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Risk Factors for Facial Pain: Data from the Osteoarthritis Initiative Study.

Qoot Alkhubaizi1, John David Sorkin2,3, Marc C Hochberg4,5

  • 1Department of General Dental Practice, Faculty of Dentistry, Kuwait University, Kuwait.

Journal of Dentistry and Oral Biology
|September 14, 2018
PubMed
Summary
This summary is machine-generated.

Osteoarthritis (OA) and Temporomandibular Disorder (TMD) share common risk factors for facial pain. Factors like female sex, depression, and more painful joints increase TMD risk, particularly in those with knee OA.

Keywords:
EpidemiologyFacial painJoint diseasePainTemporomandibular disorder (TMD)

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Area of Science:

  • Rheumatology
  • Epidemiology
  • Pain Management

Background:

  • Temporomandibular disorder (TMD) is frequently observed alongside rheumatologic conditions like Osteoarthritis (OA).
  • Understanding the prevalence and incidence of facial pain in individuals with or at risk for knee Osteoarthritis is crucial for comprehensive patient care.

Purpose of the Study:

  • To determine the 30-day prevalence and cumulative incidence of facial pain in a cohort with symptomatic radiographic knee osteoarthritis (SRKOA) or at risk.
  • To identify risk factors associated with the development and persistence of facial pain in this population.

Main Methods:

  • Utilized Poisson regression models to analyze data from 4,423 subjects at baseline and 3,472 at 24/48-month follow-up.
  • Assessed risk factors including age, sex, race, depression (CES-D score), number of painful joints, and presence of SRKOA.

Main Results:

  • Baseline 30-day facial pain prevalence was 9.25%. Cumulative incidence was 5.9% at 24 months and 4.9% at 48 months.
  • Key risk factors for facial pain included younger age, female sex, higher depression scores, increased number of painful joints, and presence of SRKOA.
  • Incidence decreased 1% per year of age, increased 96% in women vs. men, rose 2% per CES-D score unit, and increased 21% per additional painful joint. SRKOA increased incidence by 33%.

Conclusions:

  • Osteoarthritis and Temporomandibular Disorder share overlapping risk factors.
  • Risk factors identified in cross-sectional prevalence analyses were consistent with those found in longitudinal incidence analyses.