The contribution of pain and disability on the transition from acute to chronic pain-related TMD: A 3-month prospective cohort study

Although most cases of pain-related temporomandibular disorders (TMD) are mild and self-limiting, about 10% of TMD patients develop severe disorders associated with chronic pain and disability. It has been suggested that pain intensity contributes to the transition from acute to chronic pain-related...

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Autores principales: Velly, Ana Miriam, Elsaraj, Sherif M., Botros, Jack, Samim, Firoozeh, der Khatchadourian, Zovinar, Gornitsky, Mervyn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9458951/
https://www.ncbi.nlm.nih.gov/pubmed/36093390
http://dx.doi.org/10.3389/fpain.2022.956117
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author Velly, Ana Miriam
Elsaraj, Sherif M.
Botros, Jack
Samim, Firoozeh
der Khatchadourian, Zovinar
Gornitsky, Mervyn
author_facet Velly, Ana Miriam
Elsaraj, Sherif M.
Botros, Jack
Samim, Firoozeh
der Khatchadourian, Zovinar
Gornitsky, Mervyn
author_sort Velly, Ana Miriam
collection PubMed
description Although most cases of pain-related temporomandibular disorders (TMD) are mild and self-limiting, about 10% of TMD patients develop severe disorders associated with chronic pain and disability. It has been suggested that pain intensity contributes to the transition from acute to chronic pain-related TMD. Therefore, the aims of this current prospective cohort study were to assess if pain intensity, pain always being present, pain or stiffness on awakening, jaw activities, and interference, were associated with the transition from acute to chronic pain-related TMD at 3 months of follow-up. One hundred and nine participants, recruited from four clinics in Montreal and Ottawa, received examinations and completed the required instruments at baseline and at the 3rd month of follow-up. In a multivariable analysis including sex, age, characteristic pain index (CPI) (OR = 1.03, 95%CI = 1.01–1.06, P = 0.005), moderate to severe average pain intensity (OR = 3.51, 95%CI = 1.24–9.93, P = 0.02), disability points score (OR = 1.29, 95%CI = 1.06–1.57, P = 0.01), interferences (ORs = 1.30–1.32, P = 0.003–0.005), screening score (OR = 1.37, 95%CI = 1.08–1.76, P = 0.01), and pain always present (OR = 2.55, 95%CI = 1.08–6.00, P = 0.03) assessed at first-visit were related to the transition outcome at the 3rd month of follow-up. Further, we found that if 4 patients with acute pain-related TMD on average were exposed to these risk factors at baseline, 1 would have the transition from acute to chronic pain at 3 months of follow-up. Results indicate that these factors are associated with the transition from acute to chronic pain-related TMD, and therefore should be considered as important factors when evaluating and developing treatment plans for patients with pain-related TMD.
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spelling pubmed-94589512022-09-10 The contribution of pain and disability on the transition from acute to chronic pain-related TMD: A 3-month prospective cohort study Velly, Ana Miriam Elsaraj, Sherif M. Botros, Jack Samim, Firoozeh der Khatchadourian, Zovinar Gornitsky, Mervyn Front Pain Res (Lausanne) Pain Research Although most cases of pain-related temporomandibular disorders (TMD) are mild and self-limiting, about 10% of TMD patients develop severe disorders associated with chronic pain and disability. It has been suggested that pain intensity contributes to the transition from acute to chronic pain-related TMD. Therefore, the aims of this current prospective cohort study were to assess if pain intensity, pain always being present, pain or stiffness on awakening, jaw activities, and interference, were associated with the transition from acute to chronic pain-related TMD at 3 months of follow-up. One hundred and nine participants, recruited from four clinics in Montreal and Ottawa, received examinations and completed the required instruments at baseline and at the 3rd month of follow-up. In a multivariable analysis including sex, age, characteristic pain index (CPI) (OR = 1.03, 95%CI = 1.01–1.06, P = 0.005), moderate to severe average pain intensity (OR = 3.51, 95%CI = 1.24–9.93, P = 0.02), disability points score (OR = 1.29, 95%CI = 1.06–1.57, P = 0.01), interferences (ORs = 1.30–1.32, P = 0.003–0.005), screening score (OR = 1.37, 95%CI = 1.08–1.76, P = 0.01), and pain always present (OR = 2.55, 95%CI = 1.08–6.00, P = 0.03) assessed at first-visit were related to the transition outcome at the 3rd month of follow-up. Further, we found that if 4 patients with acute pain-related TMD on average were exposed to these risk factors at baseline, 1 would have the transition from acute to chronic pain at 3 months of follow-up. Results indicate that these factors are associated with the transition from acute to chronic pain-related TMD, and therefore should be considered as important factors when evaluating and developing treatment plans for patients with pain-related TMD. Frontiers Media S.A. 2022-08-26 /pmc/articles/PMC9458951/ /pubmed/36093390 http://dx.doi.org/10.3389/fpain.2022.956117 Text en Copyright © 2022 Velly, Elsaraj, Botros, Samim, der Khatchadourian and Gornitsky. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pain Research
Velly, Ana Miriam
Elsaraj, Sherif M.
Botros, Jack
Samim, Firoozeh
der Khatchadourian, Zovinar
Gornitsky, Mervyn
The contribution of pain and disability on the transition from acute to chronic pain-related TMD: A 3-month prospective cohort study
title The contribution of pain and disability on the transition from acute to chronic pain-related TMD: A 3-month prospective cohort study
title_full The contribution of pain and disability on the transition from acute to chronic pain-related TMD: A 3-month prospective cohort study
title_fullStr The contribution of pain and disability on the transition from acute to chronic pain-related TMD: A 3-month prospective cohort study
title_full_unstemmed The contribution of pain and disability on the transition from acute to chronic pain-related TMD: A 3-month prospective cohort study
title_short The contribution of pain and disability on the transition from acute to chronic pain-related TMD: A 3-month prospective cohort study
title_sort contribution of pain and disability on the transition from acute to chronic pain-related tmd: a 3-month prospective cohort study
topic Pain Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9458951/
https://www.ncbi.nlm.nih.gov/pubmed/36093390
http://dx.doi.org/10.3389/fpain.2022.956117
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