Umeå University's logo

umu.sePublications
Change search
Link to record
Permanent link

Direct link
Publications (10 of 26) Show all publications
De la Torre Canales, G., Câmara-Souza, M. B., Ernberg, M., Al-Moraissi, E. A., Grigoriadis, A., Poluha, R. L., . . . Christidis, N. (2024). Botulinum toxin-a for the treatment of myogenous temporomandibular disorders: an umbrella review of systematic reviews. Drugs
Open this publication in new window or tab >>Botulinum toxin-a for the treatment of myogenous temporomandibular disorders: an umbrella review of systematic reviews
Show others...
2024 (English)In: Drugs, ISSN 0012-6667, E-ISSN 1179-1950Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

Objective: Temporomandibular disorders (TMDs) encompass several conditions that cause pain and impair function of the masticatory muscles (M-TMDs) and temporomandibular joints. There is a large interest among clinicians and researchers in the use of botulinum toxin-A (BoNT-A) as a treatment for M-TMD. However, due to the lack of consistent evidence regarding the efficacy as well as adverse events of BoNT-A, clinical decision making is challenging. Therefore, this umbrella review aimed to systematically assess systematic reviews (SRs) evaluating BoNT-A treatment effects on pain intensity, mandibular movements, and adverse events in patients with M-TMDs.

Method: An electronic search was undertaken in the databases MEDLINE, EMBASE, CINAHL, Cochrane Central Registry of Controlled Trials (CENTRAL), Web of Science, Epistemonikos, ClinicalTrials.gov, and ICTRP to identify SRs investigating BoNT-A effects on M-TMDs, published from the inception of each database until 6 December 2023. The quality of evidence was rated according to the critical appraisal checklist developed by the umbrella review methodology working group. Only high-quality SRs were included.

Results: In total, 18 SRs were included. BoNT-A was shown to be more effective than placebo to reduce pain intensity, but not compared to standard treatments. Additionally, BoNT-A was not superior to placebo or standard treatments regarding improvement of mandibular movements. BoNT-A was considered to have a higher risk for adverse events on muscle and bony tissue compared with other treatments.

Conclusion: The synthesis in this umbrella review provides the highest level of evidence present. Taken together, there are indications of effectiveness of BoNT-A for treatment of M-TMDs, supported by moderate evidence. However, considering the risk of causing serious adverse events, treatment with BoNT-A is recommended to be the last treatment alternative.

Place, publisher, year, edition, pages
Adis, 2024
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-227338 (URN)10.1007/s40265-024-02048-x (DOI)001251012800003 ()38900335 (PubMedID)2-s2.0-85196413162 (Scopus ID)
Available from: 2024-06-28 Created: 2024-06-28 Last updated: 2024-06-28
Böthun, A., Lövgren, A., Stålnacke, B.-M., Lampa, E., Österlund, C., Häggman-Henrikson, B. & Hellström, F. (2024). Whiplash trauma did not predict jaw pain after 2 years: an explorative study. Clinical Oral Investigations, 28, Article ID 165.
Open this publication in new window or tab >>Whiplash trauma did not predict jaw pain after 2 years: an explorative study
Show others...
2024 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 28, article id 165Article in journal (Refereed) Published
Abstract [en]

Objectives: To explore predictive factors for the development and maintenance of jaw pain over a 2-year period.

Methods: One hundred nineteen cases (73 women) and 104 controls (59 women), mean age 34.9 years (SD 13.9), attended baseline and 2-year follow-up examinations. The whiplash cases visited the emergency department at Umeå University Hospital, Sweden, with neck pain within 72 h following a car accident, and baseline questionnaires were answered within a month after trauma. Controls were recruited via advertising. Inclusion criteria were age 18–70 years, living in Umeå municipality and Swedish speaking. The exclusion criterion was neck fracture for cases and a previous neck trauma for controls. Validated questionnaires recommended in the standardized Research Diagnostic Criteria for temporomandibular disorders were used. Jaw pain was assessed by two validated screening questions answered with “yes” or “no.” A logistic regression analysis was used to predict the outcome variable jaw pain (yes/no) after 2 years.

Results: Whiplash trauma did not increase the odds of development of jaw pain over a 2-year period (OR 1.97, 95% CI 0.53–7.38). However, non-specific physical symptoms (OR 8.56, 95% CI 1.08–67.67) and female gender (OR 4.89, 95% CI 1.09–22.02) did increase the odds for jaw pain after 2 years.

Conclusion: The development and maintenance of jaw pain after whiplash trauma are primarily not related to the trauma itself, but more associated with physical symptoms.

Clinical relevance: The development of jaw pain in connection with a whiplash trauma needs to be seen in a biopsychosocial perspective, and early assessment is recommended.

Place, publisher, year, edition, pages
Springer Nature, 2024
Keywords
Temporomandibular disorders, Whiplash injuries, Facial pain, Jaw pain, Neck pain
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-221419 (URN)10.1007/s00784-024-05555-z (DOI)38383824 (PubMedID)2-s2.0-85185695499 (Scopus ID)
Funder
Region Västerbotten, RV-909851Region Västerbotten, VLL-324631
Available from: 2024-02-22 Created: 2024-02-22 Last updated: 2024-03-06Bibliographically approved
Lövgren, A., Ilgunas, A., Häggman-Henrikson, B., Elias, B., Roudini, O. A., Visscher, C., . . . Liv, P. (2023). Associations between screening for functional jaw disturbances and patient reported outcomes on jaw limitations and oral behaviors. Journal of Evidence-Based Dental Practice, 23(3), Article ID 101888.
Open this publication in new window or tab >>Associations between screening for functional jaw disturbances and patient reported outcomes on jaw limitations and oral behaviors
Show others...
2023 (English)In: Journal of Evidence-Based Dental Practice, ISSN 1532-3382, E-ISSN 1532-3390, Vol. 23, no 3, article id 101888Article in journal (Refereed) Published
Abstract [en]

Objectives: Temporomandibular disorders (TMDs) is a collective term for pain and functional disturbances related to the jaw muscles and the temporomandibular joint. In contrast to screening for orofacial pain, knowledge is limited on the association between patient-reported outcomes and screening for joint-related functional jaw disturbances. Therefore, our aim was to evaluate the association between a screening question for functional jaw disturbances, and disease-specific outcome measures for functional jaw limitations and oral behaviors.

Methods: This study included 299 individuals (201 women; 20-69 years, median 37.0) in a general population sample from Västerbotten, Northern Sweden in 2014. A single screening question for functional jaw disturbances “Does your jaw lock or become stuck once a week or more?” was used to categorize individuals as cases or controls. Patient-reported outcomes on functional jaw disturbances were assessed with the 20-item jaw functional limitation scale (JFLS-20) and oral behaviors with the 21-item Oral Behaviors Checklist (OBC-21).

Results: The strongest predictive probability to have a positive screening outcome was functional jaw limitations related to mobility (AUCboot=0.78, 95 CI:0.71-0.86, P <.001), followed by limitations related to communication (AUCboot = 0.74, 95 CI:0.63-0.80, P <.001) and mastication (AUCboot = 0.73, 95 CI:0.66-0.81, P <.001). The frequency of oral behaviors was not significantly associated with a positive screening outcome (AUCboot = 0.65, 95 CI:0.55-0.72, P =.223).

Conclusions: Self-reported functional limitations, but not oral behaviors, are strongly associated with a single screening question for frequent functional jaw disturbances. This finding provides support for incorporating a question on jaw catching/locking once a week or more in screening instruments for TMDs.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Clinical decision-making, Dental, General practice, Screening, Temporomandibular joint disorders
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-212835 (URN)10.1016/j.jebdp.2023.101888 (DOI)2-s2.0-85166922410 (Scopus ID)
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2023-09-28Bibliographically approved
Holmström, A.-K., Vallin, S., Wänman, A., Lövgren, A. & Stålnacke, B.-M. (2023). Effect on orofacial pain in patients with chronic pain participating in a multimodal rehabilitation programme: a pilot study. Scandinavian Journal of Pain, 23(4), 656-661
Open this publication in new window or tab >>Effect on orofacial pain in patients with chronic pain participating in a multimodal rehabilitation programme: a pilot study
Show others...
2023 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 23, no 4, p. 656-661Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Orofacial pain in patients taking part in a multimodal rehabilitation programme (MMRP) due to chronic bodily pain is common but it is not known whether such a rehabilitation programme can also have an effect on the presence of orofacial pain. The first aim of this study was to evaluate the effect of an MMRP on orofacial pain frequency. The second aim was to evaluate differences in the effect on quality of life and on psychosocial factors related to chronic pain.

