Temporomandibular disorder and serum levels of progesterone and estrogen: Systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.15654

Keywords:

Temporomandibular dysfunction; Orofacial pain; Estrogen; Progesterone.

Abstract

Temporomandibular Disorder (TMD) is a pathology of the stomatognathic system characterized by a set of clinical disorders that includes a temporomandibular joint, a masticatory musculature and associated structures. It is the most common orofacial pain condition of non-dental origin and which is increasing among adults in the age group between 18 and 45 years with a not well defined etiology, mainly not with regard to its higher prevalence in women than men. The present study aimed to evaluate the literature if there is a relationship between the levels of progesterone and estrogen with the clinical manifestations of TMD. The systematic search was carried out in the following electronic databases: PubMed, Web of Science, SciELO, and LILACS, Scopus, Embase and Google Scholar in addition to a complementary manual search of cross-references of original articles. There was no time restriction. The descriptors used were "TMD" or "TMJ" and "progesterone" and "estrogen". Initially, 132 articles were found, were 15 presented the eligibility criteria to be read in full. In the end, 4 studies were included in the review. The conclusion was that most studies relate the variations of progesterone and estrogen to the symptoms of the disease; however, there are differences between them. Thus, it is recommended to carry out studies that analyze this relationship, leading to hormonal fluctuations ranging from reproductive age to post-menopause.

References

Abdrabuh A., Baljon K., et al. (2020). Impact of estrogen therapy on temporomandibular joints of rats: Histological and hormone analytical study. Saudi Dental Journal 1020-1029. https://doi.org/10.1016/j.sdentj.2020.07.006

Bartley, E. J., & Fillingim, R. B. (2013). Sex differences in pain: a brief review of clinical and experimental findings. British journal of anaesthesia, 111(1), 52–58. https://doi.org/10.1093/bja/aet127.

Benoliel R., Sharav Y. Chronic orofacial pain. Curr Pain Headache Rep. (2010) 14(1):33-40. doi: 10.1007/s11916-009-0085-y.

Berger, M., Szalewski, L., Bakalczuk, M., Bakalczuk, G., Bakalczuk, S., & Szkutnik, J. (2015). Association between estrogen levels and temporomandibular disorders: a systematic literature review. Przeglad menopauzalny = Menopause review, 14(4), 260–270. https://doi.org/10.5114/pm.2015.56538.

Chaves T.C., Oliveira A.M.S., & Grossi DB. (2008). Principais instrumentos para avaliação da disfunção temporomandibular, parte II: critérios diagnósticos; uma contribuição para a prática clínica e de pesquisa. Fisioterapia e Pesquisa, 15(1), 101-106. https://doi.org/10.1590/S1809-29502008000100016.

De Rossi, S. S., Greenberg, M. S., Liu, F., & Steinkeler, A. (2014). Temporomandibular disorders: evaluation and management. The Medical clinics of North America, 98(6), 1353–1384. https://doi.org/10.1016/j.mcna.2014.08.009.

Fenzi, F., & Rizzzuto, N. (2011). Estrogen receptors localization in the spinal trigeminal nucleus: an immunohistochemical study in humans. European journal of pain.15(10), 1002–1007. https://doi.org/10.1016/j.ejpain.2011.05.003.

Fonseca D.M., Bonfate G., Valle A.L., & Freitas S.F.T. (1994). Diagnóstico pela anamnese da disfunção craniomandibular. Rev gaucha odontol (42):23-28.

Ghiciuc, C.M., Dima-Cozma, L.C., Bercea, R.M.L., Catalina E., Mihaescu, T., Cozma, S., & Patacchioli, Francesca R. (2016). Desequilíbrio na proporção salivar diurna de testosterona/cortisol em homens com apneia obstrutiva do sono grave: um estudo observacional. Brazilian journal of otorhinolaryngology, 82(5), 529-535. https://doi.org/10.1016/j.bjorl.2015.09.004.

Gupta, S., McCarson, K. E., Welch, K. M., & Berman, N. E. (2011). Mechanisms of pain modulation by sex hormones in migraine. Headache, 51(6), 905–922. https://doi.org/10.1111/j.1526-4610.2011.01908.x.

