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08.01.2019 | Original Article | Ausgabe 7/2019

Clinical Oral Investigations 7/2019

Perceived helpfulness of treatments for myofascial TMD as a function of comorbid widespread pain

Zeitschrift:
Clinical Oral Investigations > Ausgabe 7/2019
Autoren:
Vivian Santiago, Karen G. Raphael
Wichtige Hinweise
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Abstract

Objective

This study examined whether patients with myofascial temporomandibular disorder (mTMD) comorbid with fibromyalgia (FM) receive different treatments or respond differently to these treatments than mTMD-only patients.

Materials and methods

A total of 125 mTMD+ women were enrolled (26 FM+ and 98 FM−). mTMD and FM were assessed via clinical research examinations. Treatment histories and self-reported treatment-related improvement were obtained via interview.

Results

The top 3 most common treatments reported were oral appliances (59%), physical therapy (54%), and jaw exercises at home (34%). Use of alternative medicine was reported more frequently among FM+ women, but self-reported improvement did not differ by comorbid FM. Physical therapy was as likely reported by FM status but self-reported improvement scores trended higher for FM+ women.

Conclusions

Oral appliances were as likely to be reported by FM comorbid as FM− women. Oral appliances did not outperform self-management treatments on self-reported improvement of facial pain.

Clinical relevance

Results support the use of self-management as first-line treatment for mTMD and potential utility of inquiring about widespread pain for treatment planning.

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