Center for Oral Rehabilitation, FTV Östergötland, Norrköping, Sweden.
Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden.
Acta Odontol Scand. 2020 Jul;78(5):377-383. doi: 10.1080/00016357.2020.1730000. Epub 2020 Feb 19.
To follow up 2209 individuals in a longitudinal study and assess self-reported TMD pain, painful and non-painful comorbid conditions, and pain-related disability. During 2012-2014, questionnaires were sent to 2209 eligible individuals who had been screened for TMD pain each year during 2000-2003. The two screening questions were (1) Do you have pain in the temple, face, jaw joint, or jaws once a week or more often? and (2) Do you have pain when you open your mouth wide or chew once a week or more often? If the patient answered 'yes' to one or both of the questions, TMD pain was recorded. Non-respondents received reminders; telephone interviews were offered a randomised group. The questionnaire queried TMD pain, and painful and non-painful comorbid conditions. The overall response rate was 36.5%. Individuals were placed into one of four pain groups defined by their pain experience at baseline and at the follow-up: no TMD pain (69.0%), new TMD pain (13.0%), previous TMD pain (9.9%), and persistent TMD pain (8.1%). Based on the self-report surveys, significantly more responders with TMD pain at follow-up had had pain as adolescents than not. Of adolescents with TMD pain, 45.1% had pain at follow-up as young adults, while 15.8% had pain at follow-up without a previous history of TMD pain. Individuals with persistent TMD pain had high frequencies of comorbid pains ( < .001), 45.2% reported moderate-severe depression scores ( < .001), and 13.0% had moderate pain-related disability (GCPS). Based on self-report surveys, TMD pain in adolescence appears to triple the risk of TMD pain in young adulthood, and persistent pain increased comorbid pain and psychosocial distress.
对 2209 名进行纵向研究的个体进行随访，并评估自我报告的 TMD 疼痛、疼痛和非疼痛共病情况以及与疼痛相关的残疾。2012-2014 年，向 2209 名符合条件的个体发送了问卷，这些个体在 2000-2003 年期间每年都接受过 TMD 疼痛筛查。两个筛选问题是：（1）您是否每周有一次或多次太阳穴、面部、下颌关节或下颌疼痛？（2）您是否每周有一次或多次张口或咀嚼时疼痛？如果患者对一个或两个问题的回答为“是”，则记录为 TMD 疼痛。未回复者收到提醒；随机分组提供电话访谈。问卷询问了 TMD 疼痛、疼痛和非疼痛共病情况。总体回复率为 36.5%。个体根据基线和随访时的疼痛经历被归入四个疼痛组之一：无 TMD 疼痛（69.0%）、新 TMD 疼痛（13.0%）、既往 TMD 疼痛（9.9%）和持续性 TMD 疼痛（8.1%）。根据自我报告调查，随访时 TMD 疼痛的应答者中，青少年时期有疼痛的明显更多。在有 TMD 疼痛的青少年中，45.1%在成年早期仍有疼痛，而 15.8%在随访时有疼痛而没有 TMD 疼痛的既往史。持续性 TMD 疼痛的个体有较高的共病疼痛频率（ < .001），45.2%报告有中度至重度抑郁评分（ < .001），13.0%有中度与疼痛相关的残疾（GCPS）。根据自我报告调查，青少年时期的 TMD 疼痛似乎使成年早期 TMD 疼痛的风险增加三倍，而持续性疼痛增加了共病疼痛和心理社会困扰。