METHODS: MMRP was evaluated through validated questionnaires from the Swedish Quality Registry for Pain Rehabilitation (SQRP). Fifty-nine patients participating in MMRP filled out the two screening questions for orofacial pain in addition to the SQRP questionnaires before and after participation in MMRP during the period August 2016 to March 2018.

RESULTS: Pain intensity decreased significantly after the MMRP (p=0.005). Fifty patients (69.4 %) reported orofacial pain before MMRP and no significant decrease after the programme (p=0.228). Among individuals with orofacial pain, the self-reported level of depression decreased after participation in the programme (p=0.004).

CONCLUSIONS: Even though orofacial pain is common among patients with chronic bodily pain, participation in a multimodal pain programme was not enough to reduce frequent orofacial pain. This finding implies that specific orofacial pain management including information about jaw physiology could be a justified component of patient assessment prior to a multimodal rehabilitation programme for chronic bodily pain.

Place, publisher, year, edition, pages
Walter de Gruyter, 2023
Keywords
chronic pain, comorbidity, multimodal rehabilitation, rehabilitation medicine, specialist care, temporomandibular disorders
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-210424 (URN)10.1515/sjpain-2023-0004 (DOI)001012223400001 ()37327054 (PubMedID)2-s2.0-85163961595 (Scopus ID)
Available from: 2023-06-21 Created: 2023-06-21 Last updated: 2023-12-20Bibliographically approved
Ilgunas, A., Fjellman-Wiklund, A., Häggman-Henrikson, B., Lobbezoo, F., Visscher, C. M., Durham, J. & Lövgren, A. (2023). Patients' experiences of temporomandibular disorders and related treatment. BMC Oral Health, 23(1), Article ID 653.
Open this publication in new window or tab >>Patients' experiences of temporomandibular disorders and related treatment
Show others...
2023 (English)In: BMC Oral Health, E-ISSN 1472-6831, Vol. 23, no 1, article id 653Article in journal (Refereed) Published
Abstract [en]

Background: Temporomandibular disorders (TMD) are common and therefore managed by dentists on a daily basis. However, patients with TMD consistently go undetected and therefore untreated in dentistry. The reasons for these shortcomings have not been fully explored, specifically with regard to patients’ perspectives. Therefore, this study aimed to explore patients’ experiences of TMD and related treatment, with special focus on the experiences of having TMD, factors related to seeking care, and perspectives on received treatment.

Methods: Purposive sampling was used to recruit adult patients at the Public Dental Health services (PDHS) in the Region of Västerbotten, Sweden, during 2019. Individual semi-structured interviews were conducted and analysed using Qualitative Content Analysis. Sixteen patients were interviewed (ten women and six men, 20–65 years). The interviews probed the patients’ perspectives of having TMD, seeking care, and receiving treatment. All participants were also examined according to the Diagnostic Criteria for TMD (DC/TMD) and qualified for at least one DC/TMD diagnosis.

Results: The data analysis led to the main theme Seeking care when the situation becomes untenable, but dental care fails to meet all needs. The patients expressed worry and social discomfort because of the symptoms but still strived to have an as normal daily life as possible. However, severe symptoms and associated consequences compelled them to seek professional help. Experiences of distrust together with challenges to access the PDHS were identified and related to the patients’ unfulfilled expectations.

Conclusions: Patients’ reported experiences indicate that receiving timely and appropriate care is more of an unfulfilled expectation than the current state of management of patients with TMD in dentistry.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
General practice, Dental, Temporomandibular joint disorders, Qualitative research
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-202143 (URN)10.1186/s12903-023-03230-5 (DOI)37684660 (PubMedID)2-s2.0-85170284061 (Scopus ID)
Funder
Umeå UniversityRegion Västerbotten
Note

Originally included in thesis in manuscript form.

