Impact of tobacco use on the symptoms of painful temporomandibular joint disorders

Toby N. Weingarten, Barton C. Iverson, Yu Shi, Darrell R. Schroeder, David Oman Warner, Kevin I. Reid

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

This study examines the relationship between the severity of painful temporomandibular joint disorders (TMD) symptoms and current tobacco use in patients evaluated at a specialized orofacial pain clinic. Medical records, including responses to the Chronic Pain Grading Scale (CPGS), from 606 consecutive patients evaluated at the Mayo Clinic orofacial pain clinic with TMD by RDC-TMD criteria were retrospectively reviewed. Univariate analyses were performed comparing tobacco users and non-users. Analysis of covariance and multiple logistic regression models were used to adjust for demographic variables. A p value ≤ 0.05 was accepted as the level of significance. Current tobacco use was reported by 91 subjects (15.1%). Tobacco users were younger (p < 0.01), less frequently married or widowed (p < 0.01), more frequently unemployed (p < 0.01), and less educated (p < 0.01). In univariate analysis, tobacco users were more likely to have moderate to severe pain interference defined as GPGS III-IV (OR = 1.94, 95% CI 1.16-3.22 for tobacco users compared to non-users), but this difference was not significant after adjustment for demographic variables. In the subset of subjects who lacked a myofascial component of pain (N = 333) this difference remained significant in the adjusted analysis (adjusted OR = 4.56, 95% CI 1.46-14.24). Current tobacco use was associated with unfavorable demographic background variables and more pain interference in subjects with TMD presenting to a specialized orofacial pain clinic. These effects were more pronounced in cases where myofascial pain was not present.

Original languageEnglish (US)
Pages (from-to)67-71
Number of pages5
JournalPain
Volume147
Issue number1-3
DOIs
StatePublished - Dec 15 2009

Fingerprint

Temporomandibular Joint Disorders
Tobacco Use
Pain Clinics
Facial Pain
Tobacco
Pain
Demography
Logistic Models
Widowhood
Chronic Pain
Medical Records

Keywords

  • Chronic graded pain scale
  • Pain
  • Smoking
  • Temporomandibular joint disorder
  • Tobacco use

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine
  • Neurology
  • Pharmacology

Cite this

Impact of tobacco use on the symptoms of painful temporomandibular joint disorders. / Weingarten, Toby N.; Iverson, Barton C.; Shi, Yu; Schroeder, Darrell R.; Warner, David Oman; Reid, Kevin I.

In: Pain, Vol. 147, No. 1-3, 15.12.2009, p. 67-71.

Research output: Contribution to journalArticle

Weingarten, Toby N. ; Iverson, Barton C. ; Shi, Yu ; Schroeder, Darrell R. ; Warner, David Oman ; Reid, Kevin I. / Impact of tobacco use on the symptoms of painful temporomandibular joint disorders. In: Pain. 2009 ; Vol. 147, No. 1-3. pp. 67-71.
@article{03354142c69849e08af071f55e74e087,
title = "Impact of tobacco use on the symptoms of painful temporomandibular joint disorders",
abstract = "This study examines the relationship between the severity of painful temporomandibular joint disorders (TMD) symptoms and current tobacco use in patients evaluated at a specialized orofacial pain clinic. Medical records, including responses to the Chronic Pain Grading Scale (CPGS), from 606 consecutive patients evaluated at the Mayo Clinic orofacial pain clinic with TMD by RDC-TMD criteria were retrospectively reviewed. Univariate analyses were performed comparing tobacco users and non-users. Analysis of covariance and multiple logistic regression models were used to adjust for demographic variables. A p value ≤ 0.05 was accepted as the level of significance. Current tobacco use was reported by 91 subjects (15.1{\%}). Tobacco users were younger (p < 0.01), less frequently married or widowed (p < 0.01), more frequently unemployed (p < 0.01), and less educated (p < 0.01). In univariate analysis, tobacco users were more likely to have moderate to severe pain interference defined as GPGS III-IV (OR = 1.94, 95{\%} CI 1.16-3.22 for tobacco users compared to non-users), but this difference was not significant after adjustment for demographic variables. In the subset of subjects who lacked a myofascial component of pain (N = 333) this difference remained significant in the adjusted analysis (adjusted OR = 4.56, 95{\%} CI 1.46-14.24). Current tobacco use was associated with unfavorable demographic background variables and more pain interference in subjects with TMD presenting to a specialized orofacial pain clinic. These effects were more pronounced in cases where myofascial pain was not present.",
keywords = "Chronic graded pain scale, Pain, Smoking, Temporomandibular joint disorder, Tobacco use",
author = "Weingarten, {Toby N.} and Iverson, {Barton C.} and Yu Shi and Schroeder, {Darrell R.} and Warner, {David Oman} and Reid, {Kevin I.}",
year = "2009",
month = "12",
day = "15",
doi = "10.1016/j.pain.2009.08.021",
language = "English (US)",
volume = "147",
pages = "67--71",
journal = "Pain",
issn = "0304-3959",
publisher = "Elsevier",
number = "1-3",

