Can the Measurement of Jaw-Opening Forces Assist in the Diagnosis of Temporomandibular Disorders?
Authors: Ratnayake J, Guan G, Polonowita A, Li KC, Gray AR, Waddell JN, Loch C, Brunton PA Abstract AIMS: To investigate the effectiveness of a novel jaw-opening-force measuring device as a screening tool to aid in the diagnosis of temporomandibular disorders (TMD). METHODS: Symptomatic TMD patients (n = 58) and control TMD-free participants (n = 56) were screened by an oral medicine specialist according to the Diagnostic Criteria for TMD (DC/TMD). TMD patients were divided into three subcategories based on TMD symptoms (myofascial pain, disc displacement, and both combined). Jaw-opening forces were measured in...
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Treating Temporomandibular Disorders in the 21st Century: Can We Finally Eliminate the "Third Pathway"?
Treating Temporomandibular Disorders in the 21st Century: Can We Finally Eliminate the "Third Pathway"? J Oral Facial Pain Headache. 2020 Summer;34(3):206-216 Authors: Greene CS, Manfredini D Abstract Within the orofacial pain discipline, the most common group of afflictions is temporomandibular disorders (TMD). The pathologic and functional disorders included in this condition closely resemble those that are seen in the orthopedic medicine branch of the medical profession, so it would be expected that the same principles of orthopedic diagnosis and treatment are applied. Traditional orthoped...
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Taste and Pain Response in Burning Mouth Syndrome With and Without Geographic Tongue.
CONCLUSION: BMS and BMS/GT present with similar clinical pain phenotype and demographics; however, taste was more intact in BMS/GT, suggesting that GT may be a contributing factor in the development of BMS through a mechanism that does not involve taste. PMID: 32870950 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Structural and Functional Brain Abnormalities in Trigeminal Neuralgia: A Systematic Review.
CONCLUSION: There is moderate evidence that TN patients show structural brain differences in specific cortical and subcortical regions. In addition, TN patients show changes in pain-related functional connections in the resting state. Future research should focus on longitudinal designs and integration of different brain-imaging techniques. PMID: 32870951 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

An Operational Clinical Approach in the Diagnosis and Management of Sleep Bruxism: A First Step Towards Validation.
Authors: Cunha TCA, Dal Fabbro C, Januzzi E, Cunali PA, Meira E Cruz M Abstract Exacerbation of nighttime sleep-related oromotor activity is often recognized as a relevant clinical entity commonly known as sleep bruxism (SB). Many pragmatic issues about SB diagnosis and management remain controversial. Therefore, within a critical review of the literature, this article proposes an operational clinical approach for SB diagnosis and management, with a focus on three comorbidities frequently occurring in relation to sleep: obstructive sleep apnea (OSA), gastroesophageal reflux disease (GERD), and insomnia. In the abse...
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Physical Treatments Reduce Pain in Children with Tension-Type Headache: A Systematic Review and Meta-Analysis.
CONCLUSION: This review supports the use of physical treatments to reduce pain in children with TTH. PMID: 32870953 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Entrustable Professional Activities in Postgraduate Orofacial Pain Programs.
Authors: Hawkins J, Heir G, Okeson J, Shaefer J Abstract Entrustable professional activities (EPAs) are a curriculum development and learner assessment tool that ensure a trainee is able to safely translate the skills they have learned during residency into unsupervised clinical practice. Although EPAs are used extensively across various health professions worldwide, dentistry is just beginning to call for their development at both the predoctoral and postgraduate levels. Given the complex, multifactorial nature of orofacial pain disorders and the need for an interdisciplinary approach to management, the specialty ...
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Tinnitus in Temporomandibular Disorders: Axis I and Axis II Findings According to the Diagnostic Criteria for Temporomandibular Disorders.
