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Original Research

Open Access

Differences in Pain Perception in Children Reporting Joint and Orofacial Muscle Pain

  • Chaves TC1,*,
  • Martins Nagamine H1
  • Mêlo de Sousa L1
  • Siriani de Oliveira A1
  • Hallak Regalo SC1
  • Bevilaqua Grossi D1

1Department of Neurosciences and Behavioral Sciences - Faculty of Medicine of Ribeirão Preto - University of São Paulo, CEP: 14049-900 Ribeirão Preto, SP, Brazil.

DOI: 10.17796/jcpd.37.3.013017332p40j65u Vol.37,Issue 3,May 2013 pp.321-328

Published: 01 May 2013

*Corresponding Author(s): Chaves TC E-mail: chavestc@fmrp.usp.br

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Abstract

To determine changes in orofacial pain perception in community-based children by assessing the pressure pain threshold (PPT) with an algometer and pain intensity by manual palpation (MP). Methods: A total of 100 children from the community aged 7 to 12 years were assessed. Thirty-eight children reported pain in the orofacial region. Of these children,10 reported joint pain (GJ), 12 reported joint and muscle pain(GJMM), 5 reported muscle pain (GMM), 11 reported pain during mastication(GMAST), and 62 reported no pain. An ANOVA (p<0.05) was used to determine the differences in pain intensity and PPT among groups. Results: Significantly higher pain intensity upon MP was observed for the temporalis muscle in the GJMM, GMAST and GJ groups compared to the remaining groups. The PPT values were significantly lower in the masseter, temporalis muscles, TMJ and thenar region in the GJMM group compared to the other groups. Conclusion: MP more accurately differentiated symptomatic subjects from symptom-free TMD subjects, and PPT values were more sensitive to the discrimination of pain in the orofacial sites assessed. In addition, the changes in perception at a larger number of sites among children reporting mixed pain may suggest the presence of a possible mechanism of central sensitization.

Keywords

Children, Temporomandibular Joint Disorders, Pain Measurement.

Cite and Share

Chaves TC,Martins Nagamine H,Mêlo de Sousa L,Siriani de Oliveira A,Hallak Regalo SC,Bevilaqua Grossi D. Differences in Pain Perception in Children Reporting Joint and Orofacial Muscle Pain. Journal of Clinical Pediatric Dentistry. 2013. 37(3);321-328.

URL:

https://www.jjocpd.com/articles/10.17796/jcpd.37.3.013017332p40j65u

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