ESTIMATED BURDEN AND DISTRIBUTION OF OROFACIAL PAIN AMONG ADULTS IN PAKISTAN: A CROSS-SECTIONAL STUDY

Muhammad Muddassar; Abdul Manan Shahid; Maria Rabbani; Sarah Rabbani; Aamir Rafiq; Rizwan Arshad

doi:10.46903/gjms/21.04.1372

ESTIMATED BURDEN AND DISTRIBUTION OF OROFACIAL PAIN AMONG ADULTS IN PAKISTAN: A CROSS-SECTIONAL STUDY

Muhammad Muddassar, Abdul Manan Shahid, Maria Rabbani, Sarah Rabbani, Aamir Rafiq, Rizwan Arshad

Abstract

Background: The quality of life of a person can be greatly impacted by orofacial discomfort, which can be highly incapacitating. Objective of this research was to analyze the estimated burden and distribution of orofacial pain (OFP) among adult population of Pakistan.

Materials & Methods: This cross-sectional study was conducted at the Islam Dental College in Sialkot between December 2021 and May 2022. A specifically designed questionnaire was developed by the researchers to gather relevant information. Following differential diagnosis, the patients were divided into groups according to their types of pain: dental pain, temporomandibular disorders (TMD), neuralgias, headaches, and psychogenic pain. SPSS version (27) was used for evaluating the data that had been gathered.

Results: Total 3750 patients participated in that study, in which 68% of the patients (n=2550) reported experiencing orofacial pain, while 32% (n=1200) did not. Dental origin pain was the most prevalent, affecting 90% (n=2295) of the total patients. Gender distribution was 36% males (n=918) and 64% females (n=1632) which is highly significant (p-value < 0.001). This indicates a strong association between gender and the presence of OFP. Females are significantly more likely to experience OFP compared to males.

Conclusion: This study found a significantly higher prevalence of OFP among female adult dental patients in Pakistan compared to males, highlighting females as major contributors to the rising OFP burden in this population.

Keywords

Prevalence; Orofacial Pain; Adults; Pakistan; Dental Patients.

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References

Younis U, Shakoor A, Chaudhary FA, Din SU, Sajjad S, Younis M, et all. Work-related musculoskeletal disorders and their associated risk factors among Pakistani dental practitioners: A cross-sectional study. BioMed Research International. 2022;10:20-22. https://doi.org/10.1155/2022/4099071

Shaefer JR, Khawaja SN, Bavia PF. Sex, gender, and orofacial pain. Dental Clinics. 2018;62(4):665-82. https://doi.org/10.1016/j.cden.2018.06.001

Bekes K, Hirsch C. What is known about the influence of dentine hypersensitivity on oral health-related quality of life?. Clinical oral investigations. 2013;17:45-51. https://doi.org/10.1007/s00784-012-0888-9

Sharma S, Breckons M, Brönnimann L B, Chung JW, List T, Lobbezoo F, et all. Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain. Journ oral rehab. 2020;47(1):87-100. https://doi.org/10.1111/joor.12871

Macfarlane TV, Glenny AM, Worthington HV. Systematic review of population-based epidemiological studies of oro-facial pain. Journ of dent. 2001;29(7):451-67. https://doi.org/10.1016/S0300-5712(01)00041-0

Maixner W, Diatchenko L, Dubner R, Fillingim RB, Greenspan JD, Knott C, et all. Orofacial pain prospective evaluation and risk assessment study-the OPPERA study. The journ of Pain. 2011;12(11),4-11. https://doi.org/10.1016/j.jpain.2011.08.002

Cruz GD. Public Health Issues in Oral Health. Public Health in the 21st Century. 2010;13:251.

Poveda RR, Bagán JV, Díaz JM, Hernández BS, Jiménez Soriano Y. Review of temporomandibular joint pathology: Part I: Classification, epidemiology and risk factors. Medicina Oral, Patología Oral y Cirugía Bucal (Internet). 2007;12(4):292-8.

