ABSTRACT
OBJECTIVE: The objective of this study was to examine the comorbidity of depressive disorders in patients with chronic facial pain presenting to a multidisciplinary facial pain clinic. STUDY DESIGN: Data were collected from 72 consecutive patients with chronic facial pain who had received a maltidisciplinary evaluation including a psychiatric examination for the presence of depressive disorders. RESULTS: Twenty-eight percent of patients met criteria of the latest Diagnostic and Statistical Manual of Mental Disorders for major depression, and 25% met the criteria for minor depression. A further 22% reported subsyndromal depressive symptoms. Temporomandibular disorders were demonstrable in 71% of these patients, but the remaining 29% had no objective physical findings. There was no statistical difference in comorbidity of depressive disorders in patients with temporomandibular disorders compared with patients without temporomandibular disorders. CONCLUSION: Screening for symptoms of depression should be an integral part of the evaluation of all patients with chronic facial pain, even when masticatory muscle or temporomandibular joint disorders are identified.
Subject(s)
Depressive Disorder/complications , Facial Pain/psychology , Temporomandibular Joint Disorders/complications , Adolescent , Adult , Aged , Chronic Disease , Comorbidity , Depressive Disorder/epidemiology , Facial Pain/epidemiology , Facial Pain/etiology , Female , Humans , Male , Middle Aged , Prevalence , Sex Ratio , Temporomandibular Joint Disorders/epidemiology , Temporomandibular Joint Disorders/psychology , Texas/epidemiologyABSTRACT
The anesthetic localization procedure is an aid in ruling out or confirming suspected primary sources of oral or dental pain. The authors present two cases to demonstrate the effectiveness of the procedure.
Subject(s)
Facial Pain/diagnosis , Lidocaine , Adult , Diagnosis, Differential , Facial Pain/etiology , Female , Fibroma/complications , Fibroma/diagnosis , Humans , Mandible , Mandibular Neoplasms/complications , Mandibular Neoplasms/diagnosis , Middle Aged , Molar/injuries , Tooth Fractures/complications , Tooth Fractures/diagnosis , Tooth Root/injuriesABSTRACT
The purpose of this literature review is to examine some of the controversies related to the diagnosis and treatment of temporomandibular disorders. The main issues are the role of occlusion as an etiologic factor of temporomandibular (TM) disorders and the diagnostic significance of various radiological findings with respect to TM disorders. Only further research by scientific methodology into these complex areas will aid in resolving these issues.
