Jaw joint pain (Temporomandibular) is associated with low vitamin D in young adults

The Influence of Vitamin D on the Temporomandibular Joint and the Activities of Daily Living.

Source: Journal of Clinical & Diagnostic Research . Nov 2017, Vol. 11 Issue 11, p31-34. 4p.

Author(s): Khanna, Sunali Sundeep; Parulekar, Nikhil R.; Dhaimade, Prita Abhay

TMJ pain has been associated with low vitamin D in many studies * Jaw joint (TMJ) needs 30-50 ng of Vitamin D and a good VDR – April 2021 * Overlap between Fibromyalgia and other Chronic Pains – 2012 * 23% overlap of TMJ with Fibromyalgia 1. Pain - chronic category has the following {include} --- 1. See also web Medical and dental community do not appear to have found a treatment for TMD which consistently works. Generally just wait for a few years and it will go away * 7 Essential Dietary Supplements to Help Your TMJ * Omega-3, Vitamin D, Turmeric, Magnesium, Vitamin C, Glucosamine * Should patients take vitamin D before mandibular operations? Oct 2017 * Yes - PDF costs $36 * Prevalence of TMJD and Its Signs and Symptoms 2014 * "The prevalence of temporomandibular joint and muscle disorder (TMJD) is between 5% and 12%" * Mainly younger women - nice table summarizing 8 studies in 1993-2007 * Prevalence of Symptoms of Temporomandibular Joint Disorder in Lattakia-Syria Nov 2015 * excellent free article, includes questionaire details * Management and Treatment of Temporomandibular Disorders: A Clinical Perspective 2009 * "A temporomandibular disorder (TMD) is a very common problem affecting up to 33% of individuals within their lifetime. " Free PDF online * TMD TREATMENTS TMJ organization * "Most people with TMD have relatively mild or periodic symptoms which may improve on their own within weeks or months with simple home therapy. Self-care practices, such as eating soft foods, applying ice or moist heat, and avoiding extreme jaw movements (such as wide yawning, loud singing, and gum chewing) are helpful in easing symptoms. " * Primary treatment of temporomandibular disorders: The Japanese Society for the temporomandibular joint evidence-based clinical practice guidelines, 2nd edition Aug 2013, free PDF online * [The Detection and Management of Temporomandibular Disorders in Primary Dental Care](http://se.dentalcare.com/en-US/dental-education/continuing-education/ce395/ce395.aspx?ModuleName=coursecontent&PartID;=1&SectionID;=-1) Has following chart of TMD in Seattle - date unknown * * Trends in the prevalence of diagnosed temporomandibular disorder from 2004 to 2013 using a Nationwide health insurance database in Taiwan Sept 2017 * * Association Between Harmful Oral Habits and Sign and Symptoms of Temporomandibular Joint Disorders Among Adolescents Aug 2015. free PDF online * *

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Vitamin D levels

Introduction: A significant correlation has been established between the pain and/or discomfort of Temporomandibular Joint (TMJ) and the various Activities of Daily Living (ADL). TMJ pain and/or discomfort have a significant negative impact on the daily activities and life of an individual. Although complex interplay of multifactorial causes accounts for temporomandibular disorders, bone markers like serum vitamin D are a reliable qualitative and quantitative tool to asses bone metabolism and health.

Aim: To investigate the association between TMJ pain and discomfort in the ADL and to ascertain the relationship between serum vitamin D 25(OH)D levels and pain and discomfort with respect to TMJ during the ADL amongst controls and vitamin D deficiency patients in an Indian hospital based population in Mumbai, Maharashtra, India.

Materials and Methods: The study included 100 adult patients reporting to the department of oral medicine and radiology on outpatient basis, who were divided into two groups (samples and controls) based on their serum 25(OH)D levels, the cut-off being 30 nmol/L. The effect of vitamin D levels on the activities of daily living were assessed using the scale by List and Helkimo. Variables were evaluated for statistical differences between male and female groups with AnOVA test. Significance of correlation was tested using Spearman rank correlation coefficient. A level of significance of 0.05 was considered to be significant.

Results: In the study it was found that the serum vitamin D levels in female participants was lower than the male participants. The experience of TMJ pain and discomfort significantly impacts the activities of daily living in both sexes based on the rating scale elaborated in medical and behavioral science and modified by List and Helkimo. The study also shows that the pain/discomfort associated with TMJ has a significant negative influence on the social life, daily activities and also the psychological status of the individual.

Conclusion: Vitamin D deficiency is significantly associated with tempormandibular pain, which can have adverse effects on the comfort and ADL of the patient.