Refractory craniofacial pain: is there a role of periodontal disease as a comorbidity?

Arquivos de Neuro-Psiquiatria

Gisele Maria Campos Fabri²  Silvia R.d.t. Siqueira¹  Caio Simione¹  Cibele Nasri¹  Manoel Jacobsen Teixeira¹  José Tadeu Tesseroli Siqueira¹ 

[1] ,University of São Paulo Medical School Hospital das ClínicasSão Paulo SP ,Brazil

关键词: periodontal disease;    orofacial pain;    chronic headache;    atypical facial pain;    doença periodontal;    dor orofacial;    cefaléia crônica;    dor facial atípica;   

DOI  :  10.1590/S0004-282X2009000300018

来源: SciELO

【 摘 要 】

OBJETIVE: To evaluate the influence of the periodontal disease (PD), a chronic infection, in patients with chronic craniofacial pain complaints. METHOD: Twenty patients with chronic craniofacial pain and PD (CFP group) and 20 patients with PD (PD group) were assessed before and after periodontal treatment (baseline, 30 and 180 days after treatment). The paramenters evaluated were: plaque index, bleeding index, clinical probe insertion, Visual Analogic Scale (VAS) for pain intensity and Numerical Rating Scale (NRS) and Verbal Rating Scale (VRS) for the "chief complaint". RESULTS: After 180 days PD was controlled in both groups (p<0.001); the VAS decreased in CFP group (p<0.001); "chief complaint" improved (p=0.005 and p=0.027, respectively in CFP and PD group). VRS showed improvement between the groups in 30 (p=0.004) and 180 days (p=0.001). CONCLUSION: These results suggest a possible influence of periodontal disease, as a comorbidity, in refractory craniofacial pain patients and in their pain levels.

【 授权许可】

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