Naslov
TEMPOROMANDIBULAR DISFUNCTION (TMD) – WHY WOMEN COMPLAIN MORE ON PAIN?

Autori
Melita Valentić-Peruzović

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Abstract book of World Dental Congress , FDI held in Singapore from September 2nd to 5th, 2009 / - , 2009

Skup
World Dental Congress , FDI, Singapore, 2009

Mjesto i datum
Singapur, 02.09.2009. - 05.09.2009

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
TMD; sex differences; pain sensation; pain intensity; pain treshold

Sažetak
TMD is a group of conditions affecting the temporomandibular joint and adjacent structures, and most clinicians and researchers are confirmed that it is multifactorial etiology. There are multiple risk factors associated with TMD. Almost all age groups are involved and ratio between man and women is found to be from 1:4 and 1:3 in some studies to 1:1.8 in other. Main age range for females is in their generic period (20-40). The etiology of TMD is poorly understood. As is the case with other chronic musculoskeletal pain disorders, TMD seems to be best explained from a biopsychosocial perspective, in which it is viewed as a psychophysiological disorder involving changes in endogenous regulatory pain pathways, resulting in maladaptive emotional, physiological and neuroendocrine responses to physical and psychological stressors. In adolescents with TMD, psychosocial factors such as increased levels of stress, somatic complaints, and emotional problems seem to play a more prominent role than dental factors. Multiple pains in the body and fatigue are significantly more common with TMD group than with the controls. Several studies have categorized TMD into subgroups. Provided studies that examined psychological differences between subgroups generally indicated that patients with myogenic diagnoses had more pain and distress than those with joint-related diagnoses. It seems that muscular pain may overshadow joint pain. However, subjects in the myogenous group more often reported parafunction, depression, and worrying. Recent studies suggest that subjects with muscular diagnoses have more severe pain and psychological distress than those with joint diagnoses. Further studies are needed to clarify the temporal sequence of risk factors, as well as the mechanisms accounting for the association between TMD pain and female gender.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA