Orofacial pain and temporomandibular disorders: the impact on oral health and quality of life

Abstract

Many conditions may cause painful symptoms in orofacial structures. Among the chronic conditions that affect this area, temporomandibular disorders are the most common. Temporomandibular Disorder is a collective term that includes a number of clinical complaints involving the masticatory muscles, the Temporomandibular Joint and associated structures. In some cases, these complaints can be associated with depression, catastrophizing behavior and impact on quality of life. The present study aims to explain the relationship between Temporomandibular Disorders and pain chronification and their relation to a variety of psychosocial and behavioral comorbid conditions. The mechanisms of pain conduction and suggestions for management are also addressed.

Correlation between oral health-related quality of life and clinical dysfunction index in patients with temporomandibular joint osteoarthritis

“…Pain-related catastrophization is defined as excessive attention to pain, exaggeration of the pain-related threat, and helplessness regarding pain control, all of which may adversely affect OHRQoL. These reactions are strongly associated with pain intensity and OHRQoL impairment (2). TMJ OA is pain-related, and TMJ OA patients usually have chronic pain in the TMJ and muscle areas (7).…”

“…TMDs are thought to be the second most common cause of chronic orofacial pain, after dental pain (2). Previous studies indicate that at some stage of life 50 to 70% of the global population exhibits signs and symptoms of TMD, including pain, limited range of jaw movement, and TMJ noises (3,4).…”

Disfunção Temporomandibular E O Impacto Na Qualidade De Vida: Uma Revisão De Literatura

“…Oliveira et al 46 Para compreender e gerenciar pacientes com disfunção temporomandibular é necessário entender a disfunção temporomandibular suas comorbidades, como também observar a qualidade de vida. As implicações desta disfunção são graves, principalmente em relação às condições crônicas, assim o uso de estratégias de gestão biopsicossocial para reduzir dor e melhorar a função é a abordagem que tem demonstrado sucesso para a maioria dos casos 47 . Paceintes com dor crônica como relatado por todos os estudos apresentam interferência direta na qualidade de vida de destes paceintes, promovendo problemas sociais, de trabalho e convívio.…”

Aspectos clínicos e psicossociais avaliados por critérios de diagnóstico para disfunção temporomandibular

“…It is considered as a multifactorial disorder 3,4 , presenting as its etiologic factors joint trauma, occlusal discrepancies, joint hypermobility, skeletal problems, parafunctional habits, and psychosocial and behavioral factors 5 .…”

“…Those factors influence the patients response to treatment 5,10 , and may be important outcome predictors 18 . Thus, the treatment principles are currently based on a multimodal biopsychosocial approach to reduce pain and improve the function in patients with TMD 2 .…”