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Comparison of clinical findings and psychosocial factors in patients with atypical odontalgia and temporomandibular disorders
University of Aarhus.
Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Neurology. Linköping University, Department of Clinical and Experimental Medicine, Neurology .
University of Aarhus.
University of Aarhus.
2008 (English)In: Journal of Orofacial Pain, ISSN 1064-6655, Vol. 22, no 1Article in journal (Refereed) Published
Abstract [en]

Aims: To systematically compare clinical findings and psychosocial factors between patients suffering from atypical odontalgia (AO) and an age- and gender-matched group of patients with temporomandibular disorders (TMD).Methods: Forty-six AO patients (7 men and 39 women, mean age, 56 years) were compared with 41 TMD patients (8 men and 33 women, mean age, 58 years). Results: Mean pain intensity at the time of inclusion in the study was similar between the groups (TMD: 5.3 ± 0.4, AO: 5.0 ± 0.3), but pain duration was longer in AO patients (AO: 7.7 ± 1.1 years, TMD: 4.5 ± 0.1 years). Eighty-three percent of the AO patients and 15% of TMD patients reported pain onset in relation to dental/surgical procedures. Episodic tension-type headache (TTH) occurred equally in both groups (TMD: 46%, AO: 46%), but TMD patients more frequently experienced chronic TTH (TMD: 35%, AO: 18%), myofascial TMD (TMD: 93%, AO: 50%), and temporomandibular joint disorders (TMD: 66%, AO: 2%). Overall, TMD patients had lower pressure pain thresholds and poorer jaw function than AO patients. Mean depression and somatization scores were moderate to severe in both groups, and widespread pain was most common in TMD patients.Conclusion: AO and TMD share some characteristics but differ significantly in report of dental trauma, jaw function, pain duration, and pain site.

Place, publisher, year, edition, pages
2008. Vol. 22, no 1
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-44139Local ID: 75799OAI: diva2:265000
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2010-05-24

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Leijon, Göran
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Faculty of Health SciencesDepartment of NeurologyNeurology
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