- 1 What is fibromyalgia?
- 2 Jaw pain in fibromyalgia
- 3 How can dentists relieve this jaw pain?
- 4 Studies on fibromyalgia
They feel pain throughout the body. This is the main problem for people who suffer from fibromyalgia . With a certain frequency, this type of pain can extend to the teeth as well as to the jaws, leading these patients to believe that what they urgently need is a review by the dentist. Quite contrary to what one might think, researchers have shed some light on it, coming to the conclusion that this jaw pain in fibromyalgia is not always related to dental problems. Rather it is one of the consequences of this disease.
What is fibromyalgia?
The Fibromyalgia is a group of syndromes that affect the appearance of a type of pain which spreads throughout the body , distributed between muscles and tendons. The pain in the arm and foot pain are some of its manifestations. People suffering from this pathology can experience:
- Sleep disorders.
- Difficulty of concentration.
Associated diseases also arise such as irritable bowel syndrome, interstitial cystitis, depression, lupus or rheumatoid arthritis.
Jaw pain in fibromyalgia
With respect to the pain that is centered in the area of the jaw, it is caused by a certain disorder in the temporomandibular joint located on each side of the head and that, together with the muscles of the lower jaw, make possible the movement of opening and closing mouth. In this joint can occur two types of disorders:
- The damage of the cartilage.
- Damage to the ligaments of the joint or muscle origin, which is the one that affects fibromyalgiapatients or invisible pain .
This last type of disorder affects the muscles used both to chew and to move the face, neck and shoulders. Its origin can focus on lack of sleep, continued stress and muscle trauma.
Establishing an adequate treatment to alleviate the pain of jaws in fibromyalgia can be somewhat difficult. Once both the presence of caries and the dental abscess have been ruled out, people affected with fibromyalgia should begin to control their stress. Going to massage centers as well as introducing changes in lifestyle or applying other types of remedies can facilitate the relaxation of facial muscles relieving pain and insomnia derived from this pain.
How can dentists relieve this jaw pain?
The role of dentists is also crucial in the success of the treatment. In this sense they should:
- Start a complete clinical history to detect a primary alteration of the temporomandibular joint.
- Detect xerostomia and other alterations in the oral cavity.
- Avoid long appointments so that the patient does not force the joint.
- Perform a differential diagnosis of orofacial pain to detect changes in the temporomandibular joint and the headaches associated with fibromyalgia.
- Take caution when prescribing erythromycin and clarithromycin that increase the effect of other medications consumed to alleviate other early symptoms of fibromyalgia .
- Also, be cautious in the supply of non-steroidal anti-inflammatory drugs if these patients are treated with selective inhibitors for the reuptake of serotonin, since it increases the risk of prolonged bleeding.
Studies on fibromyalgia
In general, there are various agencies that sponsor research to expand knowledge about fibromyalgia – whether primary fibromyalgia , severe fibromyalgia , etc. and also to improve their diagnosis , treatment and prevention. The most current topics that are on the research table are the following:
- The reason why people who suffer from fibromyalgia are more sensitive to pain.
- Treatments with medication and with behavioral reinforcement.
- Existence of a gene or a set of genes that affect that the person is more prone to suffer from this pathology.
- The use of radiographs such as nuclear magnetic resonance to better understand the complex and painful fibromyalgia.
- Why inflammation of the body occurs and its relation to fibromyalgia.
- Treatments without drugs that facilitate the reduction of pain.
- Methods or tools to improve the quality of sleep in people suffering from fibromyalgia.
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