Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Rheumatol. Mar 12, 2015; 5(1): 45-49
Published online Mar 12, 2015. doi: 10.5499/wjr.v5.i1.45
Orofacial pain and fibromyalgia pain: Being aware of comorbid conditions
Cansu Alpaslan
Cansu Alpaslan, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, 06510 Ankara, Turkey
Author contributions: Alpaslan C solely contributed to this manuscript.
Conflict-of-interest: The author confirms that the manuscript has no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Cansu Alpaslan, DDS, PhD, Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi Universitesi Dishekimligi Fakultesi Cerrahi Bolumu E Blok 5, Kat, 8, Cadde 82, Sokak Emek, 06510 Ankara, Turkey.
Telephone: +90-312-2034329
Received: July 2, 2014
Peer-review started: July 3, 2014
First decision: August 30, 2014
Revised: November 13, 2014
Accepted: November 27, 2014
Article in press: November 27, 2014
Published online: March 12, 2015

Orofacial pain originating from myofascial pain of temporomandibular disorders is the second most common source of pain, after tooth pain. However, diagnosis of myofascial pain is challenging due to its characteristic referral pattern. Furthermore, pain arising from structures in the orofacial region may be a presentation of fibromyalgia and treatment directed at temporomandibular disorders fails to alleviate the pain. Similarly, patients with fibromyalgia may present with pain in the orofacial region. The physician in this case should be aware of temporomandibular disorders, its characteristic findings and treatment approaches that might be included in the treatment plan.

Keywords: Orofacial pain, Fibromyalgia, Myofascial pain, Trigger point, Temporomandibular disorders

Core tip: The characteristic presentation of myofascial pain and fibromyalgia pain in the orofacial region and their comorbidity is covered in this review article.