Leblebici Berrin, Pektaş Zafer Ozgür, Ortancil Ozgür, Hürcan Erim Cem, Bagis Selda, Akman Mahmut Nafiz
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University, Ankara, Turkey.
Rheumatol Int. 2007 Apr;27(6):541-4. doi: 10.1007/s00296-006-0251-z. Epub 2006 Nov 10.
The purpose of this study was to determine the association of fibromyalgia (FM) with temporomandibular disorder (TMD) and masticatory myofascial pain (MMP). Thirty-one consecutive women diagnosed as having FM according to American College of Rheumatology criteria and 21 consecutive women diagnosed as having TMD were included in this prospective study. All patients were examined by a dentist and a physiatrist to identify the coexistence of FM and TMD. In the FM group, TMD was found in 25 (80%) patients, and only 6 (19%) patients had arthrogenous origin with MMP, whereas 19 (81%) patients had only MMP without arthrogeonous orgin of those 25 women exhibited TMD. In the TMD group, the prevalence of FM was 52%, which was significantly higher in those with TMD of arthrogenous origin with MMP. Our results indicate that coexistence of FM and TMD with MMP is high. Pain and tenderness in the masticatory muscles appear to be an important element in FM, so in some patients it may be the leading complaint.
本研究的目的是确定纤维肌痛（FM）与颞下颌关节紊乱（TMD）及咀嚼肌筋膜疼痛（MMP）之间的关联。根据美国风湿病学会标准连续诊断为患有FM的31名女性和连续诊断为患有TMD的21名女性纳入了这项前瞻性研究。所有患者均由一名牙医和一名物理治疗师进行检查，以确定FM和TMD是否并存。在FM组中，25名（80%）患者存在TMD，其中仅6名（19%）患者的TMD源于关节源性并伴有MMP，而在这25名出现TMD的女性中，19名（81%）患者仅患有MMP而无关节源性病因。在TMD组中，FM的患病率为52%，在关节源性TMD伴MMP的患者中显著更高。我们的结果表明，FM与伴有MMP的TMD并存情况很常见。咀嚼肌的疼痛和压痛似乎是FM的一个重要因素，因此在一些患者中可能是主要症状。
