Porporatti André Luís, Schroder Ângela Graciela Deliga, Lebel Ashley, Moreau Nathan, Guillouet Charlotte, Stechman-Neto José, Boucher Yves
Laboratory of Orofacial NeuroBiology (EA 7543), Faculty of Dentistry, Paris-Cité University, 92120 Paris, France.
NARSM (Systematic Review and Meta-analysis Center), Tuiuti University of Paraná-UTP, 82.010-210 Curitiba, PR, Brazil.
J Oral Facial Pain Headache. 2024 Sep;38(3):1-14. doi: 10.22514/jofph.2024.022. Epub 2024 Sep 12.
Head pain (HP) and orofacial pain (OFP) are the most prevalent types of pain worldwide, encompassing cranial, oral and facial pain. The aim of this umbrella review was to answer the following questions: "What is the overall prevalence of HP/OFP and the different prevalences of HP/OFP conditions in adults and children?". We searched for studies investigating the prevalence of HP/OFP in four major databases and two databases from the grey literature, based on the following PECOS inclusion criteria: (P)opulation: Adults and children; (E)xposure: Orofacial or head pain conditions such as (1) dental, periodontal and gingival, (2) temporomandibular disorders (TMD), (3) neuropathic conditions, (4) headaches, and (5) idiopathic pain conditions; (C)omparison: None; (O)utcome: Prevalence; (S)tudies: Systematic reviews and/or meta-analyses. We identified 2275 studies and after selection through eligibility criteria, 24 systematic reviews were included. The prevalence of pain in adults for different subgroups ranged from 1.12% for Burning Mouth Syndrome to 80.80% for cancer therapy-related orofacial pain. In children, it ranged from 0.20% for temporomandibular joint osteoarthrosis to 83% for all types of headache. This umbrella review based on available evidence provides integrated data illustrating the highly variable prevalence of head pain and orofacial pain both in adults and children. Considering the high specificity of head pain/orofacial pain, specific public health programs should be developed to address such highly prevalent conditions.
头痛（HP）和口面部疼痛（OFP）是全球最常见的疼痛类型，包括颅骨、口腔和面部疼痛。本综述的目的是回答以下问题：“成人和儿童中HP/OFP的总体患病率以及HP/OFP不同病症的患病率分别是多少？”。我们根据以下PECOS纳入标准，在四个主要数据库和两个灰色文献数据库中搜索了调查HP/OFP患病率的研究：（P）人群：成人和儿童；（E）暴露因素：口面部或头痛病症，如（1）牙齿、牙周和牙龈疾病，（2）颞下颌关节紊乱病（TMD），（3）神经病变，（4）头痛，以及（5）特发性疼痛病症；（C）对照：无；（O）结局：患病率；（S）研究类型：系统评价和/或荟萃分析。我们识别出2275项研究，经过纳入标准筛选后，纳入了24项系统评价。成人中不同亚组的疼痛患病率从灼口综合征的1.12%到癌症治疗相关口面部疼痛的80.80%不等。在儿童中，患病率从颞下颌关节骨关节炎的0.20%到所有类型头痛的83%不等。本基于现有证据的综述提供了综合数据，表明成人和儿童中头痛和口面部疼痛的患病率差异很大。鉴于头痛/口面部疼痛的高度特异性，应制定特定的公共卫生计划来应对此类高发性疾病。
