Specific Central Nervous System Medications Are Associated with Temporomandibular Joint Symptoms

Aims. There is evidence of association between bruxism and the increasingly common central nervous system stimulants prescribed for attention deficit hyperactivity disorder (ADHD), as well as the selective serotonin reuptake inhibitors (SSRIs) often prescribed for depression or anxiety. However, the...

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Main Authors: John K. Drisdale III, Monica G. Thornhill, Alexandre R. Vieira
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2017/1026834
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author John K. Drisdale III
Monica G. Thornhill
Alexandre R. Vieira
author_facet John K. Drisdale III
Monica G. Thornhill
Alexandre R. Vieira
author_sort John K. Drisdale III
collection DOAJ
description Aims. There is evidence of association between bruxism and the increasingly common central nervous system stimulants prescribed for attention deficit hyperactivity disorder (ADHD), as well as the selective serotonin reuptake inhibitors (SSRIs) often prescribed for depression or anxiety. However, the evidence is not clear on whether these medications inducing bruxism are directly associated with temporomandibular joint disorder (TMD). The aim of this work is to evaluate whether these medications are associated with TMD symptoms. Methods. Medical history and participant data were obtained for 469 patients from the University of Pittsburgh School of Dental Medicine, Dental Registry and DNA Repository, dating back to 2006. The chi-square test was used to determine any statistically significant associations. Results. There were no statistically significant associations between ADHD stimulant medications or SSRIs and reported TMD symptoms. However, there were significant differences seen between specific brands of medications and reported TMD symptoms. Individuals prescribed methylphenidate (Concerta) were less likely to report temporomandibular joint discomfort (p=0.01). Conversely, individuals prescribed citalopram (Celexa) were more likely to report temporomandibular joint discomfort (p=0.04). Conclusion. Signs and symptoms of temporomandibular joint dysfunction may be influenced by the use of certain medications prescribed for depression or attention deficit hyperactive disorder.
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spelling doaj-art-cd9e49925f4f47f98edb96e7789f68712025-02-03T05:51:08ZengWileyInternational Journal of Dentistry1687-87281687-87362017-01-01201710.1155/2017/10268341026834Specific Central Nervous System Medications Are Associated with Temporomandibular Joint SymptomsJohn K. Drisdale III0Monica G. Thornhill1Alexandre R. Vieira2Department of Oral Biology, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, USADepartment of Oral Biology, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, USADepartment of Oral Biology, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, USAAims. There is evidence of association between bruxism and the increasingly common central nervous system stimulants prescribed for attention deficit hyperactivity disorder (ADHD), as well as the selective serotonin reuptake inhibitors (SSRIs) often prescribed for depression or anxiety. However, the evidence is not clear on whether these medications inducing bruxism are directly associated with temporomandibular joint disorder (TMD). The aim of this work is to evaluate whether these medications are associated with TMD symptoms. Methods. Medical history and participant data were obtained for 469 patients from the University of Pittsburgh School of Dental Medicine, Dental Registry and DNA Repository, dating back to 2006. The chi-square test was used to determine any statistically significant associations. Results. There were no statistically significant associations between ADHD stimulant medications or SSRIs and reported TMD symptoms. However, there were significant differences seen between specific brands of medications and reported TMD symptoms. Individuals prescribed methylphenidate (Concerta) were less likely to report temporomandibular joint discomfort (p=0.01). Conversely, individuals prescribed citalopram (Celexa) were more likely to report temporomandibular joint discomfort (p=0.04). Conclusion. Signs and symptoms of temporomandibular joint dysfunction may be influenced by the use of certain medications prescribed for depression or attention deficit hyperactive disorder.http://dx.doi.org/10.1155/2017/1026834
spellingShingle John K. Drisdale III
Monica G. Thornhill
Alexandre R. Vieira
Specific Central Nervous System Medications Are Associated with Temporomandibular Joint Symptoms
International Journal of Dentistry
title Specific Central Nervous System Medications Are Associated with Temporomandibular Joint Symptoms
title_full Specific Central Nervous System Medications Are Associated with Temporomandibular Joint Symptoms
title_fullStr Specific Central Nervous System Medications Are Associated with Temporomandibular Joint Symptoms
title_full_unstemmed Specific Central Nervous System Medications Are Associated with Temporomandibular Joint Symptoms
title_short Specific Central Nervous System Medications Are Associated with Temporomandibular Joint Symptoms
title_sort specific central nervous system medications are associated with temporomandibular joint symptoms
url http://dx.doi.org/10.1155/2017/1026834
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