Etiology of temporomandibular disorder pain

Çiğneme kasları ve temporomandibular eklemde görülen ağrı, temporomandibular rahatsızlıkların en belirgin semptomudur. Temporomandibular rahatsızlıklarda meydana gelen ağrının oluşmasında birçok faktörün etkili olduğu düşünülmektedir. Yapılan çalışmalar hastalığın oluşumunda hazırlayıcı, başlatıcı ve ilerletici faktörler olduğunu belirtmektedir. Travma, oklüzal uyumsuzluklar, stres, parafonksiyon, hipermobilite, yaş, cinsiyet ve kalıtım gibi faktörlerin temporomandibular rahatsızlıkların oluşumunda etkili olduğu öne sürülmekle birlikte, etkinliği tartışmalıdır. Bu derlemede, eklem içi ve kas kaynaklı temporomandibular ağrının etyolojisi ile ilgili geçmiş ve yeni görüşler özetlenecektir.

Temporomandibular rahatsızlıklarda ağrının etyolojisi

Pain in the masticatory muscles and temporomandibular joint is the main symptom of temporomandibular disorders. The etiology of temporomandibular disorder pain is multifactorial. Several studies have reported that there are predisposing, initiating and aggravating factors contributing this disorder. Although factors such as trauma, occlusal discrepancies, stress, parafunctions, hypermobility, age, gender and heredity has been implicated in the maintenance of temporomandibular disorder pain, there are still controversies for the actualy etiology. This review will summarize the past and current concepts that is related to the etiology of arthrogenic and myogenic originated temporomandibular pain.

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  • 1. McNeill C. Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent 1997;77:510-22.
  • 2. Suvinen TI, Reade PC, Hanes KR, Könönen M, Kemppainen P. Temporomandibular disorder subtypes according to selfreported physical and psychosocial variables in female patients:a re-evaluation. J Oral Rehabil 2005;32:166-73.
  • 3. McNeill C. Evidence-based TMD guidelines. J Orofac Pain 1997;11:93.
  • 4. McNeill C. Temporomandibular Disorders. Guidelines for Classification, Assessment, and Management. 2nd ed. Chicago: Quintessence Publishing Co. Inc; 1993. p. 39-60.
  • 5. Alarcón JA, Martín C, Palma JC. Effect of unilateral posterior crossbite on the electromyographic activity of human masticatory muscles. Am J Orthod Dentofacial Orthop 2000;118:328-34.
  • 6. Landi N, Manfredini D, Tognini F, Romagnoli M, Bosco M. Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system. J Prosthet Dent 2004;92:190-5.
  • 7. McNamara JA Jr, Seligman DA, Okeson JP. Occlusion, Orthodontic treatment, and temporomandibular disorders: a review. J Orofac Pain 1995;9:73-90.
  • 8. John MT, Hirsch C, Drangsholt MT, Mancl LA, Setz JM. Overbite and overjet are not related to self-report of temporomandibular disorder symptoms. J Dent Res 2002;81:164-9.
  • 9. Seligman DA, Pullinger AG. The degree to which dental attrition in modern society is a function of age and of canine contact. J Orofac Pain 1995;9:266-75.
  • 10. Celić R, Jerolimov V. Association of horizontal and vertical overlap with prevalence of temporomandibular disorders. J Oral Rehabil 2002;29:588-93.
  • 11. Okeson JP. Management of temporomandibular disorders and occlusion. 4th ed. St Louis: Mosby; 1998. p. 169-71.
  • 12. Raustia AM, Pirttiniemi PM, Pyhtinen J. Correlation of occlusal factors and condyle position asymmetry with signs and symptoms of temporomandibular disorders in young adults.Cranio 1995;13:152-6.
  • 13. Seligman DA, Pullinger AG. The role of intercuspal occlusal relationships in temporomandibular disorders: a review. J Craniomandib Disord 1991;5:96-106.
  • 14. Kirveskari P, Alanen P, Jämsä T. Association between craniomandibular disorders and occlusal interferences in children. J Prosthet Dent 1992;67:692-6.
  • 15. Shiau YY, Chang C. An epidemiological study of temporomandibular disorders in university students of Taiwan. Community Dent Oral Epidemiol 1992;20:43-7.
  • 16. Minagi S, Ohtsuki H, Sato T, Ishii A. Effect of balancing-side occlusion on the ipsilateral TMJ dynamics under clenching. J Oral Rehabil 1997;24:57-62.
  • 17. Poveda Roda R, Bagan JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal 2007;12:E292-8.
  • 18. John MT, Frank H, Lobbezoo F, Drangsholt M, Dette KE. No association between incisal tooth wear and temporomandibular disorders. J Prosthet Dent 2002;87:197-203.
  • 19. Schmitter M, Balke Z, Hassel A, Ohlmann B, Rammelsberg P. The prevalence of myofascial pain and its association with occlusal factors in a threshold country non-patient population. Clin Oral Investig 2007;11:277-81.
  • 20. Tsukiyama Y, Baba K, Clark GT. An evidence-based assessment of occlusal adjustment as a treatment for temporomandibular disorders. J Prosthet Dent 2001;86:57-66.
