Who is the individual that will complain about temporomandibular joint clicking?
Rodrigo Lorenzi Poluha, Giancarlo De la Torre Canales, Leonardo Rigoldi Bonjardim, Paulo César Rodrigues Conti
Abstract
BACKGROUND: Understanding the profile of the individual complaining of TMJ clicking can help in the clinical approach of these patients. OBJECTIVE: To identify clinical variables associated with individuals who complain about and seek treatment for TMJ clicking. METHODS: Seventy-two individuals, composed the sample: Group 1 - patients with a complaint of TMJ clicking who sought treatment; (n = 36); Group 2 - individuals with TMJ clicking who have no complaints about it (n = 36). Three categories of data were evaluated: clinical (gender; age; side of TMJ clicking; TMJ pain; self-reported level of bother; previous TMJ clicking information); somatosensory (mechanical pain threshold [MPT], wind-up ratio [WUR], pressure pain threshold [PPT]); and, psychosocial (Pain Vigilance and Awareness Questionnaire [PVAQ]; Pain Catastrophising Scale [PCS]; Tampa Scale for Kinesiophobia for Temporomandibular Disorders [TSK/TMD]); The Perceived Stress Scale (PSS); The State-Trait Anxiety Inventory (STAI). RESULTS: Group 1 was composed mostly of female patients, with TMJ pain, without previous orientation about the condition, bothered by the clicking, with lower PPT and higher scores in the PVAQ, PCS, TKS/TMD, PSS and STAI scales than Group 2. The groups did not differ significantly for side of TMJ clicking, age, MPT and WUR. CONCLUSION: Individuals who have a TMJ clicking complaint and seek treatment are mostly female, have TMJ pain, have not received previous orientation about TMJ clicking, are bothered by the clicking, have a lower pain threshold and higher scores of hypervigilance, catastrophising, kinesiophobia, stress and anxiety than people with TMJ clicking who do not report it.