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Journal of Oral & Facial Pain and Headache

Liza Jm van de Rijt, Roxane Af Weijenberg, Alexandra R Feast, Suzanne Delwel, Victoria Vickerstaff, Frank Lobbezoo, Elizabeth L Sampson
AIMS: To assess the validity of the resting and chewing components of the recently developed observational diagnostic tool, the Orofacial Pain Scale for Non-Verbal Individuals (OPS-NVI). METHODS: This cross-sectional observational study was carried out in two UK hospitals. A total of 56 participants with dementia who were admitted to the acute hospital were observed for 3 minutes during rest and during chewing, and the OPS-NVI was used to identify orofacial pain...
October 10, 2018: Journal of Oral & Facial Pain and Headache
Tra Thu Nguyen, Phanomporn Vanichanon, Kanokporn Bhalang, Suknipa Vongthongsri
AIMS: To investigate the relationships between three pain parameters (duration, intensity, and frequency), the number of pain sites and comorbidities, and the risk of having coexisting pain and/or comorbidities in patients with temporomandibular disorder (TMD) pain. METHODS: The sample consisted of 198 outpatients attending the Dental Hospital of Chulalongkorn University. TMD pain was determined using the Diagnostic Criteria for TMD. Pain lasting 3 months or longer was defined as chronic pain...
October 10, 2018: Journal of Oral & Facial Pain and Headache
Sivakami Rethnam Haug, Mihaela Cuida Marthinussen
AIMS: To investigate whether acute dental pain due to pulpal or periapical inflammation is associated with increased expression of cortisol and inflammatory markers and mediators in the saliva, as well as changes in salivary flow rate. METHODS: Patients experiencing pain (n = 42) were recruited when seeking emergency dental treatment. A 0 to 10 numeric rating scale (NRS) was used as a measure of the severity of pain, and the number of days with pain sensation was also recorded...
October 10, 2018: Journal of Oral & Facial Pain and Headache
Naichuan Su, Hang Wang, Arjen J van Wijk, Corine M Visscher, Frank Lobbezoo, Zongdao Shi, Geert J M G van der Heijden
AIMS: To develop models for prognostic prediction of oral health-related quality of life (OHRQoL) for patients with temporomandibular joint osteoarthritis (TMJ OA) at 1- and 6-month follow-ups after arthrocentesis treatment with hyaluronic acid (HA) injections once a week for 4 weeks. METHODS: From a cohort of 522 adult patients with TMJ OA treated with arthrocentesis with HA injections, 510 and 463 adult patients were included in the 1- and 6-month follow-ups, respectively...
August 28, 2018: Journal of Oral & Facial Pain and Headache
Diane Mourad, Aline Hajj, Souheil Hallit, May Ghossoub, Lydia Rabbaa Khabbaz
AIMS: To validate the Arabic version of the Migraine Disability Assessment Scale (MIDAS) and to evaluate the impact of the most frequently studied risk factors for migraine disability on the total MIDAS score in a Lebanese population. METHODS: This prospective study was performed from January 2017 to May 2017 and included 44 patients with migraine. Data were obtained using a questionnaire identifying sociodemographic characteristics, medical history, and migraine characteristics...
August 28, 2018: Journal of Oral & Facial Pain and Headache
Stefan Kindler, Christian Schwahn, Olaf Bernhardt, Andreas Söhnel, Maria Mksoud, Reiner Biffar, Georg Meyer, Henry Völzke, Hans Robert Metelmann, Hans Jörgen Grabe
AIMS: To estimate the association between signs of temporomandibular disorders (TMD) and symptoms of posttraumatic stress disorder (PTSD) in a representative sample from the general population of northeastern Germany. METHODS: Signs of TMD were assessed with a clinical functional analysis that included palpation of the temporomandibular joints (TMJs) and masticatory muscles. PTSD was assessed with the PTSD module of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, ed 4...
August 28, 2018: Journal of Oral & Facial Pain and Headache
Jacob N Thorp, John Willson
AIMS: To test whether the Neck Disability Index (NDI) would indicate higher reported disability among people with neck pain, cervicogenic headache, and temporomandibular disorders (TMD) when compared to people with only neck pain or neck pain with cervicogenic headache. METHODS: A total of 62 participants were enrolled and categorized into one of three groups: (1) neck pain only; (2) neck pain and cervicogenic headache; and (3) neck pain, cervicogenic headache, and TMD...
