Skip to main content
Erschienen in: Clinical Oral Investigations 3/2007

01.09.2007 | Original Article

The prevalence of myofascial pain and its association with occlusal factors in a threshold country non-patient population

verfasst von: M. Schmitter, Z. Balke, A. Hassel, B. Ohlmann, P. Rammelsberg

Erschienen in: Clinical Oral Investigations | Ausgabe 3/2007

Einloggen, um Zugang zu erhalten

Abstract

The objective of the study is to assess the prevalence of myofascial pain in a threshold country and to isolate occlusal risk factors. One hundred and seventy-one randomized selected women were examined by a trained examiner in accordance with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) examination procedure. Subscales of the SCL 90-R, graded chronic pain status, and anamnestic questionnaires were also used. Logistic regression was performed to compute the odds ratios for six common occlusal features with regard to the presence of myofascial pain, in accordance with the RDC/TMD criteria. Fifteen subjects (15 / 151 = 9.93%) suffered from myofascial pain. Results from logistic regression analysis showed that non-occlusion (posterior teeth, at least one side) and open bite increased the risk of myofascial pain. The prevalence of myofascial pain in this study is comparable with that in another study, in a highly industrialized environment, in which the RDC/TMD was used. The role of occlusion in a non-patient population seems to be restricted to serious alterations of normality. This article presents the prevalence of myofascial pain and its association with occlusal factors. This issue will help the clinicians to assess the influence of occlusion in myofascial pain patients and to send the patient to the appropriate specialist.
Literatur
1.
Zurück zum Zitat Alanen P (2002) Occlusion and temporomandibular disorders (TMD): still unsolved question? J Dent Res 81:518–519PubMedCrossRef Alanen P (2002) Occlusion and temporomandibular disorders (TMD): still unsolved question? J Dent Res 81:518–519PubMedCrossRef
2.
Zurück zum Zitat Al-Jabrah OA, Al-Shumailan YR (2006) Prevalence of temporomandibular disorder signs in patients with complete versus partial dentures. Clin Oral Investig 10:167–173PubMedCrossRef Al-Jabrah OA, Al-Shumailan YR (2006) Prevalence of temporomandibular disorder signs in patients with complete versus partial dentures. Clin Oral Investig 10:167–173PubMedCrossRef
3.
Zurück zum Zitat Casanova-Rosado JF, Medina-Solis CE, Vallejos-Sanchez AA, Casanova-Rosado AJ, Hernandez-Prado B, Avila-Burgos L (2006) Prevalence and associated factors for temporomandibular disorders in a group of Mexican adolescents and youth adults. Clin Oral Investig 10:42–49PubMedCrossRef Casanova-Rosado JF, Medina-Solis CE, Vallejos-Sanchez AA, Casanova-Rosado AJ, Hernandez-Prado B, Avila-Burgos L (2006) Prevalence and associated factors for temporomandibular disorders in a group of Mexican adolescents and youth adults. Clin Oral Investig 10:42–49PubMedCrossRef
4.
Zurück zum Zitat Choi YS, Choung PH, Moon HS, Kim SG (2002) Temporomandibular disorders in 19-year-old Korean men. J Oral Maxillofac Surg 60:797–803PubMedCrossRef Choi YS, Choung PH, Moon HS, Kim SG (2002) Temporomandibular disorders in 19-year-old Korean men. J Oral Maxillofac Surg 60:797–803PubMedCrossRef
5.
Zurück zum Zitat De Kanter RJ, Truin GJ, Burgersdijk RC, Van ‘t Hof MA, Battistuzzi PG, Kalsbeek H, Kayser AF (1993) Prevalence in the Dutch adult population and a meta-analysis of signs and symptoms of temporomandibular disorder. J Dent Res 72:1509–1518PubMed De Kanter RJ, Truin GJ, Burgersdijk RC, Van ‘t Hof MA, Battistuzzi PG, Kalsbeek H, Kayser AF (1993) Prevalence in the Dutch adult population and a meta-analysis of signs and symptoms of temporomandibular disorder. J Dent Res 72:1509–1518PubMed
6.