Authors: Mijiritsky E, Winocur E, Emodi-Perlman A, Friedman-Rubin P, Dahar E, Reiter S Abstract AIMS: To examine the associations of self-reported presence of tinnitus with subtypes of temporomandibular disorders (TMD) as assessed by Axis I of the Diagnostic Criteria for TMD (DC/TMD) and with psychologic characteristics as assessed by Axis II. METHODS: This retrospective controlled study included 108 consecutive TMD patients referred to the Tel Aviv University Orofacial Pain Clinic. Each patient received full Axis I and Axis II diagnoses according to the DC/TMD. The patients were asked about currently experienc...
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

The Association Between Self-Reported Awake Oral Behaviors and Orofacial Pain Depends on the Belief of Patients That These Behaviors Are Harmful to the Jaw.
CONCLUSION: Awake oral behaviors were positively associated with orofacial pain, but only under the condition of a strong belief of the patients in causal attribution of these behaviors to the jaw pain complaint. No such association was present in case of a low causal attribution belief. It appeared that, within this patient cohort, the relationship between causal attribution belief and self-reported oral behaviors was (in part) the result of shared psychologic risk factors. PMID: 32870956 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Effects of Acute Experimental Stress on Pain Sensitivity and Cortisol Levels in Healthy Participants: A Randomized Crossover Pilot Study.
Authors: Dawson A, Bendixen K, Tran A, van Bui T, Svensson P, List T Abstract AIMS: To investigate pain sensitivity in the masseter muscle and index finger in response to acute psychologic stress in healthy participants. METHODS: Fifteen healthy women (23.7 ± 2.3 years) participated in two randomized sessions: in the experimental stress session, the Paced Auditory Serial Addition Task (PASAT) was used to induce acute stress, and in the control session, a control task was performed. Salivary cortisol, perceived stress levels, electrical and pressure pain thresholds (PTs), and pain tolerance levels (PTLs) ...
Source: Journal of Orofacial Pain - September 2, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Manual Therapy in the Treatment of Myofascial Pain Related to Temporomandibular Disorders: A Systematic Review.
CONCLUSION: Manual therapy was better than no treatment in one study and better than counseling in another study; however, manual therapy combined with counseling was not statistically better than counseling alone, and manual therapy alone was not better than botulinum toxin. Manual therapy combined with home therapy was better than home therapy alone in one study. Further studies are required due to the inconclusive data and poor homogeneity found in this review. PMID: 32255579 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 8, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Effect of Platelet-Rich Plasma Injections on Pain Reduction in Patients with Temporomandibular Joint Osteoarthrosis: A Meta-Analysis of Randomized Controlled Trials.
Authors: Li F, Wu C, Sun H, Zhou Q Abstract AIMS: To study the effect of platelet-rich plasma (PRP) injections on pain reduction in patients with temporomandibular joint osteoarthritis (TMJ OA). METHODS: The authors performed a comprehensive search of the MEDLINE, PubMed, and Web of Science databases to retrieve RCTs published up to July 2018. Pain outcomes (visual analog scale scores) were extracted to assess the effect of PRP injections on TMJ OA. All data analyses were conducted using RevMan 5.3. RESULTS: Six studies were included. According to the results of these trials, intra-articular injections of P...
Source: Journal of Orofacial Pain - April 8, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Clinical Characteristics, Treatment Effectiveness, and Predictors of Response to Pharmacotherapeutic Interventions in Burning Mouth Syndrome: A Retrospective Analysis.
CONCLUSION: The prevalence of an associated sensory discrepancy was higher in primary BMS. Pharmacologic intervention provided significant relief for approximately half of the patients with primary BMS and nearly one-third of the patients with secondary BMS. Concurrent use of neuropathic medications was a negative predictor, and presence of anxiety disorder a positive predictor, of therapeutic response among patients with primary BMS and secondary BMS, respectively. PMID: 32255581 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 8, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Ernest Syndrome: A Systematic Review of the Literature.
CONCLUSION: The analyzed studies allow a better understanding of Ernest syndrome and the proposal of a tendinosis model for this condition. However, the evidence is scarce, and it is therefore necessary to carry out additional studies with better methodologic designs. PMID: 32255582 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 8, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Orofacial Antinociceptive Effect of Nifedipine in Rodents Is Mediated by TRPM3, TRPA1, and NMDA Processes.
