Orofacial pain in young adults and associated childhood and adulthood factors

Tatiana MacFarlane, Pamela Kenealy, H Anne Kingdon, Benght Mohlin, J Richard Pilley, Caroline W Mwangi, Lindsay Hunter, Steve Richmond, William C Shaw

Research output: Contribution to journalArticle

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Abstract

OBJECTIVES: The aim of the study was to investigate the prevalence of orofacial pain (OFP) among young adults (30-31 years old) and to determine the effect of childhood and adulthood risk factors on the occurrence of OFP. METHODS: Prospective cohort study to investigate dental and social effects of malocclusion and effectiveness of orthodontic treatment was conducted in Wales, United Kingdom. At 20-year follow-up 337 subjects aged 30-31 participated (74% from previous follow-up aged 19-20 and 33% from the baseline) and were asked about OFP. RESULTS: The prevalence of OFP was 23% (95% CI: 19%, 28%). Childhood factors, socio-demographic, lifestyle, health behavior factors, history of orthodontic treatment and tooth wear were not associated with OFP. Participants with OFP were more likely to report that their teeth did not fit together properly [odds ratio (OR) = 12.4, 95% CI: 2.7-56.5) and reported previous trauma to the jaws (2.3; 1.3-4.2). Both diurnal and nocturnal teeth clenching and grinding were significantly associated with OFP (3.1; 1.4-7.1). Participants with frequent headaches had increased risk of having OFP (3.7; 1.6-8.4) while having reported 4-10 types of pain in other parts of the body other than the head, was associated with OR = 9.2 (3.7-23.0). An increased tendency to have OFP was seen in those individuals with higher levels of psychological distress (2.3; 1.4-3.9), high score on Life Event Inventory (2.6; 1.3-5.3), depressive symptoms (2.2; 1.2-4.0) and stress (2.2; 1.2-4.0). High self-esteem associated with lower risk of OFP (0.5; 0.3-0.9). CONCLUSIONS: This study shows that OFP is frequently reported by young adults aged 30-31 and supports a multifactorial etiology with factors from many domains, including local mechanical factors, psychological and co-morbidities. However, none of the childhood factors considered in this study were associated with OFP in adulthood.
Original languageEnglish
Pages (from-to)438-50
Number of pages13
JournalCommunity Dentistry and Oral Epidemiology
Volume37
Issue number5
Early online date14 Jul 2009
DOIs
Publication statusPublished - Oct 2009

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Facial Pain
Young Adult
Tooth
Orthodontics
Odds Ratio
Tooth Wear
Psychology
Malocclusion
Wales
Health Behavior
Jaw
Human Body
Self Concept
Headache
Life Style
Cohort Studies

Keywords

  • adult
  • child
  • cohort studies
  • comorbidity
  • facial pain
  • female
  • health behavior
  • humans
  • life style
  • male
  • prevalence
  • psychological tests
  • socioeconomic factors
  • temporomandibular joint
  • temporomandibular joint disorders
  • Wales
  • childhood
  • epidemiology
  • general population
  • orofacial pain
  • risk factors
  • TMD

Cite this

Orofacial pain in young adults and associated childhood and adulthood factors. / MacFarlane, Tatiana; Kenealy, Pamela; Kingdon, H Anne; Mohlin, Benght; Pilley, J Richard; Mwangi, Caroline W; Hunter, Lindsay; Richmond, Steve; Shaw, William C.

In: Community Dentistry and Oral Epidemiology, Vol. 37, No. 5, 10.2009, p. 438-50.

Research output: Contribution to journalArticle

MacFarlane, T, Kenealy, P, Kingdon, HA, Mohlin, B, Pilley, JR, Mwangi, CW, Hunter, L, Richmond, S & Shaw, WC 2009, 'Orofacial pain in young adults and associated childhood and adulthood factors', Community Dentistry and Oral Epidemiology, vol. 37, no. 5, pp. 438-50. https://doi.org/10.1111/j.1600-0528.2009.00482.x
MacFarlane, Tatiana ; Kenealy, Pamela ; Kingdon, H Anne ; Mohlin, Benght ; Pilley, J Richard ; Mwangi, Caroline W ; Hunter, Lindsay ; Richmond, Steve ; Shaw, William C. / Orofacial pain in young adults and associated childhood and adulthood factors. In: Community Dentistry and Oral Epidemiology. 2009 ; Vol. 37, No. 5. pp. 438-50.
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T1 - Orofacial pain in young adults and associated childhood and adulthood factors

