Orofacial musculoskeletal pain: An evidence-based bio-psycho-social matrix model.

Neuroscience and Biobehavioral Reviews
Dominik A EttlinJuliana Trindade Clemente-Napimoga

Abstract

Pain is a multidimensional experience comprising sensory-discriminative, affective-motivational, and cognitive-evaluative dimensions. Clinical and research findings have demonstrated a complex interplay between social burdens, individual coping strategies, mood states, psychological disorders, sleep disturbances, masticatory muscle tone, and orofacial musculoskeletal pain. Accordingly, current classification systems for orofacial pain require psychosocial assessments to be an integral part of the multidimensional diagnostic process. Here, we review evidence on how psychosocial and biological factors may generate and perpetuate musculoskeletal orofacial pain. Specifically, we discuss studies investigating a putative causal relationship between stress, bruxism, and pain in the masticatory system. We present findings that attribute brain structures various roles in modulating pain perception and pain-related behavior. We also examine studies investigating how the nervous and immune system on cellular and molecular levels may account for orofacial nociceptive signaling. Furthermore, we review evidence pointing towards associations between orofacial musculoskeletal pain and neuroendocrine imbalances, sleep disturbances, and alterati...Continue Reading

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Citations

Aug 10, 2021·Cranio : the Journal of Craniomandibular Practice·Miguel Meira E CruzGilles J Lavigne
Aug 14, 2021·Journal of Photochemistry and Photobiology. B, Biology·Eliana de Souza Bastos Mazuqueli PereiraJuliana Trindade Clemente-Napimoga
Oct 2, 2021·Journal of Dental Research·H B AbdallaJ T Clemente-Napimoga

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