Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders

Almoznino, Galit; Zini, Avraham; Zakuto, Avraham; Sharav, Yair; Haviv, Yaron; Hadad, Avraham; Chweidan, Harry; Yarom, Noam; Benoliel, Rafael

doi:10.11607/ofph.1413

Cited by 95 publications

(103 citation statements)

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“…These findings were supported by previous studies in other populations [46–50]. Symptoms of TMD and stomatitis were also related to self-rated oral health.…”

Section: Discussionsupporting

confidence: 90%

Associations among oral health-related quality of life, subjective symptoms, clinical status, and self-rated oral health in Japanese university students: a cross-sectional study

et al. 2016

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BackgroundThe present study aimed to elucidate the associations among self-rated oral health, clinical oral health status, oral health behaviors, subjective oral symptoms, and oral health-related quality of life (OHRQoL) in a group of Japanese university students.MethodsOf 2051 participants, 2027 (98.83%) students received an optional oral examination and answered a questionnaire including items regarding age, sex, self-rated oral health, oral health behaviors, subjective oral symptoms, and OHRQoL [The Oral Health Impact Profile (OHIP)-14]. On oral examination, the decayed, missing, and filled teeth (DMFT) score, Community Periodontal Index (CPI), the percentage of teeth showing bleeding on probing (%BOP), and malocclusion were recorded. Structural equation modelling (SEM) analysis was used to test associations.ResultsThe mean score (± SD) of OHIP-14 was 1.92 ± 5.47. In the SEM analysis, the final model showed that self-rated oral health, oral pain, malocclusion, and the DMFT score were directly associated with the OHRQoL, and subjective symptoms of temporomandibular disorders (TMD) and recurrent aphthous stomatitis were both directly and indirectly associated (p < 0.05). CPI, %BOP, and oral health behaviors were excluded from the final model.ConclusionsOHRQoL was associated with self-related oral health, subjective symptoms of TMD, oral pain and stomatitis, DMFT, and malocclusion in this group of Japanese university students.

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“…These findings were supported by previous studies in other populations [46–50]. Symptoms of TMD and stomatitis were also related to self-rated oral health.…”

Section: Discussionsupporting

confidence: 90%

Associations among oral health-related quality of life, subjective symptoms, clinical status, and self-rated oral health in Japanese university students: a cross-sectional study

et al. 2016

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“…The presence of controls as TMD‐free individuals revealed the difference more clearly and highlighted the magnitude of the effects of TMD on the OHRQoL. Previous studies in different countries have also emphasized the substantial effect of TMD on the OHRQoL . However, the OHIP severity was higher in the present study than in previous researches.…”

Section: Discussioncontrasting

confidence: 48%

Oral health‐related quality of life in patients with temporomandibular disorders: A case‐control study considering psychological aspects

Bayat

Abbasi

Noorbala

et al. 2017

Int J Dental Hygiene

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Objectives: This case-control study aimed to compare patients with temporomandibular disorders (TMD) and healthy controls in terms of oral health-related quality of life (OHRQoL) considering Graded Chronic Pain Scale (GCPS) scores, pain duration, psychological impairment and demographic characteristics.Methods: A total of 75 patients with TMD and 75 healthy controls were recruited. The short version of Oral Health Impact Profile (OHIP-14) was administered for evaluating the OHRQoL. Psychosocial impairments were assessed using the General Health Questionnaire-28 (GHQ-28). The Research Diagnostic Criteria for TemporomandibularDisorders (RDC/TMD) axis I and II were also used for patient diagnosis and collecting GCPS scores, pain duration, age and gender. Independent-sample t tests, Pearson's chi-square tests and multiple logistic and linear regression models were applied for statistical analysis. Results:The mean age of the patients was 34.3±12.4 years. A female-to-male ratio of 6:1 was seen in the TMD group. The prevalence and severity of the OHIP were significantly different between the TMD and control groups (66.7% vs 12.0% and 18.0 vs 9.2, respectively). According to multiple logistic regression for OHIP prevalence and multiple linear regression for OHIP severity in the TMD group, GCPS scores and pain duration, followed by psychological impairment, were the most important predictors of the OHRQoL. Conclusion:TMD negatively affected the OHRQoL, particularly in patients with psychological impairments. Meanwhile, age and gender did not seem to have a serious effect. Hence, promoting the quality of life of patients with TMD requires emphasis on chronic pain management and maintaining good mental health. K E Y W O R D SGraded Chronic Pain Scale, oral health-related quality of life, pain duration, patients, psychological impairment, temporomandibular disorders

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“…And this condition may affect areas such as the eyes, throat and ears, frequently leading to headache and neck pain [4]. Additionally, TMD has been shown have an impact on oral health-related quality of life (OHRQoL) [5]. …”

Section: Introductionmentioning

confidence: 99%

Validation of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD) in patients with painful TMD

Wang

2016

J Headache Pain

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BackgroundThe aim of the study was to validation of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD) for use in patients with painful TMD.MethodsThe original TSK-TMD was translated and cross-culturally adaptated following international guidelines. A total of 160 patients with temporomandibular disorders (TMD) were enrolled to fill out the scale. The internal consistency and test-retest methods were used to evaluate the reliability of the TSK-TMD. The validity of the TSK-TMD was analyzed by content validity, construct validity and convergent validity. Construct validity was assessed based on exploratory factor analysis (EFA), and convergent validity by examining the correlation between the global rating of oral health question and TSK-TMD scores.ResultsCronbach’s alpha value for the total TSK-TMD score was 0.919 and the intraclass correlation coefficient (ICC) value for the TSK-TMD was 0.797. Construct validity was assessed by EFA, extracting two factors, accounting for 71.9% of the variance. The factor loadings of all items were higher than 0.40. In terms of convergent validity, the TSK-TMD subscales showed good correlations to the global rating of oral health question.ConclusionThese findings show that the Chinese version of TSK-TMD has satisfactory psychometric properties and is appropriate for use in patients with painful TMD in China.

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Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders

Abstract: TMD patients suffered from impaired OHRQoL considerably more than controls. OHRQoL in TMD patients is a multidimensional phenomenon influenced by previous orthodontic treatment, comorbid symptoms, pain, functional limitations, and muscle tenderness scores.

Cited by 95 publications

References 0 publications

Associations among oral health-related quality of life, subjective symptoms, clinical status, and self-rated oral health in Japanese university students: a cross-sectional study

Associations among oral health-related quality of life, subjective symptoms, clinical status, and self-rated oral health in Japanese university students: a cross-sectional study

Oral health‐related quality of life in patients with temporomandibular disorders: A case‐control study considering psychological aspects

Validation of the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD) in patients with painful TMD

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