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Painful Temporomandibular Disorders Are Common in Patients with Postural Orthostatic Tachycardia Syndrome and Impact Significantly upon Quality of Life

  • Justin Durham1,2,3*,
  • Claire McDonald4,5
  • Luke Hutchinson6
  • Julia L. Newton5,7,8

1Oral Surgery and Orofacial Pain, Newcastle University, Newcastle-upon-Tyne, Tyne & Wear, England

2Centre for Oral Health Research, Newcastle Hospitals NHS Foundation Trust, Newcastle University, Tyne & Wear, England

3Institute of Health and Society, Newcastle Hospitals NHS Foundation Trust, Newcastle University, Tyne & Wear, England

4Institute for Ageing and Health, Newcastle University, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England

5UK NIHR Biomedical Research Centre in Ageing, Newcastle University, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England

6Centre for Oral Health Research, Newcastle University, Newcastle-upon-Tyne, United Kingdom

7Dean of Clincal Medicine, Newcastle-upon-Tyne, Newcastle University, Tyne & Wear, England

8 Newcastle-upon-Tyne, Institute for Ageing and Health, Ageing and Medicine, Newcastle Hospitals NHS Foundation Trust, Newcastle University, Tyne & Wear, England

DOI: 10.11607/ofph.1396 Vol.29,Issue 2,June 2015 pp.152-157

Published: 30 June 2015

*Corresponding Author(s): Justin Durham E-mail: Justin.durham@ncl.ac.uk

Abstract

Aims: To explore the point prevalence of painful temporomandibular disorders (TMD) in a well-characterized clinical cohort of postural orthostatic tachycardia syndrome (PoTS) sufferers and to understand the functional and physiologic impact of this comorbidity on the patient. Methods: Patients with PoTS were retrospectively recruited from a previous study conducted in a UK hospital setting. Data had previously been collected on several parameters, including sociodemographic, physiologic, and functional. The participants were mailed a highly sensitive (99%) and specific (97%) self-report screening instrument for painful TMD. Simple descriptive statistics with Fisher Exact and Kruskal-Wallis tests were used to examine the data and draw inferences from it. Results: A total of 36 individuals responded (69% response rate). Just under half (47%) of the sample screened positive for painful TMD. There was no significant difference between the screening result for TMD or previously reported headaches or joint pain (P > .05). Chronic fatigue syndrome (CFS) was diagnosed by the Fukuda Criteria in 44% of the total sample and in 56% of those with painful TMD. There were no significant differences in physiologic parameters in CFS and TMD. TMD caused a significant decrease in quality of life as measured by the Patient-Reported Outcomes Measurement Information System, Health Assessment Questionnaire (P < .05). Conclusion: TMD are common in patients with PoTS. They have a significant, additional impact on patients’ quality of life and should therefore be screened for at an early stage in PoTS.

Keywords

postural orthostatic tachycardia syndrome; quality of life; temporomandibular disorders

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Justin Durham,Claire McDonald,Luke Hutchinson,Julia L. Newton. Painful Temporomandibular Disorders Are Common in Patients with Postural Orthostatic Tachycardia Syndrome and Impact Significantly upon Quality of Life. Journal of Oral & Facial Pain and Headache. 2015. 29(2);152-157.

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