Insomnia is associated with symptoms of central sensitization in patients with painful temporomandibular disorders.

BACKGROUND: Central sensitization (CS) and temporomandibular disorder (TMD) are both associated with insomnia. Therefore, the authors aimed to investigate whether insomnia was associated with more symptoms of CS in patients with TMD. METHODS: In 82 volunteers with TMD, insomnia was clinically assessed, allowing sample stratification according to its presence. The Central Sensitization Inventory questionnaire was self-applied to assess the clinical symptoms of CS. RESULTS: Participants with insomnia had significantly higher mean (SD) scores of CS according to the Central Sensitization Inventory than participants without insomnia (43.10 [12.57] vs 26.59 [13.66]; P = < .001). CONCLUSIONS: Insomnia was associated with higher scores of CS symptoms in patients with TMD. PRACTICAL IMPLICATIONS: Insomnia influences TMD as well as its relationship with CS, and, therefore, it is critical to the clinical management of TMD.

Evaluation of the Physical-Mechanical Properties of Type IV Gypsum / Avaliação das Propriedades Físico-Mecânicas de Gessos Odontológicos Tipo IV

The purpose of this study was to evaluate a physical property (surface roughness) and a mechanical property (microhardness) of four type IV gypsum. 40 specimens were prepared from a metal matrix that reproduced an edentate upper alveolar ridge. They were divided into 4 groups (n = 10 Clone (G3), Durone(G4), SSWhite (G2), Asfer (G1) and submitted to roughness and microhardness tests . The obtained data were submitted to statistical analysis. By the Kolmogorov-Smirnov test it was verified that there was non-parametric distribution of the samples. The non-parametric Kruskal-Wallis and Mann-Whitney-U tests were applied in hardness and roughness data. In microhardness group 3(Clone) presented the best values (103.0 HV). In surface roughness (Ra), group 3(Clone) and Group 2 (SSWhite) showed the lowest values (1.8 µm) and all evaluated groups presented higher values than those found in metallic matrix (baseline). It was concluded that gypsum models obtained from molds with irreversible hydrocolloid are rougher than molded surface, regardless of the commercial brand. The samples made with the Clone gypsum (G3) have the highest microhardness.(AU)

O objetivo desse trabalho foi avaliar uma propriedade física (rugosidade superficial) e uma propriedade mecânica (microdureza) de quatro marcas comerciais de gesso tipo IV. Foram confeccionados 40 corpos de prova a partir de uma matriz metálica que reproduzia um rebordo alveolar superior edentado. Os mesmos foram divididos em 4 grupos (n=10), de acordo com as marcas comerciais (Clone, Durone, SSWhite, Asfer), e submetidos aos testes de rugosidade e microdureza superficial utilizando um rugosímetro e um microdurômetro respectivamente. Os dados obtidos foram computados e submetidos à análise estatística. Pelo teste de Kolmogorov-Smirnov verificou-se que não houve distribuição Normal das amostras. Dessa forma foram aplicados os testes não paramétricos de Kruskal-Wallis e Mann Whitney-U em ambas as análises. Na microdureza, a marca comercial Clone apresentou os melhores valores (103,0). Já na rugosidade superficial as marcas comerciais Clone e SSWhite apresentaram os menores valores (1,8). Ainda em relação à rugosidade superficial, as marcas comerciais avaliadas apresentaram valores maiores que os encontrados na matriz metálica. Concluiu-se que modelos em gesso obtidos a partir de moldes com hidrocolóide irreversível apresentam-se mais rugosos que a superfície moldada, independente da marca comercial avaliada. Os modelos em gesso confeccionados com a marca Clone apresentam melhor microdureza superficial. (AU)

Lack of correlation between central sensitization inventory and psychophysical measures of central sensitization in individuals with painful temporomandibular disorder.

OBJECTIVE: To assess the correlation between the Central Sensitization Inventory (CSI) scores and the results of psychophysical tests and psychosocial questionnaires according to the presence of painful temporomandibular disorder (TMD). DESIGN: It was a cross-sectional study involving 146 participants, aged 20-65 years. Painful TMD was classified using the Research Diagnostic Criteria for Temporomandibular Disorders. CSI was applied to assess "central sensitization-related symptoms", as has been suggested. Wind-up ratio, pressure pain threshold and conditioned pain modulation were used as psychophysical tests to evaluate signs and symptoms of central sensitization. Psychosocial factors were assessed by the presence of non-specific physical symptoms, depressive and anxiety symptoms. The sample was divided into two groups: Control (n = 31); Painful TMD (n = 115). Descriptive statistics characterized the sample. Correlation analysis were performed using Pearson's and Spearman's correlation coefficients (α = 5%). RESULTS: Of the total sample, 78.8 % presented painful TMD, and the mean (standard deviation) age was 37.4 (±11.5) years. Anxiety symptoms (p = 0.028) and non-specific physical symptoms (p < 0.001) were more frequent in the painful TMD group than in controls. Painful TMD patients presented higher scores of the CSI (p < 0.001) and lower pressure pain thresholds (p ≤ 0.020) compared to controls. CSI scores were significantly correlated with psychosocial measures (p < 0.001) but not with psychophysical tests (p ≥ 0.089). CONCLUSION: The CSI scores did not correlate with psychophysical measures of central sensitization but were positively correlated with the results of psychosocial questionnaires.

Influence of different water types on the physical and mechanical properties of gypsum

Abstract Aim: To evaluate if gypsum mixed with different water types, with their different compositions influence the dimensional change, surface roughness and compressive strength of type IV and V gypsum specimens. Methods: Sixty specimens were fabricated from metal matrices and divided into six groups (n=10) according to the used type of gypsum and water: G1, G2 and G3 - type IV gypsum and tap, mineral and distilled water, respectively; G4, G5 and G6 - type V gypsum and tap, mineral and distilled water, respectively. Water/powder ratio followed the manufacturer's recommendations (19 mL/100 g) in all groups. The same specimens were used for all tests. A micrometer dial evaluated the dimensional change. The surface roughness of three random points was determined with a rugosimeter; a universal testing machine performed the compressive strength test. The data were subjected to analysis of variance (ANOVA). Results: There was no statistically significant difference (p>0.05) between the three types of water in the studied variables. There was statistically significant difference (p<0.05) between the gypsum mixes for the dimensional change variable. Conclusions: The different water types, with their different compositions, did not influence the analyzed physical and mechanical properties.