THE INCIDENCE OF PAIN IN THE TEMPOROMANDIBULAR JOINT, HEAD-NECK REGION AND FACE-EAR REGION BEFORE AND DURING MENSTRUAL PERIOD: A PILOT STUDY

Öz

Aim: It is defended that pain sensation changes
during menstrual period due to decreased estrogen
level. The present study aimed to investigate the
incidence of pain in the temporomandibular joint
(TMJ), head-neck region and face-ear region before
and during menstrual period.
Materials and Methods: Female subjects with
regular and problem-free menstrual period were
enrolled in the study. Patients were grouped as the
women who were in the menstrual period and the
women who were not. All patients completed RDC /
TMD (Research Diagnostic Criteria for Temporomandibular Disorder) questionnaire form for the symptoms
of TMJ disorders. In addition, presence of pain in the
TMJ, head-neck region and face-ear region was also
assessed.
Results: There was no statistically significant
difference between the groups. Half of (50%) overall
patients reported pain in a single region. TMJ pain was
present in 23.5% of the patients. Of the patients
having TMJ pain, 73.5% were not in the menstrual
period.
Conclusion: Women usually suffer from head-neck
pain during menstrual period but from TMJ pain
before menstrual period.

Anahtar Kelimeler

• Menstruation
• temporomandibular joint
• head-neck
• face
• ear
• pain

MENSTRUAL DÖNEMDE VE ÖNCESİNDE TEMPOROMANDİBULAR EKLEM, BAŞBOYUN, YÜZ-KULAK BÖLGESİ AĞRILARININ GÖRÜLME SIKLIĞININ ARAŞTIRILMASI: PİLOT ÇALIŞMA

Öz

Amaç: Kadınlarda menstrual dönemde östrojen seviyesinin düşmesine bağlı olarak ağrı hassasiyetinde değişimler olduğu savunulmaktadır. Bu çalışmada menstrual dönemi ve öncesinde temporomandibular eklem (TME), baş-boyun, yüz-kulak ağrılarının görülme sıklığının araştırılması amaçlanmıştır.

Gereç ve Yöntem: Menstrual periotları sorunsuz ve düzenli olan kadın bireyler çalışmaya dahil edildi. Hastalar, menstrual dönemde olan ve olmayan olarak iki gruba ayrıldı. Tüm hastalara TME hastalıkları için TMR/ATK (Temporomandibular Rahatsızlık/ Araştırma Teşhis Kriterleri) muayene anket formu uygulandı. Ek olarak TME, yüz-kulak, baş-boyun bölgesinde ağrı varlığı değerlendirildi.

Bulgular: Gruplar arasında istatistiksel olarak anlamlı bir farklılık bulunmadı. Tüm hastaların % 50’si tek bölge ağrısı bildirmişlerdir. Hastaların % 23.5’inde TME ağrısı mevcuttur. TME şikayeti bulunan hastaların % 73.5’i menstrual dönemde değildir. 

Sonuç: Kadınlar menstruasyon döneminde daha çok baş-boyun ağrılarından, menstrual dönem öncesinde TME ağrılarından etkilenmektedirler.

Anahtar Kelimeler:

Menstruasyon, Tempromandibular eklem, baş boyun, yüz, kulak, ağrı

 

THE INCIDENCE OF PAIN IN THE TEMPOROMANDIBULAR JOINT, HEAD-NECK REGION AND FACE-EAR REGION BEFORE AND DURING MENSTRUAL PERIOD: A PILOT STUDY

ABSTRACT

Aim: It is defended that pain sensation changes during menstrual period due to decreased estrogen level. The present study aimed to investigate the incidence of pain in the temporomandibular joint (TMJ), head-neck region and face-ear region before and during menstrual period.

Materials and Methods: Female subjects with regular and problem-free menstrual period were enrolled in the study. Patients were grouped as the women who were in the menstrual period and the women who were not. All patients completed RDC / TMD (Research Diagnostic Criteria for Temporoman- dibular Disorder) questionnaire form for the symptoms of TMJ disorders. In addition, presence of pain in the TMJ, head-neck region and face-ear region was also assessed.

Results: There was no statistically significant difference between the groups. Half of (50%) overall patients reported pain in a single region. TMJ pain was present in 23.5% of the patients. Of the patients having TMJ pain, 73.5% were not in the menstrual period.

Conclusion: Women usually suffer from head-neck pain during menstrual period but from TMJ pain before menstrual period.

Keywords: Menstruation, temporomandibular joint, head-neck, face, ear, pain.

Anahtar Kelimeler

• Menstruasyon
• Tempromandibular eklem
• baş boyun
• yüz
• kulak

Kaynakça

1. 1. Cairns BE, Gazerani P. Sex-related differences in pain. Maturitas 2009;63:292-6.
2. 2. Fillingim RB, Ness TJ. Sex-related hormonal influences on pain and analgesic responses. Neurosci Biobehav Rev 2000;24:485-501.
3. 3. Martin VT. Ovarian hormones and pain response: a review of clinical and basic science studies. Gend Med 2009;6:168-92.
4. 4. Riley JL 3rd, Robinson ME, Wise EA, Price DD. A meta-analytic review of pain perception across the menstrual cycle. Pain 1999;8:225-35.
5. 5. Sherman JJ, LeResche L. Does experimental pain response vary across the menstrual cycle? A methodological review. Am J Physiol Regul Integr Comp Physiol 2006;291:R245-56.
6. 6. Balter JE, Molner JL, Kohrt WM, Maluf KS. Mechanical pain sensitivity and the severity of chronic neck pain and disability are not modulated across the menstrual cycle. J Pain 2013;14:1450-9.
7. 7. Salaffi F, De Angelis R, Grassi W. Prevalence of musculoskeletal conditions in an Italian population sample: results of a regional community-based study. I. The MAPPING study. Clin Exp Rheumatol 2005;23:819-28.
8. 8. Reed BG, Carr BR. The Normal Menstrual Cycle and the Control of Ovulation.In: De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A, editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc; 2000-.2015 May 22.