Zurück zum Zitat Dworkin S, LeResche L (1992) Research diagnostic criteria for temporomandibular disorders. J Craniomandib Disord 6:301–355PubMed Dworkin S, LeResche L (1992) Research diagnostic criteria for temporomandibular disorders. J Craniomandib Disord 6:301–355PubMed
7.
Zurück zum Zitat Ferrari R, Partheni M, Constantoyannis C (1999) TMD symptoms in healthy Greek subjects. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:115–116PubMedCrossRef Ferrari R, Partheni M, Constantoyannis C (1999) TMD symptoms in healthy Greek subjects. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:115–116PubMedCrossRef
8.
Zurück zum Zitat Gameiro GH, da Silva Andrade A, Nouer DF, Ferraz de Arruda Veiga MC (2006) How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Investig 10:261–268PubMedCrossRef Gameiro GH, da Silva Andrade A, Nouer DF, Ferraz de Arruda Veiga MC (2006) How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Investig 10:261–268PubMedCrossRef
9.
Zurück zum Zitat Gesch D, Bernhardt O, Alte D, Schwahn C, Kocher T, John U, Hensel E (2004) Prevalence of signs and symptoms of temporomandibular disorders in an urban and rural German population: results of a population-based Study of Health in Pomerania. Quintessence Int 35:143–150PubMed Gesch D, Bernhardt O, Alte D, Schwahn C, Kocher T, John U, Hensel E (2004) Prevalence of signs and symptoms of temporomandibular disorders in an urban and rural German population: results of a population-based Study of Health in Pomerania. Quintessence Int 35:143–150PubMed
10.
Zurück zum Zitat Goddard G, Karibe H (2002) TMD prevalence in rural and urban Native American populations. Cranio 20:125–128PubMed Goddard G, Karibe H (2002) TMD prevalence in rural and urban Native American populations. Cranio 20:125–128PubMed
11.
Zurück zum Zitat John MT, Hirsch C, Reiber T, Dworkin S (2006) Translating the research diagnostic criteria for temporomandibular disorders into German: evaluation of content and process. J Orofac Pain 20:43–52PubMed John MT, Hirsch C, Reiber T, Dworkin S (2006) Translating the research diagnostic criteria for temporomandibular disorders into German: evaluation of content and process. J Orofac Pain 20:43–52PubMed
12.
Zurück zum Zitat Landi N, Manfredini D, Tognini F, Romagnoli M, Bosco M (2004) Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system. J Prosthet Dent 92:190–195PubMedCrossRef Landi N, Manfredini D, Tognini F, Romagnoli M, Bosco M (2004) Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system. J Prosthet Dent 92:190–195PubMedCrossRef
13.
Zurück zum Zitat Le Bell Y, Jamsa T, Korri S, Niemi PM, Alanen P (2002) Effect of artificial occlusal interferences depends on previous experience of temporomandibular disorders. Acta Odontol Scand 60:219–222PubMedCrossRef Le Bell Y, Jamsa T, Korri S, Niemi PM, Alanen P (2002) Effect of artificial occlusal interferences depends on previous experience of temporomandibular disorders. Acta Odontol Scand 60:219–222PubMedCrossRef
14.
Zurück zum Zitat Locker D, Slade G (1988) Prevalence of symptoms associated with temporomandibular disorders in a Canadian population. Community Dent Oral Epidemiol 16:310–313PubMedCrossRef Locker D, Slade G (1988) Prevalence of symptoms associated with temporomandibular disorders in a Canadian population. Community Dent Oral Epidemiol 16:310–313PubMedCrossRef
15.
Zurück zum Zitat McNamara JA Jr, Seligman DA, Okeson JP (1995) Occlusion, orthodontic treatment, and temporomandibular disorders: a review. J Orofac Pain 9:73–90PubMed McNamara JA Jr, Seligman DA, Okeson JP (1995) Occlusion, orthodontic treatment, and temporomandibular disorders: a review. J Orofac Pain 9:73–90PubMed
16.
Zurück zum Zitat Nguyen M, Ugarte C, Fuller I, Haas G, Portenoy RK (2005) Access to care for chronic pain: racial and ethnic differences. J Pain 6:301–314PubMedCrossRef Nguyen M, Ugarte C, Fuller I, Haas G, Portenoy RK (2005) Access to care for chronic pain: racial and ethnic differences. J Pain 6:301–314PubMedCrossRef
