PMID: 9421788Jan 9, 1998Paper

Temporomandibular disorders--pain outside the head and face is rarely acknowledged in the chief complaint

The Journal of Prosthetic Dentistry
J C TürpC S Stohler

Abstract

With diagnostic and therapeutic procedures being heavily influenced by the patient's chief complaint, the question arises whether this information alone represents a solid basis for clinical action. The aim of this investigation was to assess the agreement between pain complaints and patient generated paper-and-pencil drawings of the distribution of pain in patients suffering from temporomandibular disorders. The study included 140 adult female patients with temporomandibular disorders. Pain drawings served as a standard, against which the oral reports were compared. In 40 (29%) of the patients, pain was limited to the head and face; in the remaining subjects, it exceeded the boundaries of these regions. Nine potential pain sites were distinguished (head, face, neck, shoulders, arms, chest, abdomen, back, and legs). Whenever one of these regions was part of the drawing or the pain complaint, it was counted. Sensitivity, specificity, and kappa indices were computed for each site. Patients with pain limited to the head and face showed a close correspondence between pain report and drawing. On the other hand, patients with temporomandibular disorders with concomitant pain sites outside the head and face frequently did not mention ...Continue Reading

Citations

Sep 7, 2019·JMIR MHealth and UHealth·Nour ShaballoutFlorian Beissner
Jul 18, 2001·European Journal of Oral Sciences·C M VisscherM Naeije
Mar 16, 2011·Oral Diseases·R BenolielE Eliav
Apr 7, 2016·Arquivos de neuro-psiquiatria·Fábio J C FujarraJosé Tadeu Tesseroli de Siqueira
Dec 21, 2019·Pediatric Rheumatology Online Journal·Alexandra Dimitrijevic CarlssonPer Alstergren
May 24, 2012·Arquivos de neuro-psiquiatria·Ana Lúcia FrancoCinara Maria Camparis
Feb 13, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·James M HawkinsPeter M Bertrand
Nov 11, 2017·Acta Odontologica Scandinavica·Marika DoepelYrsa Le Bell
Nov 7, 2009·Cranio : the Journal of Craniomandibular Practice·Anke SteinmetzBurkhard Muche
Apr 2, 2009·Clinical Oral Investigations·C Hirsch, J C Türp

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