9. 9. Ciancaglini R, Radaelli G. The relationship between headache and symptoms of temporomandibular disorder in the general population. J Dent 2001;29:93-8.
10. 10. Rantala MA, Ahlberg J, Suvinen TI, Nissinen M, Lindholm H, Savolainen A, Könönen M. Temporomandibular joint related painless symptoms, orofacial pain, neck pain, headache, and psychosocial factors among non-patients. Acta Odontol Scand 2003;61:217-22.
11. 11. Wänman A. The relationship between muscle tenderness and craniomandibular disorders: a study of 35-year-olds from the general population. J Orofac Pain 1995;9:235-43.
12. 12. De Laat A, Meuleman H, Stevens A, Verbeke G. Correlation between cervical spine and temporomandibular disorders. Clin Oral Investig 1998;2:54-7.
13. 13. Wiesinger B, Malker H, Englund E, Wänman A. Back pain in relation to musculoskeletal disorders in the jaw-face: a matched case-control study. Pain 2007;131:311-9.
14. 14. Wolfe F, Katz RS, Michaud K. Jaw pain: its prevalence and meaning in patients with rheumatoid arthritis, osteoarthritis, and fibromyalgia. J Rheumatol 2005;32:2421-8.
15. 15. Kim TY, Shin JS, Lee J, Lee YJ, Kim MR, Ahn YJ, Park KB, Hwang DS, Ha IH. Gender Difference in Associations between Chronic Temporomandibular Disorders and General Quality of Life in Koreans: A Cross-Sectional Study. PLoS One 2015;10: e0145002.
16. 16. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations, and specifications, critique. J Craniomandib Disord 1992;6:301-355.
17. 17. Unruh AM. Gender variations in clinical pain experience. Pain 1996;65:123-67.
18. 18. Berkley KJ. Sex differences in pain. Behav Brain Sci 1997;20:371-80; discussion 435-513.
19. 19. Stewart WF, Lipton RB, Celentano DD, Reed ML. Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA 1992;267:64-9.
20. 20. Ayalı A, Ramoğlu S. Kuzey Kıbrıs’ta diş hekimliği fakültesi öğrencilerinde temporomandibular eklem disfonksiyonunun prevalansı ve şiddetinin araştırılması. Atatürk Üniv Diş Hek Fak Derg 2014;24:367-72.
21. 21. LeResche L, Saunders K, Von Korff MR, Barlow W, Dworkin SF. Use of exogenous hormones and risk of temporomandibular disorder pain. Pain 1997;69:153-60.
22. 22. Dao TT, Knight K, Ton-That V. Modulation of myofascial pain by the reproductive hormones: a preliminary report. J Prosthet Dent 1998;79:663-70.
23. 23. Nilsson IM, List T, Drangsholt M. The reliability and validity of self-reported temporomandibular disorder pain in adolescents. J Orofac Pain 2006;20:138-44.
24. 24. Pinelli C, de Castro Monteiro Loffredo L. Reproducibility and validity of self-perceived oral health conditions. Clin Oral Investig 2007;11:431-7.
25. 25. Ezirganlı Ş, Kara Mİ, Küçük D, Özan F, Polat S. Erişkin Türk toplumunda maksimum ağız açıklığı miktarı ve temporomandibular eklem bozuklukları ile ilişkisinin araştırılması. Atatürk Üniv Diş Hek Fak Derg 2013;21:57-62.
26. 26. Vincent K, Warnaby C, Stagg CJ, Moore J, Kennedy S, Tracey I. Brain imaging reveals that engagement of descending inhibitory pain pathways in healthy women in a low endogenous estradiol state varies with testosterone. Pain 2013;154:515-24.
27. 27. LeResche L, Mancl L, Sherman JJ, Gandara B, Dworkin SF. Changes in temporomandibular pain and other symptoms across the menstrual cycle. Pain 2003;106:253-61.
28. 28. Macfarlane TV, Blinkhorn AS, Davies RM, Kincey J, Worthington HV. Association between female hormonal factors and oro-facial pain: study in the community. Pain 2002;97:5-10.
29. 29. Doty E, Attaran M. Managing primary dysmenorrhea. J Pediatr Adolesc Gynecol 2006; 19:341-4.
30. 30. Miziara L, Bigal ME, Bordini CA, Speciali JG. Menstrual headache: semiological study in 100 cases. Arq Neuropsiquiatr 2003;61:596-600.
31. 31. Shaik MM, Gan SH. Vitamin supplementation as possible prophylactic treatment against migraine with aura and menstrual migraine. Biomed Res Int. 2015;2015:469529. doi: 10.1155/2015/469529.
32. 32. Graziottin A, Zanello PP. Menstruation, inflammation and comorbidities: implications for woman health. Minerva Ginecol 2015;67:21-34.
33. 33. MacGregor EA. Migraine Management During Menstruation and Menopause. Continuum (Minneap Minn) 2015;21:990-1003.
34. 34. Parashar R, Bhalla P, Rai NK, Pakhare A, Babbar R. Migraine: is it related to hormonal disturbances or stress?. Int J Womens Health 2014;24;6:921-5.
35. 35. Grøholt EK, Stigum H, Nordhagen R, Köhler L. Recurrent pain in children, socio-economic factors and accumulation in families. Eur J Epidemiol 2003;18:965-75.