  • 21. De Boever JA, Carlsson GE, Klineberg IJ. Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part II: Tooth loss and prosthodontic treatment. J Oral Rehabil 2000;27:647-59.
  • 22. De Boever JA, Carlsson GE, Klineberg IJ. Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part I. Occlusal interferencesnd occlusal adjustment. J Oral Rehabil. 2000;27:367-79.
  • 23. Gesch D, Bernhardt O, Mack F, John U, Kocher T, Alte D. Association of malocclusion and functional occlusion with subjective symptoms of TMD in adults: results of the Study of Health in Pomerania (SHIP). Angle Orthod 2005;75:183-90.
  • 24. Pullinger AG, Seligman DA. Quantification and validation of predictive values of occlusal variables in temporomandibular disorders using a multifactorial analysis. J Prosthet Dent 2000;83:66-75.
  • 25. Manfredini D, Cantini E, Romagnoli M, Bosco M. Prevalence of bruxism in patients with different research diagnostic criteria for temporomandibular disorders (RDC/TMD) diagnoses. Cranio 2003;21:279-85.
  • 26. Velly AM, Philippe P, Gornitsky M. Heterogeneity of temporomandibular disorders: cluster and case-control analyses. J Oral Rehabil 2002;29:969-79.
  • 27. Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res 2002;81:284-8.
  • 28. Lobbezoo F, Lavigne GJ. Do bruxism and temporomandibular disorders have a cause-and-effect relationship? J Orofac Pain 1997;11:15-23.
  • 29. Glaros AG, Glass EG, Brockman D. Electromyographic data from TMD patients with myofascial pain and from matched control subjects: evidence for statistical, not clinical, significanc.J Orofac Pain 1997;11:125-9.
  • 30. Molina OF, dos Santos J Jr, Nelson SJ, Grossman E. Prevalence of modalities of headaches and bruxism among patients with craniomandibular disorder. Cranio 1997;15:314-25.
  • 31. Velly AM, Gornitsky M, Philippe P. Contributing factors to chronic myofascial pain: a case-control study. Pain 2003;104:491-9.
  • 32. Schiffman EL, Fricton JR, Haley D. The relationship of occlusion, parafunctional habits and recent life events to mandibular dysfunction in a non-patient population. J Oral Rehabil 1992;19:201-23.
  • 33. Schierz O, John MT, Schroeder E, Lobbezoo F. Association between anterior tooth wear and temporomandibular disorder pain in a German population. J Prosthet Dent 2007;97:305-9.
  • 34. Güler N, Yatmaz PI, Ataoglu H, Emlik D, Uckan S. Temporomandibular internal derangement: correlation of MRI findings with clinical symptoms of pain and joint sounds in patients with bruxing behaviour. Dentomaxillofac Radiol 2003;32:304-10.
  • 35. Israel HA, Scrivani SJ. The interdisciplinary approach to oral, facial and head pain. J Am Dent Assoc 2000;131:919-26.
  • 36. Hirsch C, John MT, Lobbezoo F, Setz JM, Schaller HG. Incisal tooth wear and self-reported TMD pain in children and adolescents. Int J Prosthodont 2004;17:205-10.
  • 37. Pergamalian A, Rudy TE, Zaki HS, Greco CM. The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent 2003;90:194-200.
  • 38. Carlson CR, Okeson JP, Falace DA, Nitz AJ, Curran SL, Anderson D. Comparison of psychologic and physiologic functioning between patients with masticatory muscle pain and matched controls. J Orofac Pain 1993;7:15-22.
  • 39. Flor H, Birbaumer N, Schulte W, Roos R. Stress-related electromyographic responses in patients with chronic temporomandibular pain. Pain 1991;46:145-52.
  • 40. Katz JO, Rugh JD, Hatch JP, Langlais RP, Terezhalmy GT, Borcherding SH. Effect of experimental stress on masseter and temporalis muscle activity in human subjects with temporomandibular disorders. Arch Oral Biol 1989;34:393-8.
  • 41. Fischer DJ, Mueller BA, Critchlow CW, LeResche L. The association of temporomandibular disorder pain with history of head and neck injury in adolescents. J Orofac Pain 2006;20:191-8.
  • 42. Klobas L, Tegelberg A, Axelsson S. Symptoms and signs of temporomandibular disorders in individuals with chronic whiplash-associated disorders. Swed Dent J 2004;28:29-36.
  • 43. Kolbinson DA, Epstein JB, Burgess JA, Senthilselvan A. Temporomandibular disorders, headaches, and neck pain after motor vehicle accidents: a pilot investigation of persistence and litigation effects. J Prosthet Dent 1997;77:46-53.
  • 44. Seligman DA, Pullinger AG. A multiple stepwise logistic regression analysis of trauma history and 16 other history and dental cofactors in females with temporomandibular disorders. J Orofac Pain 1996;10:351-61.
  • 45. Salé H, Isberg A. Delayed temporomandibular joint pain and dysfunction induced by whiplash trauma: a controlled prospective study. J Am Dent Assoc 2007;138:1084-91.
