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Temporomandibular disorders and autonomic dysfunction: Exploring the possible link between the two using a
Koo Hyun Jeong1, Mee Eun Kim1, Hye Kyoung Kim1
1Department of Oral Medicine, College of Dentistry, Dankook University, Cheonan, South Korea.
Cranio : the Journal of Craniomandibular Practice
|January 11, 2021
Summary
Autonomic dysfunction is linked to temporomandibular disorders (TMD). Factors like sex, depression, age, and pain interference influence this dysfunction, impacting TMD patients
Area of Science:
- Neuroscience
- Psychology
- Dentistry
Background:
- Temporomandibular disorders (TMD) are complex conditions with biopsychosocial influences.
- Autonomic nervous system (ANS) dysfunction may play a role in chronic pain conditions like TMD.
Purpose of the Study:
- To evaluate autonomic function in TMD patients.
- To identify factors associated with autonomic dysfunction in TMD from a biopsychosocial viewpoint.
Main Methods:
- Seventy-six TMD patients underwent clinical examination and validated questionnaires.
- Assessed biopsychosocial factors (pain, catastrophizing, psychological distress) and autonomic dysfunction (COMPASS 31).
Main Results:
- Four variables (sex, depression, age, pain interference) significantly correlated with autonomic dysfunction.
- Specific dysfunctions observed: orthostatic intolerance (females), bladder dysfunction (males), secretomotor dysfunction (pain interference), and gastrointestinal issues (depression).
Conclusions:
- Autonomic dysfunction is associated with temporomandibular disorders.
- Biopsychosocial factors significantly influence autonomic dysfunction in TMD patients, suggesting a holistic approach to management.
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