Naslov
Orofacial pain caused by trigeminal neuralgia and/or temporomandibular disorders

Autori
Badel, Tomislav ; Savić Pavičin, Ivana ; Bašić Kes, Vanja ; Zavoreo, Iris ; Zadravec, Dijana ; Kern, Josipa

Izvornik
Periodicum biologorum (0031-5362) 115 (2013), 2; 185-189

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
trigeminal neuralgia ; tenmporomandibular joint

Sažetak
Background and purpose. The purpose was to evaluate an accurate method of differentiating between temporomandibular joint (TMJ) disorder and trigeminal neuralgia (TN) in the sample of patients from a subspecialist dental practice. Patients and methods. Patients (n=239, mean age 39.3 years, 83.3% female) were examined for clinical symptoms and signs of orofacial pain of non-dental origin. The study included 12 female patients (group G-1 ; mean age 60.3 years) with determined co-morbidity of TMJ disorder and TN, and 17 patients (group G-2 ; mean age 53.8 years, 64.7% female) with only TN confirmed and the TMJ disorder ruled out. The TMJ diagnosis by means of magnetic resonance imaging (MRI) was confirmed. Pain intensity was rated on a visual- analogue scale (VAS with range 0-10) and maximal mouth opening capacity (mm) measured by gauge. Results. TMJ pain on the VAS scale for G-1 patients amounted to 6.91. TN related pain symptoms on the VAS scale for G-1 patients amounted to 9.0±1.6 and for G-2 patients 8.1±2.7. There was a statistically significant difference in the intensity of TMJ and TN related pain (p=0.0074) within the G-1 patients group. Pain in the TMJ area (p=0.0012), noise in the TMJs (p=0.0345) as well as ear pain (p<0.001) were more frequent in G-1 patients with TMJ disorder. Maximal mouth opening was statistically significant (p=0.0037) between G-1 (38.9±9.2 mm) and G-2 patients (48.9±5.2 mm). Conclusions. A thorough clinical evaluation of symptoms as well as MRI as the gold standard for TMJ diagnostics also includes a neurological examination in cases of uncommon orofacial pain conditions.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Dentalna medicina

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