Authors: de Oliveira BA, Alves Rodrigues Santos SA, Menezes Pereira EW, Nogueira AB, Vieira Neto AE, de Melo Júnior JMA, Damasceno MBMV, Quintans-Júnior LJ, Sessle BJ, Magalhães FEA, Campos AR Abstract AIMS: To test for the possible antinociceptive effect of nifedipine in rodent models of acute and chronic neuropathic orofacial pain and the possible involvement of TRP- and NMDA-related processes in this effect. METHODS: Acute nociceptive behavior was induced by administering formalin, cinnamaldehyde, glutamate, capsaicin, or acidified saline to the upper lip or hypertonic saline to the corn...
Source: Journal of Orofacial Pain - April 8, 2020 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

The Efficacy of Botulinum Toxin in Cluster Headache: A Systematic Review.
CONCLUSION: This review summarizes the only prospectively collected efficacy and safety data regarding the use of botulinum toxin in cluster headache. Off-label use should be considered in certain cases. Further study is warranted to better characterize injection paradigms and patient selection, given the encouraging but limited data available. PMID: 31560734 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - September 29, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Features of Neurovascular Orofacial Pain Compared to Painful Posttraumatic Trigeminal Neuropathy.
Authors: Haviv Y, Zini A, Keshet N, Almoznino G, Benoliel R, Sharav Y Abstract AIMS: To test and re-examine the diagnostic criteria for neurovascular orofacial pain (NVOP) compared to posttraumatic trigeminal neuropathy (PTTN). METHODS: Pain and patient characteristics were compared in patients with NVOP, PTTN, and NVOP initiated by trauma (PT-NVOP). NVOP criteria were based on prior studies, and PTTN was defined according to the International Classification of Headache Disorders, version 3 beta. RESULTS: Of the 170 patients in the cohort, 90 had PTTN, 51 had NVOP, and 29 had PT-NVOP. None of the tested par...
Source: Journal of Orofacial Pain - September 29, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Assessment of Somatosensory Function, Pain, and Unpleasantness in Two Surrogate Models of Trigeminal Nerve Damage: A Randomized, Double-Blind, Controlled Crossover Study.
Authors: Pillai RS, Pigg M, List T, Svensson P, Baad-Hansen L Abstract AIMS: To assess the pain and/or unpleasantness and the somatosensory changes caused by two experimental models of trigeminal nerve damage (topical application of capsaicin and local anesthetics) in healthy participants using extensive evaluation tools. METHODS: This double-blinded, randomized, placebo-controlled, crossover study included 20 healthy adult participants who underwent three separate sessions of testing. In each session, the psychophysical quantitative sensory testing (QST) and the electrophysiologic electrically evoked trigemina...
Source: Journal of Orofacial Pain - September 29, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Sphenopalatine Ganglion Block with Botulinum Neurotoxin for Treating Trigeminal Neuralgia Using CAD/CAM-Derived Injection Guide.
Authors: Yoshida K Abstract AIMS: To examine the effectiveness and safety of using a CAD/CAM-derived injection guide for botulinum neurotoxin block of the sphenopalatine ganglion for trigeminal neuralgia treatment. METHODS: Ten patients with second-division trigeminal neuralgia who did not respond to submucosal administration of botulinum neurotoxin were enrolled in this study. The target point around the sphenopalatine fossa was determined after fusion of computed tomography data with a scan of a maxillary model using a software program for dental implant surgery. A CAD/CAM-derived injection guide was fabricat...
Source: Journal of Orofacial Pain - September 29, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Prevalence and Overlaps of Headaches and Pain-Related Temporomandibular Disorders Among the Polish Urban Population.
CONCLUSION: Headaches and pain-related TMD are major problems among the Polish urban population. Headache was a much more frequent problem for participants with painful TMD. This issue requires further research and identification of cause-and-effect relationships. Considering the entire studied population, the relationship between identified TMJ disorders and headache is negligible. PMID: 31465030 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - August 31, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Orofacial Pain and Toothache as the Sole Symptom of an Acute Myocardial Infarction Entails a Major Risk of Misdiagnosis and Death.
