Gui Maísa Soares, Pimentel Marcele Jardim, Rizzatti-Barbosa Célia Marisa
Departamento de Anatomia, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brasil.
Departamento de Periodontia e Prótese, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brasil.
Rev Bras Reumatol. 2015 Mar-Apr;55(2):189-94. doi: 10.1016/j.rbr.2014.07.004. Epub 2014 Oct 22.
Fibromyalgia syndrome (FMS) is a chronic painful syndrome and the coexistence of a painful condition caused by Temporomandibular Disorders (TMD) and FMS has been frequently raised for several studies, however, more likely hypothesis is that a set of FMS characteristics may lead to the onset of TMD symptoms and they are not merely coexisting conditions. Therefore, our aim is presenting a review of literature about the relation between fibromyalgia and the signs and symptoms of temporomandibular disorders. For this purpose, a bibliographic search was performed of the period of 1990-2013, in the Medline, Pubmed, Lilacs and Scielo databases, using the keywords fibromyalgia, temporomandibular disorders and facial pain. Here we present a set of findings in the literature showing that fibromyalgia can lead to TMD symptoms. These studies demonstrated greater involvement of the stomatognathic system in FMS and myogenic disorders of masticatory system are the most commonly found in those patients. FMS appears to have a series of characteristics that constitute predisposing and triggering factors for TMD.
纤维肌痛综合征(FMS)是一种慢性疼痛综合征,多项研究经常提及颞下颌关节紊乱病(TMD)所导致的疼痛状况与FMS并存的情况。然而,更有可能的假说是,FMS的一系列特征可能导致TMD症状的出现,而它们不仅仅是并存的病症。因此,我们的目的是对有关纤维肌痛与颞下颌关节紊乱病的体征和症状之间关系的文献进行综述。为此,我们在1990年至2013年期间,使用关键词“纤维肌痛”“颞下颌关节紊乱病”和“面部疼痛”,在Medline、Pubmed、Lilacs和Scielo数据库中进行了文献检索。在此,我们展示文献中的一系列研究结果,表明纤维肌痛可导致TMD症状。这些研究表明,口颌系统在FMS中受累更严重,咀嚼系统的肌源性疾病在这些患者中最为常见。FMS似乎具有一系列构成TMD易感和触发因素的特征。