COVID-19 pandemic and the psyche, bruxism, temporomandibular disorders triangle

Colonna, Anna; Guarda-Nardini, Luca; Ferrari, Marco; Manfredini, Daniele

doi:10.1080/08869634.2021.1989768

Cited by 40 publications

(47 citation statements)

References 25 publications

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“…With regard to the prevalence of OB, this survey showed that the most frequent condition detected with EMA was “Relaxed” (62.5%), while the less frequently detected was “Grinding” (0.5%). It has to be underlined that the present study was conducted during the COVID-19 pandemic period, which might have increased psychological distress, parafunctional activities, and TMD in the general population, according to some authors [ 22 , 23 ]. Notwithstanding, the prevalence observed in the current study sample was in accordance with the findings observed in similar previous studies conducted with EMA on young adults (university students) [ 24 , 25 , 26 ].…”

Section: Discussionmentioning

confidence: 96%

Comparison between Ecological Momentary Assessment and Questionnaire for Assessing the Frequency of Waking-Time Non-Functional Oral Behaviours

Bucci

Manfredini

Lenci

et al. 2022

JCM

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Over the years, several tools have been proposed to measure oral behaviours (OB). Recently, a smartphone-based application for ecological momentary assessment (EMA) has been introduced to collect real-time data on waking-time OB. The aim of this study was to compare the self-reported frequency of OB by means of a standardised questionnaire with that recorded with a smartphone-based application for EMA. A total of 151 participants, recruited from the general population, were invited to fill in the Oral Behaviour Checklist (OBC). Scores for four questions concerning grinding, clenching, tooth contact, and mandible bracing were computed. Afterwards, participants were provided with a smartphone application for prolonged real-time reporting of OB. One-way analysis of variance (ANOVA) and a general linear mixed model (GLMM) were used to compare the responses to each OBC question with the frequencies of the same condition recorded with the EMA. Results showed significant association between OBC responses and the EMA recordings. In particular, increased frequencies of clenching, grinding, and teeth contact were recorded by individuals who provided higher OBC scores. On the other hand, a nonlinear association was observed for “mandible bracing”, pointing out difficulties in the comprehension of this condition.

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Section: Discussionmentioning

confidence: 96%

Comparison between Ecological Momentary Assessment and Questionnaire for Assessing the Frequency of Waking-Time Non-Functional Oral Behaviours

Bucci

Manfredini

Lenci

et al. 2022

JCM

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“…When confronting the stress of COVID-19, people had to change their daily life and behavior, particularly social relationships, which can affect health in varieties of aspects, including mental and physical risks (35). In the field of dentistry, previous studies showed that the pandemic's influence on psychological factors may increase risks of developing TMD symptoms and certain oral diseases, such as bruxism and OFP (25,36,37). For instance, a study conducted during the pandemic in Israeli and Polish indicated that COVID-19-related mental disorders led to the intensification of bruxism and TMD symptoms, and consequently OFP increased (38).…”

Section: Discussionmentioning

confidence: 99%

Adverse Impacts of Temporomandibular Disorders Symptoms and Tooth Loss on Psychological States and Oral Health-Related Quality of Life During the COVID-19 Pandemic Lockdown

Weng¹,

Hou²,

Jiao³

et al. 2022

Front. Public Health

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BackgroundEmotion and quality of life may have been impacted by the coronavirus disease 2019 (COVID-19) crisis, especially in the lockdown. The impact of temporomandibular disorders (TMD) symptoms and tooth loss on mental status and Oral Health-Related Quality of Life (OHRQoL) are not fully understood in a stressful situation.ObjectivesWe aimed to investigate whether TMD and tooth loss were the impaired risks of psychological states and OHRQoL in COVID-19 lockdown, and attempt to explore other potential risk factors.MethodsThis cross-sectional study surveyed residents via an online self-reported questionnaire, when Yangzhou was in lockdown. Demographic data, clinical information, the level of anxiety, depression and OHRQoL were collected and analyzed.ResultsPainful TMD symptoms and tooth loss are the risks of more severe anxiety and depression. TMD symptoms and tooth loss worsened OHRQoL. Lower education degree (OR: 6.31, P = 0.019), TMD-related pain symptoms (OR: 10.62, P = 0.005), tooth loss (OR: 3.12, P = 0.035), sleep disorders (OR: 2.92, P = 0.049) and relatively close contacts (OR: 3.95, P = 0.020) were verified as risk factors for increased level of anxiety. With respect to depression, low socio-economic status (OR: 6.22, P = 0.021), TMD-related pain (OR: 7.35, P = 0.012), tooth loss (OR: 4.48, P = 0.009), sleep disorders (OR: 5.13, P = 0.007) and relatively close contacts (OR: 12.94, P = 0.001) were identified as independent factors for developing depression. Additionally, drinking (B: −2.584, P = 0.013) and never going to the dental clinic (B: −3.675, P = 0.024) were relevant to better OHRQoL, while TMD without pain (B: 2.797, P = 0.008), TMD-related pain (B: 12.079, P < 0.001), tooth loss (B: 2.546, P = 0.006), sleep disorders (B: 2.598, P = 0.003) were independent factors for impaired OHRQoL.ConclusionPainful TMD symptoms, tooth loss and sleep disorders were the impaired risks of psychological states. TMD symptoms and tooth loss damaged OHRQoL when the city was in lockdown. Therefore, individualized psychological counseling is supposed to maintain control of mental health and OHRQoL under the stressful event.