CONCLUSION: The clinician's awareness of the full spectrum of clinical characteristics of a myocardial infarction constitutes a key factor in accurate diagnosis. Health care professionals and the general public should be aware of the possibility of myocardial infarction presenting with orofacial pain, toothache, or ear/temporomandibular joint pain as the only symptom. PMID: 31465031 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - August 31, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Reorganization of Masseter and Temporalis Muscle Single Motor Unit Activity During Experimental Masseter Muscle Pain.
Authors: Ferreira PM, Sandoval I, Whittle T, Mojaver YN, Murray GM Abstract AIMS: To test the hypothesis that experimental noxious stimulation of the right masseter muscle results in a reorganization of motor unit activity within the right temporalis and right masseter muscles during jaw closing tasks. METHODS: A total of 20 healthy participants received hypertonic saline (5% sodium chloride) infusion into the right masseter muscle, and pain intensity was maintained at 40-60/100 mm on a visual analog scale. Standardized isometric biting tasks were performed with an intraoral force transducer while single motor ...
Source: Journal of Orofacial Pain - August 31, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Primary Headaches and Sleep Disturbances: A Cause or a Consequence?
Authors: Andrijauskis D, Ciauskaite J, Vaitkus A, Pajediene E Abstract AIMS: To evaluate the possible relationship between sleep disturbances and primary headaches. METHODS: This prospective study was carried out in a random group of patients with active primary headaches (case group) and a control group. Patients with active primary headaches were further stratified into two groups: patients with migraine and patients with tension-type headache (TTH). Participants were questioned using the following standardized tests: Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Sca...
Source: Journal of Orofacial Pain - August 31, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Simultaneous Noxious Stimulation of the Human Anterior Temporalis and Masseter Muscles. Part II: Effects on Jaw Muscle Electromyographic Activity.
Authors: Amhamed M, Whittle T, Gal JA, Murray GM Abstract AIMS: To test the hypotheses that, in comparison to control, the effects of simultaneous noxious stimulation of the right masseter and anterior temporalis muscles on jaw muscle activity (1) vary with the task; (2) are different between different agonist or antagonist muscles involved in a task; and (3) are correlated with mood or pain-related cognition scores. METHODS: In 15 asymptomatic participants, recordings were made of jaw movement and electromyographic (EMG) activity of the right digastric and bilateral masseter and anterior temporalis muscles dur...
Source: Journal of Orofacial Pain - August 31, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Cervical Muscle Tenderness in Temporomandibular Disorders and Its Associations with Diagnosis, Disease-Related Outcomes, and Comorbid Pain Conditions.
Authors: Almoznino G, Zini A, Zakuto A, Zlutzky H, Bekker S, Shay B, Haviv Y, Sharav Y, Benoliel R Abstract AIMS: To analyze cervical tenderness scores (CTS) in patients with various temporomandibular disorders (TMD) and in controls and to examine associations of CTS with demographic and clinical parameters. METHODS: This case-control study included 192 TMD patients and 99 controls diagnosed based on a questionnaire and a clinical examination following the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) guidelines. CTS, adapted from the widely used total tenderness score, was the mean sum...
Source: Journal of Orofacial Pain - August 31, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Availability of Effective Evidence-Based Symptomatic Treatments for Cluster Headache in the EU Countries-A Survey of the European Headache Alliance and European Headache Federation.
CONCLUSION: Only 47% of the EU population had unrestricted access to effective CH treatments, with unacceptable inequalities between eastern countries and the rest of Europe. Headache societies and patient associations should pressure European and national health authorities to improve the availability of effective symptomatic treatments for CH. PMID: 31339965 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - July 25, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Structure-Function Relationships of the Temporomandibular Joint in Response to Altered Loading.
