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The differential impact of neuropathic, musculoskeletal and neurovascular orofacial pain on psychosocial function.

Smith, JG; Karamat, A; Melek, LN; Jayakumar, S; Renton, T (2020) The differential impact of neuropathic, musculoskeletal and neurovascular orofacial pain on psychosocial function. J Oral Pathol Med, 49 (6). pp. 538-546. ISSN 1600-0714 https://doi.org/10.1111/jop.13071
SGUL Authors: Smith, Jared Grant

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Abstract

BACKGROUND: While the psychosocial morbidity of orofacial pain (OFP) is widely recognised, the differential impact of musculoskeletal, neuropathic and neurovascular symptoms on pain and psychosocial function in individuals with and without coexisting OFP conditions is unclear. MATERIALS AND METHODS: This was a comparative cross-sectional study of 350 consecutive patients attending an OFP clinic; 244 completed standardized self-report measures of pain experience, mood, and generic and oral health-related quality of life (HRQoL). The impact of musculoskeletal, neuropathic and neurovascular symptoms on measures was assessed using linear and logistic generalized linear models. RESULTS: Two-hundred patients were diagnosed with a neuropathic condition; 125 with musculoskeletal pain and 101 with (neurovascular) headache disorders. 23% of patients presented with multiple OFP conditions; this was more common in patients with neurovascular (62%) than neuropathic (21%) and/or musculoskeletal orofacial symptoms (28%). Patients with neurovascular symptoms experienced significantly higher levels of pain, evidenced less pain self-efficacy and had poorer overall health. Neuropathic OFP was significantly associated with greater psychological and social oral health disability. Multiple OFP symptoms were not linked to pain severity or psychosocial function, although health scores were worse for patients with neurovascular pain and neuropathic/musculoskeletal symptoms compared with patients with only neurovascular symptoms. CONCLUSIONS: The profile and degree of psychosocial morbidity in patients with OFP is significantly related to the types of presenting orofacial symptoms. Patients with neurovascular pain present with higher pain levels and have poorer health while those with neuropathic pain have higher oral functional morbidity; both may require more complex multidisciplinary management.

Item Type: Article
Additional Information: © 2020 The Authors. Journal of Oral Pathology & Medicine published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
Keywords: headache, health-related quality of life, neuropathic, orofacial pain; musculoskeletal pain, psychosocial, 1105 Dentistry, Dentistry
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: J Oral Pathol Med
ISSN: 1600-0714
Language: eng
Dates:
DateEvent
15 July 2020Published
2 July 2020Published Online
4 June 2020Accepted
Publisher License: Publisher's own licence
Projects:
Project IDFunderFunder ID
Awards 2014Grünenthal LtdUNSPECIFIED
26226British Council and the Egyptian Science and Technology Development FundUNSPECIFIED
PubMed ID: 32531812
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/111397
Publisher's version: https://doi.org/10.1111/jop.13071

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