Concurrent Occurrence of Obsessive-Compulsive Disorder and Myofascial Pain Dysfunction Syndrome: A Case Series
Abstract
Objectives: Myofascial pain dysfunction syndrome (MPDS) is a musculoskeletal disorder with a multifactorial etiology. Some investigations suggest psychological disorders as a major risk factor for MPDS. This study is the first case series to report patients with obsessive-compulsive disorder (OCD) and MPDS comorbidity.
Case presentation: Sixteen patients suffering from both MPDS and OCD with the chief complaint of pain or limitation in jaw opening were evaluated. The patients were between 18 to 55 years, the majority were females, the masseter muscle was the most commonly involved muscle (40%), and some of the patients had a history or sign of bruxism.
Conclusion: OCD symptoms should be considered in MPDS patients. Bruxism due to psychological disorders can be the cause of MPDS. The findings of this case series study should be verified in clinical studies to assess the relationship between MPDS, OCD, and parafunctional habits.
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2. Alhaffar BA, Abbas G, Latiefeh Y, Hamadah O: The oral manifestations of psychiatric disorders. Depression 2018, 8:17.40.
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6. Fenske JN, Petersen K: Obsessive-compulsive disorder: diagnosis and management. American family physician 2015, 92(10):896-903.
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8. Altindag O, Gur A, Altindag A: The relationship between clinical parameters and depression level in patients with myofascial pain syndrome. Pain Medicine 2008, 9(2):161-165.
9. Herren C, Lindroth J: Obsessive compulsive disorder: a case report. The Journal of Contemporary Dental Practice 2001, 2(3):41-49.
10. Almazrooa SA, Woo S-B, Mawardi H, Treister N: Characterization and management of exfoliative cheilitis: a single-center experience. Oral surgery, oral medicine, oral pathology and oral radiology 2013, 116(6):e485-e489.
11. Ko J-Y, Park I-H, Park H-K, Kho H-S: Outcome predictors of initial treatment with topical lubricant and parafunctional habit control in burning mouth syndrome (BMS). Archives of Gerontology and Geriatrics 2011, 53(3):263-269.
12. Bienvenu OJ, Cannistraro PA: The significance of the concept of obsessive-compulsive spectrum disorder to the treatment of chronic nonmalignant pain. Current pain and headache reports 2002, 6(1):40-43.
13. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J-P, List T, Svensson P, Gonzalez Y, Lobbezoo F: Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. Journal of oral & facial pain and headache 2014, 28(1):6.
14. Laskin DM, Block S: Diagnosis and treatment of myofacial pain-dysfunction (MPD) syndrome. The Journal of Prosthetic Dentistry 1986, 56(1):75-84.
15. Ito E, Inoue Y: The international classification of sleep disorders, American Academy of Sleep Medicine. Includes bibliographies and index. Nihon rinsho Japanese journal of clinical medicine 2015, 73(6):916-923.
16. Commisso MS, Martínez-Reina J, Mayo J: A study of the temporomandibular joint during bruxism. International Journal of Oral Science 2014, 6(2):116-123.
17. Velly AM, Gornitsky M, Philippe P: Contributing factors to chronic myofascial pain: a case–control study. Pain 2003, 104(3):491-499.
18. Zach GA, Andreasen K: Evaluation of the psychological profiles of patients with signs and symptoms of temporodiular disorders. The Journal of Prosthetic Dentistry 1991, 66(6):810-812.
19. Maixner W, Diatchenko L, Dubner R, Fillingim RB, Greenspan JD, Knott C, Ohrbach R, Weir B, Slade GD: Orofacial pain prospective evaluation and risk assessment study–the OPPERA study. The journal of Pain 2011, 12(11):T4-T11. e12.
20. Ribeiro-Dasilva MC, Line SRP, dos Santos MCLG, Arthuri MT, Hou W, Fillingim RB, Barbosa CMR: Estrogen receptor-α polymorphisms and predisposition to TMJ disorder. The Journal of Pain 2009, 10(5):527-533.
21. Kaur D, Behl AB, Isher PP: Oral manifestations of stress-related disorders in the general population of Ludhiana. Journal of Indian Academy of Oral Medicine and Radiology 2016, 28(3):262.
22. Schwartz LL: Pain associated with the temporomandibular joint. The Journal of the American Dental Association 1955, 51(4):394-397.
23. Makino M, Masaki C, Tomoeda K, Kharouf E, Nakamoto T, Hosokawa R: The relationship between sleep bruxism behavior and salivary stress biomarker level. International Journal of Prosthodontics 2009, 22(1).
24. Friedland B, Manschreck TC: Compulsive bruxism: how to protect your patients' teeth: screen for destructive oral habits tied to anxiety disorders and SSRIs. Current Psychiatry 2009, 8(3):24-28.
25. Bostwick JM, Jaffee MS: Buspirone as an antidote to SSRI-induced bruxism in 4 cases. Journal of Clinical Psychiatry 1999, 60(12):857-860.
26. Oulis P, Dimitrakopoulos S, Konstantakopoulos G, Tsaltas E, Kollias K: Low-dose aripiprazole in the treatment of SSRI-induced bruxism. The Journal of Neuropsychiatry and Clinical Neurosciences 2012, 24(3):E39-E39.
2. Alhaffar BA, Abbas G, Latiefeh Y, Hamadah O: The oral manifestations of psychiatric disorders. Depression 2018, 8:17.40.
3. Rana M, Kanatas A, Herzberg PY, Gellrich N-C, Rana M: Relevance of psychosocial factors to quality of life in oral cancer and oral lichen planus: a prospective comparative study. British Journal of Oral and Maxillofacial Surgery 2015, 53(7):621-626.
