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Painful Temporomandibular Disorders Are Common in Patients with Postural Orthostatic Tachycardia Syndrome and Impact Significantly upon Quality of Life

Lookup NU author(s): Professor Justin DurhamORCiD, Dr Claire McDonald, Dr Luke Hutchinson, Emerita Professor Julia Newton


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Aims: To explore the point prevalence of painful temporomandibular disorders (TMD) in a well-characterized clinical cohort of postural orthostatic tachycardia syndrome (PoTS) sufferers and to understand the functional and physiologic impact of this comorbidity on the patient. Methods: Patients with PoTS were retrospectively recruited from a previous study conducted in a UK hospital setting. Data had previously been collected on several parameters, including sociodemographic, physiologic, and functional. The participants were mailed a highly sensitive (99%). and specific (97%) self-report screening instrument for painful TMD. Simple descriptive statistics with Fisher Exact and Kruskal-Wallis tests were used to examine the data and draw inferences from it. Results: A total of 36 individuals responded (69% response rate). Just under half (47%) of the sample screened positive for painful TMD. There was no significant difference between the screening result for TMD or previously reported headaches or joint pain (P > .05). Chronic fatigue syndrome (CFS) was diagnosed by the Fukuda Criteria in 44% of the total sample and in 56% of those with painful TMD. There were no significant differences in physiologic parameters in CFS and TMD. TMD caused a significant decrease in quality of life as measured by the Patient-Reported Outcomes Measurement Information System, Health Assessment Questionnaire (P < .05). Conclusion: TMD are common in patients with PoTS. They have a significant, additional impact on patients' quality of life and should therefore be screened for at an early stage in PoTS.

Publication metadata

Author(s): Durham J, McDonald C, Hutchinson L, Newton JL

Publication type: Article

Publication status: Published

Journal: Journal of Oral & Facial Pain and Headache

Year: 2015

Volume: 29

Issue: 2

Pages: 152-157

Print publication date: 30/04/2015

Online publication date: 30/04/2015

Acceptance date: 01/01/1900

ISSN (print): 2333-0384

ISSN (electronic): 2333-0376

Publisher: Quintessence Publishing Co.


DOI: 10.11607/ofph.1396


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