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Article

Prevalence of Function-Dependent Temporomandibular Joint and Masticatory Muscle Pain, and Predictors of Temporomandibular Disorders among Patients with Lyme Disease

1
Department of Integrated Dentistry, Dental Institute, Faculty of Medicine, Jagiellonian University Medical College, 31-155 Krakow, Poland
2
School of Dentistry, University of Siena, 53100 Siena, Italy
3
Department of Infectious and Tropical Diseases, Faculty of Medicine, Jagiellonian University Medical College, 31-155 Krakow, Poland
4
Department of Orofacial Pain and Dysfunction, Academic Centre forDentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, 1081 LA Amsterdam, The Netherlands
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(7), 929; https://doi.org/10.3390/jcm8070929
Received: 28 May 2019 / Revised: 25 June 2019 / Accepted: 27 June 2019 / Published: 28 June 2019
(This article belongs to the Special Issue Sleep Bruxism—The Controversial Sleep Movement Activity)
The aim was to determine the occurrence of temporomandibular disorders (TMDs) in patients with Lyme disease (LD), and to estimate the contribution of factors that may identify TMD among LD patients. In seventy-six (N = 76) adult patients with LD (mean age 57.6 ± 14.6 years) and 54 healthy non-Lyme volunteers with a mean age of 56.4 ± 13.5 years, possible function (i.e., non-pain) diagnoses were established using the Research Diagnostic Criteria of Temporomandibular Disorders (RDC/TMD). Pain diagnoses were established by means of the function-dependent dynamic and static tests. The two groups did not significantly differ in the frequency of disc displacements diagnoses and function-dependent pain diagnoses. LD showed a significantly higher frequency (p < 0.001) of osteoarthrosis than the control group. For the prediction of pain diagnoses in LD patients, the single regression analyses pointed out an association with age, sleep bruxism (SB), and awake bruxism (AB). Two predictors (i.e., SB (p = 0.002) and AB (p = 0.017)) were statistically significant in the final multiple variable model. The frequency of TMD in patients with LD based on function-dependent tests was not significantly different from that in the control group. This investigation suggests that the contribution of bruxism to the differentiation between patients with Lyme and TMD is high. View Full-Text
Keywords: palpation tests; temporomandibular disorders; static/dynamic tests; comorbidity; Lyme disease palpation tests; temporomandibular disorders; static/dynamic tests; comorbidity; Lyme disease
MDPI and ACS Style

Osiewicz, M.; Manfredini, D.; Biesiada, G.; Czepiel, J.; Garlicki, A.; Aarab, G.; Pytko-Polończyk, J.; Lobbezoo, F. Prevalence of Function-Dependent Temporomandibular Joint and Masticatory Muscle Pain, and Predictors of Temporomandibular Disorders among Patients with Lyme Disease. J. Clin. Med. 2019, 8, 929. https://doi.org/10.3390/jcm8070929

AMA Style

Osiewicz M, Manfredini D, Biesiada G, Czepiel J, Garlicki A, Aarab G, Pytko-Polończyk J, Lobbezoo F. Prevalence of Function-Dependent Temporomandibular Joint and Masticatory Muscle Pain, and Predictors of Temporomandibular Disorders among Patients with Lyme Disease. Journal of Clinical Medicine. 2019; 8(7):929. https://doi.org/10.3390/jcm8070929

Chicago/Turabian Style

Osiewicz, Magdalena, Daniele Manfredini, Grażyna Biesiada, Jacek Czepiel, Aleksander Garlicki, Ghizlane Aarab, Jolanta Pytko-Polończyk, and Frank Lobbezoo. 2019. "Prevalence of Function-Dependent Temporomandibular Joint and Masticatory Muscle Pain, and Predictors of Temporomandibular Disorders among Patients with Lyme Disease" Journal of Clinical Medicine 8, no. 7: 929. https://doi.org/10.3390/jcm8070929

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