Naslov
Comparison of patients with orofacial pain caused by trigeminal neuralgia and/or temporomandibular joint disorder

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

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

Izvornik
Swiss archives neurology and phsychiatry / Annoni J-M - Muttenz : EMH Swiss Medical Publishers Ltd, 2013

Skup
2nd SFCNS Congress Swiss Federation of Clinical Neuro-Societies

Mjesto i datum
Montreux, Švicarska, 05.06.2013. - 07.06.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
temporomandibular joint; trigeminal neuralgia; magnetic resonance imaging

Sažetak
Background and purpose. The purpose was to evaluate accurate 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. 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 neurological examination in cases of uncommon orofacial pain conditions.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Dentalna medicina

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