}

TY - JOUR

T1 - Impact of tobacco use on the symptoms of painful temporomandibular joint disorders

AU - Weingarten, Toby N.

AU - Iverson, Barton C.

AU - Shi, Yu

AU - Schroeder, Darrell R.

AU - Warner, David Oman

AU - Reid, Kevin I.

PY - 2009/12/15

Y1 - 2009/12/15

N2 - This study examines the relationship between the severity of painful temporomandibular joint disorders (TMD) symptoms and current tobacco use in patients evaluated at a specialized orofacial pain clinic. Medical records, including responses to the Chronic Pain Grading Scale (CPGS), from 606 consecutive patients evaluated at the Mayo Clinic orofacial pain clinic with TMD by RDC-TMD criteria were retrospectively reviewed. Univariate analyses were performed comparing tobacco users and non-users. Analysis of covariance and multiple logistic regression models were used to adjust for demographic variables. A p value ≤ 0.05 was accepted as the level of significance. Current tobacco use was reported by 91 subjects (15.1%). Tobacco users were younger (p < 0.01), less frequently married or widowed (p < 0.01), more frequently unemployed (p < 0.01), and less educated (p < 0.01). In univariate analysis, tobacco users were more likely to have moderate to severe pain interference defined as GPGS III-IV (OR = 1.94, 95% CI 1.16-3.22 for tobacco users compared to non-users), but this difference was not significant after adjustment for demographic variables. In the subset of subjects who lacked a myofascial component of pain (N = 333) this difference remained significant in the adjusted analysis (adjusted OR = 4.56, 95% CI 1.46-14.24). Current tobacco use was associated with unfavorable demographic background variables and more pain interference in subjects with TMD presenting to a specialized orofacial pain clinic. These effects were more pronounced in cases where myofascial pain was not present.

AB - This study examines the relationship between the severity of painful temporomandibular joint disorders (TMD) symptoms and current tobacco use in patients evaluated at a specialized orofacial pain clinic. Medical records, including responses to the Chronic Pain Grading Scale (CPGS), from 606 consecutive patients evaluated at the Mayo Clinic orofacial pain clinic with TMD by RDC-TMD criteria were retrospectively reviewed. Univariate analyses were performed comparing tobacco users and non-users. Analysis of covariance and multiple logistic regression models were used to adjust for demographic variables. A p value ≤ 0.05 was accepted as the level of significance. Current tobacco use was reported by 91 subjects (15.1%). Tobacco users were younger (p < 0.01), less frequently married or widowed (p < 0.01), more frequently unemployed (p < 0.01), and less educated (p < 0.01). In univariate analysis, tobacco users were more likely to have moderate to severe pain interference defined as GPGS III-IV (OR = 1.94, 95% CI 1.16-3.22 for tobacco users compared to non-users), but this difference was not significant after adjustment for demographic variables. In the subset of subjects who lacked a myofascial component of pain (N = 333) this difference remained significant in the adjusted analysis (adjusted OR = 4.56, 95% CI 1.46-14.24). Current tobacco use was associated with unfavorable demographic background variables and more pain interference in subjects with TMD presenting to a specialized orofacial pain clinic. These effects were more pronounced in cases where myofascial pain was not present.

KW - Chronic graded pain scale

KW - Pain

KW - Smoking

KW - Temporomandibular joint disorder

KW - Tobacco use

UR - http://www.scopus.com/inward/record.url?scp=70449642407&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70449642407&partnerID=8YFLogxK

U2 - 10.1016/j.pain.2009.08.021

DO - 10.1016/j.pain.2009.08.021

M3 - Article

C2 - 19793624

AN - SCOPUS:70449642407

VL - 147

SP - 67

EP - 71

JO - Pain

JF - Pain

SN - 0304-3959

IS - 1-3

ER -