CONCLUSIONS: DOL in skeletally mature mice induces mandibular condylar fibrocartilage atrophy at the hypertrophic cell layer with a corresponding decrease in bite force. PMID: 31339966 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - July 25, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Efficacy of Low-Level Laser Therapy for the Therapeutic Management of Neuropathic Orofacial Pain: A Systematic Review.
CONCLUSION: LLLT seems to be effective as a treatment option for different neuropathic orofacial pain entities such as trigeminal neuralgia, occipital neuralgia, and burning mouth syndrome as a single or combined treatment. However, more quality studies assessing all outcome measures of chronic pain are needed in the medium and long terms. Furthermore, due to the lack of standardization of the application technique, more well-designed studies are required to confirm the results of this systematic review. PMID: 31339967 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - July 25, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Malocclusion and Temporomandibular Disorders: Verification of the Controversy.
Authors: Aboalnaga AA, Amer NM, Elnahas MO, Salah Fayed MM, Soliman SA, ElDakroury AE, Labib AH, Fahim FH Abstract AIMS: To investigate the dental and skeletal aspects of malocclusion in the anteroposterior and vertical dimensions in a sample of temporomandibular disorders (TMD) patients and to correlate these aspects with the signs and symptoms of TMD. METHODS: A total of 150 TMD patients were divided into five groups according to the Diagnostic Criteria for TMD: Group 1 = myalgia (M); Group 2 = disc displacement with reduction (DDWR); Group 3 = disc displacement without reduction (DDWOR); Group 4 = degenerati...
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Simultaneous Noxious Stimulation of the Human Anterior Temporalis and Masseter Muscles. Part I: Effects on Jaw Movements.
Authors: Amhamed M, Whittle T, Gal JA, Murray GM Abstract AIMS: To test the hypotheses that, in comparison to control (isotonic saline), simultaneous noxious stimulation (hypertonic saline) of the masseter and anterior temporalis muscles would result in (1) reductions in amplitude and velocity of jaw movements during standardized open/close jaw movements and during free and standardized chewing and (2) changes in amplitude and velocity of jaw movements that relate to higher levels of negative mood or pain-related thoughts. METHODS: Standardized open/close and free and standardized chewing were recorded in 15 as...
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Association Between Temporomandibular Disorders Pain and Migraine: Results of the Health 2000 Survey.
Authors: Ashraf J, Zaproudina N, Suominen AL, Sipilä K, Närhi M, Saxlin T Abstract AIMS: To study the possible associations of various clinically assessed painful signs of temporomandibular disorders (TMD) with the presence of migraine using a large population-based dataset. METHODS: The data were taken from the nationally representative Health 2000 Survey (BRIF8901). The sample consisted of 5,876 adults (age range 30 to 97 years, mean ± standard deviation 52.5 ± 14.8), 5,378 nonmigraineurs and 498 migraineurs. The study participants answered questions concerning migraine presence, migra...
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Acute Rhinosinusitis as an Infrequent Cause of Symptomatic Cluster Headache: Report of Seven Cases.
In this report, seven patients are presented who were admitted with signs of CH and diagnosed with acute rhinosinusitis depending on extensive clinical and radiologic examinations. Symptomatic CH, though rarely reported in the literature compared to CH, should be kept in mind in patients presenting with the first attack of CH. Moreover, in such patients, whether the pain becomes worse when bending forward and becomes sensitive on palpation should be questioned, and a radiologic work-up should be performed to rule out secondary causes such as rhinosinusitis. In the present cases, the resolution of CH attacks with acute sinu...
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Widespread Pain and Central Sensitization in Adolescents with Signs of Painful Temporomandibular Disorders.
Authors: Campi LB, Visscher CM, Ongaro PCJ, do Vale Braido GV, Fernandes G, Gonçalves DAG Abstract AIMS: To investigate the associations between signs of painful temporomandibular disorders (TMD) and number of tender points (TPs) and fibromyalgia in adolescents, as well as the relationship between TPs and pressure-pain threshold (PPT) in individuals presenting with local, regional, or widespread pain as a way to investigate the presence of central sensitization (CS). METHODS: The sample consisted of 690 Brazilian adolescents with and without signs of painful TMD, aged 12 to 14 years old. Painful TMD was ...
