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

Abstract

We evaluated the correlation between oral health-related quality of life (OHRQoL) and the Helkimo clinical dysfunction index (HDI) in patients with temporomandibular joint osteoarthritis (TMJ OA). Clinical data and scores for the Chinese version of the 14-item Oral Health Impact Profile (OHIP-C14) were recorded and analyzed for 541 patients with TMJ OA. Each patient was assigned an HDI score of 1 to 25, which was used to classify severity into three categories. OHRQoL was assessed by using OHIP-C14 score, which ranged from 0 to 56. Both HDI score and severity were significantly correlated with total OHIP-C14 score (P < 0.001 for both comparisons). The scores for all HDI domains except function impairment (P = 0.205) were significantly correlated with OHIP-C14 score. The scores for all seven OHIP-C14 domains were significantly correlated with HDI score and severity. Several correlations between OHIP-C14 domains and HDI domain scores were significant. HDI score and severity were correlated with OHIP-C14 score in TMJ OA patients. As compared with function-related domains, pain-related HDI domains were more strongly inversely related to OHRQoL. (J Oral Sci 58, [483][484][485][486][487][488][489][490] 2016)

Relación entre la presencia de cambios óseos de osteoartrosis del cóndilo mandibular e inclinación de la eminencia articular en pacientes clase II esquelética evaluados mediante tomografía computarizada de haz cónico

“…Víctor Pardo Juárez ósea subcondral, cuerpos óseos libres y pseudoquistes. El conocimiento de estos cambios óseos es fundamental para el diagnóstico correcto de las disfunciones asociadas con la enfermedad y para la adecuada planificación del tratamiento ( [48][49][50][51][52][53][54][55][56][57][58][59][60] ).…”

“…Una opinión que Rev Cient Odontol (Lima). 2019; 7 (1): [34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52] Víctor Pardo Juárez se respalda por estos estudios es que el desarrollo de la eminencia articular y el cóndilo mandibular se ve más afectado por la función que por las características de la base del cráneo ( [15][16][17][18][19] ).…”

Differences in masseter activity in patients with and without self-reported rheumatoid arthritis using surface electromyography: A cross-sectional study

“…However, previous studies report muscular weakness as a frequent characteristic in patients with rheumatoid arthritis [4,8,15,7,11) Pain [5,17,6,10,9,22) and trigeminal motor neuropathy [4] are the principal factors associated to masticatory muscle weakness. Notwithstanding, previous findings have also reported severe signs of condylar head µV (IC95% -1.0; -0.9, p<0.001) over the 30 second period.…”

“…Records included family history and individual information of previous temporomandibular disorders (TMD). Helkimo index was performed to assess the presence of TMD before electromyography evaluation as described in other studies [22,23]. Presence of rheumatoid arthritis, bruxism and clicking or popping jaw were self-reported during the interview or assessed by a clinician before the EMG evaluation.…”

Oral health-related quality of life and cognitive functioning in myofascial temporomandibular disorders pain

“…Interestingly, there is some evidence that objective improvement in a patient's stomatognathic system does not necessarily lead to changes in physical and functional aspects of perceived quality of life [15]. Nevertheless, improved general OHRQoL seems to depend on changes in the scope of width of mouth opening and reduction of pain [16], and it seems that pain can permanently diminish estimated quality of life, especially social aspects.…”