Journal of Oral Medicine and Pain

  • 제49권3호
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  • Pages.49-56
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  • 2024
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  • 2288-9272(pISSN)
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  • 2383-8493(eISSN)
대한안면통증구강내과학회 (Korean Academy of Orofacial Pain and Oral Medicine)
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Differences in Symptoms According to the Concordance Value Between Self-Reported Pain Sites and Standardized Palpation Pain Sites in Temporomandibular Disorder Patients: Pilot Study

  • Jee-Won Jang (Department of Oral Medicine, Dental Research Institute, Pusan National University Dental Hospital) ;
  • Seo-Young Choi (Department of Oral Medicine, Dental Research Institute, Pusan National University Dental Hospital) ;
  • Yong-Woo Ahn (Department of Oral Medicine, Dental Research Institute, Pusan National University Dental Hospital) ;
  • Sung-Hee Jeong (Department of Oral Medicine, Dental Research Institute, Pusan National University Dental Hospital) ;
  • Soo-Min Ok (Department of Oral Medicine, Dental Research Institute, Pusan National University Dental Hospital) ;
  • Hye-Mi Jeon (Dental Clinic Center, Pusan National University Hospital) ;
  • Hye-Min Ju (Department of Oral Medicine, Dental Research Institute, Pusan National University Dental Hospital)
  • 투고 : 2024.06.10
  • 심사 : 2024.07.14
  • 발행 : 2024.09.30
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초록

Purpose: The aims were to investigate potential differences in clinical assessments among acute pain-related temporomandibular disorder (TMD) with different concordance value (CV) between number of self-reported painful site (NSP) and number of painful sites on palpation (NPP), and if it makes sense to treat them differently. Methods: A total of 61 patients were divided into three groups according to CV: 10 patients (concordance poor [CP]), 19 patients (concordance moderate [CM]), and 32 patients (concordance high [CH]). Clinical assessments were conducted using a standardized method in diagnostic criteria for temporomandibular disorders (DC/TMD). We compared collected information including sex, diagnosis, numerical rating scale (NRS), NPP, NSP, sleep duration, DC/TMD Axis II questionnaire, and perceived stress scale among three groups. Results: Among the clinical assessment, NRS, sleep duration, NPP, NSP, total scores of Oral Behaviors Checklist, Patient Health Questionnaire (PHQ)-15, PHQ-9 showed significant differences among 3 groups. NRS, NPP, NSP, PHQ-15, and PHQ-9 were higher in the CP group than in the CM and CH groups. Sleep duration was positively and NPP, NRS were negatively correlated with CV. Conclusions: While previous studies suggested differences between chronic and acute TMD in DC/TMD items, our findings propose the CV might be a key factor that could predict the severity and susceptibility of acute-TMD patients. However, Additional studies are required to determine whether their long-term prognosis was similar to that of chronic pain patients and what the response to treatment was among the three groups.

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과제정보

This work was supported by a 2-year Research Grant of Pusan National University.

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