Higgins JPT, Green S. (2018) Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 )2011), The Cochrane Collaboration, http://handbook.cochrane.org.

Hornung R.S., Benton W.L., Tongkhuya S., Uphouse L., Kramer P.R., Averitt D.L. (2020). Progesterone and Allopregnanolone Rapidly Attenuate Estrogen-Associated Mechanical Allodynia in Rats with Persistent Temporomandibular Joint Inflammation. Front Integr Neurosci. 14:26. https://doi.org/10.3389/fnint.2020.00026.

Joseph R., Rahena A., Hassan N., Glen H., & James W. (2019). Epidemiology of Temporomandibular Disorder in the General Population: a Systematic Review. Adv dent & oral health. 10(3): 555787. doi: 10.19080/ADOH.2019.10.555787.

Kamiya Y.J., Chen M., Xu A., Utreja T., Choi H., Drissi S., Wadhwa J. (2013). Increased mandibular condylar growth in mice with estrogen receptor beta deficiency. J. Bone. Miner. Res. 28:1127-1134. https://doi.org/10.1002/jbmr.1835

Kou, X. X., Wu, Y. W., Ding, Y., Hao, T., Bi, R. Y., Gan, Y. H., & Ma, X. (2011). 17β-estradiol aggravates temporomandibular joint inflammation through the NF-κB pathway in ovariectomized rats. Arthritis and rheumatism, 63(7), 1888–1897. https://doi.org/10.1002/art.30334.

Landi, N., Lombardi, I., Manfredini, D., Casarosa, E., Biondi, K., Gabbanini, M., & Bosco, M. (2005). Sexual hormone serum levels and temporomandibular disorders. A preliminary study. Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 20(2), 99–103. https://doi.org/10.1080/09513590400021136.

LeResche, L., Sherman, J. J., Huggins, K., Saunders, K., Mancl, L. A., Lentz, G., & Dworkin, S. F. (2005). Musculoskeletal orofacial pain and other signs and symptoms of temporomandibular disorders during pregnancy: a prospective study. Journal of orofacial pain, 19(3), 193–201.

Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ (Clinical research ed.), 339, b2700. https://doi.org/10.1136/bmj.b2700.

Lu, Y., Li, Z., Li, H. J., Du, D., Wang, L. P., Yu, L. H., Burnstock, G., Chen, A., & Ma, B. (2012). A comparative study of the effect of 17β-estradiol and estriol on peripheral pain behavior in rats. Steroids, 77(3), 241–249. https://doi.org/10.1016/j.steroids.2011.11.011.

Madani, A. S., Shamsian, A. A., Hedayati-Moghaddam, M. R., Fathi-Moghadam, F., Sabooni, M. R., Mirmortazavi, A., & Golmohamadi, M. (2013). A cross-sectional study of the relationship between serum sexual hormone levels and internal derangement of temporomandibular joint. Journal of oral rehabilitation, 40(8), 569–573. https://doi.org/10.1111/joor.12074.

Maurer, A. J., Lissounov, A., Knezevic, I., Candido, K. D., & Knezevic, N. N. (2016). Pain and sex hormones: a review of current understanding. Pain management, 6(3), 285–296. https://doi.org/10.2217/pmt-2015-0002.

Miyazaki, R., & Yamamoto, T. (2009). Sex and/or gender differences in pain. Masui. The Japanese journal of anesthesiology, 58(1), 34–39.

Patil S.R., Yadav N., Mousa M.A., Alzwiri A., Kassab M., Sahu R., & Chuggani S (2015). Role of female reproductive hormones estrogen and progesterone in temporomandibular disorder in female patients. J oral res rev (7):41-3. doi: 10.4103/2249-4987.172492.

Puhakka, I., & Peltola, M. J. (2020). Salivary cortisol reactivity to psychological stressors in infancy: A meta-analysis. Psychoneuroendocrinology, 115, 104603. https://doi.org/10.1016/j.psyneuen.2020.104603.

