ArticleJournal of dental research2016
Longitudinal Multilevel Modeling of Facial Pain, Muscle Tension, and Stress.
Article in Journal of dental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Ecological Momentary Assessment Methodology in Chronic Pain Research: A Systematic Review.The journal of pain · 2018Pooled it
- Trial
- Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire study.Journal of occupational medicine and toxicology (London, England) · 2025Article
- Impact of professional, recreational and nonsinging on temporomandibular disorders - a comparative study based on a self-assessment questionnaire.Head & face medicine · 2024Article
- Current Knowledge and Future Perspectives on Awake Bruxism Assessment: Expert Consensus Recommendations.Journal of clinical medicine · 2022Article
- Stress-evoked muscle activity in women with and without chronic myofascial face pain.Journal of oral rehabilitation · 2021Article
- Smartphone-based evaluation of awake bruxism behaviours in a sample of healthy young adults: findings from two University centres.Journal of oral rehabilitation · 2021Article
- An Overview of Anterior Repositioning Splint Therapy for Disc Displacement-related Temporomandibular Disorders.Current medical science · 2021Review
- Attending work with chronic pain is associated with higher levels of psychosocial stress.Canadian journal of pain = Revue canadienne de la douleur · 2021Article
- Cognitive Change and Relaxation as Key Mechanisms of Treatment Outcome in Chronic Pain: Evidence From Routine Care.Frontiers in psychiatry · 2021Article
- Treatment of Temporomandibular Joint Arthritis with Triamcinolone Acetonide and Hyaluronic Acid Injection: An Observational Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2020Article
- Potential of Using Shear Wave Elastography in the Clinical Evaluation and Monitoring of Changes in Masseter Muscle Stiffness.Pain research & management · 2020Article
- Prevalence and Predicting Factors of Chronic Pain among Workers of Petrochemical and Petroleum Refinery Plants.The international journal of occupational and environmental medicine · 2020Article
- International consensus on the assessment of bruxism: Report of a work in progress.Journal of oral rehabilitation · 2018Article
- Mental Status as a Common Factor for Masticatory Muscle Pain: A Systematic Review.Frontiers in psychology · 2017Review
- Psychosocial Scores and Jaw Muscle Activity in Women.Journal of oral & facial pain and headacheArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
The role of masticatory muscle activation on pain in temporomandibular muscle and joint disorders (TMJD) is controversial. This single-group, prospective panel study examined the relationships among masticatory muscle tension, emotional distress, and TMJD pain in a sample of 7,023 observations obtained from 171 individuals using longitudinal multilevel modeling. Three main hypotheses were tested. The first posited that emotional distress and muscle tension directly influenced pain (hypothesis 1a: Distress → TMJD Pain; hypothesis 1b: Muscle Tension → TMJD Pain). The second posited that emotional distress directly influenced muscle tension (Distress → Muscle Tension), and the third posited that the effect of emotional distress on pain was mediated by muscle tension (Distress → Muscle Tension → TMJD pain). We also examined the fit of the data to possible alternative models. All the data used in this study were collected via an experience sampling methodology. The fit of the preferred models was better than that of the alternative models, with the preferred models explaining large proportions of the data, especially for level 2 variance (hypothesis 1a = 41% variance; hypothesis 1b = 69% variance; hypothesis 2 = 48% variance). In the mediation model, the addition of muscle tension to the model reduced the impact of emotional distress. The findings support a causal role for masticatory muscle tension in TMJD pain. Clinically, the results suggest that addressing tension and other oral parafunctions in those diagnosed with TMJDs should be an important part of the conservative, noninvasive care of individuals diagnosed with the myofascial pain or arthralgia of TMJD.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.