Somatosensory profiles of patients with chronic myogenic temporomandibular disorders in relation to their painDETECT score
BMC Oral Health Aug 15, 2018
Welte-Jzyk C, et al. - Researchers assessed existing hyperalgesia against cold, heat and pressure in patients with chronic temporomandibular disorders (TMD), using the painDETECT questionnaire ("Is cold or heat in this area occasionally painful?” “Does slight pressure in this area, eg, with a finger, trigger pain?") and experimental somatosensory testing against thermal and pressure stimuli (Quantitative Sensory Testing; QST). Moderately, strong or very strong enhancement of thermal and pressure pain perception was observed among TMD patients with painDETECT scores ≥19, whereas those with painDETECT scores 13–18 and ≤ 12 responded these questions with “never”, “hardly noticed” or “slightly painful”. Increased signs of anxiety, depression, praying and hoping were observed among patients with a painDETECT score ≥ 19. As the PainDETECT questionnaire, together with QST, detected hyperalgesia for pressure and thermal sensation, it can be a helpful additional diagnostic tool. Moreover, it can help detect TMD patients who deserve to undergo QST.
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