Association Between Gynecological Characteristics and Temporomandibular Disorders: Insights from the OPPERA Study

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Carey, Erin T.
- Affiliation: School of Medicine, Department of Obstetrics and Gynecology
Zolnoun, Denniz
- Affiliation: School of Medicine, Department of Obstetrics and Gynecology
Slade, Gary
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
- Other Affiliation: Regional Center for Neurosensory Disorders
Ohrbach, Richard
- Other Affiliation: Department of Oral Diagnostic Sciences, University of Buffalo
Mulkey, Flora
- Affiliation: Gillings School of Global Public Health, Department of Biostatistics
Brownstein, Naomi
- Affiliation: Gillings School of Global Public Health, Department of Biostatistics
Nneji, Victoria
- Affiliation: Gillings School of Global Public Health, Department of Biostatistics
Dubner, Ron
- Other Affiliation: Department of Neural and Pain Sciences, University of Maryland-Baltimore
Greenspan, Joel
- Other Affiliation: Department of Neural and Pain Sciences, University of Maryland-Baltimore
Fillingim, Roger
- Other Affiliation: Department of Community Dentistry and Behavioral Science, University of Florida
Maixner, William
- Affiliation: School of Dentistry, Department of Endodontics
- Other Affiliation: Regional Center for Neurosensory Disorders
Bair, Eric
- Affiliation: Gillings School of Global Public Health, Department of Biostatistics, School of Dentistry, Department of Endodontics
- Other Affiliation: Regional Center for Neurosensory Disorders

Abstract

• Several chronic pain conditions, such as temporomandibular disorders (TMD), are more common in women than in men although the biological mechanisms responsible for this gender disparity are poorly understood • Observational studies suggest that TMD pain is greatest during the late luteal phase of the menstrual cycle and during menses when estrogen levels quickly decline • Also, women with TMD who use hormonal contraception report greater levels of daily pain compared to women not taking hormonal contraception • The aim of this study is to evaluate gynecological characteristics that are putative risk factors for TMD: parity, use of hormonal contraception, and self-reported pain levels and psychological symptoms over the course of the menstrual cycle

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