Abstract
The aim of this study was to assess the parallel effects of an occlusal splint-based intervention for TMD on urinary serotonin levels, depression and pain. Previous RCT studies have shown that occlusal splint-based treatment reduce pain and depression, but have not measured serotonin. 15 patients (four males and 11 females) completed an intervention protocol with a silicone dental splint for 60 days. Patients were assessed before and after treatment for urinary serotonin levels, TMD-related pain and depression symptoms (self-reports). Results showed a significant increase in urinary serotonin levels between the two assessments along with a reduction in pain and depression. Overall results suggest that the positive effects of occlusal-based treatment on physical and mental health could be related to increases in serotonin levels.
References
Manfredini D, Bandettini di Poggio A, Cantini E, Dell’Osso L, Bosco M. Mood and anxiety psychopathology and temporomandibular disorder: a spectrum approach. J Oral Rehabiliat 2004; 31: 933-40. http://dx.doi.org/10.1111/j.1365-2842.2004.01335.x
Speculand B, Goss AN, Hughes A, Spence ND, Pilowsky I. Temporo-mandibular joint dysfunction: pain and illness behaviour. Pain 1983; 17(2): 139-50. http://dx.doi.org/10.1016/0304-3959(83)90138-0
Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, de Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Med 2011; 9: 90. http://dx.doi.org/10.1186/1741-7015-9-90
Willner P, Scheel-Krüger J, Belzung C. The neurobiology of depression and antidepressant action 2012; pii: S0149-7634(12)00216-3. [Epub ahead of print
Fricton J, Look JO, Wright E, Alencar FG Jr, Chen H, Lang M, Ouyang W, Velly AM. Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders. J Orofacial Pain 2010; 24(3): 237-54.
Conti PC, de Alencar EN, da Mota Corrêa AS, Lauris JR, Porporatti AL, Costa YM. Behavioural changes and occlusal splints are effective in the management of masticatory myofascial pain: a short-term evaluation. J Oral Rehabilit 2012; 39(10): 754-60. http://dx.doi.org/10.1111/j.1365-2842.2012.02327.x
Turk DC, Zaki DS, Rudy TE. Effects of intraoral appliance and biofeedback/stress management alone and in combination in treating pain and depression in patients with temporomandibular disorders. J Prosthetic Dent 1993; 70: 158-64. http://dx.doi.org/10.1016/0022-3913(93)90012-D
LeResche L. Epidemiology of temporomandibular disorders: Implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997; 8: 291-305. http://dx.doi.org/10.1177/10454411970080030401
Glass EG, McGlynn FD, Glaros AG, Melton K, Romans K. Prevalence of temporomandibular disorder symptoms in a major metropolitan area. Cranio 1993; 11(3): 217-20.
Gesch D, Bernhardt O, Alte D, Schwahn C, Kocher T, John U, Hensel E. Prevalence of signs and symptoms of temporomandibular disorders in an urban and rural German population: Results of a population-based study of health in Pomerania. Quintessence Int 2004; 35: 143-50.
De Leeuw R. Orofacial Pain: Guidelines for Assessment, Diagnoses and Management. Hanover Park, IL: Quintessence Publishing Co, Inc.; 2008.
Ichesco E, Quintero A, Clauw DJ, Peltier S, Sundgren PM, Gerstner GE, Schmidt-Wilcke T. Altered functional connectivity between the insula and the cingulate cortex in patients with temporomandibular disorder: a pilot study. Headache 2012; 52(3): 441-54. http://dx.doi.org/10.1111/j.1526-4610.2011.01998.x
Glaros AG, Glass EG. Temporomandibular disorders. In RJ Gatchel and EB Blanchard (Eds.), Psychophysiological disorders: Research and clinical applications (pp. 299-356). Washington, DC: American Psychological Association 1993. http://dx.doi.org/10.1037/10142-009
Gonçalves DA, Bigal ME, Jales LC, Camparis CM, Speciali JG. Headache and symptoms of temporomandibular disorder: an epidemiological study. Headache 2010; 50(2): 231-41. http://dx.doi.org/10.1111/j.1526-4610.2009.01511.x
Gameiro GH, Silva AA, Nouer DF, Ferraz MC. How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Investig 2006; 10(4): 5-12. http://dx.doi.org/10.1007/s00784-006-0064-1
Manfredini D, Landi N, Bandettini Di Poggio A, Dell'Osso L, Bosco M. A critical review on the importance of psychological factors in temporomandibular disorders. Minerva Stomatologica 2003; 52(6): 321-30.
Manfredini D, di Poggio AB, Romagnoli M, Dell'Osso L, Bosco M. Mood spectrum in patients with different painful temporomandibular disorders. Cranio 2004; 22(3): 234-40. http://dx.doi.org/10.1179/crn.2004.028
Apkarian AV, Bushnell MC, Treede RD, Zubieta JK. Human brain mechanisms of pain perception and regulation in health and disease. Eur J Pain 2005; 9: 463-84. http://dx.doi.org/10.1016/j.ejpain.2004.11.001
McCracken LM, Vowles KE. A prospective analysis of acceptance of pain and values-based action in patients with chronic pain. Health Psychol 2008; 27: 215-20.
Eisenlohr-Moul TA, Burris JL, Evans DR. Pain Acceptance, Psychological Functioning, and Self-Regulatory Fatigue in Temporomandibular Disorder. Health Psychol 2012 [Epub ahead of print
Trachte GJ, Uncini T, Hinz M. Both stimulatory and inhibitory effects of dietary 5-hydroxytryptophan and tyrosine are found on urinary excretion of serotonin and dopamine in a large human population. Neuropsychiatric Disease Treatment 2009; 5: 227-35. http://dx.doi.org/10.2147/NDT.S5040
Drevets WC, Gadde K, Krishnan R, in Neurobiology of Mental Illness, DS Charney, EJ Nester and BS Bunney, Eds. (pp. 394-418). Oxford Univ. Press, New York 1999.
Manji HK, Drevets WC, Charney DS. The cellular neurobiology of depression. Nat Med 2001; 7: 541-47. http://dx.doi.org/10.1038/87865
Charney DS, Manji HK. Life stress, genes, and depression: multiple pathways lead to increased risk and new opportunities for intervention. Sci STKE 2004; 16: (225).
Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandibular Disord 1992; 6: 301-55.
Slade GD. Derivation and validation of a short-form oral health impact profile. Commun Dent Oral Epidemiol 1997; 25(4): 284-90. http://dx.doi.org/10.1111/j.1600-0528.1997.tb00941.x
Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Commun Dent Health 1994; 11(1): 3-11.
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuringdepression. Archiv General Psychiatry 1961; 4: 561-71. http://dx.doi.org/10.1001/archpsyc.1961.01710120031004
Wa TC, Burns NJ, Williams BC, Freestone S, Lee MR. Blood and urine 5-hydroxytryptophan and 5-hydroxytryptamine levels after administration of two 5-hydroxytryptamine precursors in normal man. Br J Clin Pharmacol 1995; 39(3): 327-9. http://dx.doi.org/10.1111/j.1365-2125.1995.tb04456.x
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2014 M.B. Nunes, J. Oliveira, R. Brito