17.
Zurück zum Zitat Pullinger AG, Seligman DA (2000) Quantification and validation of predictive values of occlusal variables in temporomandibular disorders using a multifactorial analysis. J Prosthet Dent 83:66–75PubMedCrossRef Pullinger AG, Seligman DA (2000) Quantification and validation of predictive values of occlusal variables in temporomandibular disorders using a multifactorial analysis. J Prosthet Dent 83:66–75PubMedCrossRef
18.
Zurück zum Zitat Pullinger AG, Seligman DA, Gornbein JA (1993) A multiple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res 72:968–979PubMed Pullinger AG, Seligman DA, Gornbein JA (1993) A multiple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res 72:968–979PubMed
19.
Zurück zum Zitat Rantala MA, Ahlberg J, Suvinen TI, Savolainen A, Kononen M (2004) Chronic myofascial pain, disk displacement with reduction and psychosocial factors in Finnish non-patients. Acta Odontol Scand 62:293–297PubMedCrossRef Rantala MA, Ahlberg J, Suvinen TI, Savolainen A, Kononen M (2004) Chronic myofascial pain, disk displacement with reduction and psychosocial factors in Finnish non-patients. Acta Odontol Scand 62:293–297PubMedCrossRef
20.
Zurück zum Zitat Rothman K, Greenland S (1998) Modern epidemiology. Lippincott-Raven, Philadelphia, pp 133–134 Rothman K, Greenland S (1998) Modern epidemiology. Lippincott-Raven, Philadelphia, pp 133–134
21.
Zurück zum Zitat Sarita PT, Kreulen CM, Witter D, Creugers NH (2003) Signs and symptoms associated with TMD in adults with shortened dental arches. Int J Prosthodont 16:265–270PubMed Sarita PT, Kreulen CM, Witter D, Creugers NH (2003) Signs and symptoms associated with TMD in adults with shortened dental arches. Int J Prosthodont 16:265–270PubMed
22.
Zurück zum Zitat Seligman DA, Pullinger AG (2000) Analysis of occlusal variables, dental attrition, and age for distinguishing healthy controls from female patients with intracapsular temporomandibular disorders. J Prosthet Dent 83:76–82PubMedCrossRef Seligman DA, Pullinger AG (2000) Analysis of occlusal variables, dental attrition, and age for distinguishing healthy controls from female patients with intracapsular temporomandibular disorders. J Prosthet Dent 83:76–82PubMedCrossRef
23.
Zurück zum Zitat Seligman DA, Pullinger AG (1989) Association of occlusal variables among refined TM patient diagnostic groups. J Craniomandib Disord 3:227–236PubMed Seligman DA, Pullinger AG (1989) Association of occlusal variables among refined TM patient diagnostic groups. J Craniomandib Disord 3:227–236PubMed
24.
Zurück zum Zitat Yap A, Chua EK, Dworkin SF, Tan HH, Tan KB (2002) Multiple pains and psychosocial functioning/psychologic distress in TMD patients. Int J Prosthodont 15:461–466PubMed Yap A, Chua EK, Dworkin SF, Tan HH, Tan KB (2002) Multiple pains and psychosocial functioning/psychologic distress in TMD patients. Int J Prosthodont 15:461–466PubMed
25.
Zurück zum Zitat Yap AU, Dworkin SF, Chua EK, List T, Tan KB, Tan HH (2003) Prevalence of temporomandibular disorder subtypes, psychologic distress, and psychosocial dysfunction in Asian patients. J Orofac Pain 17:21–28PubMed Yap AU, Dworkin SF, Chua EK, List T, Tan KB, Tan HH (2003) Prevalence of temporomandibular disorder subtypes, psychologic distress, and psychosocial dysfunction in Asian patients. J Orofac Pain 17:21–28PubMed
Metadaten
Titel
The prevalence of myofascial pain and its association with occlusal factors in a threshold country non-patient population
verfasst von
M. Schmitter
Z. Balke
A. Hassel
B. Ohlmann
P. Rammelsberg
Publikationsdatum
01.09.2007
Verlag
Springer-Verlag
Erschienen in
Clinical Oral Investigations / Ausgabe 3/2007
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-007-0116-1

Weitere Artikel der Ausgabe 3/2007

Clinical Oral Investigations 3/2007 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.