AU - MacFarlane, Tatiana

AU - Kenealy, Pamela

AU - Kingdon, H Anne

AU - Mohlin, Benght

AU - Pilley, J Richard

AU - Mwangi, Caroline W

AU - Hunter, Lindsay

AU - Richmond, Steve

AU - Shaw, William C

PY - 2009/10

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N2 - OBJECTIVES: The aim of the study was to investigate the prevalence of orofacial pain (OFP) among young adults (30-31 years old) and to determine the effect of childhood and adulthood risk factors on the occurrence of OFP. METHODS: Prospective cohort study to investigate dental and social effects of malocclusion and effectiveness of orthodontic treatment was conducted in Wales, United Kingdom. At 20-year follow-up 337 subjects aged 30-31 participated (74% from previous follow-up aged 19-20 and 33% from the baseline) and were asked about OFP. RESULTS: The prevalence of OFP was 23% (95% CI: 19%, 28%). Childhood factors, socio-demographic, lifestyle, health behavior factors, history of orthodontic treatment and tooth wear were not associated with OFP. Participants with OFP were more likely to report that their teeth did not fit together properly [odds ratio (OR) = 12.4, 95% CI: 2.7-56.5) and reported previous trauma to the jaws (2.3; 1.3-4.2). Both diurnal and nocturnal teeth clenching and grinding were significantly associated with OFP (3.1; 1.4-7.1). Participants with frequent headaches had increased risk of having OFP (3.7; 1.6-8.4) while having reported 4-10 types of pain in other parts of the body other than the head, was associated with OR = 9.2 (3.7-23.0). An increased tendency to have OFP was seen in those individuals with higher levels of psychological distress (2.3; 1.4-3.9), high score on Life Event Inventory (2.6; 1.3-5.3), depressive symptoms (2.2; 1.2-4.0) and stress (2.2; 1.2-4.0). High self-esteem associated with lower risk of OFP (0.5; 0.3-0.9). CONCLUSIONS: This study shows that OFP is frequently reported by young adults aged 30-31 and supports a multifactorial etiology with factors from many domains, including local mechanical factors, psychological and co-morbidities. However, none of the childhood factors considered in this study were associated with OFP in adulthood.

AB - OBJECTIVES: The aim of the study was to investigate the prevalence of orofacial pain (OFP) among young adults (30-31 years old) and to determine the effect of childhood and adulthood risk factors on the occurrence of OFP. METHODS: Prospective cohort study to investigate dental and social effects of malocclusion and effectiveness of orthodontic treatment was conducted in Wales, United Kingdom. At 20-year follow-up 337 subjects aged 30-31 participated (74% from previous follow-up aged 19-20 and 33% from the baseline) and were asked about OFP. RESULTS: The prevalence of OFP was 23% (95% CI: 19%, 28%). Childhood factors, socio-demographic, lifestyle, health behavior factors, history of orthodontic treatment and tooth wear were not associated with OFP. Participants with OFP were more likely to report that their teeth did not fit together properly [odds ratio (OR) = 12.4, 95% CI: 2.7-56.5) and reported previous trauma to the jaws (2.3; 1.3-4.2). Both diurnal and nocturnal teeth clenching and grinding were significantly associated with OFP (3.1; 1.4-7.1). Participants with frequent headaches had increased risk of having OFP (3.7; 1.6-8.4) while having reported 4-10 types of pain in other parts of the body other than the head, was associated with OR = 9.2 (3.7-23.0). An increased tendency to have OFP was seen in those individuals with higher levels of psychological distress (2.3; 1.4-3.9), high score on Life Event Inventory (2.6; 1.3-5.3), depressive symptoms (2.2; 1.2-4.0) and stress (2.2; 1.2-4.0). High self-esteem associated with lower risk of OFP (0.5; 0.3-0.9). CONCLUSIONS: This study shows that OFP is frequently reported by young adults aged 30-31 and supports a multifactorial etiology with factors from many domains, including local mechanical factors, psychological and co-morbidities. However, none of the childhood factors considered in this study were associated with OFP in adulthood.

KW - adult

KW - child

KW - cohort studies

KW - comorbidity

KW - facial pain

KW - female

KW - health behavior

KW - humans

KW - life style

KW - male

KW - prevalence

KW - psychological tests

KW - socioeconomic factors

KW - temporomandibular joint

KW - temporomandibular joint disorders

KW - Wales

KW - childhood

KW - epidemiology

KW - general population

KW - orofacial pain

KW - risk factors

KW - TMD

U2 - 10.1111/j.1600-0528.2009.00482.x

DO - 10.1111/j.1600-0528.2009.00482.x

M3 - Article

VL - 37

SP - 438

EP - 450

JO - Community Dentistry and Oral Epidemiology

JF - Community Dentistry and Oral Epidemiology

SN - 0301-5661

IS - 5

ER -