Prevalence of neuropathic symptoms in patients referred for temporomandibular disorder in a Chilean hospital, 2014-2015.
Abstract
Aim: To determine the prevalence of neuropathic symptoms in the orofacial region in patients referred for painful temporomandibular disorder at Hospital Base Valdivia in 2014 and 2015.Materials and method: An observational study was conducted on patients referred for painful temporomandibular disorder by general dentists working in primary dental health care at Hospital Base Valdivia, during October 2014 and March and April 2015. Patients were asked to complete the LANSS pain scale by one of the examiners. The variables age, sex and location of pain were measured and registered. Results: Of the 84 patients surveyed, 88.1% were women, with a mean age of 38.2 years. The median score obtained with the LANSS scale was 3.0 [0-8.75]. A 20.2% had neuropathic pain symptoms. They were all women with an average age of 36.7. The most recurrent painful area was the right mandibular dermatome of the trigeminal nerve in patients with neuropathic pain symptoms.Conclusion: The prevalence of symptoms of neuropathic pain was 20% in patients referred for painful temporomandibular disorders. Dentists should evaluate neuropathic symptoms to provide a proper management of the condition.References
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2. Klasser GD, Epstein JB, Villines D. Management of burning mouth syndrome. J Mich Dent Assoc. 2012;94(6):43–46.
3. Van Hecke O, Austin SK, Khan RA, Smith BH, Torrance N. Neuropathic pain in the general population: A systematic review of epidemiological studies. Pain 2014;155(4):654–662.
4. Benoliel R, Eliav E. Neuropathic orofacial pain. Alpha Omegan 2012;105(3-4):66–74.
5. Iwata K, Imamura Y, Honda K, Shinoda M. Physiological mechanisms of neuropathic pain: the orofacial region. Int Rev Neurobiol. 2011;97(1):227–250.
6. Hans G, Masquelier E, De Cock P. The diagnosis and management of neuropathic pain in daily practice in Belgium: an observational study. BMC Public Health 2007;7(1):170–183.
7. Magrinelli F, Zanette G, Tamburin S. Neuropathic pain: diagnosis and treatment. Pract Neurol. 2013;13(5):292–307.
8. Frisardi G, Chessa G, Sau G, Frisardi F. Trigeminal Electrophysiology: a 2 × 2 matrix model for differential diagnosis between temporomandibular disorders and orofacial pain. BMC Musculoskelet Disord. 2010;11(1):141–153.
9. Pérez C, Gálvez R, Insausti J, Bennett M, Ruiz M, Rejas J. Linguistic adaptation and Spanish validation of the LANSS (Leeds Assessment of Neuropathic Symptoms and Signs) scale for the diagnosis of neuropathic pain. Med Clin (Barc). 2006;127(13):485–491.
10. Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013;57(3):465–479.
11. Byahatti S. Evolution, Epidemiology and Etiology of Temporomandibular Joint Disorders. J Indian Acad Oral Med Radiol. 2010;22:13–18.
12. Koc R, Erdemoglu A. Validity and Reliability of the Turkish Self-Administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) Questionnaire: Validity and Reliability of Turkish S-LANSS. Pain Med. 2010;11(7):1107–1114.
13. Schmid-Schwap M, Bristela M, Kundi M, Piehslinger E. Sex-Specific Differences in Patients with Temporomandibular Disorders. J Orofac Pain 2013;27(1):42–50.
14. Bagis B, Ayaz EA, Turgut S, Durkan R, Özcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J Med Sci. 2012;9(7):539–544.
15. Guzman WD, Guzmán CL. Prevalencia y necesidad de tratamiento de trastornos temporomandibulares en una población Chilena. AMC 2012;16(5):606–609.
16. Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013;111(1):52–58.
17. Torrance N, Smith BH, Bennett MI, Lee AJ. The epidemiology of chronic pain of predominantly neuropathic origin. Results from a general population survey. J Pain 2006;7(4):281–289.
18. Karibe H, Goddard G, McNeill C, Shih ST. Comparison of patients with orofacial pain of different diagnostic categories. Cranio 2011;29(2):138–143.
19. Smith BH, Torrance N. Epidemiology of Neuropathic Pain and Its Impact on Quality of Life. Curr Pain Headache Rep. 2012;16(3):191–198.
20. Tomoyasu Y, Higuchi H, Mori M, Takaya K, Honda Y, Yamane A, Yabuki A, Hayashi T, Ishii-Maruyama M, Jinzenji A, Maeda S, Kohjitani A, Shimada M, Miyawaki T. Chronic Orofacial Pain in Dental Patients: Retrospective Investigation over 12 years. Acta Med Okayama 2014;68(5):269–275.
21. Suarez P, Clark G. Oral conditions of 1,049 patients referred to a university-based oral medicine and orofacial pain center. Spec Care Dent. 2007;27(5):191–195.
22. Pedullà E, Meli GA, Garufi A, Mandalà ML, Blandino A, Cascone P. Neuropathic pain in temporomandibular joint disorders: case-control analysis by MR imaging. Am J Neuroradiol. 2009;30(7):1414–1418.
23. Okeson JP. Bell’s oral and facial pain. 7th ed. Chicago: Quintessence Publishing Co Inc; 2014.
24. Zakrzewska JM. Differential diagnosis of facial pain and guidelines for management. Br J Anaesth. 2013;111(1):95–104.
25. Woolf C, Mannion R. Neuropathic pain: aetiology, symptoms, mechanisms, and management. Lancet 1999;353(9168):1959–1964.
26. Badel T, Savic I, Basic V, Zavoreo I, Zadravec D, Kern J. Orofacial pain caused by trigeminal neuralgia and/or temporomandibular joint disorder. Periodicum Biologrum 2013;115(2):185–189.
27. Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, Cunin G, Fermanian J, Ginies P, Grun-Overdyking A, Jafari-Schluep H, Lantéri-Minet M, Laurent B, Mick G, Serrie A, Valade D, Vicaut E. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 2005;114(1-2):29–36.
28. Walsh J, Rabey MI, Hall TM. Agreement and Correlation Between the Self-Report Leeds Assessment of Neuropathic Symptoms and Signs and Douleur Neuropathique 4 Questions Neuropathic Pain Screening Tools in Subjects With Low Back–Related Leg Pain. J Manipulative Physiol Ther. 2012;35(3):196–202.
Published
2015-08-04
How to Cite
MIRANDA, Sebastian et al.
Prevalence of neuropathic symptoms in patients referred for temporomandibular disorder in a Chilean hospital, 2014-2015..
Journal of Oral Research, [S.l.], v. 4, n. 4, p. 263-269, aug. 2015.
ISSN 0719-2479.
Available at: <https://www.joralres.com/index.php/JOralRes/article/view/joralres.2015.051>. Date accessed: 30 apr. 2024.
doi: https://doi.org/10.17126/joralres.2015.051.
Issue
Section
Articles
Keywords
Temporomandibular Disorders; Facial Pain; Neuropathic Pain; LANSS scale.
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