Ohrqol children and cranio facial pain dr sven widmalm
Download
1 / 18

OHRQoL: - PowerPoint PPT Presentation


  • 692 Views
  • Uploaded on

OHRQoL: Children and Cranio Facial Pain Dr. Sven Widmalm.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'OHRQoL: ' - erika


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Ohrqol children and cranio facial pain dr sven widmalm l.jpg

OHRQoL: Children and Cranio Facial PainDr. Sven Widmalm


Willow run l.jpg

Together with Drs Richard Christiansen & Sondra Gunn I took part 10 years ago in studies of 540 4-6 year old pre-school children in Willow Run. I will give a few examples from that research. They may be of interest in relation to our present survey questions and statements.

Willow Run


Slide3 l.jpg

  • We found that part 10 years ago in studies of 540 4-6 year old pre-school children in Willow Run. I will give a few examples from that research. They may be of interest in relation to our present survey questions and statements.

    • signs and symptoms of TMD, headache, and neck pain are common already in 5 year old children.

    • there were differences related to gender, race (Caucacian vs. African-American), and oral para-functions (thumb/finger sucking, nail biting, bruxism).


Slide4 l.jpg


Some prevalence results from willow run l.jpg
Some “prevalence results” from Willow Run could not include, had effect.

  • Recurrent pain (at least a couple of times every week)

    • TMJ pain 8 %

    • Neck pain 5 %

    • Headache 17 %

    • Earache 3 %

  • 25 % had pain or tiredness in the jaws during chewing.

  • 10 % had pain at jaw opening.

  • 13 % had problems in opening the mouth.

  • Reduced opening in 2 %.


Palpation pain l.jpg
Palpation pain could not include, had effect.

  • Lateral TMJ area 16 %

  • Posterior TMJ area in 25 %

  • Temporalis and masseter areas in 10 %



34 of the african american and 15 of the caucasian children admitted to having ear noises p 0 01 l.jpg
34 % of the African-American, and 15% of the Caucasian children admitted to having ear noises (p<0.01).


Does it hurt when you open your mouth wide l.jpg
“Does it hurt when you open your mouth wide?” children admitted to having ear noises (p<0.01).

  • Strong indication of TMJ problem.

  • Can also indicate muscle-ligament damage.

  • A slap on the face can be the cause.

  • Some parents think it is OK to slap the face.


Do you hear a noise clicking when you open your mouth wide and close it l.jpg
“Do you hear a noise (clicking) when you open your mouth wide and close it?”

  • Clicking during opening and closing is a cardinal sign of disk displacement with reduction which may or may not be painful.

  • Crepitation is a cardinal sign of TMJ arthritis but seldom painful.

  • Juvenile Rheumatoid Arthritis (JRA) typically starts in the 2-4 year old group. The TMJs are affected eventually in more than 70% of all RA patients.


Is it difficult for you to bite hard l.jpg
“Is it difficult for you to bite hard?” wide and close it?”

  • Can be related to

    • intra- or extra articular TMJ dysfunction/pathology.

    • muscle soreness in heavy bruxism.

    • damaged muscle or joint ligaments.

    • mandibular fractures after trauma.




Does your face hurt when you chew on tough food l.jpg
“Does your face hurt when you chew on tough food?” factor in TMD

  • Such pain is a cardinal symptom in TMD patients and can be related to

    • TMJ pathology

    • Muscle ligament damage

  • A standard advice to TMD patients is to avoid chewing on tough food.



Old and new myths l.jpg
Old and New Myths factor in TMD

  • Myth #1. TMD does not occur in children or young teenagers.

  • Myth # 2. You cannot trust answers from children.

  • Myth # 3. Even if TMD and related S&S are found in children, there are no methods for prevention.


Slide17 l.jpg


Slide18 l.jpg

  • I strongly believe that educational intervention can significantly reduce suffering from craniofacial pain by

    • identifying risk groups and risk factors

    • paying more attention to and helping children in risk groups

    • educate children, parents, teachers, and ourselves about how to recognize risk factors and reduce their influence.

  • Part of that can be done in this study. Many factors may deserve additional separate studies.


ad