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

The Effect of Applied Force on Two-Point Discrimination Threshold in the Trigeminal Region.
CONCLUSION: These findings suggest that increased intensity of mechanical stimuli could increase tactile acuity as measured by the TPD test. PMID: 31247059 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Autonomic and Psychologic Risk Factors for Development of Tinnitus in Patients with Chronic Temporomandibular Disorders.
CONCLUSION: Dysregulated psychophysiologic interactions may affect the development of tinnitus in patients with chronic TMD. PMID: 31247060 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Jaw Exercises in the Treatment of Temporomandibular Disorders-An International Modified Delphi Study.
CONCLUSION: This Delphi study showed that there is an international consensus among TMD experts that jaw exercises are an effective treatment and can be recommended to patients with TMD pain and disturbed jaw function. PMID: 31247061 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

A Phenomenologic Study About the Dietary Habits and Digestive Complications for People Living with Temporomandibular Joint Disorder.
CONCLUSION: These findings highlight the need for health care providers to establish nutritional guidelines for TMD individuals at risk of physiologic and psychologic comorbidities. Health care intervention programs to treat people living with chronic TMD pain and that provide nutritional guidance will help decrease medical crises and the need for expensive interventions and will better assist these patients. PMID: 31247062 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - June 28, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Corneal Confocal Microscopy Detects Small-Fiber Neuropathy in Burning Mouth Syndrome: A Cross-Sectional Study.
CONCLUSION: Using a rapid noninvasive ophthalmic imaging technique, this study provides further evidence for small fiber damage in BMS and has potential utility for monitoring disease progression and/or response. Furthermore, this technique shows a hitherto undocumented increased density of immune cells in this group of patients. PMID: 31017984 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 26, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Erythermalgia Involving the Face Alone: Two Case Reports.
Conclusion: Erythermalgia may involve the face alone, and combinative approaches may be of choice for its treatment. Topical lidocaine compounds are considered to be a good option for palliative treatment. PMID: 31017985 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 26, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Underuse of Prophylactic Treatment Among Portuguese Patients with Primary Headache: A Retrospective Observational Study.
CONCLUSION: Women and medication overuse headache patients were more likely to need therapeutic intervention. However, only a minority of patients with treatment indication were treated before their first visit to the headache clinic. Prophylaxis prescription was associated with clinical improvement at follow-up. PMID: 31017986 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 26, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Minimally Invasive Trigeminal Ablation: Long Buccal Nerve.
CONCLUSION: Minimally invasive trigeminal nerve ablation of the long buccal nerve may be effective surgical intervention in treating refractory neuropathic pain in cases of no structural nerve defects. However, long-term well-designed studies are required to fully define its role. PMID: 31017987 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 26, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Transverse Malocclusion and Temporomandibular Disorders: Verification of the Controversy.
Authors: Amer NM, Aboalnaga AA, Salah Fayed MM, Labib AH Abstract AIMS: To investigate the transverse dental and skeletal aspects of malocclusion in a sample of temporomandibular disorders (TMD) patients and to assess the correlations of these aspects with the signs and symptoms of TMD. METHODS: A total of 150 TMD patients diagnosed according to the Diagnostic Criteria for TMD were divided into five groups: Group 1 (myalgia), Group 2 (disc displacement with reduction [DDWR]), Group 3 (disc displacement without reduction [DDWOR]), Group 4 (degenerative disorders), and Group 5 (subluxation). The transverse occlus...
Source: Journal of Orofacial Pain - April 26, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Correlation Between Sleep-Time Masseter Muscle Activity and Tooth Wear: An Electromyographic Study.
