1. Systemic diseases and other painful conditions in patients with temporomandibular disorders and migraine.
- Author
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Contreras EFR, Fernandes G, Ongaro PCJ, Campi LB, and Gonçalves DAG
- Subjects
- Adolescent, Adult, Aged, Brazil epidemiology, Comorbidity, Cross-Sectional Studies, Diabetes Complications physiopathology, Diabetes Mellitus epidemiology, Diabetes Mellitus physiopathology, Facial Pain physiopathology, Female, Gastritis complications, Gastritis epidemiology, Gastritis physiopathology, Humans, Logistic Models, Male, Middle Aged, Migraine Disorders physiopathology, Musculoskeletal Diseases epidemiology, Musculoskeletal Diseases physiopathology, Neck Pain epidemiology, Neck Pain physiopathology, Peptic Ulcer epidemiology, Peptic Ulcer physiopathology, Prevalence, Sex Factors, Temporomandibular Joint Disorders physiopathology, Young Adult, Facial Pain epidemiology, Migraine Disorders epidemiology, Temporomandibular Joint Disorders epidemiology
- Abstract
Temporomandibular disorders (TMD) are a highly prevalent, painful musculoskeletal condition affecting the masticatory system, and are frequently associated with migraines (M) and other diseases. This study aimed to investigate the association between painful TMD and M with other painful conditions and systemic diseases, such as cervicalgia, body pain (BP), ear-nose-throat disorders, musculoskeletal disorders, diabetes, cardiopulmonary diseases and gastritis/peptic ulcer., Methods: This was a cross-sectional study conducted in a sample of 352 individuals. Participants were stratified into three groups according to the presence of painful TMD and M: controls [individuals free of TMD and any headache (HA)]; TMD only (presence of painful TMD, but free of any HA); and TMD+M (presence of painful TMD and M). TMD was classified according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) - Axis I. Nonspecific physical symptoms (NSPS) were assessed by RDC/TMD - Axis II. The International Classification of Headache Disorders - II criteria, second edition, were applied to identify and classify primary HA. Other painful conditions and systemic diseases were assessed by volunteers' self-report. The prevalence of all assessed conditions was higher in the TMD+M group. Multiple regression models showed that cervicalgia was associated with the TMD only group (p<0.05), whereas gender (p<0.05), cervicalgia (p<0.05), BP (p<0.05) and NSPS (p<0.05) were significantly associated with the TMD+M group. Our results suggest that individuals with a comorbidity (TMD associated with M) have a more severe condition than those presenting only painful TMD.
- Published
- 2018
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