Available from: 2023-01-02 Created: 2023-01-02 Last updated: 2024-07-04Bibliographically approved
Ilgunas, A., Häggman-Henrikson, B., Visscher, C., Lobbezoo, F., Durham, J., Liv, P. & Lövgren, A. (2023). The longitudinal relationship between jaw catching/locking and pain. Journal of Dental Research, 102(4), 383-390
Open this publication in new window or tab >>The longitudinal relationship between jaw catching/locking and pain
Show others...
2023 (English)In: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 102, no 4, p. 383-390Article in journal (Refereed) Published
Abstract [en]

Orofacial pain and joint-related dysfunction can negatively affect daily jaw function. A common cause for limitations in jaw movements is joint-related dysfunction such as various forms of catching and locking. However, knowledge is limited regarding the development and natural course of joint-related jaw dysfunction and its relationship to the onset and course of orofacial pain. Therefore, the aim was to evaluate the incidence, prevalence, and gender differences in jaw catching/locking over time and in relation to orofacial pain in the general population. Data from 3 validated screening questions on orofacial pain and jaw catching/locking were collected from all routine dental checkups in the Public Dental Health Services in Västerbotten, Sweden, from 2010 to 2017. Logistic generalized estimating equation was used to account for repeated observations and Poisson regression for incidence analysis. In total, 180,308 individuals (aged 5–104 y) were screened in 525,707 dental checkups. In 2010, based on 37,647 individuals, the prevalence of self-reported catching/locking was higher in women than in men (3.2% vs. 1.5%; odds ratio, 2.11; 95% confidence interval [CI], 1.83–2.43), and this relationship and magnitude remained similar throughout the study period. The annual incidence rate was 1.1% in women and 0.5% in men. Women were at a higher risk than men for reporting both first onset (incidence rate ratio [IRR], 2.29; 95% CI, 2.11–2.49) and persistent (IRR, 2.31; 95% CI, 2.04–2.63) catching/locking. For the onset subcohort (n = 135,801), an independent onset of orofacial pain or jaw catching/locking exclusively was reported by 84.1%, whereas a concurrent onset was reported by 13.4%. Our findings of higher incidence, prevalence, and persistence in women than in men indicate that the gender differences seen for orofacial pain are evident also for jaw catching/locking. The findings also suggest independent onset of self-reported catching/locking and orofacial pain, which reinforces the pathophysiological differences between these conditions.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
cohort studies, dentistry, epidemiology, facial pain, population health, temporomandibular joint disorders
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-202140 (URN)10.1177/00220345221138532 (DOI)000893183300001 ()36940290 (PubMedID)2-s2.0-85143637716 (Scopus ID)
Funder
Swedish Dental AssociationUmeå UniversityRegion Västerbotten
Available from: 2023-01-02 Created: 2023-01-02 Last updated: 2023-07-14Bibliographically approved
Lövgren, A., Visscher, C. M., Lobbezo, F., Yekkalam, N., Vallin, S., Wänman, A. & Häggman-Henrikson, B. (2022). The association between myofascial orofacial pain with and without referral and widespread pain. Acta Odontologica Scandinavica, 80(7), 481-486
Open this publication in new window or tab >>The association between myofascial orofacial pain with and without referral and widespread pain
Show others...
2022 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 80, no 7, p. 481-486Article in journal (Refereed) Published
Abstract [en]

Objectives: Pain referral on palpation has been suggested to be a clinical sign of central sensitization potentially associated with widespread pain conditions. Our aim was to evaluate if myofascial pain with referral is a better predictor for widespread pain when compared to no pain or local myofascial pain.

Materials and methods: Individuals at the Public Dental services in Västerbotten, Sweden, were randomly invited based on their answers to three screening questions for temporomandibular disorders (TMD). In total, 300 individuals (202 women, 20–69 yrs) were recruited, and examined according to the Diagnostic Criteria for TMD (DC/TMD) after completion of a body pain drawing. Widespread pain was considered present when seven or more pain sites were reported on the widespread pain index. A binary logistic regression model, adjusted for the effect of age and gender were used to evaluate the association between myofascial orofacial pain and widespread pain.

