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Association Between Cardiovascular Autonomic Function and Temporomandibular Disorders.
Niklas Kakko1, Auli Suominen2, Atte Somero2
1Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland.
Lowered baroreflex sensitivity, indicating increased sympathetic tone, is associated with temporomandibular disorder (TMD) pain in females. This suggests stress response plays a role in TMD development.
Area of Science:
- Neuroscience
- Cardiovascular Physiology
- Pain Management
Background:
- Elevated stress levels are linked to temporomandibular disorder (TMD) pain.
- Autonomic tone alterations may contribute to TMD pathophysiology.
Purpose of the Study:
- To investigate sex-specific associations between autonomic nervous system (ANS) activity and TMD pain diagnoses.
- Utilizing a population-based cohort for robust analysis.
Main Methods:
- Assessed ANS activity via heart rate variability (HRV) and baroreflex sensitivity (BRS).
- Diagnosed TMD using the modified DC/TMD protocol, focusing on myalgia and arthralgia.
- Employed logistic regression analyses stratified by sex, controlling for confounders like BMI and education.
Main Results:
- Females with TMD myalgia or arthralgia exhibited significantly lower baroreflex sensitivity (BRS) while standing.
- Adjusted odds ratios indicated a significant association between lower BRS and TMD pain diagnoses in females.
Conclusions:
- Reduced baroreflex sensitivity, indicative of heightened sympathetic tone, is associated with TMD pain in females.
- Findings support the link between stress response mechanisms and the development of TMD pain.
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