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Prevalence of Pain in the Orofacial Regions in Patients Visiting General Dentists in the Northwest Practice-based Research Collaborative in Evidence-based DENTistry Research Network

Horst OV, Cunha-Cruz J, Zhou L, et al. Journal of the American Dental Association 2015; 146:721-728 e3

Abstract

Background:

This study aimed to measure prevalence of pain in the orofacial regions and determine association with demographics, treatment history, and oral health conditions in dental patients visiting clinics in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry (PRECEDENT) research network.

Methods:

Data were recorded in a survey with systematic random sampling of patients (n = 1,668, 18 to 93 years old, 56% female) visiting 100 general dentists in the Northwest PRECEDENT research network. Prevalence ratios (PR) of orofacial pain by each variable were estimated by generalized estimating equations for Poisson regression.

Results:

The prevalence of orofacial pain during the past year was 16.1% (95% confidence interval [CI], 13.4-18.9), of which the most prevalent pain locations were dentoalveolar (9.1%; 95% CI, 7.0-11.2) and musculoligamentous tissues (6.6%; 95% CI, 4.5-8.7). Other locations included soft tissues (0.5%; 95% CI, 0.2-0.8) and nonspecific areas (0.6%; 95% CI, 0.2-1.0). The prevalence of dentoalveolar but not musculoligamentous pain decreased with age. When comparing the 18- to 29-year-old patients, dentoalveolar pain decreased significantly in 45- to 64-year-old patients (PR, 0.59; 95% CI, 0.4-0.9) and in those 65 years or older (PR, 0.5; 95% CI, 0.3-0.9). Sex significantly affected the prevalence of musculoligamentous but not dentoalveolar pain. Women (PR, 3.2; 95% CI, 2.0-5.1) were more likely to have musculoligamentous pain. The prevalence of dentoalveolar and musculoligamentous pain did not vary significantly by ethnicity. Dentoalveolar pain was reported more frequently in patients who did not receive dental maintenance (PR, 2.9; 95% CI, 2.1-4.2) and those visiting community-based public health clinics (PR, 2.2; 95% CI, 1.2-3.7).

Conclusions: One in 6 patients visiting a general dentist had experienced orofacial pain during the past year.

Dentoalveolar and musculoligamentous pains were the most prevalent types of pain. PRACTICAL IMPLICATIONS: Pain in the muscles and temporomandibular joints was reported as frequently as that in the teeth and surrounding tissues in patients visiting general dentists. Although the dental curriculum is concentrated on the diagnosis and management of pain and related conditions from teeth and surrounding tissues, it is imperative to include the training for other types of orofacial pain, particularly those from temporomandibular joint and musculoligamentous tissues.

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   Jill Krstajic 
 
 
 
 Trustindex verifies that the original source of the review is Google. It is not an understatement to say that Dr Goodfellow and his staff have greatly improved the quality of my life! My TMJ pain was unbearable and as a Dental Hygienist I was actually skeptical that the treatment would work, it did and I am grateful! I would gladly recommend Dr Goodfellow for anyone suffering TMJ and Sleep Issues.
  
 
        
   Lanndis De Lallo 
 
 
 
 Trustindex verifies that the original source of the review is Google. This device changed my life. I have had TMJ for as long as I can remember with a long history of orthodontic work from childhood. For the first time as an adult, I can control my jaw pain, clicking, locking and tension headaches with the night time appliance, which I wear every night - I can feel the difference even going one night without it. The daytime appliance also makes a big difference and now I can wear it periodically. Dr. Goodfellow, Cathie, Tina and the entire team are delightful, helpful and I can't thank them enough for helping me implement this life changing, non-surgical solution to my TMJ!
  
 
        
   Steve McDonald 
 
 
 
 Trustindex verifies that the original source of the review is Google. Before being treated by Dr. Goodfellow I had severe jaw pain so bad I sometimes could hardly eat. That pain is now virtually gone. I am so grateful and I highly recommend Dr. Goodfellow!
  
 
        
   Julia Leclerc 
 
 
 
 Trustindex verifies that the original source of the review is Google. I suffered from severe jaw pain and eventually jaw locking. Dr. Goodfellow not only was able to diagnose the issue, he was able to completely redirect my jaw and sleeping patterns with the mouth guard that I now wear to sleep every night. I don’t even get headaches anymore! The difference has been incredible and I am forever grateful. Highly recommend Dr. Goodfellow and his staff.
  
 
        
   Sandy Hale 
 
 
 
 Trustindex verifies that the original source of the review is Google. I feel very positive about the treatment I received from Dr. Goodfellow and his team over a six month period. My TMJ disorder symptoms have been resolved to the point where I am almost pain free every day. Dr. Goodfellow helped me to understand both the causes of my jaw issues and how the treatments would work towards healing. His staff are friendly, accommodating and extremely knowledgeable and helped to allay any fears I had about treatments. I highly recommend TMJ & Sleep Therapy to any and all persons suffering from TMJ disorders.
  
 
        
   Anthony Hajsan 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Goodfellow is a good fellow (I know, so original)! This is the only place that has helped with my TMJ.
  
 
        
   oren dishy 
 
 
 
 Trustindex verifies that the original source of the review is Google. I've had a click in my jaw for over 30 years and over the past year it was constant pain and difficulty chewing. Dr. Goodfellow and his staff provided me with a non-invasive appliance one for the day and one for night and within 6 months I was pain and click free. It's as if I  have brand new jaw with no issues whatsoever. Without a doubt, the best medical treatment I've ever received. I would give six stars if it was available.
  
 
        
   Paula Carmona-Murphy 
 
 
 
 Trustindex verifies that the original source of the review is Google. After years of dealing with TMJ pain (and trying different types of appliances) I saw Dr. Goodfellow. I am thrilled with the results. Dr. Goodfellow and his staff are amazing!
  
 
        
   Shicheng Wu 
 
 
 
 Trustindex verifies that the original source of the review is Google. Solved on my jaw pain and overbite issues in an efficient way.

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Abstract

Background:

Methods:

Results:

Conclusions: One in 6 patients visiting a general dentist had experienced orofacial pain during the past year.

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Abstract

Background:

Methods:

Results:

Conclusions: One in 6 patients visiting a general dentist had experienced orofacial pain during the past year.

Learn more about what our patients have to say

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