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NIDCR/CDC
Dental, Oral and Craniofacial
Data Resource Center


Oral Health, U.S. 2002 Annual Report
Section 10: OROFACIAL PAIN
10.1 Chronic orofacial pain

The cost of chronic pain is estimated to be about $80 billion per year, with as much as 40% associated with orofacial pain (Israel & Scrivani, 2000; Friction & Schiffman, 1995). The two most prevalent sources of chronic orofacial pain are temporomandibular joint disorder (TMD) and burning mouth syndrome. TMD consists of jaw joint pain and dull facial pain in the temporomandibular joint and the muscles of mastication. Chronic TMD is estimated to affect from 3% to 12% of the U.S. population (Klausner, 1995). Burning mouth syndrome is characterized as a burning, tender, or annoying sensation in the mouth with no apparent mucosal lesion. In 1989, the prevalence of jaw joint pain, burning mouth, and dull facial pain in the U.S. population was 5.3%, 0.7%, and 1.5%, respectively.

SOURCE OF DATA
The analyses reported here are based on the 1989 National Health Interview Survey Orofacial Pain Supplement, National Center for Health Statistics, Centers for Disease Control and Prevention. The only national data available for burning mouth and dull facial pain are presented despite their very low prevalences.


  • Jaw joint pain was more common in
    • Younger adults (Figure 10.1.1).
    • Females (Figure 10.1.2).
    • Adults living below the federal poverty level (Figure 10.1.3).
  • Burning mouth and dull facial pain
    • Displayed little variation among age groups and were slightly more common among females (Figures 10.1.1 and 10.1.2).

Bullets reference data that can be found in Table 10.1.1.

REFERENCES
Friction JR, Schiffman E. Epidemiology of temporomandibular disorders. In: Friction JR, Dubner R, eds. Orofacial pain and temporomandibular disorders. New York: Raven Press; 1995:1–14.

Israel HA, Scrivani SJ. The interdisciplinary approach to oral, facial and head pain. J Am Dent Assoc 2000;131:919–926.

Klausner JJ. Epidemiologic studies reveal trends in temporomandibular pain and dysfunction. J Mass Dent Soc 1995;4:21–25.

Figure 10.1.1. Percentage of adults aged 20 and older with chronic orofacial pain by age group

Bar graph representing Percentage of adults aged 20 and older with chronic orofacial pain by age group. Description of graph in following D link[D]

Data source: 1989 National Health Interview Survey Orofacial Pain Supplement, National Center for Health Statistics, Centers for Disease Control and Prevention.

Figure 10.1.2. Percentage of adults aged 20 and older with chronic orofacial pain by gender

Bar graph representing Percentage of adults aged 20 and older with chronic orofacial pain by gender. Description of graph in following D link[D]

Data source: 1989 National Health Interview Survey Orofacial Pain Supplement, National Center for Health Statistics, Centers for Disease Control and Prevention.

Figure 10.1.3. Percentage of adults aged 20 and older with jaw joint pain by race/ethnicity and federal poverty level (FPL)

Bar graph representing Percentage of adults aged 20 and older with jaw joint pain by race/ethnicity and federal poverty level. Description of graph in following D link[D]

Data source: 1989 National Health Interview Survey Orofacial Pain Supplement, National Center for Health Statistics, Centers for Disease Control and Prevention.


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