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Biomedical subjects

J J Marbach

Publications and source records attributed to J J Marbach.

At least 73 records · Page 4Linked to original sources

Incidence of phantom tooth pain: an atypical facial neuralgia.

The aid of endodontists was sought in an attempt to determine the incidence PTP in an endodontically treated population. A total of 732 questionnaires were mailed to past patients of one endodontist; 463 (63 percent) usable responses were returned. Of 256 female subject, eight (3 percent) manifested persistent chronic pain not explained by physical or radiographic examination but consistent with the signs and symptoms of PTP. Other patients met three of the four criteria of PTP. The incidence of PTP in the population studied is between 3 and 6 percent.

Adult↗

Depression, anhedonia and anxiety in temporomandibular joint and other facial pain syndromes.

Depression, anhedonia, state anxiety (A-state), trait anxiety (A-trait), and self-reported pain estimate were measured in almost 500 facial pain patients. These patients were divided into 3 diagnostic categories: myofacial pain dysfunction syndrome (MPD) [18], arthritis of the temporomandibular joints (TMJ arthritis), and trigeminal neuralgia. Three control groups were measured for comparison. They consisted of an normal, or non-patient group, a group of arthritis patients, and a group of movement disorder patients attending a neurology clinic. Among the facial pain patients and the normal controls few differences were found with regard to anhedonia and depression, The arthritis and neurology patients produced significantly higher depression and anhedonia scores than did several of the facial pain groups. Pain estimate ranged from 0 for control, to a mean of 67.6 +/- 31.3 for the trigeminal neuralgia patients with the MPD (means = 56.2 +/- 32.5) and the TMJ arthritis patients (means = 46.7 +/- 30.8) somewhat lower. Clinical variables such as duration of pain, help seeking behavior and total number of symptoms were correlated with depression but not with anhedonia scores, It is hypothesized that anhedonia is a measure separate from depression and may be more closely linked to suffering behavior that to pain behavior. Psychological variables did not discriminate among facial pain patients and in particular did not distinguish between so-called functional and organic illness.

Adult↗

Arthritis of the temporomandibular joints.

The most common disease of the temporomandibular joint (TMJ) is osteoarthritis. Rheumatoid arthritis and psoriatic arthritis may also involve this joint. Other diseases that may occasionally affect the TMJ include familial Mediterranean fever, systemic lupus erythematosus, gout, Sjögren's syndrome and infectious arthritis. Many cases of TMJ syndrome are labeled as idiopathic facial pain syndrome, a category that probably represents a number of different entities. The role of dental malocclusion has been greatly overemphasized in the past.

Arthritis↗

Facial pains and anxiety levels: considerations for treatment.

The data presented in this article question the traditional beliefs in the dental literature about the relationship between facial pain and anxiety. The findings have important implications for treating individuals with any of the IFP syndromes.

Adolescent↗

Phantom bite syndrome.

Despite repeated treatment failures, some individuals seek bite correction from a succession of dentists. Their pathological narcissism focuses on their bite, in a manner reminiscent of phantom limb phenomena. The dentist's diagnosis and treatment are manipulated until the patient claims them a failure and consults another dentist. The author suggests that this behavior represents a defense against paranoia and severe personality disorders.

Adolescent↗

Aspects of illness behavior in patients with facial pain.

Results of recent studies have suggested that factors other than clinical signs and symptoms have a significant role in determining whether people seek treatment for perceived facial pain and mandibular dysfunction. The concept of "illness behavior" can be used to investigate this problem. Knowledge of a patient's illness behavior patterns helps enable the dentist to understand who seeks care for symptoms of facial pain and mandibular dysfunction; why the care is sought; the meaning of the symptoms to the patient; and the patient's response to treatment.

Adolescent↗

Phantom bite.

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Adolescent↗

Chronic MPD, group therapy and psychodynamics.

Three groups of patients with myofascial pain-dysfunction syndrome received 12 eclectic group psychotherapy sessions. The principal reason for selecting this mode of treatment was to observe the group dynamics for the operation of intra and interpersonal variables that might support the psychophysiologic hypothesis for myofascial pain-dysfunction syndrome and validate the existence of personality characteristics that are associated with patients who have myofascial pain-dysfunction.

Attitude↗