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Abstract
Several studies have reported an involvement of the stomatognathic system in the course of fibromyalgia (FM) similar to that which characterizes temporomandibular disorders (TMD). The aim of this study was to investigate and compare the clinical features of stomatognathic dysfunction in patients with FM and TMD. Ninety-three FM patients underwent an assessment according to the RDC/TMD guidelines. Prevalence of the different RDC/TMD diagnoses and some clinical parameters of FM patients were compared with those of 181 patients affected by TMD. Seventy-four (79.6%) FM patients presented at least one RDC/TMD diagnosis and showed lower mean maximum voluntary and passive mouth opening values than TMD patients. Moreover, 34 FM patients presented with trigger and/or tender points. Results of the present study confirm the high rate of involvement of the stomatognathic system in the course of FM and support the need for a careful multidisciplinary approach to patients with TMD, including the rheumatologist.
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Notes on contributors
Giovanni Salvetti
Dr. Giovanni Salvetti received his D.D.S. degree from the University of Pisa, Italy in 2004. Dr. Salvetti is currently a Clinical Fellow at the Section of Prosthetic Dentistry, Department of Neuroscience, University of Pisa, Italy.
Daniele Manfredini
Dr. Daniele Manfredini received his D.D.S. degree from the University of Pisa, Italy in 1999. Dr. Manfredini is currently a Clinical Fellow at the Section of Prosthetic Dentistry, Department of Neuroscience, University of Pisa, Italy.
Laura Bazzichi
Dr. Laura Bazzichi received her M.D. degree from the University of Pisa, Italy in 1981. She received her specialty in rheumatology in July 1985 and in clinical pharmacology in 1989 from the University of Pisa, Italy. She currently works at the Rheumatology Disease Department, Santa Chiara Hospital, Pisa.
Mario Bosco
Dr. Mario Bosco received his M.D. degree from the University of Torino, Italy in 1982. He received his specialty in dentistry from the University of Pavia, Italy in 1985. He has been a full time researcher at the Section of Prosthetic Dentistry, Department of Odontology, University of Pavia, Italy from 1991 to 1996. Since 1997, Dr. Bosco is a full professor in prosthetic dentistry at the Department of Neuroscience, University of Pisa, Italy.