Temporomandibular pain: clinical presentation and time of response to non surgical intervention in a secondary health institution

Objectives: Pattern of clinical presentation of pain in orofacial region of non odontogenic origin and time of response to non-surgical intervention. Methods:  A prospective study of patients who presented with pain affecting the joint and muscles of mastication in which tenderness was elic...

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Main Author: Osaghae, Ifueko Patience
Format: Online
Published: International Association for Dental Research (Nigeria Division) 2020
Online Access:https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/62
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author Osaghae, Ifueko Patience
author_facet Osaghae, Ifueko Patience
author_sort Osaghae, Ifueko Patience
collection OJS
description Objectives: Pattern of clinical presentation of pain in orofacial region of non odontogenic origin and time of response to non-surgical intervention. Methods:  A prospective study of patients who presented with pain affecting the joint and muscles of mastication in which tenderness was elicited in the orofacial region on clinical examination from May 2010 to May 2018. Exclusion criteria were any history of trauma, post- operative dental procedure and degenerative diseases. Data used for study were: age, gender, presenting complaint, sites, co-morbidity and response to treatment. Results: A total of 30 patients met the inclusion criterion. Majority, 67% (20) were males and 33% (10) females. Age range was between 15 -70years with majority 23% (7) in the 31-40 age group, least affected 10% (3) were in 11-20 age group. Presenting complaint as Jaw pain accounted for 70% (21) while ear ache and difficulty in mouth opening were 3% (1) each. 53% (16) complained of pain from the left jaw, 47% (14) from the right. 20% (6) and 17% (5) admitted they were being managed for hypertension and peptic ulcer disease respectively. 43% (13) had parafunctional habits, where 33% (10) had habits such as clenching/grinding and 10% (3) rested their jaws on the hand. Majority 90% (27) were managed conservatively out of which 70% (19) were given medication once while follow up medication was up to three times for 19% (5). 10% (3) were referred. Conclusion: Temporomandibular pain has diverse clinical presentations and majority received relief in the first week of intervention.
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spelling oai:ojs2.ajoh.oauife.edu.ng:article-622020-09-30T01:07:27Z Temporomandibular pain: clinical presentation and time of response to non surgical intervention in a secondary health institution Osaghae, Ifueko Patience Objectives: Pattern of clinical presentation of pain in orofacial region of non odontogenic origin and time of response to non-surgical intervention. Methods:  A prospective study of patients who presented with pain affecting the joint and muscles of mastication in which tenderness was elicited in the orofacial region on clinical examination from May 2010 to May 2018. Exclusion criteria were any history of trauma, post- operative dental procedure and degenerative diseases. Data used for study were: age, gender, presenting complaint, sites, co-morbidity and response to treatment. Results: A total of 30 patients met the inclusion criterion. Majority, 67% (20) were males and 33% (10) females. Age range was between 15 -70years with majority 23% (7) in the 31-40 age group, least affected 10% (3) were in 11-20 age group. Presenting complaint as Jaw pain accounted for 70% (21) while ear ache and difficulty in mouth opening were 3% (1) each. 53% (16) complained of pain from the left jaw, 47% (14) from the right. 20% (6) and 17% (5) admitted they were being managed for hypertension and peptic ulcer disease respectively. 43% (13) had parafunctional habits, where 33% (10) had habits such as clenching/grinding and 10% (3) rested their jaws on the hand. Majority 90% (27) were managed conservatively out of which 70% (19) were given medication once while follow up medication was up to three times for 19% (5). 10% (3) were referred. Conclusion: Temporomandibular pain has diverse clinical presentations and majority received relief in the first week of intervention. International Association for Dental Research (Nigeria Division) 2020-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/62 African Journal of Oral Health; Vol 10 No 1 (2020): Vol10No1(2020); 13-19 0189-5710 0189-5710 Copyright (c) 2020 African Journal of Oral Health
spellingShingle Osaghae, Ifueko Patience
Temporomandibular pain: clinical presentation and time of response to non surgical intervention in a secondary health institution
title Temporomandibular pain: clinical presentation and time of response to non surgical intervention in a secondary health institution
title_full Temporomandibular pain: clinical presentation and time of response to non surgical intervention in a secondary health institution
title_fullStr Temporomandibular pain: clinical presentation and time of response to non surgical intervention in a secondary health institution
title_full_unstemmed Temporomandibular pain: clinical presentation and time of response to non surgical intervention in a secondary health institution
title_short Temporomandibular pain: clinical presentation and time of response to non surgical intervention in a secondary health institution
title_sort temporomandibular pain clinical presentation and time of response to non surgical intervention in a secondary health institution
url https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/62
work_keys_str_mv AT osaghaeifuekopatience temporomandibularpainclinicalpresentationandtimeofresponsetononsurgicalinterventioninasecondaryhealthinstitution