August 20, 2018: Journal of Oral & Facial Pain and Headache
Naichuan Su, Corine M Visscher, Arjen J van Wijk, Frank Lobbezoo, Geert Jmg van der Heijden
AIMS: To identify potential predictors of types of treatment indicated for patients with temporomandibular disorders (TMD) and to develop, validate, and calibrate a prediction model for type of treatment. METHODS: The derivation cohort at baseline was comprised of 356 adult patients with TMD. Patient and disease characteristics were recorded at baseline as potential predictors. Types of treatment indicated for TMD patients were the end points of the model, classified into no treatment, physical treatment only (including splint and/or physiotherapy), and combined physical and psychological treatment...
August 20, 2018: Journal of Oral & Facial Pain and Headache
Sarah Vaderlind Lanefelt, Mauricio Mélo-Gómez, Mariam Chizari, Mirna Krsek, Nikolaos Christidis, Eva Kosek, Malin Ernberg
AIMS: To investigate whether static jaw clenching can activate endogenous pain modulation and to compare the magnitude between healthy individuals and patients with temporomandibular disorder (TMD) myalgia. METHODS: Thirty-three healthy volunteers (17 women and 16 men) and 20 women with TMD myalgia participated. Exercise-induced hypoalgesia (EIH) was examined by recording pressure pain thresholds (PPTs) in the masseter (MA) and brachioradialis (BR) muscles during tooth clenching until exhaustion...
August 20, 2018: Journal of Oral & Facial Pain and Headache
Yaron Haviv, Avraham Zini, Yair Sharav, Galit Almoznino, Rafael Benoliel
AIMS: To evaluate and compare the pharmacotherapeutic efficacies of two tricyclic antidepressant (TCA) drugs for masticatory myofascial pain (MFP): nortriptyline (NOR) and amitriptyline (AMI). METHODS: Fifty patients with chronic MFP were included in the study; 30 were medicated with AMI only, and 20 took NOR after discontinuing AMI due to adverse effects. Pain diaries recording verbal pain scores (VPS) were utilized to compare posttreatment scores to baseline scores...
August 20, 2018: Journal of Oral & Facial Pain and Headache
Daniel R Reissmann, Gary C Anderson, Guido Heydecke, Eric L Schiffman
AIMS: To investigate whether a shortened dental arch (SDA), as identified by reduced posterior occlusal contacts, is a risk factor for the progression of temporomandibular joint (TMJ) intra-articular disorders (ID), as identified using imaging techniques. METHODS: This multisite, prospective observational study with a mean follow-up period of 7.9 years had a sample of 345 participants with at least 1 temporomandibular disorder (TMD) diagnosis at baseline. SDA was defined as reduced occlusal posterior support due to lack of occlusal intercuspal contacts in the molar region on the left and/or right side...
July 2018: Journal of Oral & Facial Pain and Headache
Jaryna Eder, Zbynek Tonar, Martina Schmid-Schwap, Margit Bristela, Astrid Skolka, Hannes Traxler, Eva Piehslinger, Monika Egerbacher, Siegfried Trattnig, Kirsti Witter
AIMS: To evaluate the regional collagen fiber network in the human temporomandibular joint (TMJ) disc by using biochemical magnetic resonance imaging (MRI) and quantitative histology. METHODS: MRI of 5 heads (10 TMJ discs) obtained from partially dentate or edentulous cadavers was performed at 3-Tesla MRI by using a flexible, 8-channel transmit-receive coil. After MRI, all 10 discs were processed histologically. Percentages of coronal, sagittal, and transverse collagen fibers were assessed stereologically for the anterior, central, and posterior parts of the disc...
July 2018: Journal of Oral & Facial Pain and Headache
Dyna Mara Araújo Oliveira Ferreira, Yuri Martins Costa, Henrique Müller de Quevedo, Leonardo Rigoldi Bonjardim, Paulo César Rodrigues Conti
AIMS: To assess the modulatory effects of experimental psychological stress on the somatosensory evaluation of myofascial temporomandibular disorder (TMD) patients. METHODS: A total of 20 women with myofascial TMD and 20 age-matched healthy women were assessed by means of a standardized battery of quantitative sensory testing. Cold detection threshold (CDT), warm detection threshold (WDT), cold pain threshold (CPT), heat pain threshold (HPT), mechanical pain threshold (MPT), wind-up ratio (WUR), and pressure pain threshold (PPT) were performed on the facial skin overlying the masseter muscle...
May 15, 2018: Journal of Oral & Facial Pain and Headache
Fabian H Rossi, Elizabeth Gonzalez, Elisa Marie Rossi, Nina Tsakadze
This article reports a case of exploding head syndrome (EHS) as an aura of migraine with brainstem aura (MBA). A middle-aged man presented with intermittent episodes of a brief sensation of explosion in the head, visual flashing, vertigo, hearing loss, tinnitus, confusion, ataxia, dysarthria, and bilateral visual impairment followed by migraine headache. The condition was diagnosed as MBA. Explosive head sensation, sensory phenomena, and headaches improved over time with nortriptyline. This case shows that EHS can present as a primary aura symptom in patients with MBA...
