engleski

Temporomandibular joint disorder related to vertebral column disorder and headaches durin a 9- year-follow-up after treatment

Introduction & Aims. The aim of this study was to compare the relationship between clinical characteristics of the patients from the subgroup with osteoarthritis (OA) and disc displacement (DD) of temporomandibular joint (TMJ) related to types of headaches and vertebral column disorders (VCD) with a 9-year-follow-up after treatment. Materials & Methods. The patients were divided into two subgroups according to different diagnoses of TMJ disorders ; the G1 subgroup consisted of 47 patients with DD of TMJ (mean age ± standard deviation (SD) 29.53 ± 14.16, 76.6% women). These patients were compared to the G2 subgroup of 36 patients who only had OA of TMJ (mean age ± SD: 50.58 ± 16.11, 88.9% women). The patients from both subgroups were treated in the same way using the occlusal splint and physical therapy. Clinical variables were compared between the two groups (G1 and G2) as well as within the total number of patients (G1+G2) for particular clinical features in the period of the first examination (T0) and on recalls after 9 years (T1). Pain on VAS (visual analogue scale) in TMJs, occurrence of headache, and the existence of VCD were recorded. The psychological assessment was carried out by Spielberger’s State-Trait Anxiety Inventory (STAI). Results. There was a significant age difference (p < 0.001) between the two subgroups of TMJ diagnoses. There was no difference (p = 0.4674) for pain intensity on VAS measured at T0 and T1 for G-1 and G-2 subgroups. Measuring anxiety showed a significant difference for both score values at T0 (first appointment): for STAI 1 p = 0.029 and for STAI 2 p = 0.006). VCD were found in 17% patients of G-1 and in 66.7% patients of G-2 group. For patients without VCD alone, a statistically significant difference was found between patients' age (p = 0.0008) and STAI 2 (p = 0.004): G-2 patients were older and with higher scores of anxiety than G-1 patients. Headaches were found in 34% of G-1 and 44% of G-2 patients, and there was no difference for any variables. Discussion. Reversible treatments are the primary choice for the treatment of TMJ disorders, with the occlusal splint and TMJ physical therapy both equally successful. Conclusion. Patients with OA (G-2) were older and with higher anxiety scores. Patients without VCD with OA (G-2) had higher pain intensity at 9-year- recall. References. Di Paolo C et al. Pain Res Manag. 2017 ; 2017:3203027.

temporomandibular disorder ; temporomandibular joint ; headache

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