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Journal of Oral & Facial Pain and Headache (OFPH) is published by MRE Press from Volume 38 lssue 1 (2024). Previous articles were published by another publisher on a subscription basis, and they are hosted by MRE Press on www.jofph.com as a courtesy and upon agreement with Journal of Oral & Facial Pain and Headache.
No Dose-Response Association Between Self-Reported Bruxism and Pain Related Temporomandibular Disorders: A Retrospective Study
1Univ Amsterdam, Acad Ctr Dent Amsterdam, Dept Oral Kinesiol, Amsterdam, Netherlands
2Vrije Univ, Amsterdam, Netherlands
*Corresponding Author(s): Konstantin Muzalev E-mail: k.muzalev@acta.nl
Aims: To investigate whether a dose-response relationship exists between the intensity of pain-related temporomandibular disorders (TMDs) and the amount of self-reported bruxism activities in a group of TMD pain patients. Methods: A total of 768 patients referred to a specialized clinic for complaints of orofacial pain and dysfunction were initially enrolled in the study. Of these patients, 293 who were diagnosed with at least one type of pain-related TMD according to the Diagnostic Criteria for Temporomandibular Disorders were selected. The questionnaire-based reports of TMD pain intensity, as assessed by an 11-point numeric rating scale (NRS), were subsequently compared to the reports of sleep bruxism (single question; 5-point Likert scale) and awake bruxism (mean score of six questions; 5-point Likert scale). Spearman correlations were used to assess associations, and possible confounding effects of depression, somatic symptoms, and anxiety were taken into account. Results: Spearman correlation tests provided no significant correlation between the amount of self-reported sleep bruxism and TMD pain intensity. On the other hand, the amount of awake bruxism was positively correlated with the intensity of TMD pain; however, the latter correlation was lost when the model was controlled for the effects of depression. Conclusion: The assumption that there is a dose-response gradient association between bruxism and TMD pain, reflected in more bruxism leading to more overloading and thus to more pain, could not be justified.
bruxism;confounding;dose-response relationship;pain-related temporomandibular disorders;psychological factors
Konstantin Muzalev, Maurits K. A. Van Selms, Frank Lobbezoo. No Dose-Response Association Between Self-Reported Bruxism and Pain Related Temporomandibular Disorders: A Retrospective Study. Journal of Oral & Facial Pain and Headache. 2018. 32(4);375-380.
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