, and Mixed group. Variables of interest were specific demographics and psychometrics derived from the Symptom Checklist 90-Revised (SCL-90-R): three SI-related items, depression, anxiety, and Global Symptom Index score...
October 2016: Journal of Oral & Facial Pain and Headache
Tuija I Suvinen, Pentti Kemppainen, Yrsa Le Bell, Tommi Kauko, Heli Forssell
AIMS: To assess drawings of pain sites and self-reported comorbid pains as a part of the biopsychosocial profiling of tertiary care referral patients with temporomandibular disorder (TMD) pain. METHODS: A total of 135 consecutive patients referred to tertiary care for TMD pain participated. Patients drew all the sites where they had pain on whole-body pain drawings. Other assessments included self-reported comorbid pains in the head and body regions, the Finnish Research Diagnostic Criteria for TMD (RDC/TMD_FIN Axis II), and additional biopsychosocial and treatment-related variables...
October 2016: Journal of Oral & Facial Pain and Headache
Elon Eisenberg
This article is a case report of a female patient in whom sour and spicy foods evoked trigeminal neuralgia (TN). An attempt to reveal the underlying pain mechanism is described and discussed. The 81-year-old woman had been suffering from classical TN since the age of 50. Attacks occurred spontaneously or in response to mechanical stimuli. In addition, sour and spicy foods also evoked TN attacks and were therefore avoided for years. Medical treatment was initially effective, but two radiofrequency ablations of the gasserian ganglion were required later on and yielded good, albeit incomplete, pain relief...
2016: Journal of Oral & Facial Pain and Headache
Sabrina Salah, Lesly Thomas, Saravanan Ram, Glenn T Clark, Reyes Enciso
AIMS: To conduct a systematic review to determine the efficacy of oral medications for the management of postherpetic neuralgia (PHN). METHODS: Three electronic databases were searched: Cochrane Library (up to 7 July 2015), MEDLINE via PubMed (from 1950 to 7 July 2015), and Web of Science (1864 to 7 July 2015). Studies were limited to double-blind, placebo controlled, randomized controlled trials on oral medications used to treat PHN. Risk of bias was independently assessed in duplicate...
2016: Journal of Oral & Facial Pain and Headache
Daniele Manfredini, Angela Arreghini, Luca Lombardo, Alessandra Visentin, Silvia Cerea, Tommaso Castroflorio, Giuseppe Siciliani
AIMS: To determine whether there is a correlation between any psychological features and sleep bruxism (SB). METHODS: A total of 36 healthy volunteers underwent an in-home evaluation with a portable device combining electromyographic (EMG) and electrocardiographic (ECG) recordings for the diagnosis of SB. They were administered questionnaires that assessed state and trait anxiety levels and coping strategies. The study hypothesis was that the SB index was significantly correlated with an individual's anxiety and coping...
2016: Journal of Oral & Facial Pain and Headache
Yohei Kumazaki, Shigehisa Kawakami, Atsutoshi Hirata, Kazuhiro Oki, Shogo Minagi
AIMS: To assess the influence of clenching side and location (ie, tooth) on the bite force necessary to induce pain or discomfort in patients with unilateral anterior disc displacement (ADD) of the temporomandibular joint (TMJ). METHODS: A total of 17 patients with unilateral ADD diagnosed clinically and with magnetic resonance imaging were included. A bite force meter was positioned at each of four experimental positions: the mandibular first premolars and first molars, bilaterally...
2016: Journal of Oral & Facial Pain and Headache
Giulio Alessandri-Bonetti, Francesco Bortolotti, Maria Lavinia Bartolucci, Ida Marini, Vincenzo D'Antò, Ambra Michelotti
AIMS: To determine if pressure pain thresholds (PPTs) of masticatory and neck muscles change after the application of a mandibular advancement device (MAD) in patients with obstructive sleep apnea (OSA). METHODS: A prospective study was conducted in a sample of 27 OSA patients (24 males and 3 females; mean age ± standard deviation [SD]: 54.8 ± 11.8, mean apnea-hypopnea index ± SD: 23.5 ± 13.3) and 27 age- and sex-matched healthy controls. Exclusion criteria were signs and symptoms of temporomandibular disorders (TMD), metabolic diseases, and use of antidepressants, analgesics, or anti-inflammatory drugs...
