Painful and non-painful comorbid conditions associated with painful TMD in adolescents from Montreal, Canada
Notice bibliographique
Résumé
Painful and non-painful comorbid conditions associated with painful TMD in adolescents from Montreal, CanadaKhan K1,2, Gornitsky M.1,2, Velly AM.1,2 Dental Department - Jewish General Hospital1, Faculty of Dentistry - McGill University2 Objective: The aim of this study is to assess the association between painful comorbidities (i.e., headache, neck pain, back pain, gastrointestinal pain) and non-painful comorbidities (i.e., allergy, asthma) with painful TMD among adolescents (14 to 17 years old). Methodology: In this cross-sectional study, 313 students (145 males and 168 females with a mean age of 15.1 years; 14 to 17 years old) were recruited at randomly selected high schools in Montreal, Canada. A self-administered questionnaire was used to determine the presence of painful TMD and comorbidities. Statistics: Chi-square and student t-test were used to test the statistical differences between participants with and without painful TMD. To assess the association between painful and non-painful comorbidities with painful TMD, crude and multivariable logistic regression analyses adjusted for age and gender were conducted. Odds ratio (OR) and 95% confidence intervals (CI) were estimated in the regression analyses. Results: We found an 23% (72/313) prevalence of painful TMD subjects in our study population, 29% males (21/72) and 71% females (51/72) with a mean age of 15.1 0.8 months. Significant differences in frequency were noted among individuals that complained of headache (62% cases and 23% controls) p < 0.0001, back pain (86% cases and 57% controls) p < 0.0001, neck pain (70% cases and 48% controls) p = 0.001 and stomach pain (77% cases and 56% controls) p = 0.0013. Results from crude analysis show a strong association between painful TMD cases with headache (ORÂ = 5.46), and back pain (ORÂ = 4.74), but after multivariate analyses adjusted for age and gender, only headaches were strongly associated with painful TMD, OR = 3.27 (95% CI: 1.72 â 6.23) with a p < 0.0001. Girls with painful TMD presented higher odds of headache (OR = 7.42, 95% CI: 3.35 â 16.46, p <.0001) and back pain (OR = 2.95, 95% CI:Â 1.002-8.67, p = 0.0495), and boys with painful TMD presented higher likelihood of neck pain (OR = 3.73, 95% CI: 1.001-12.05, p = 0.049). Conclusion: In summary, we have found that painful TMD is common among adolescents and that subjects with this condition are more likely to present with headache, neck and back pain. Females had a greater likelihood of exposure to these comorbidities than males. Early detection and management of painful TMD is important and a multidisciplinary approach is suggested to help relieve the various conditions that accompany chronic pain in young patients.
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|---|---|---|
| Métarecherche | 0,001 | 0,001 |
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| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
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