Saczuk Klara, Roszuk Sylwia, Wirkijowska Malgorzata, Fabisiak Adam, Eyüboğlu Tan Fırat, Özcan Mutlu, Lukomska-Szymanska Monika
Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland.
Division of Dentistry, Faculty of Medicine, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland.
J Clin Med. 2024 Dec 2;13(23):7326. doi: 10.3390/jcm13237326.
Temporomandibular disorders (TMDs) encompass various clinical conditions associated with the temporomandibular joint (TMJ) and the masticatory muscles. TMD symptoms include pain in the orofacial region, restricted or altered mandibular movement, and sounds associated with the temporomandibular joint (TMJ). This condition adversely affects quality of life, social functioning, and daily activities, and may also contribute to widespread pain syndromes and comorbidities, including irritable bowel syndrome (IBS). IBS is a common chronic functional disorder of the lower gastrointestinal tract, characterized by recurrent abdominal pain associated with impaired bowel symptoms. Previous studies indicate an association between TMD and IBS. This scoping review examined the correlation between TMD and IBS concerning their pathology, frequency, and severity, and the potential similarities in how the nervous and endocrine systems influence them. PubMed, SCOPUS, Web of Science, and Google Scholar search engines were utilized to identify suitable studies for this article. Following the application of selection criteria, a total of 58 clinical papers met the eligibility requirements for inclusion in the systematic review. Research showed that both conditions significantly enhance the development of one another and have mutual comorbidities. Both ailments were proven to modify central nervous system processing, leading to high comorbidity in patients. Combining dental and gastroenterological treatments, including a simultaneous therapeutic approach, can significantly enhance patients' quality of life, but further research is needed for a holistic approach.
颞下颌关节紊乱病(TMDs)包括与颞下颌关节(TMJ)和咀嚼肌相关的各种临床病症。TMD的症状包括口面部区域疼痛、下颌运动受限或改变,以及与颞下颌关节(TMJ)相关的声音。这种病症会对生活质量、社交功能和日常活动产生不利影响,还可能导致广泛性疼痛综合征和合并症,包括肠易激综合征(IBS)。IBS是下消化道常见的慢性功能性疾病,其特征是反复出现腹痛并伴有肠道症状受损。先前的研究表明TMD与IBS之间存在关联。本综述探讨了TMD与IBS在病理、发生率和严重程度方面的相关性,以及神经和内分泌系统对它们影响方式的潜在相似性。利用PubMed、SCOPUS、科学网和谷歌学术搜索引擎来确定适合本文的研究。在应用选择标准后,共有58篇临床论文符合纳入系统评价的资格要求。研究表明,这两种病症会显著促进彼此的发展,且存在共同的合并症。两种疾病均被证明会改变中枢神经系统的处理过程,导致患者出现高合并症。结合牙科和胃肠病学治疗,包括同步治疗方法,可显著提高患者的生活质量,但需要进一步研究以形成整体治疗方法。