  • 46. Packard RC. The relationship of neck injury and post-traumatic headache. Curr Pain Headache Rep 2002;6:301-7.
  • 47. Kasch H, Hjorth T, Svensson P, Nyhuus L, Jensen TS. Temporomandibular disorders after whiplash injury: a controlled, prospective study. J Orofac Pain 2002;16:118-28.
  • 48. Ferrari R, Russell AS. Epidemiology of whiplash: an international dilemma. Ann Rheum Dis 1999;58:1-5.
  • 49. Probert TC, Wiesenfeld D, Reade PC. Temporomandibular pain dysfunction disorder resulting from road traffic accidents--an Australian study. Int J Oral Maxillofac Surg 1994;23(6 Pt 1):338-41.
  • 50. Martin MD, Wilson KJ, Ross BK, Souter K. Intubation risk factors for temporomandibular joint/facial pain. Anesth Prog 2007;54:109-14.
  • 51. Suvinen TI, Hanes KR, Reade PC. Outcome of therapy in the conservative management of temporomandibular pain dysfunction disorder. J Oral Rehabil 1997;24:718-24.
  • 52. Suvinen TI, Reade PC. Temporomandibular disorders: a critical review of the nature of pain and its assessment. J Orofac Pain 1995;9:317-39.
  • 53. Dworkin SF, Massoth DL. Temporomandibular disorders and chronic pain: disease or illness? J Prosthet Dent 1994;72:29-38.
  • 54. Lupton DE. Psychological aspects of temporomandibular joint dysfunction. J Am Dent Assoc 1969;79:131-6.
  • 55. Yap AU, Dworkin SF, Chua EK, List T, Tan KB, Tan HH. Prevalence of temporomandibular disorder subtypes, psychologic distress, and psychosocial dysfunction in Asian patients. J Orofac Pain 2003;17:21-8.
  • 56. Yap AU, Tan KB, Chua EK, Tan HH. Depression and somatization in patients with temporomandibular disorders. J Prosthet Dent 2002;88:479-84.
  • 57. Steed PA, Wexler GB. Temporomandibular disorders--traumatic etiology vs. nontraumatic etiology: a clinical and methodological inquiry into symptomatology and treatment outcomes. Cranio 2001;19:188-94.
  • 58. Sipilä K, Veijola J, Jokelainen J, Järvelin MR, Oikarinen KS, Raustia AM, et al. Association of symptoms of TMD and orofacial pain with alexithymia: an epidemiological study of the Northern Finland 1966 Birth Cohort. Cranio 2001;19:246-51.
  • 59. Kight M, Gatchel RJ, Wesley L. Temporomandibular disorders: evidence for significant overlap with psychopathology. Health Psychol 1999;18:177-82.
  • 60. de Leeuw JR, Steenks MH, Ros WJ, Bosman F, Winnubst JA, Scholte AM. Psychosocial aspects of craniomandibular dysfunction. An assessment of clinical and community findings. J Oral Rehabil 1994;21:127-43.
  • 61. Rudy TE, Turk DC, Zaki HS, Curtin HD. An empirical taxometric alternative to traditional classification of temporomandibular disorders. Pain 1989;36:311-20.
  • 62. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6:301-55.
  • 63. Molina OF, dos Santos J Jr. Hostility in TMD/bruxism patients and controls: a clinical comparison study and preliminary results. Cranio 2002;20:282-8.
  • 64. List T, Stenström B, Lundström I, Dworkin SF. TMD in patients with primary Sjögren syndrome: a comparison with temporomandibular clinic cases and controls. J Orofac Pain 1999;13:21-8.
  • 65. Dworkin SF. The case for incorporating biobehavioral treatment into TMD management. J Am Dent Assoc 1996;127:1607-10.
  • 66. Johansson A, Unell L, Carlsson GE, Söderfeldt B, Halling A.Gender difference in symptoms related to temporomandibular disorders in a population of 50-year-old subjects. JOrofac Pain 2003;17:29-35.
  • 67. Fischer L, Clemente JT, Tambeli CH. The protective role of testosterone in the development of temporomandibular joint pain. J Pain 2007;8:437-42.
  • 68. Conti PC, Miranda JE, Araujo CR. Relationship between systemic joint laxity, TMJ hypertranslation, and intra-articular disorders. Cranio 2000;18:192-7.
  • 69. De Coster PJ, Van den Berghe LI, Martens LC. Generalized joint hypermobility and temporomandibular disorders: inherited connective tissue disease as a model with maximum expression. J Orofac Pain 2005;19:47-57.
  • 70. Kavuncu V, Sahin S, Kamanli A, Karan A, Aksoy C. The role of systemic hypermobility and condylar hypermobility in temporomandibular joint dysfunction syndrome. Rheumatol Int 2006;26:257-60.
  • 71. Michalowicz BS, Pihlstrom BL, Hodges JS, Bouchard TJ Jr. No heritability of temporomandibular joint signs and symptoms. J Dent Res 2000;79:1573-8.
  • 72. Von Korff M, Dworkin SF, Le Resche L, Kruger A. An epidemiologic comparison of pain complaints. Pain 1988;32:173-83.