Malmö University Publications
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Could painful temporomandibular disorders be nociplastic in nature? A critical review and new proposal.
Malmö University, Faculty of Odontology (OD). Section for Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Aarhus University, Aarhus C, Denmark; Scandinavian Center for Orofacial Neurosciences, Aarhus University, Aarhus C, Denmark.ORCID iD: 0000-0001-5809-8037
2024 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 83, p. 144-150Article, review/survey (Refereed) Published
Abstract [en]

Classification of temporomandibular disorders (TMD) and, indeed, all types of orofacial pains has significantly progressed in the last decade based on international consensus work and operationalized clustering of signs and symptoms. A challenging gap nevertheless continues to exist in terms of understanding the underlying pain mechanisms and link to management. Recently, a novel mechanistic descriptor 'nociplastic pain' was introduced, and diagnostic algorithms and characteristic features were proposed. This narrative and critical review aim to discuss to what extent could painful TMD conditions fit into this category. Moreover, a number of less common types of orofacial pain could possibly also reflect nociplastic pain mechanisms. A model to differentiate TMD pain mechanisms is proposed, and the implications for management are discussed. The purpose of this review is to stimulate original and novel research into mechanisms of orofacial pain and hopefully thereby improve management of the individual patient.

Place, publisher, year, edition, pages
Medical Journals Sweden, 2024. Vol. 83, p. 144-150
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Dentistry
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URN: urn:nbn:se:mau:diva-66968DOI: 10.2340/aos.v83.40586PubMedID: 38623025Scopus ID: 2-s2.0-85190801126OAI: oai:DiVA.org:mau-66968DiVA, id: diva2:1854755
Available from: 2024-04-26 Created: 2024-04-26 Last updated: 2024-05-21Bibliographically approved

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Svensson, Peter

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