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Premorbid and concurrent predictors of TMD onset and persistence
- Source :
- Eur J Pain
- Publication Year :
- 2019
-
Abstract
- BACKGROUND Multiple risk factors predict temporomandibular disorders (TMD) onset, but temporal changes in risk factors and their contribution to risk of TMD have not been evaluated. The study aims were to (a) describe changes occurring in premorbid TMD risk factors when re-measured at TMD onset and 6 months later, and (b) determine if measures of change improve accuracy in predicting TMD incidence compared to premorbid measures alone. METHODS In this observational prospective cohort study at four university research clinics, 3,258 community-based, 18- to 44-year-olds without TMD were enrolled. During the 3-year median follow-up, 260 incident cases of first-onset TMD were identified, and 196 TMD-free subjects were selected as matched controls. Six-months later, 147 of 260 incident cases (56.6%) were re-examined revealing 72 (49%) with 'persistent TMD' and 75 (51%) whose condition had resolved ('transient TMD'). Virtually all (126) of the 127 re-examined controls remained without TMD. Questionnaires and clinical measurements evaluated risk factors from clinical, health, psychological and behavioural and neurosensory domains. RESULTS Most risk factors across all four domains increased with TMD onset, remained elevated in the persistent group and declined in the transient group (i.e., significant ANOVA interactions, p
- Subjects :
- Persistence (psychology)
medicine.medical_specialty
Article
03 medical and health sciences
0302 clinical medicine
Facial Pain
Risk Factors
Internal medicine
medicine
Humans
030212 general & internal medicine
Prospective Studies
Prospective cohort study
Pain Measurement
Receiver operating characteristic
business.industry
Incidence (epidemiology)
Chronic pain
Environmental exposure
Temporomandibular Joint Disorders
medicine.disease
stomatognathic diseases
Anesthesiology and Pain Medicine
Observational study
Analysis of variance
business
human activities
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15322149
- Volume :
- 24
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- European journal of pain (London, England)
- Accession number :
- edsair.doi.dedup.....05e0631f07ccd4ae8d3f487c7b68ca0b