Abstract
The study was undertaken to determine the prevalence of facial pain and the
association of facial pain with temporomandibular disorders (TMD) as well as with
other factors, in a geographically defined population-based sample consisting of
subjects born in 1966 in northern Finland, and in a case-control study including
subjects with facial pain and their healthy controls. In addition, the influence
of conservative stomatognathic and necessary prosthetic treatment on facial pain
and TMD was evaluated in a sample of patients with facial pain.
In the age group of 31-32-year-olds, facial pain was reported by 12 % of men and
18 % of women. Reported facial pain was strongly associated with TMD symptoms,
and a relation was also seen with other factors, i.e. certain occlusal factors,
previous traumas, other pain conditions in the body, clinically assessed
tenderness in the neck muscles, and psychological problems, such as
depressiveness and alexithymia. Conservative treatment of TMD seemed to be
effective in relieving facial pain in a one-year follow-up.
It can be concluded that facial pain is quite a common symptom with several both
localized and generalized associated factors. Conservative stomatognathic
treatment is recommended in the case of TMD-related facial pain. The possibility
of psychological problems should be taken into account, especially in complex and
chronic cases. When no response to conservative stomatognathic treatment is
achieved, a multidisciplinary team, including mental health professionals, will
be needed in both diagnosis and treatment. This study provides support for the
suggestion that in future individualizing treatment of the patients with facial
pain should be based on patient characteristics, which may improve treatment
efficacy.
| Identifer | oai:union.ndltd.org:oulo.fi/oai:oulu.fi:isbn951-42-6602-1 |
| Date | 15 February 2002 |
| Creators | Sipilä, K. (Kirsi) |
| Publisher | University of Oulu |
| Source Sets | University of Oulu |
| Language | English |
| Detected Language | English |
| Type | info:eu-repo/semantics/doctoralThesis, info:eu-repo/semantics/publishedVersion |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess, © University of Oulu, 2002 |
| Relation | info:eu-repo/semantics/altIdentifier/pissn/0355-3221, info:eu-repo/semantics/altIdentifier/eissn/1796-2234 |
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