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“…Coronavirus pandemic) and the modern lifestyle can trigger expressive negative events in the psychosomatic system of individuals, causing system overload and the development of TMD. [8][9][10][11] Considering that painful TMD is indeed prevalent, ranging from 13% in seniors 12 to 13-30% in adults 5 and ~22% in adolescents, 7 it has been strongly recommended to implement a painrelated disability assessment at the arrival of new patients or patients facing persistent TMD pain, aiming to better offer adequate treatment decisions and the management of the condition. 13 There are distinct subtypes of TMD typically used to diagnose the overall condition, which may consider the main regions affected in the face.…”

Section: Introductionmentioning

confidence: 99%

“…While the prevalence of TMD varies worldwide, depending largely on the study location, 3 there are some risk factors strongly associated with its occurrence: (1) women are more frequently affected than men 4–6 ; (2) patients suffering from frequent headaches and back pain have more pain‐related TMD symptoms than non‐sufferers 5,7 and (3) stressful circumstances derived from threatening events (e.g. Coronavirus pandemic) and the modern lifestyle can trigger expressive negative events in the psychosomatic system of individuals, causing system overload and the development of TMD 8–11 . Considering that painful TMD is indeed prevalent, ranging from 13% in seniors 12 to 13–30% in adults 5 and ~22% in adolescents, 7 it has been strongly recommended to implement a pain‐related disability assessment at the arrival of new patients or patients facing persistent TMD pain, aiming to better offer adequate treatment decisions and the management of the condition 13 …”

Section: Introductionmentioning

confidence: 99%

Distribution of anxiety and depression among different subtypes of temporomandibular disorder: A systematic review and meta‐analysis

Reis

Laxe

Santos

et al. 2022

J of Oral Rehabilitation

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Background The evidence on the relationship between anxiety and depression and patients with distinct subtypes of temporomandibular disorder (TMD) is uncertain, so a thorough review study on the topic is still missing. Objectives This systematic review investigated the distribution and severity of anxiety and depression in patients diagnosed with different subtypes of TMD. Methods The study is registered in PROSPERO (CRD42020150562) and it followed the PRISMA 2020 Statement. We searched in PubMed, Web of Science, Scopus and SciELO databases (last search: 12 March 2021) and the reference list from the included studies. Study eligibility criteria consisted of: (i) patients diagnosed with TMD using the Research Diagnostic Criteria (RDC/TMD) or Diagnostic Criteria (DC/TMD) instruments; (ii) assessment of anxiety and/or depression with validated psychological instruments and (iii) allocation of patients into a minimum of two distinct TMD subtypes with at least one group having myofascial pain (comparison group). Analyses were carried out using RevMan 5.3.5 statistical package and random‐ or fixed‐effects models (α = 0.05). The quality of evidence was assessed based on review authors' judgment derived from a 10‐item appraisal tool for prevalence studies and with the Newcastle–Ottawa scale. Results Of the 4086 records identified in total, 24 were eligible for inclusion; meta‐analyses were conducted with 20 studies. In total, 3678 subjects were included in the review. Most of the studies found that patients with myofascial pain showed similar occurrence and severity of anxiety/depression as compared to other subtypes of TMD, although the average prevalence seemed to be higher among the diagnoses consisting of myofascial pain (muscular TMD). Despite the moderate‐to‐high heterogeneity, anxiety and depression were more frequently distributed within patients with myofascial pain (p = .001). TMD patients without myofascial pain presented less severe levels of anxiety and depression than patients with only myofascial pain (p ≤ .01). The type of psychological instrument seems to affect the assessment of both anxiety and depression emotional states. Conclusion The findings of this review suggest that patients with myofascial pain are more anxious and more depressed than patients with other subtypes of TMD. Implications Considering that anxiety and depression are differently distributed within the TMD population, a proper assessment of the psychological state of patients seems essential to offer an adequate treatment and management of each specific subtype of TMD.

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COVID-19 pandemic and the psyche, bruxism, temporomandibular disorders triangle

Cited by 40 publications

References 25 publications

Comparison between Ecological Momentary Assessment and Questionnaire for Assessing the Frequency of Waking-Time Non-Functional Oral Behaviours

Comparison between Ecological Momentary Assessment and Questionnaire for Assessing the Frequency of Waking-Time Non-Functional Oral Behaviours

Adverse Impacts of Temporomandibular Disorders Symptoms and Tooth Loss on Psychological States and Oral Health-Related Quality of Life During the COVID-19 Pandemic Lockdown

Distribution of anxiety and depression among different subtypes of temporomandibular disorder: A systematic review and meta‐analysis

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