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Temporomandibular Joint Pain Measurement by Bite Force and Von Frey Filament Assays in Mice
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TMD and chronic pain: a current view.

Bruno D'Aurea Furquim1, Lívia Maria Sales Pinto Flamengui2, Paulo César Rodrigues Conti3

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Temporomandibular disorders (TMDs) involve distinct mechanisms for joint pain versus chronic muscle pain. Central sensitization, influenced by genetics and the nervous system, is key to understanding complex TMD symptoms.

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Area of Science:

  • Dentistry
  • Pain Medicine
  • Rheumatology

Background:

  • Temporomandibular disorders (TMDs) encompass a range of conditions affecting the jaw joint and muscles.
  • Understanding the underlying physiopathology is crucial for effective diagnosis and treatment.

Purpose of the Study:

  • To review the current physiopathologic mechanisms of TMDs.
  • To differentiate between joint and muscle pain mechanisms in TMDs.
  • To highlight the role of central sensitization in chronic TMD pain.

Main Methods:

  • Literature review of studies on TMD physiopathology.
  • Analysis of inflammatory pathways in TMD joint pain.
  • Examination of functional pain mechanisms in TMD muscle pain.

Main Results:

  • TMD joint pain is linked to inflammatory processes involving tumor necrosis factor-α and interleukin.
  • Chronic TMD muscle pain exhibits complex, enigmatic mechanisms, resembling functional pain syndromes.
  • Central sensitization is identified as a unifying factor in these chronic pain conditions.

Conclusions:

  • TMD symptoms arise from a complex interplay of factors.
  • Central sensitization, influenced by the autonomic nervous system and genetic factors, plays a significant role.
  • Individual adaptation significantly impacts TMD symptom severity.