Locker D, Allen F. What do measures of 'oral health related quality of life 'measure? Comm dent and oral epid. 2007;35(6):401-11. https://doi.org/10.1111/j.1600-0528.2007.00418.x

Kandelman D, Petersen PE, Ueda H. Oral health, general health, and quality of life in older people. Spec care in dent. 2008;28(6):224-36. https://doi.org/10.1111/j.1754-4505.2008.00045.x

Kikwilu, E.N, Masalu, J.R, Kahabuka, F.K. et al. Prevalence of oral pain and barriers to use of emergency oral care facilities among adult Tanzanians. BMC Oral Health 2008;8: 28. https://doi.org/10.1186/1472-6831-8-28

Gbenga Omitola O, Olabisi Arigbede A. Prevalence and Pattern of Pain Presentation among Patients Attending a Tertiary Dental Center in a Southern Region of Nigeria. J Dent Res Dent Clin Dent Prospects. 2010 Spring;4(2):42-6. doi: 10.5681/joddd.2010.012. Epub 2010 Jun 24. PMID: 22991595; PMCID: PMC3429968.

Odai, E.D., Ehizele, A.O. & Enabulele, J.E. Assessment of pain among a group of Nigerian dental patients. BMC Res Notes2015; 8:251. https://doi.org/10.1186/s13104-015-1226-5

Kuhnen, Peres M.A, Masiero. Toothache and associated factors in Brazilian adults: a cross-sectional population-based study. BMC Oral Health 2009; 9:7. https://doi.org/10.1186/1472-6831-9-7

Kunz JR, Granella MC, Mendes RP, Müller TR, Kau S, Fonteque JH. High prevalence of Orodental disorders in South Brazilian cart horses: walking a tightrope between animal welfare and socioeconomic inevitability. Jour of vet dent. 2020;37(3):149-58. https://doi.org/10.1177/0898756420968306

Newman AC, Omrani K, Higgins TS, Ting JY, Walgama ES, Wu AW. The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients. The Laryngoscope. 2020;130(4):E233-6. https://doi.org/10.1002/lary.28162

Kmeid E, Nacouzi M, Hallit S, Rohayem Z. Prevalence of temporomandibular joint disorder in the Lebanese population, and its association with depression, anxiety, and stress. Head & face medicine. 2020;16:1-1. https://doi.org/10.1186/s13005-020-00234-2

Al-Turck MA, Al-Shawaf MD, Al-Musaed A, Al-Ahmary Z. Incidence of orofacial pain in a selected population at King Saud University College of Dentistry Emergency Clinic. The Saudi Dent Journ. 1995;7(3):155-61.

Katusic S, Beard CM, Bergstralth E, Kurland LT. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Annals of Neurology: 1990;27(1):89-95. https://doi.org/10.1002/ana.410270114

Usman J, Tirmazi SM, Rasid M, Liaquat A, Khan SM, Umar A. An Audit of Trigeminal Neuralgia Patients Visiting the Tertiary Care Hospital of Lahore. Annals of Punjab Medical College2021;15(2):121-4.

Hall EH, Terezhalmy GT, Pelleu Jr GB. A set of descriptors for the diagnosis of dental pain syndromes. Oral Surg Med Path. 1986;61(2):153-7. https://doi.org/10.1016/0030-4220(86)90178-7

Widström E, Pietilä I, Nilsson B. Diagnosis and treatment of dental emergencies in two Finnish cities. Com Dent Health. 1990;7(2):173-8.

Krejci CB, Bissada NF. Women's health issues and their relationship to periodontitis. The Journal of the American Dental Association. 2002;133(3):323-9. https://doi.org/10.14219/jada.archive.2002.0171

Sanchez P, Everett B, Salamonson Y, Redfern J, Ajwani S, Bhole S, et all. The oral health status, behaviours and knowledge of patients with cardiovascular disease in Sydney Australia: a cross-sectional survey. BMC Oral Health. 2019;19:1-9. https://doi.org/10.1186/s12903-018-0697-x

Riley III JL, Gilbert GH, Heft MW. Orofacial pain: patient satisfaction and delay of urgent care. Public health reports. 2005;120(2):140-9. https://doi.org/10.1177/003335490512000207

DOI: https://doi.org/10.46903/gjms/21.04.1372