Reiter, S., Emodi-Perlman, A., Goldsmith, C., Friedman-Rubin, P., & Winocur, E. (2015). Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders. Journal of oral & facial pain and headache, 29(2), 135–143. https://doi.org/10.11607/ofph.1297.

Rilling, J. K., Worthman, C. M., Campbell, B. C., Stallings, J. F., & Mbizva, M. (1996). Ratios of plasma and salivary testosterone throughout puberty: production versus bioavailability. Steroids, 61(6), 374–378. https://doi.org/10.1016/0039-128x(96)00043-8.

Shedden Mora, M., Weber, D., Borkowski, S., & Rief, W. (2012). Nocturnal masseter muscle activity is related to symptoms and somatization in temporomandibular disorders. Journal of psychosomatic research, 73(4), 307–312.

Stinson C., Bellinger L.L., Puri J., Ahuja N., Bender S.D., Kramer P.R. (2019). Estrogenic effects on temporomandibular disorder and pain. J appl biobehav res e12164. doi:10.1111/jabr.12164.

Tashiro A., Okamoro K. Bereiter (2011). Rapid estrogenic effects on TMJ responsive brainstem neurons.. J Dent Res. 91(2):210-4. https://doi.org/10.1177/0022034511428156

Torres-Chávez, K. E., Sanfins, J. M., Clemente-Napimoga, J. T., Pelegrini-Da-Silva, A., Parada, C. A., Fischer, L., & Tambeli, C. H. (2012). Effect of gonadal steroid hormones on formalin-induced temporomandibular joint inflammation. European journal of pain (London, England), 16(2), 204–216. https://doi.org/10.1016/j.ejpain.2011.06.007.

Wahid, A., Mian, FI., Razzaq, A., Bokhari, S., Kaukab, T., et al. (2014) Prevalence and severity of temporomandibular disorders (TMD) in undergraduate medical students using Fonseca’s questionnaire. Pak oral dent j 34(1), 38-41.

Wieckiewicz, M., Grychowska, N., Wojciechowski, K., Pelc, A., Augustyniak, M., Sleboda, A., & Zietek, M. (2014). Prevalence and correlation between TMD based on RDC/TMD diagnoses, oral parafunctions and psychoemotional stress in Polish university students. BioMed research international, 2014, 472346. https://doi.org/10.1155/2014/472346.

Xue X., Kou X., Li C., et al. (2017). Progesterone attenuates temporomandibular joint inflammation through inhibition of NF-κB pathway in ovariectomized rats. Sci Rep. 2017 Nov 10;7(1):15334. https://doi.org/10.1038/s41598-017-15285-w.

Xue, X. T., Kou, X. X., Li, C. S., Bi, R. Y., Meng, Z., Wang, X. D., Zhou, Y. H., & Gan, Y. H. (2017). Progesterone attenuates temporomandibular joint inflammation through inhibition of NF-κB pathway in ovariectomized rats. Scientific reports, 7(1), 15334. https://doi.org/10.1038/s41598-017-15285-w.

Yasuoka T., Nakashima M., Okuda T., Tatematsu N. (2000). Effect of estrogen replacement on temporomandibular joint remodeling in ovariectomized rats. J Oral Maxillofac Surg. 58(2):189-197. https://doi.org/10.1016/s0278-2391(00)90337-9

Yu, S., Xing, X., Liang, S., Ma, Z., Li, F., Wang, M., & Li, Y. (2009). Locally synthesized estrogen plays an important role in the development of TMD. Medical hypotheses, 72(6), 720–722. https://doi.org/10.1016/j.mehy.2008.11.043.

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Published

28/05/2021

How to Cite

SILVA, R. F. F. da .; ARAÚJO-FILHO, I. .; REGO, A. C. M. do .; SILVA, B. D. da .; QUEIROZ, J. R. C. .; AMORIM, D. M. G. de . Temporomandibular disorder and serum levels of progesterone and estrogen: Systematic review. Research, Society and Development, [S. l.], v. 10, n. 6, p. e21310615654, 2021. DOI: 10.33448/rsd-v10i6.15654. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15654. Acesso em: 22 dec. 2024.

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Health Sciences