CONCLUSION: The null hypothesis of an absence of correlation between tooth wear and sMMA could not be rejected, implying that tooth wear cannot be used as an indicator of ongoing SB or sMMA. Future studies taking into account the multifaceted nature of tooth wear and the complex natural course of sleep phenomena are encouraged to investigate the issue further, at the individual level. PMID: 31013339 [PubMed - in process] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 25, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Efficacy of Chewing Gum to Reduce Orthodontic Pain Compared to Placebo: A Blinded, Parallel-Group, Preliminary Clinical Trial.
CONCLUSION: Chewing gum three times per day does not seem to significantly reduce orthodontic pain compared to placebo. Orthodontists should manage their patients' pain expectations. PMID: 30978268 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 13, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Does Conservative Temporomandibular Therapy Affect Tinnitus Complaints? A Systematic Review.
CONCLUSION: There is low-quality evidence for a positive effect of conservative temporomandibular disorders treatment on tinnitus complaints. The combination of splint therapy and exercise treatment is currently the best investigated treatment approach, showing a decrease in tinnitus severity and intensity. Despite the low level of evidence and the methodologic issues in the included studies, it is noteworthy that all included studies show positive treatment effects. PMID: 30978269 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - April 13, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Effectiveness of Counseling on Chronic Pain Management in Patients with Temporomandibular Disorders.
Authors: de Barros Pascoal AL, de Freitas RFCP, da Silva LFG, Oliveira AGRC, Dos Santos Calderon P Abstract AIMS: To evaluate the effectiveness of counseling on pain intensity and oral health-related quality of life (OHRQoL) in temporomandibular disorders (TMD) patients. METHODS: Fifty female patients diagnosed with TMD were divided into two groups: a group of waiting list patients (control group) and a group of patients who received counseling therapy (experimental group) involving education about etiologic factors, avoidance of parafunctional habits, and sleep, as well as dietary advice. All patients were eva...
Source: Journal of Orofacial Pain - April 13, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Region-Specific Effects of Trigeminal Capsaicin Stimulation.
Authors: Poulsen CE, Bendixen KH, Terkelsen AJ, May A, Hansen J, Svensson P Abstract AIMS: To investigate the region-specific effects of painful trigeminal capsaicin stimulation in healthy participants. METHODS: Twenty healthy participants (10 men and 10 women) participated in four sessions in which they received application of 0.05 mL Vaseline (placebo) or capsaicin cream (0.1%) to a different area innervated by the three branches of the trigeminal nerve: the supraorbital area (V1), the nasal mucosa (V1/V2), and the maxillary (V2) and mandibular (V3) oral mucosa. The participants rated their perceived sensatio...
Source: Journal of Orofacial Pain - April 13, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Headache in Patients with Celiac Disease and Its Response to the Gluten-Free Diet.
CONCLUSION: These results suggest that strict compliance to the GFD could improve headache in celiac patients with headache, even in those without gastrointestinal symptoms. This observation could provide an additional factor when convincing patients to follow a GFD, thus reducing the morbidity related to CD. PMID: 30893404 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - March 22, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Local Anesthetic Injections for the Short-Term Treatment of Head and Neck Myofascial Pain Syndrome: A Systematic Review with Meta-Analysis.
CONCLUSION: Though local anesthetics provided a significant improvement in pain compared to dry needling, evidence was of low quality, and sensitivity analyses including only double-blinded studies provided no statistically significant difference. Additional studies are needed to confirm these results. PMID: 30893405 [PubMed - as supplied by publisher] (Source: Journal of Orofacial Pain)
Source: Journal of Orofacial Pain - March 22, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Comparative Study of Dental Pain Between Children With and Without a History of Maltreatment.
Authors: da Silva-Júnior IF, Hartwig AD, Goettems ML, Azevedo MS Abstract AIMS: To assess the presence of dental pain in child abuse victims and to compare the findings to children in the same age group with no history of abuse in a Southern Brazilian city. METHODS: This cross-sectional comparative study was carried out in a convenience sample of 68 child abuse victims from a center for psychologic support and in a comparative group of 204 students from public and private schools, all aged between 8 and 12 years. Data for socioeconomic and demographic variables were collected, and information regarding d...
Source: Journal of Orofacial Pain - March 22, 2019 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research