Simple F. Kothari

Neurosensory assessment in patients with total reconstruction of the temporomandibular joint

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • S F Kothari
  • L Baad-Hansen
  • K Andersen, Section of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Oral Pathology and Maxillofacial Surgery, Department of Dentistry, Aarhus University, Danmark
  • Peter Svensson

Somatosensory sensitivity and postoperative endogenous pain modulation have not been investigated in temporomandibular joint (TMJ) prosthesis patients. The objectives of this study were to assess somatosensory function at the TMJ and examine possible differences in conditioned pain modulation (CPM) between patients with total TMJ prostheses (n=7) and a reference group of healthy controls (n=20). Somatosensory abnormalities were assessed using quantitative sensory testing (QST), which encompasses thermal and mechanical testing procedures. CPM was tested by comparing pressure pain thresholds (PPT) before (baseline), during, and after the application of painful and non-painful cold stimuli. PPTs were measured at the TMJ and thenar eminence (control). The effect of CPM on PPT values was tested with analysis of variance. Three patients exhibited mixed somatosensory loss (i.e., decreased thermal and mechanical detection) with mixed hyperalgesia (i.e., increased sensitivity to thermal and mechanical pain) and two patients exhibited mixed loss with only mechanical hyperalgesia. There was a significant decrease in pressure pain sensitivity at both sites during painful cold application in healthy controls (P<0.001) but not in patients (P=0.476). In conclusion, QST measures demonstrated somatosensory abnormalities in patients with total TMJ prostheses. Noxious conditioning cold stimuli evoked CPM-like effects in healthy subjects but not in patients with TMJ reconstruction.

OriginalsprogEngelsk
TidsskriftInternational Journal of Oral and Maxillofacial Surgery
Vol/bind43
Nummer9
Sider (fra-til)1096-1103
Antal sider8
ISSN0901-5027
DOI
StatusUdgivet - sep. 2014

Se relationer på Aarhus Universitet Citationsformater

ID: 84435102