Does the Pain Associated with Temporomandibular Disorder Increase on Rainy Days?
정성희, 이순희, 김경희, 허준영, 전혜미, 안용우, 옥수민,
소속 상세정보
정성희 ( Jeong Sung-Hee ) - Pusan National University School of Dentistry Department of Oral Medicine
이순희 ( Lee Sun-Hee ) - Pusan National University School of Dentistry Department of Oral Medicine
김경희 ( Kim Kyung-Hee ) - Inje University College of Medicine Busan Paik Hospital Department of Oral Medicine
허준영 ( Heo Jun-Young ) - Pusan National University Dental Hospital Department of Oral Medicine and Dental Research Institute
전혜미 ( Jeon Hye-Mi ) - Pusan National University Hospital Department of Oral Medicine
안용우 ( Ahn Yong-Woo ) - Pusan National University School of Dentistry Department of Oral Medicine
옥수민 ( Ok Soo-Min ) - Pusan National University School of Dentistry Department of Oral Medicine
KMID : 0355220160410040161
Abstract
Purpose: Patients who suffer from rheumatic arthritis, fibromyalgia, other various inflammatory diseases and musculoskeletal disorders, which are all similar to temporomandibular disorders (TMD), have been complaining about changes in the level and type of pain in response to changes in weather conditions for a long time. Through an investigation about pain perception in TMD patients in response to weather conditions, our primary objective was to develop base materials for future studies on change in pain in response to meteorological factors.
Methods: Among patients who presented with TMD to Department of Oral Medicine, Pusan National University Dental Hospital from August to October 2016, one hundred consecutive TMD patients diagnosed with TMDs according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC?TMD) were recruited for the study and 28 patients were excluded according to exclusion criteria. Survey was done with the questionnaire and investigated whether there was any difference in incidence and level of pain in TMD patients between non-rainy and rainy days.
Results: Among a total of 72 samples, 4 patients reported change in pain on rainy days rather than non-rainy days. Two patients from chronic group (joint and complex subgroup) reported increased pain on rainy days rather than non-rainy days but it was not statistically significant (p>0.05). One patient from chronic/muscle group reported the change in pain characteristics while pain intensity remained unchanged. One patient from acute/complex group reported decreased pain intensity. In comparison of the patients who reported increased pain on rainy days between acute and chronic groups, there were two reported cases and were both from chronic group only. There was a significantly higher chance of reporting increased pain on rainy days in chronic group than acute group (p<0.001).
Conclusions: It is considered that TMD patients couldn’t perceive the change in pain well in response to weather change on rainy days but some chronic patients could perceive the increase in pain in rainy days.
키워드
Facial pain; Meteorological concepts; Rain; Temporomandibular joint disorders; Weather
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