Orofacial pain caused by trigeminal neuralgia and/or temporomandibular disorders (CROSBI ID 598323)
Prilog sa skupa u časopisu | sažetak izlaganja sa skupa | međunarodna recenzija
Podaci o odgovornosti
Badel, tomislav ; Savić Pavičin, Ivana ; Bašić Kes, Vanja ; Zavoreo, Iris ; Zadravec, Dijana ; Kern, Josipa
engleski
Orofacial pain caused by trigeminal neuralgia and/or temporomandibular disorders
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.
trigeminal neuralgia; tenmporomandibular joint
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Podaci o prilogu
23-23.
2013.
nije evidentirano
objavljeno
Podaci o matičnoj publikaciji
Periodicum biologorum
Šakić, Katarina ; Vitale Branko
Zagreb: Hrvatsko prirodoslovno društvo
0031-5362
Podaci o skupu
5th INTERNATIONAL SYMPOSIUM ON REGIONAL ANAESTHESIA AND PAIN THERAPY 5th Croatian Congress of Regional Anaesthesia and Analgesia
poster
14.06.2013-15.06.2013
Zagreb, Hrvatska
Povezanost rada
Kliničke medicinske znanosti, Dentalna medicina