Association Between Orofacial Pain and Anxiety: A Systematic Review

Rahardian, Marshya; Putri, Farah Asnely; Maulina, Tantry

doi:10.2147/jpr.s432031

Cited by 2 publications

(1 citation statement)

References 40 publications

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“…Long-term pain frequently creates a low desire for social participation and fewer social activities, alongside significant changes in interpersonal relationships. Thus, poor social functioning is manifest [ 4 ]. Individuals suffering from long-lasting pain often experience a shift in their beliefs and thought processes, which, in turn, impact their emotional and cognitive pathways.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Influence of Acute and Chronic Orofacial Pains on the Overall Comprehensive Quality of Life

Madhavi,

Sujatha,

Mazhar

et al. 2024

Cureus

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Background Orofacial discomfort refers to various disorders that affect the mouth, jaws, and face. These conditions may substantially influence a person's quality of life (QoL). This kind of pain may be categorised into two primary classifications: acute and chronic. Acute orofacial pain (OFP) usually occurs suddenly and lasts for a short period. It is commonly caused by specific factors such as dental treatments, traumas, or infections. Hence, this study aimed to assess the influence of acute and chronic orofacial discomfort on the overall QoL. Methodology This research used a convenience sample to gather data from the five groups. It was conducted as a cross-sectional study. Four categories of OFP syndromes were utilised: temporomandibular disorders (TMDs), atypical dental pain (ADP), trigeminal neuralgia (TN), and persistent dentoalveolar pain disorder (PDAP). In addition, a control group consisting of individuals who did not experience any discomfort was also included in the study. Participants received a standardised explanation of the questionnaires utilised, and in most instances, they completed them at the clinic under the supervision of one of the investigators. Results The correlations between each version of the Oral Health Impact Profile (OHIP) were statistically significant (p < 0.001), with correlation values ranging from 0.92 to 0.97. When comparing the occurrence of OHIP items across the four pain types, we identified 18 variations that exceeded the 35% prevalence threshold we established for identifying important items that frequently occur out of the 315 comparisons. The question "Have you had a painful aching in your mouth?" showed a low frequency in patients with TN, TMD, and ADP but a significant prevalence in patients with PDAP (90%). This difference in prevalence across pain types was the biggest seen. The question that seemed to distinguish between the pain categories most effectively was "Have you experienced a toothache?" This question had a high occurrence in PDAP (65%) and ADP (60%), perhaps allowing for differentiating these two diseases from TN and TMD. The highest prevalence differences, over 30%, were most often seen when PDAP was included as one of the disorders being compared. ADP had the fewest variances, over 30%, occurring just seven times. Conclusion Both acute and chronic OFPs have a major negative influence on QoL, but they affect it differently and to differing extents. Injury-related acute pain obviously poses rapid and severe restrictions on physical function and causes temporary psychological distress and temporary social exclusion. On the other hand, chronic pain for the patient always implies being locked in a physical world that does not allow him or her to bypass physical limitations, psychological disorders remain constant, and isolation from other people persists for life.

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Section: Introductionmentioning

confidence: 99%

Evaluating the Influence of Acute and Chronic Orofacial Pains on the Overall Comprehensive Quality of Life

Madhavi,

Sujatha,

Mazhar

et al. 2024

Cureus

View full text Add to dashboard Cite

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Prevalence and associated factors of health anxiety in patients with temporomandibular disorders

Sun,

Fang,

Wang

et al. 2024

Oral Diseases

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ObjectivesTo investigate the prevalence and associated factors of health anxiety (HA) in patients with Temporomandibular Disorders (TMDs) using the 8‐item Whiteley Index (WI‐8) scale.Materials and MethodsThree hundred and twenty‐nine TMDs patients completed the Visual Analog Scale (VAS), WI‐8, Jaw Functional Limitation Scale‐8 (JFLS‐8), Patient Health Questionnaire‐9 (PHQ‐9), and Generalized Anxiety Disorder‐7 (GAD‐7) scales. Clinical examinations were conducted following the Diagnostic Criteria for TMDs Axis I.ResultsThe prevalence of HA among TMDs patients was 18.54%. Patients with HA had higher scores of VAS‐current (p = 0.026), VAS‐maximum (p = 0.024), VAS‐average (p = 0.030), JFLS‐8 (p < 0.001), GAD‐7 (p < 0.001) and PHQ‐9 (p < 0.001), lower maximum mouth opening (p = 0.016), lower proportion of structure‐related TMDs (p = 0.028), and higher proportion of pain‐related TMDs (p < 0.001) compared to those without HA. The correlation coefficient was 0.61 (p < 0.001) between WI‐8 and GAD‐7 and 0.64 (p < 0.001) between WI‐8 and PHQ‐9.ConclusionApproximately one‐fifth of patients with TMDs experienced HA. HA was associated with pain perception, functional limitations, depressive, and anxiety symptoms in individuals with TMDs. HA may contribute to heightened subjective pain experiences rather than structural changes in the TMJ.

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Association Between Orofacial Pain and Anxiety: A Systematic Review

Cited by 2 publications

References 40 publications

Evaluating the Influence of Acute and Chronic Orofacial Pains on the Overall Comprehensive Quality of Life

Evaluating the Influence of Acute and Chronic Orofacial Pains on the Overall Comprehensive Quality of Life

Prevalence and associated factors of health anxiety in patients with temporomandibular disorders

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