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Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special
TLDR
The newly recommended evidence-based new DC/TMD protocol is appropriate for use in both clinical and research settings and includes both a valid screener for detecting any pain-related TMD as well as valid diagnostic criteria for differentiating the most common pain- related TMD. Expand
Orofacial pain and jaw muscle activity: a new model.
TLDR
The authors propose that the existing Pain Adaptation Model is a subset of a broader model that could be called the Integrated Painadaptation Model, which states that pain results in a new, optimized recruitment strategy of motor units that represents the individual's integrated motor response to the sensory-discriminative, motivational-affective, and cognitive-evaluative components of pain. Expand
Different Pain, Different Brain: Thalamic Anatomy in Neuropathic and Non-Neuropathic Chronic Pain Syndromes
TLDR
In trigeminal neuropathy patients, magnetic resonance spectroscopy revealed a significant reduction in the N-acetylaspartate/creatine ratio, a biochemical marker of neural viability, in the region of thalamic volume loss, suggesting that neuropathic pain conditions that result from peripheral injuries may be generated and/or maintained by structural changes in regions such as the thalamus. Expand
How does pain affect jaw muscle activity? The Integrated Pain Adaptation Model.
TLDR
This new Integrated Pain Adaptation Model states that pain results in a new recruitment strategy of motor units that is influenced by the multidimensional components of the pain experience and suggests a tailored approach towards management. Expand
Chronic Pain: Lost Inhibition?
TLDR
The data suggest that chronic neuropathic pain is associated with altered thalamic anatomy and activity, which may result in disturbed thalamocortical circuits, which could result in the constant perception of pain. Expand
Pain and Plasticity: Is Chronic Pain Always Associated with Somatosensory Cortex Activity and Reorganization?
TLDR
Using functional and anatomical magnetic resonance imaging, it is found that, while human patients with neuropathic pain displayed cortical reorganization and changes in somatosensory cortex activity, patients with non-neuropathic chronic pain did not. Expand
The human lateral pterygoid muscle: a review of some experimental aspects and possible clinical relevance.
TLDR
The lateral pterygoid muscle is likely to play an important role in parafunctional excursive jaw movements and also possibly a role in influencing jaw position in patients where the maxillomandibular relationship records change from session to session. Expand
Osseoperception: Sensory Function and Proprioception
TLDR
With the loss of all teeth, complete denture restoration is a compromise replacement which only partially restores function, and Implant-supported prostheses restore jaw function more appropriately, with improved psychophysiological discriminatory ability and oral stereognosis. Expand
Chronic Neuropathic Pain: It's about the Rhythm
TLDR
This study reports in individuals with neuropathic pain increased oscillatory neural activity within the ascending pain pathway with evidence that these changes result from altered neural–astrocyte coupling, and proposes a series of neural and glial events after nerve injury that result in the generation of altered thalamocortical activity and a persistent neuropathy pain state. Expand
Changes in human primary motor cortex activity during acute cutaneous and muscle orofacial pain.
TLDR
The transient contralateral M1 signal intensity increase during orofacial muscle pain may underlie escape-like motor patterns and longer-term reductions in M1 activity and/or excitability may occur to aid in minimizing movement of the affected part, an effect consistent with the general proposals of the Pain Adaptation Model. Expand
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