Depression and anxiety levels in patients with temporomandibular disorders: comparison with the general population

Simoen, Louis; Berghe, L. Van Den; Jacquet, Wolfgang; Marks, Luc

doi:10.1007/s00784-020-03260-1

Cited by 56 publications

(76 citation statements)

References 34 publications

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“…And associations between malocclusions and clinical signs of TMD were also detected in several studies, particularly, TMDs have associations with functional occlusion factors [ 11 , 12 ]. Furthermore, TMD patients have heightened levels of depression, anxiety, and stress, as well as somatic awareness dysfunction, and diverse psychological factors have been considered as potential risk factors for the development of TMD [ 13 – 15 ]. In addition, sleep disturbance, including insomnia, sleep disruption, or insufficiency, is found to be a possibly associated factor for TMD [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular disorders among medical students in China: prevalence, biological and psychological risk factors

Wu¹,

Huang

Chen³

et al. 2021

BMC Oral Health

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Background The purpose of the present study is to evaluate the prevalence of temporomandibular disorders (TMD) and their associated biological and psychological factors in Chinese university students. Methods A total of 754 students were included from Zunyi Medical University, each participant completed questionnaires and clinical examinations according to the Diagnostic Criteria for Temporomandibular Disorders. Results The overall prevalence of TMD was 31.7% among medical students. Subjects with TMD had a high prevalence of bruxism, empty chewing, unilateral chewing, chewing gum, anterior teeth overbite, anterior teeth overjet, depression, anxiety, and sleep disturbance. Moreover, sleep bruxism, empty chewing, unilateral chewing, anterior teeth overbite, depression, and anxiety were the strongest risk factors for TMD. Conclusions Individuals with TMD have a high prevalence of psychological distress and oral parafunctional habits. Except for the psychological factors associated with TMD, bruxism, abnormal chewing, and malocclusion also shared similar risks for TMD.

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Section: Introductionmentioning

confidence: 99%

Temporomandibular disorders among medical students in China: prevalence, biological and psychological risk factors

Wu¹,

Huang

Chen³

et al. 2021

BMC Oral Health

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“…There is a report stating that anxiety is a less significant psychosocial factor in patients with TMD [24]. Simon et al [4] reported, however, that patients with TMD are more likely to experience tendencies toward depression and anxiety than the general population, and assert that there is a strong correlation between TMD and depression and anxiety, and that screening is essential via the PHQ-9 and GAD-7 in the examination of TMD. Thus, the significance of anxiety, as well as depression is reported, and it is pointed out that there is a high correlation between patients with TMD and psychosocial disorders [2].…”

Section: Discussionmentioning

confidence: 99%

“…Variables for Axis II diagnoses included depression, anxiety, somatization, and oral parafunctional habits, as assessed by the Oral Behaviors Checklist (OBC). A number of studies report a relationship between these variables and TMD [4] [5] [6]. Pain tends to be the chief complaint in patients with TMD [7].…”

Section: Introductionmentioning

confidence: 99%

Screening Survey of Pain Intensity in Patients with Temporomandibular Disorders

Uchida¹,

Iida²,

Wakami³

et al. 2021

OJST

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Objective: Pain tends to be the chief complaint in patients suffering temporomandibular disorders (TMD). Previous studies on pain and psychosocial factors have reported on the relationship between presence of pain and mental disorders. To date, however, few studies have addressed the relationship between intensity of pain and psychosocial factors. In this study, we investigated the relationship between intensity of pain and age, gender, palpation scores (PPS), tendencies toward depression, anxiety, and somatization, and oral parafunctional habits. Methods: This screening survey encompassed 104 patients (70 women and 34 men; mean age of 46.1 ± 19.3) who visited our clinic. We gathered the following data: age; gender; PPS included in Axis I diagnosis; and characteristic pain intensity (CPI), depression, anxiety, somatization, and oral parafunctional habits (assessed by the Oral Behavior Checklist) included in Axis II diagnosis. Based on the results of CPI, we divided patients into two groups: those experiencing low pain intensity (LP group) and those experiencing high pain intensity (HP group). The statistically significant level was set to below 5%. IBM SPSS Statistics V25 was used to perform all statistical analyses. Results: We observed no gender differences between LP and HP groups. The HP group included significantly more patients with higher scores for depression, anxiety, somatization, and oral parafunctional habits than the LP group. While no gender differences were observed in CPI, depression, anxiety, somatization, and oral parafunctional habits were significantly more common in women than in men. We observed no differences in age or PPS between the LP and HP groups. However, scores for depression, anxiety, somatization, and oral parafunctional habits were significantly higher in the HP group than in the LP group. We performed multiple regression analysis using the CPI score as the dependent variable and scores for depression, anxiety, somatization, and oral parafunctional habits as independent va-How to cite this paper:

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“…As it is here located in the orofacial area, this condition makes it difficult, or even impossible, to perform everyday activities such as speech, eating or expressing emotions [ 10 ]. There were also several associations between clenching, orofacial pain and depression reported [ 11 , 12 , 13 ]. Hence, correlations between sleep bruxism, hypertension, sleep apnea and the cervical spine are the subjects of extensive investigations, yet without tangible evidence between these symptoms [ 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Pressure Algometry Evaluation of Two Occlusal Splint Designs in Bruxism Management-Randomized, Controlled Clinical Trial

Dalewski

Kamińska

Kiczmer

et al. 2021

JCM

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The aim of this pilot study was to evaluate the short-term effectiveness of two different occlusal devices and their impact on the pressure pain threshold (PPT) values among patients who reported to the Dental Prosthetics Outpatient Clinic of Pomeranian Medical University (Szczecin, Poland) and who were diagnosed with probable bruxism. Two groups were formed (A and B) to which patients were assigned randomly. Each group used a different occlusal splint for bruxism management. The occlusal appliance by Okeson, or the bimaxillary splint, was used overnight by each patient for 30 days of the study. The PPT was measured twice, at the first visit and after 30 days of using each occlusal device, with Wagner Paintest FPX 25 algometer. Bruxism was diagnosed based on data from the patient’s medical history and from the physical examination. Nocturnal Bruxism Criteria according to the International Classification of Sleep Disorders (Third Edition) was used for the patient’s evaluation. Results: similar pain factor (PF) reduction was observed in both the examined groups, regardless of the device used; canine guidance and no guidance were similarly effective in terms of increasing pain resilience.

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Depression and anxiety levels in patients with temporomandibular disorders: comparison with the general population

Cited by 56 publications

References 34 publications

Temporomandibular disorders among medical students in China: prevalence, biological and psychological risk factors

Temporomandibular disorders among medical students in China: prevalence, biological and psychological risk factors

Screening Survey of Pain Intensity in Patients with Temporomandibular Disorders

Pressure Algometry Evaluation of Two Occlusal Splint Designs in Bruxism Management-Randomized, Controlled Clinical Trial

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