4. Dangore-Khasbage S, Khairkar PH, Degwekar SS, Bhowate RR, Bhake AS, Singh A, Lohe VK: Prevalence of oral mucosal disorders in institutionalized and non-institutionalized psychiatric patients: a study from AVBR Hospital in central India. Journal of oral science 2012, 54(1):85-91.
5. Kracker Imthon A, Antônio Caldart C, Do Rosário MC, Fontenelle LF, Constantino Miguel E, Arzeno Ferrão Y: Stressful life events and the clinical expression of Obsessive–Compulsive Disorder (OCD): an exploratory study. Journal of clinical medicine 2020, 9(10):3371.
6. Fenske JN, Petersen K: Obsessive-compulsive disorder: diagnosis and management. American family physician 2015, 92(10):896-903.
7. Castelli L, De Santis F, De Giorgi I, Deregibus A, Tesio V, Leombruni P, Granieri A, Debernardi C, Torta R: Alexithymia, anger and psychological distress in patients with myofascial pain: a case-control study. Frontiers in psychology 2013, 4:490.
8. Altindag O, Gur A, Altindag A: The relationship between clinical parameters and depression level in patients with myofascial pain syndrome. Pain Medicine 2008, 9(2):161-165.
9. Herren C, Lindroth J: Obsessive compulsive disorder: a case report. The Journal of Contemporary Dental Practice 2001, 2(3):41-49.
10. Almazrooa SA, Woo S-B, Mawardi H, Treister N: Characterization and management of exfoliative cheilitis: a single-center experience. Oral surgery, oral medicine, oral pathology and oral radiology 2013, 116(6):e485-e489.
11. Ko J-Y, Park I-H, Park H-K, Kho H-S: Outcome predictors of initial treatment with topical lubricant and parafunctional habit control in burning mouth syndrome (BMS). Archives of Gerontology and Geriatrics 2011, 53(3):263-269.
12. Bienvenu OJ, Cannistraro PA: The significance of the concept of obsessive-compulsive spectrum disorder to the treatment of chronic nonmalignant pain. Current pain and headache reports 2002, 6(1):40-43.
13. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J-P, List T, Svensson P, Gonzalez Y, Lobbezoo F: Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. Journal of oral & facial pain and headache 2014, 28(1):6.
14. Laskin DM, Block S: Diagnosis and treatment of myofacial pain-dysfunction (MPD) syndrome. The Journal of Prosthetic Dentistry 1986, 56(1):75-84.
15. Ito E, Inoue Y: The international classification of sleep disorders, American Academy of Sleep Medicine. Includes bibliographies and index. Nihon rinsho Japanese journal of clinical medicine 2015, 73(6):916-923.
16. Commisso MS, Martínez-Reina J, Mayo J: A study of the temporomandibular joint during bruxism. International Journal of Oral Science 2014, 6(2):116-123.
17. Velly AM, Gornitsky M, Philippe P: Contributing factors to chronic myofascial pain: a case–control study. Pain 2003, 104(3):491-499.
18. Zach GA, Andreasen K: Evaluation of the psychological profiles of patients with signs and symptoms of temporodiular disorders. The Journal of Prosthetic Dentistry 1991, 66(6):810-812.
19. Maixner W, Diatchenko L, Dubner R, Fillingim RB, Greenspan JD, Knott C, Ohrbach R, Weir B, Slade GD: Orofacial pain prospective evaluation and risk assessment study–the OPPERA study. The journal of Pain 2011, 12(11):T4-T11. e12.
20. Ribeiro-Dasilva MC, Line SRP, dos Santos MCLG, Arthuri MT, Hou W, Fillingim RB, Barbosa CMR: Estrogen receptor-α polymorphisms and predisposition to TMJ disorder. The Journal of Pain 2009, 10(5):527-533.
21. Kaur D, Behl AB, Isher PP: Oral manifestations of stress-related disorders in the general population of Ludhiana. Journal of Indian Academy of Oral Medicine and Radiology 2016, 28(3):262.
22. Schwartz LL: Pain associated with the temporomandibular joint. The Journal of the American Dental Association 1955, 51(4):394-397.
23. Makino M, Masaki C, Tomoeda K, Kharouf E, Nakamoto T, Hosokawa R: The relationship between sleep bruxism behavior and salivary stress biomarker level. International Journal of Prosthodontics 2009, 22(1).
24. Friedland B, Manschreck TC: Compulsive bruxism: how to protect your patients' teeth: screen for destructive oral habits tied to anxiety disorders and SSRIs. Current Psychiatry 2009, 8(3):24-28.
25. Bostwick JM, Jaffee MS: Buspirone as an antidote to SSRI-induced bruxism in 4 cases. Journal of Clinical Psychiatry 1999, 60(12):857-860.
26. Oulis P, Dimitrakopoulos S, Konstantakopoulos G, Tsaltas E, Kollias K: Low-dose aripiprazole in the treatment of SSRI-induced bruxism. The Journal of Neuropsychiatry and Clinical Neurosciences 2012, 24(3):E39-E39.
| Issue | Vol 22 (Continuously Published Article-Based) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/fid.v22i15.18471 | |
| Keywords | ||
| Obsessive-Compulsive Disorder Myofascial Pain Syndromes Temporomandibular Joint Dysfunction Syndrome; Bruxism Case Reports | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Pourshahidi S, Ebrahimi H, Ghoreyshi Y, Sheykhbahaei N. Concurrent Occurrence of Obsessive-Compulsive Disorder and Myofascial Pain Dysfunction Syndrome: A Case Series. Front Dent. 2025;22.
