Evaluation of the impact on quality of life of patients with temporomandibular disorders

Abstract

BACKGROUND AND OBJECTIVES: Chronic pain, such as temporomandibular disorder, often leads to significant changes in quality of life. This study aimed at evaluating the influence of temporomandibular disorders in the subjective perception of quality of life by means of the Oral Health Impact Profile-14. METHODS:Participated in the study 80 patients diagnosed with temporomandibular disorders by means of the Research Diagnostic Criteria for Temporomandibular Disorders, aged between 18 and 60 years (32.71±1.1), who were submitted to the Oral Health Impact Profile-14 questionnaire. Non parametric Mann-Whitney statistics, Pearson Correlation test, Analysis of Variance and Tukey test were used with significance level of 5%. RESULTS: There has been no statistically significant difference in the perception of the impact on quality of life between genders; patients with association of signs and symptoms of the three groups of the Research Diagnostic Criteria for Temporomandibular Disorders had further impact on quality of life, as well as the most severe the temporomandibular disorder the highest the reported impact (p=0.05), and the age group with the highest impact on quality of life was between 18 and 30 years (p<0.01). CONCLUSION: Increased age, severity and the association of diagnoses have exacerbated the impact of temporomandibular disorders on quality of life. Variables analyzed in this study were related to temporomandibular disorder chronicity, stressing the importance of early intervention strategies to minimize the impact on quality of life.

The Effectiveness of Orofacial Pain Therapy in Indonesia: a Cross Sectional Study

“…In a study by Choi et al (2009) about pain disability on orofacial pain patients, chewing function was found to be one of the most interfered oral functions in orofacial pain patients [21] amongst other interfered oral functions. Other previous studies [22,23] also reported interfered physical oral functions including chewing function due to orofacial 6 Pain Research and Treatment pain or temporomandibular disorders that was accompanied by pain, which in turn has decreased the patients' quality of life. In a study conducted by De Laat et al (2003) about the impact of different course of therapy on myofascial pain of the masticatory system patients, a decreased pain score after four to six weeks of therapy was revealed, accompanied by a decreased Mandibular Function Impairment Questionnaire (MFIQ) score, indicating that the pain reduction has improved patients' oral function [24].…”

The Effectiveness of Orofacial Pain Therapy in Indonesia: A Cross-Sectional Study

“…In a study by Choi et al (2009) about pain disability on orofacial pain patients, chewing function was found to be one of the most interfered oral functions in orofacial pain patients [ 21 ] amongst other interfered oral functions. Other previous studies [ 22 , 23 ] also reported interfered physical oral functions including chewing function due to orofacial pain or temporomandibular disorders that was accompanied by pain, which in turn has decreased the patients' quality of life. In a study conducted by De Laat et al (2003) about the impact of different course of therapy on myofascial pain of the masticatory system patients, a decreased pain score after four to six weeks of therapy was revealed, accompanied by a decreased Mandibular Function Impairment Questionnaire (MFIQ) score, indicating that the pain reduction has improved patients' oral function [ 24 ].…”

Ciências odontológicas: Atenção à saúde, educação e sociedade

“…Dentre os principais fatores associados que podem influenciar na qualidade de vida dos pacientes pode-se destacar a presença de dor de cabeça e orofacial que também foi observada nos indivíduos (BACK et al, 2019), associação de fatores emocionais como depressão e ansiedade (NATU et al, 2018, PAULINO et al, 2018 e limitação funcional (RODRIGUES et al, 2015). A esse respeito Pigozzi et al, (2019) concluiu que a intensidade e disfunção da dor causada pela DTM apresentaram impacto negativo na qualidade de vida geral da saúde da população nos domínios físico, psicológico, social e ambiental.…”

“…Dentro os trabalhos analisados Pinto et al, (2015) em sua pesquisa concluiu que os aspectos dor e vitalidade influenciaram de forma negativa o estado geral de saúde dos indivíduos, no entanto, este impacto não os impede de realizar suas atividades de vida diária, e as atividades sociais não foram afetadas por seu estado físico, vale destacar que o grupo analisado era de estudantes de fisioterapia, o que talvez possa levar a essas pessoas a desenvolverem melhor essas atividades. Rodrigues et al, (2015) atenta para que o aumento da idade, a gravidade e a associação de diagnósticos exacerbaram o impacto da disfunção temporomandibular na qualidade de vida dos indivíduos, isso se torna essencial para um acompanhamento e análise mais detalhada dos pacientes e destes fatores associados.…”