April 2018: Journal of Oral & Facial Pain and Headache
Isabel Moreno-Hay, John Lindroth
This article describes a case of continuous dentoalveolar neuropathic pain in which relief was obtained following repeated administration of intravenous infusions of a subanesthetic dose of ketamine. A 50-year-old female presented in 2006 with a 1-year history of constant sharp pain in the gingiva surrounding the maxillary left second premolar and second molar rated as 10/10 on a pain intensity scale. After multiple systemic medications failed to adequately manage the patient's pain, partial pain reduction was obtained (4/10) with daily use of methadone 50 mg in combination with application of a topical compound including lidocaine, amitriptyline, and carbamazepine to the affected area as needed...
April 2018: Journal of Oral & Facial Pain and Headache
Kazuya Yoshida
AIMS: To evaluate the effectiveness and safety of botulinum toxin administration into the inferior head of the lateral pterygoid muscle of patients with jaw opening dystonia by using a computer-aided design/computer-assisted manufacture (CAD/CAM)-derived needle guide. METHODS: A total of 17 patients with jaw opening dystonia were enrolled. After the patient's computed tomography (CT) scan was imported and fused with a scan of a plaster cast model of the maxilla, the optimal needle insertion site over the lateral pterygoid muscle was determined using the NobelClinician software...
April 2018: Journal of Oral & Facial Pain and Headache
Elena M Varoni, Alfredo F Lo Faro, Giovanni Lodi, Antonio Carrassi, Marcello Iriti, Andrea Sardella
AIMS: To evaluate the efficacy of melatonin compared to placebo in reducing pain associated with burning mouth syndrome (BMS), as well as side effects of treatment and effects on sleep quality, anxiety, and serum and salivary melatonin levels. METHODS: In this triple-blind, randomized clinical trial, 20 BMS patients (mean age ± standard deviation: 64.4 ± 11.5 years; range: 35 to 82 years) were enrolled to receive melatonin (12 mg/day) or placebo for 8 weeks in a crossover design...
April 2018: Journal of Oral & Facial Pain and Headache
Miriam Garrigós-Pedrón, Roy La Touche, Pablo Navarro-Desentre, Manuel Gracia-Naya, Eva Segura-Ortí
AIMS: To investigate the effects of adding orofacial treatment to cervical physical therapy in patients with chronic migraine and temporomandibular disorders (TMD). METHODS: A total of 45 participants with chronic migraine and TMD aged 18 to 65 years were randomized into two groups: a cervical group (CG) and a cervical and orofacial group (COG). Both groups continued their medication regimens for migraine treatment and received physical therapy. The CG received physical therapy only in the cervical region, and the COG received physical therapy in both the cervical and orofacial regions...
April 2018: Journal of Oral & Facial Pain and Headache
Flavia P Kapos, John O Look, Lei Zhang, James S Hodges, Eric L Schiffman
AIMS: To investigate, in individuals with pain-related temporomandibular disorder (TMD), the association of long-term pain intensity with baseline health-related quality of life (HRQoL) and jaw functional limitation. METHODS: Of 513 cases with baseline pain-related TMD (masticatory muscle and/or temporomandibular joint [TMJ] pain), 273 were reevaluated after 8 years, and 258 of them had complete baseline data for Jaw Functional Limitation Scale (JFLS) scores and HRQoL measured by the Physical Component Summary (PCS) and Mental Component Summary (MCS) scores of the 12-item Short Form Health Survey and follow-up data for Characteristic Pain Intensity (CPI) from the Graded Chronic Pain Scale...
April 2018: Journal of Oral & Facial Pain and Headache
Cheng-Fu Wan, Dao-Song Dong, Qi Xi, Yan Liu, Wen-Yao Cui, Qiu-Shi Wang, Tao Song
AIMS: To investigate whether nasopharyngeal airway (NPA) intubation could reduce the risk of complications caused by radiofrequency thermocoagulation (RFT) of the trigeminal ganglion. METHODS: From November 1, 2014 to May 1, 2015, 200 patients treated with sedation (combination of sufentanil and propofol) were randomly divided into two groups, one in which NPA intubation was used (intervention group) and one in which it was not used (control group). The primary outcome was the frequency of hypoxemia, and secondary outcomes were the frequency of hypotension, nasal mucosa damage, corneal numbness, masticatory weakness, palsies of other cranial nerves, and intracranial hemorrhage...
March 21, 2018: Journal of Oral & Facial Pain and Headache
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