2016: Journal of Oral & Facial Pain and Headache
Dong Lv, Jinglu Zhang, Xinyu Gu, Huijie Shen, Sheng Shao, Wei Hou, Kelun Wang, Peter Svensson, Wenjing Chen
AIMS: To evaluate the transient effects of orthodontic treatment on the mechanical detection threshold (MDT) and mechanical pain threshold (MPT) of the buccal attached gingiva and the pressure pain threshold (PPT) of the buccal attached gingiva and of the teeth in two directions (perpendicular and parallel). METHODS: A total of 20 patients (15 females and 5 males) aged 18 to 30 years participated in the study. Perceived pain on a 0- to 10-cm visual analog scale (VAS) and MDT, MPT, and PPT scores were evaluated at two time points at the masseter muscle, gingiva, teeth, and hand (control) prior to orthodontic treatment (T₀) and 24 hours after the first archwire placement (T₁)...
2016: Journal of Oral & Facial Pain and Headache
Cláudia Barbosa, Sandra Gavinha, Tânia Soares, Maria Conceição Manso
AIMS: To determine whether there is an association between temporomandibular disorders (TMD) and a history of facial/jaw injury (FJI), orthodontic treatment (OT), or third molar removal (TMR) in university students, and to evaluate the students' awareness of a possible relationship between jaw pain or other TMD symptoms, FJI, OT, and TMR, and the presence of TMD. METHODS: This cross-sectional study involved 1,381 Oporto District university students. The Portuguese version of the Research Diagnostic Criteria for TMD was used for TMD diagnosis...
2016: Journal of Oral & Facial Pain and Headache
Maria Paço, Bárbara Peleteiro, José Duarte, Teresa Pinho
AIMS: To analyze the methodologic quality, summarize the findings, and perform a meta-analysis of the results from randomized controlled trials that assessed the effects of physiotherapy management of temporomandibular disorders. METHODS: A literature review was performed using the electronic databases PubMed, Science Direct, and EBSCO. Each article was independently assessed by two investigators using the Physiotherapy Evidence Database (PEDro), Jadad scales, and the Cochrane Risk of Bias tool...
2016: Journal of Oral & Facial Pain and Headache
Jennifer B Harmon, Anne E Sanders, Rebecca S Wilder, Greg K Essick, Gary D Slade, Jane E Hartung, Andrea G Nackley
AIMS: To investigate the relationship between omentin-1 levels and painful temporomandibular disorders (TMD). METHODS: In a case-control design, chronic painful TMD cases (n = 90) and TMD-free controls (n = 54) were selected from participants in the multisite OPPERA study (Orofacial Pain: Prospective Evaluation and Risk Assessment). Painful TMD case status was determined by examination using established Research Diagnostic Criteria for TMD (RDC/TMD). Levels of omentin-1 in stored blood plasma samples were measured by using an enzyme linked immunosorbent assay...
2016: Journal of Oral & Facial Pain and Headache
Celeste Sanders, Angela Liegey-Dougall, Rob Haggard, Peter Buschang, Steve Karbowski, Richard Riggs, Robert J Gatchel
AIMS: To evaluate whether a biobehavioral intervention would be more effective than a self-care intervention or no intervention in reducing psychosocial distress, reducing pain, and improving functioning in patients with an acute myofascial temporomandibular disorder (m-TMD). METHODS: Participants (n = 435) were from community dental clinics in the Dallas-Fort Worth Metroplex who were seeking treatment for their acute TMD symptoms and were recruited between 2008 and 2013...
2016: Journal of Oral & Facial Pain and Headache
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