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Artikel ; Online: Attention-deficit hyperactivity disorder and psychostimulant use in patients seeking dental care-Associations with common orofacial pain complaints.

Malacarne, Alberto / Jain, Shruti / Barouxis, Lena / Walterscheid, Bailey / Finkelman, Matthew

Journal of oral rehabilitation

2024  Band 51, Heft 6, Seite(n) 947–953

Abstract: Background: Dental medicine should expand its scope to properly assess medical and psychosocial factors that might have an impact on patients' oral health. Based on previous literature and clinical experience, attention-deficit/hyperactivity disorder ... ...

Abstract Background: Dental medicine should expand its scope to properly assess medical and psychosocial factors that might have an impact on patients' oral health. Based on previous literature and clinical experience, attention-deficit/hyperactivity disorder and psychostimulant medications might represent factors associated with orofacial pain symptoms.
Objective: The aim of the study was to assess whether common orofacial pain complaints such as jaw pain, jaw clicking, teeth clenching and headaches are more prevalent in dental patients who have an ADHD diagnosis and/or use psychostimulant medications.
Methods: Orofacial pain symptoms prevalence was compared among four groups from a sample of new patients seeking dental care at Tufts University School of Dental Medicine (n = 11 699) based on ADHD diagnosis and psychostimulants intake: G1: no ADHD, no stimulants; G2: yes ADHD, yes stimulants; G3: yes ADHD, no stimulants; G4: no ADHD, yes stimulants.
Results: In multivariable logistic regression models adjusting for age, gender, tobacco use, and alcohol consumption, significant differences were found for clenching (p < .0001), jaw pain (p < .0001), and headache (p < .0001). Compared to G1, two groups (G2 and G4) exhibited significantly higher odds of clenching and headaches, whereas only G2 exhibited significantly higher odds of jaw pain.
Conclusions: In comparison with patients without ADHD and not taking psychostimulants medications, dental patients using psychostimulants with and without ADHD diagnosis report headaches and teeth clenching more frequently, while jaw pain is reported more frequently only by those taking psychostimulants with an ADHD diagnosis. Further research is necessary to assess the nature of these associations and their clinical relevance.
Mesh-Begriff(e) Humans ; Attention Deficit Disorder with Hyperactivity/drug therapy ; Male ; Female ; Facial Pain ; Central Nervous System Stimulants/therapeutic use ; Adult ; Prevalence ; Middle Aged ; Adolescent ; Young Adult ; Dental Care ; Headache
Chemische Substanzen Central Nervous System Stimulants
Sprache Englisch
Erscheinungsdatum 2024-02-20
Erscheinungsland England
Dokumenttyp Journal Article
ZDB-ID 187079-8
ISSN 1365-2842 ; 0305-182X
ISSN (online) 1365-2842
ISSN 0305-182X
DOI 10.1111/joor.13662
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