Abstract

MOLINA, Omar Franklin et al. Antidepressant use, pain severity and pain at multiple sites in patients with bruxism. Rev Pan-Amaz Saude [online]. 2011, vol.2, n.3, pp.11-17. ISSN 2176-6215.  http://dx.doi.org/10.5123/S2176-62232011000300002.

OBJECTIVE: The aim of this study was to compare the duration, pain severity, painful complaints and antidepressant use in patients with craniomandibular disorders (CMDs) and bruxing and control subjects. MATERIAL AND METHODS: Clinical evaluation, questionnaires for pain, bruxism and antidepressant use, self-report of signs and symptoms and history regarding pain and muscle palpation were used to evaluate 389 patients presenting with CMDs and bruxing behavior and 69 controls. RESULTS: The mean age of the experimental group was 33.3 years. The duration of the chief complaint was not different in the bruxism and CMD patients (Kruskal-Wallis test p = 0.13, which is non-significant). Severe pain was more frequently observed in the severe bruxing behavior subgroup (Chi-squared test for trends p = 0.01, significant). Patients with severe bruxism had used or were using more antidepressants than patients with mild or moderate bruxism and non-CMD control subjects (Chi-squared test for independence p = 0.006, significant). A greater number of pain complaints was observed in the severe bruxing behavior group (Kruskal-Wallis test p = 0.0001, extremely significant). CONCLUSIONS: Patients with severe bruxism presented with a history of pain. Antidepressant use increased from the mild to the severe bruxing behavior group. In addition, the severe group demonstrated a greater number of painful complaints.

Keywords : Temporomandibular joint disorders; Bruxism; Facial pain; Antidepressant agents.

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