TY - JOUR
T1 - Impact of tobacco use on the symptoms of painful temporomandibular joint disorders
AU - Weingarten, Toby N.
AU - Iverson, Barton C.
AU - Shi, Yu
AU - Schroeder, Darrell R.
AU - Warner, David O.
AU - Reid, Kevin I.
N1 - Funding Information:
Funding: Supported by the Department of Anesthesiology, Mayo Clinic and Mayo Foundation , Rochester, MN 55905.
PY - 2009/12/15
Y1 - 2009/12/15
N2 - This study examines the relationship between the severity of painful temporomandibular joint disorders (TMD) symptoms and current tobacco use in patients evaluated at a specialized orofacial pain clinic. Medical records, including responses to the Chronic Pain Grading Scale (CPGS), from 606 consecutive patients evaluated at the Mayo Clinic orofacial pain clinic with TMD by RDC-TMD criteria were retrospectively reviewed. Univariate analyses were performed comparing tobacco users and non-users. Analysis of covariance and multiple logistic regression models were used to adjust for demographic variables. A p value ≤ 0.05 was accepted as the level of significance. Current tobacco use was reported by 91 subjects (15.1%). Tobacco users were younger (p < 0.01), less frequently married or widowed (p < 0.01), more frequently unemployed (p < 0.01), and less educated (p < 0.01). In univariate analysis, tobacco users were more likely to have moderate to severe pain interference defined as GPGS III-IV (OR = 1.94, 95% CI 1.16-3.22 for tobacco users compared to non-users), but this difference was not significant after adjustment for demographic variables. In the subset of subjects who lacked a myofascial component of pain (N = 333) this difference remained significant in the adjusted analysis (adjusted OR = 4.56, 95% CI 1.46-14.24). Current tobacco use was associated with unfavorable demographic background variables and more pain interference in subjects with TMD presenting to a specialized orofacial pain clinic. These effects were more pronounced in cases where myofascial pain was not present.
AB - This study examines the relationship between the severity of painful temporomandibular joint disorders (TMD) symptoms and current tobacco use in patients evaluated at a specialized orofacial pain clinic. Medical records, including responses to the Chronic Pain Grading Scale (CPGS), from 606 consecutive patients evaluated at the Mayo Clinic orofacial pain clinic with TMD by RDC-TMD criteria were retrospectively reviewed. Univariate analyses were performed comparing tobacco users and non-users. Analysis of covariance and multiple logistic regression models were used to adjust for demographic variables. A p value ≤ 0.05 was accepted as the level of significance. Current tobacco use was reported by 91 subjects (15.1%). Tobacco users were younger (p < 0.01), less frequently married or widowed (p < 0.01), more frequently unemployed (p < 0.01), and less educated (p < 0.01). In univariate analysis, tobacco users were more likely to have moderate to severe pain interference defined as GPGS III-IV (OR = 1.94, 95% CI 1.16-3.22 for tobacco users compared to non-users), but this difference was not significant after adjustment for demographic variables. In the subset of subjects who lacked a myofascial component of pain (N = 333) this difference remained significant in the adjusted analysis (adjusted OR = 4.56, 95% CI 1.46-14.24). Current tobacco use was associated with unfavorable demographic background variables and more pain interference in subjects with TMD presenting to a specialized orofacial pain clinic. These effects were more pronounced in cases where myofascial pain was not present.
KW - Chronic graded pain scale
KW - Pain
KW - Smoking
KW - Temporomandibular joint disorder
KW - Tobacco use
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U2 - 10.1016/j.pain.2009.08.021
DO - 10.1016/j.pain.2009.08.021
M3 - Article
C2 - 19793624
AN - SCOPUS:70449642407
SN - 0304-3959
VL - 147
SP - 67
EP - 71
JO - Pain
JF - Pain
IS - 1-3
ER -