Associations Between Screening for Functional Jaw Disturbances and Patient Reported Outcomes on Jaw Limitations and Oral Behaviors

Lövgren, Anna; Ilgunas, Aurelija; Häggman‐Henrikson, Birgitta; Elias, B; Roudini, O Al; Visscher, Corine M.; Lobbezoo, Frank; Wänman, Anders; Liv, Per

doi:10.1016/j.jebdp.2023.101888

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…Patients experiencing tooth clenching during the night are also more likely to suffer from headaches in the morning. The onset of jaw clenching and pain is observed to be often unevenly timed, which emphasizes potential differences in the pathophysiology of those conditions [62]. As emphasized above, SB can also have positive consequences in some patients [63].…”

Section: Sleep Bruxism As a Behaviormentioning

confidence: 98%

Inflammatory Markers and Sleep Architecture in Sleep Bruxism—A Case-Control Study

Fulek,

Wieckiewicz,

Szymanska-Chabowska

et al. 2024

JCM

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Background: Sleep bruxism (SB) is a common sleep-related movement behavior with a multifaceted etiology and a deficiently understood pathophysiology. A recent hypothesis suggests a link between SB and systemic inflammation. The scope of the study was to determine whether bruxers have altered sleep structure and different levels of inflammatory parameters compared to nonbruxers. Methods: A total of 83 adults underwent full-night polysomnography. The polysomnograms were evaluated using the American Academy of Sleep Medicine (AASM) guidelines. Then, the blood samples were obtained from the participants by venipuncture and the analyses were performed. The study group was divided based on bruxism episode index (BEI) into two groups: BEI ≤ 4 and BEI > 4. Results: In comparison with nonbruxers, the oxygen desaturation index (ODI) was significantly higher in severe bruxers (7.5 ± 11.08 vs. 3.33 ± 5.75, p < 0.005), as well as the arousal parameters (7.77 ± 4.68 vs. 4.03 ± 2.97, p < 0.001), and the mean oxygen desaturation (3.49 ± 0.69 vs. 3.01 ± 0.67, p < 0.05). Moreover, the differences in sleep architecture and deprivation of the deep sleep phase were observed, the non-REM sleep stage 3 was significantly shorter in severe bruxers (p < 0.03). Differences were also noted in non-REM sleep stage 1 and REM sleep phase. In the investigated group, there were no statistical differences in inflammatory cytokines levels between bruxers and nonbruxers. Conclusions: Sleep bruxism is associated with sleep structure alterations and may be associated with deep sleep phase deprivation. The inflammatory markers are not linearly correlated with the severity of sleep bruxism expressed as BEI.

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Section: Sleep Bruxism As a Behaviormentioning

confidence: 98%

Inflammatory Markers and Sleep Architecture in Sleep Bruxism—A Case-Control Study

Fulek,

Wieckiewicz,

Szymanska-Chabowska

et al. 2024

JCM

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“…Such highly transformed data blur the content of individual patients' complaints. Therefore, great caution should be exercised when interpreting health-related quality-of-life syntheses [39][40][41][42]. The collected material shows that replacing the temporomandibular joint improves quality of life.…”

Section: Health-related Quality Of Lifementioning

confidence: 99%

“…Averaging the ratings of different patients, on the one hand, allows you to look for trends and indicate outlines, but on the other hand, it masks important information. When averaging the assessments of the change in quality of life over time, we can, for example, observe a general upward trend, while overlooking the fact that every 10th patient worsened significantly [39][40][41][42][43][44][45].…”

Section: Quantification Of Qualitative Datamentioning

confidence: 99%

Temporomandibular Joint (TMJ) Replacement Affects Quality of Life: A Systematic Review and Synthesis of Clinical Trials

Chęciński,

Chęcińska,

Bliźniak

et al. 2024

Applied Sciences

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This systematic review aims to determine the impact of temporomandibular joint (TMJ) replacement on health-related quality of life. The review was reported following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. An electronic search using the Bielefeld Academic Search Engine was performed to identify primary studies reported in English and published up until November 2023. Ten reports fulfilled the inclusion criteria and were assessed according to the Critical Appraisal Skills Programme (CASP): Qualitative Studies Checklist. The overall research value of the studies ranged from high (dominant) to moderate. The synthesis of the results concerning TMJ replacement in severe degenerative disease showed an improvement in (1) quality of life, (2) pain intensity, (3) mastication efficiency, and (4) mandibular mobility. One study presented favorable outcomes for patients suffering from ankylosis.

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Temporomandibular disorder pain is associated with increased sick leave and reduced health related quality of life

Vallin,

Liv,

Häggman‐Henrikson

et al. 2024

European Journal of Pain

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BackgroundTemporomandibular disorders (TMD) are the most common reason for chronic pain in the orofacial area and significantly impact the lives of those affected. The role of lifestyle factors in TMD, however, remains less explored. This cohort study aims to estimate TMD prevalence by addressing potential selection biases and to evaluate the association between TMD and lifestyle factors with a specific focus on sick leave and health related quality of life.MethodsBy linking data on TMD in the general population in Västerbotten, northern Sweden (n = 180,000) to health survey data (n = 120,000), information on sociodemographic factors and quality of life was available for 52,961 individuals (50.6% women) with a mean age of 53 years. We applied inverse probability weighting to adjust for selection bias and Poisson regression to explore associations with TMD.ResultsTMD prevalence was 9.2% during the study period, being higher in women (12.9%) than men (5.4%). Weighting for varying visiting frequencies did not affect TMD prevalence (average difference 0.4% points). Individuals with TMD, especially women, reported more sick leave and use of pain medication, with a significant association between TMD and increased sick leave (prevalence ratio 1.89, 95% CI: 1.78–2.01) among both women and men. In addition, TMD was associated with a lower health related quality of life (p < 0.001).ConclusionThe association of TMD with sick leave highlights the condition's profound impact on the lives of affected individuals. These findings underscore the influence of TMD on work life and the burden of TMD on the societal level.Significance StatementThe findings provide insight into how TMD affect individuals, by incorporating lifestyle factors, social determinants and the impact of sick leave at a population level. By incorporating these areas into the study of TMD, we can deepen our understanding of how TMD affects individuals' lives. This approach may also create opportunities to develop more comprehensive strategies to address TMD, focusing on broader implications beyond the clinical symptoms.

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Associations Between Screening for Functional Jaw Disturbances and Patient Reported Outcomes on Jaw Limitations and Oral Behaviors

Cited by 4 publications

References 27 publications

Inflammatory Markers and Sleep Architecture in Sleep Bruxism—A Case-Control Study

Inflammatory Markers and Sleep Architecture in Sleep Bruxism—A Case-Control Study

Temporomandibular Joint (TMJ) Replacement Affects Quality of Life: A Systematic Review and Synthesis of Clinical Trials

Temporomandibular disorder pain is associated with increased sick leave and reduced health related quality of life

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