Results: Widespread pain was reported by 31.3% of the study sample. There was a 57.3% overlap with myofascial pain. Widespread pain was associated to myofascial orofacial pain with and myofascial orofacial pain (OR 4.83 95% CI 2.62–9.05 and OR 11.62 95% CI 5.18–27.88, respectively).

Conclusion: These findings reinforce the existing knowledge on the overlap between painful TMD and other chronic pain conditions.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
General practice dentistry, temporomandibular disorders, myofascial pain, widespread pain
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-183181 (URN)10.1080/00016357.2022.2036363 (DOI)000819751800001 ()35776512 (PubMedID)2-s2.0-85133290624 (Scopus ID)
Funder
Umeå UniversityRegion Västerbotten
Note

Originally included in thesis in manuscript form.

Available from: 2021-05-18 Created: 2021-05-18 Last updated: 2022-12-13Bibliographically approved
Lövgren, A., Häggman-Henrikson, B., Fjellman-Wiklund, A., Begic, A., Landgren, H., Lundén, V., . . . Österlund, C. (2022). The impact of gender of the examiner on orofacial pain perception and pain reporting among healthy volunteers. Clinical Oral Investigations, 26, 3033-3040
Open this publication in new window or tab >>The impact of gender of the examiner on orofacial pain perception and pain reporting among healthy volunteers
Show others...
2022 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 26, p. 3033-3040Article in journal (Refereed) Published
Abstract [en]

Objectives: Pain on palpation of jaw muscles is a commonly used diagnostic criterion when examining patients with orofacial pain. It is not known, however, if pain reports are affected by the gender of the examiner. Our aim was to investigate if pressure pain threshold (PPT), pressure pain tolerance (PTol), and pain intensity assessed over the masseter muscles in healthy individuals are affected by the gender of the examiner.

Materials and methods: Healthy, pain-free individuals were recruited on a voluntary basis. PPT and PTol were assessed using pressure algometry. At the PTol level, participants also rated pain intensity on a 0–10 numeric rating scale. Assessments of PPT and PTol were conducted with six repeated measurements performed twice, separately by one female and one male examiner, on each participant.

Results: In total, 84 participants (43 women; median age 24, IQR 6) were included. With a female examiner, women reported higher pain intensity than men (Mann Whitney U, p = 0.005). In the multivariable analysis, significantly higher PTol was predicted by male examiner. Also, a higher ratio between PTol and reported pain intensity was predicted by male examiner.

Conclusions: The gender of the examiner influences pain reporting and perception in an experimental setting. This effect on pain perception related to gender of the examiner is probably related to normative gender behaviors rather than to biological alterations within the examined individual.

Clinical relevance: In clinical and experimental settings, gender of the examiner may affect not only pain perception but also pain reporting, with potential implications for diagnostics in patients with pain.

Place, publisher, year, edition, pages
Springer, 2022
Keywords
Experimental pain, Gender roles, Orofacial pain, Pain perception, Pain reporting, Pressure pain
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-190826 (URN)10.1007/s00784-021-04286-9 (DOI)000729669700001 ()34902057 (PubMedID)2-s2.0-85121140336 (Scopus ID)
Available from: 2021-12-29 Created: 2021-12-29 Last updated: 2022-11-29Bibliographically approved
Ilgunas, A., Lövgren, A., Fjellman-Wiklund, A., Häggman-Henrikson, B., Karlsson Wirebring, L., Lobbezoo, F., . . . Durham, J. (2021). Conceptualizing the clinical decision-making process in managing temporomandibular disorders: a qualitative study. European Journal of Oral Sciences, 129(5), Article ID e12811.
Open this publication in new window or tab >>Conceptualizing the clinical decision-making process in managing temporomandibular disorders: a qualitative study
Show others...
2021 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 129, no 5, article id e12811Article in journal (Refereed) Published
Abstract [en]

Management of patients with temporomandibular disorders (TMD) appears to be more challenging than for other dental conditions. This study aimed to explore the decision-making process in TMD management, and thereby to conceptualize the decision-making process in dentistry. Individual semi-structured interviews were conducted during 2018 and 2019 with a purposive sample of 22 general dental practitioners from the Public Dental Healthcare Services and private practices in the Region of Västerbotten, Northern Sweden. The interviews were analysed using the Grounded Theory approach of Charmaz. Data analysis resulted in the core category 'Combining own competence and others' expectations in the desire to do the right thing'. The dentists showed interest in and a desire to apply professional knowledge, but also reflected on challenges and complexity in the decision-making process forTMD. The challenges were primarily related to organisational factors and lack of self-confidence. This identifies a need for re-organisation of daily clinical management in dentistry, and a need for more postgraduate training to improve self-confidence. The complexity of the decision-making process for TMD makes the study findings applicable in other dental situations.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
decision-making, dental health services, evidence-based dentistry, qualitative research, temporomandibular joint disorders
National Category
Dentistry Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-184795 (URN)10.1111/eos.12811 (DOI)000662824700001 ()34145628 (PubMedID)2-s2.0-85107969782 (Scopus ID)
Projects
ujl
Available from: 2021-06-18 Created: 2021-06-18 Last updated: 2023-12-14Bibliographically approved
Häggman-Henrikson, B., Visscher, C. M., Wänman, A., Ljótsson, B., Peck, C. C. & Lövgren, A. (2021). Even mild catastrophic thinking is related to pain intensity in individuals with painful temporomandibular disorders. Journal of Oral Rehabilitation, 48(11), 1193-1200
Open this publication in new window or tab >>Even mild catastrophic thinking is related to pain intensity in individuals with painful temporomandibular disorders
Show others...
2021 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 48, no 11, p. 1193-1200Article in journal (Refereed) Published
Abstract [en]

Aims: Temporomandibular disorders (TMD) are often associated with psychological comorbidities. One such comorbidity is pain catastrophising, that is, exaggeration of negative consequences of a painful event. The aim was to investigate catastrophising in individuals with painful TMD compared to controls and the association between catastrophising and pain intensity, number of pain sites and functional limitations.

Methods: A community-based sample of 110 individuals (83 women; 20–69 yrs) with painful TMDs (myalgia/arthralgia as per Diagnostic Criteria for TMD) and 190 age- and gender-matched controls (119 women; 20–69 yrs) from the Public Dental services in Västerbotten, Sweden, participated. Associations between catastrophising and functional jaw limitations, respectively, and painful TMD were evaluated with ordinal regression adjusted for the effect of gender and age. Associations (Spearman's correlation) of the Pain catastrophising Scale (PCS) with Jaw Functional Limitation Scale (JFLS-20), pain site number (whole-body pain map), and characteristic pain intensity (CPI) and intergroup comparisons (Mann-Whitney U test) of these variables were also calculated.

Results: Levels of catastrophising were associated with TMD pain (OR 1.6, 95%CI 1.1–2.6). Among individuals with painful TMD, catastrophising was correlated to pain intensity (r=0.458, p<0.01) and functional limitations (r=0.294–0.321, p≤0.002), but not to number of pain sites.

Conclusion: Compared to controls, community-based individuals with painful TMD demonstrated higher levels of pain catastrophising, and this catastrophising was associated with increased pain intensity and jaw dysfunction. The relatively low scores of pain catastrophising suggest that even mild catastrophic thinking is associated with pain perception and jaw function, and should be considered in patient management.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
catastrophisation, comorbidity, oro-facial pain, pain catastrophising, temporomandibular disorders
National Category
Dentistry
Research subject
Odontology
Identifiers
urn:nbn:se:umu:diva-187773 (URN)10.1111/joor.13251 (DOI)000696099100001 ()34462940 (PubMedID)2-s2.0-85114887205 (Scopus ID)
Funder
Västerbotten County Council
Available from: 2021-09-21 Created: 2021-09-21 Last updated: 2024-01-17Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2920-6654

Search in DiVA

Show all publications