Impact of pain-related temporomandibular disorders on jaw functional limitation, psychological distress and quality of life in postoperative class III East Asian patients

Song, Yi Lin; Yap, Adrian Ujin

doi:10.1007/s00784-019-02994-x

Cited by 8 publications

(24 citation statements)

References 48 publications

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“…Pain‐related TMDs are among the three most common chronic pain conditions, together with headache and backache 4 . They can have functional, physical and psychosocial impact on individuals that significantly reduces quality of life 5,6 . The multifactorial aetiology of TMDs was found to be consistent with the “biopsychosocial model of illness.” 7 Psychosocial risk factors, including higher levels of depression, anxiety and somatic awareness, had been associated with TMDs 8 .…”

Section: Introductionmentioning

confidence: 83%

“…In addition, it had a 95% specificity for correctly identifying non‐painful TMJ disorders or TMD‐related headaches 20 . Considering its high diagnostic accuracy, ease of use and low cost, the TPS is fast becoming an instrument of choice for TMD epidemiological studies 5,24,25 . While the PHQ‐15 is widely employed in the medical field and has been adopted by the DC/TMD, its use for TMD‐related work is still limited when compared to the Symptom Checklist‐90‐Revised (SCL‐90‐R) of the RDC/TMD 9,26 .…”

Section: Discussionmentioning

confidence: 99%

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Inter‐relationships between pain‐related temporomandibular disorders, somatic and psychological symptoms in Asian youths

Yap

Natu

2020

J of Oral Rehabilitation

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Objective This cross‐sectional, observational study assessed the inter‐relationships between painful TMDs, somatic and psychological symptoms in Asian youths. Methods Study subjects were recruited from a local Polytechnic. Pain‐related TMDs were established with the TMD pain screener (TPS), while somatic and psychological symptoms were assessed with the Patient Health Questionnaire‐15 (PHQ‐15) and Depression, Anxiety and Stress Scales‐21 (DASS‐21). Demographic information, TPS, PHQ‐15 and DASS‐21 responses were gathered with the CDRSS system and analysed using the binomial‐exact test, Mann‐Whitney U test, Spearman's rho correlation and logistic regression analysis (P < .05). Results Data from a total of 400 participants were collected and examined. The “no TMDs” (NT) group comprised of 366 subjects (180 males; 186 females) with a mean age of 18.72 ± 1.49 years, while the “with TMDs” (WT) group consisted of 34 subjects (11 males; 23 females) aged 19.26 ± 1.89 years. Significant differences in median PHQ‐15 and DASS‐21 scores were observed between the NT and WT groups (P ≤ .007). The WT group was observed to have moderate somatic symptoms, moderate depression, moderate‐to‐severe anxiety and mild stress. For subjects with pain‐related TMDs, correlation between somatic and psychological symptoms was moderate‐to‐strong (rs = .55‐.69). Stepwise logistic regression indicated that somatisation and anxiety were possible risk factors for painful TMDs with odds ratios of 1.08 and 1.07, respectively. Conclusions The prevalence of pain‐related TMDs was 8.5%. Subjects with painful TMDs had significantly higher levels of somatic and psychological distress. In addition, somatic symptoms were strongly correlated with anxiety and stress but less so with depression.

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Section: Introductionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Inter‐relationships between pain‐related temporomandibular disorders, somatic and psychological symptoms in Asian youths

Yap

Natu

2020

J of Oral Rehabilitation

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“…6,7 It presents a variety of symptoms, including limitation in mouth opening, orofacial pain, headache, TMJ locking and sounds. [6][7][8][9] Patients with DFD have a higher prevalence of TMD (14 to 97% 10 ) and orofacial pain (33% 2 ) compared to those without. 1,2,5,8,11 Painful TMD is more common and shows an association with jaw function limitation.…”

Section: Introductionmentioning

confidence: 99%

Associations between temporomandibular disorders, pain, jaw and masticatory function in dentofacial deformity patients: A cross‐sectional study

Madhan

Nascimento

Ingerslev

et al. 2023

J of Oral Rehabilitation

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Background and objective: Patients with dentofacial deformity often present with impaired masticatory function, orofacial pain and temporomandibular disorders (TMD). This study investigates the relationship between TMD, pain, jaw and masticatory function at different stages of orthognathic surgical (OS) treatment.Methods: A total of 120 OS patients were prospectively recruited and grouped as pre-orthodontic (group 1), pre-surgery (group 2), 4-month post-surgery (group 3), 24month post-surgery (group 4), in addition to 30 controls (group 0). Outcomes were assessed using: Jaw Function Limitation Scale (JFLS), McGill pain questionnaire, DC/ TMD instrument, voluntary maximum bite force (MVBF), and masticatory efficiency (ME) using two-coloured chewing gum. Data were analysed using structural equation modelling. Results:The prevalence of non-painful TMD did not differ between groups (p = .827).However, the prevalence of painful TMD differed between groups (p = .001). Among the painful TMDs, the highest prevalence was observed for masseter myalgia in group 2 (p = .031), and importantly group 4 did not differ from group 0 (p = .948). The MPQ score was significantly higher in group 1 (p = .001) compared to group 0, and the JFLS score was significantly higher in groups 1, 2 and 3 compared to group 0. Notably, | 747MADHAN et al.

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“…Previous studies with patient samples have pointed out that pain, functional limitations, and muscle tension associated with TMD may exacerbate physical, psychological, and social disabilities and lead to a substantial negative impact on the Oral Health-Related Quality of Life (OHRQoL) [11][12][13][14][15][16][17][18][19][20][21]. Hence, therapeutic TMD intervention requires an emphasis on pain management and maintaining good mental health [22,23], while targeting the improvement of quality of life assessments [20,24].…”

Section: Introductionmentioning

confidence: 99%

Quality of life assessment in patients with temporomandibular disorder with stabilization splints and home therapeutic exercises: a randomized clinical trial

et al. 2023

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Objective: The present study aimed to evaluate the quality of life in TMD patients with the use of Stabilization Splints (SSs) and Home Therapeutic Exercises (HTEs) guidance. Material and Methods: The study was a clinical, randomized, controlled, prospective, and interventional trial. The screening included dentate patients of both genders, diagnosed with TMD through the RDC/TMD questionnaire with no TMJ osteoarthritis and/or osteoarthrosis. To assess the quality of life, the Short-Form Health Survey (SF-36) questionnaire was applied to all patients (n=70), randomized into a test group with SS and a control group with HTE. The evaluations of both questionnaires were performed before and after the intervention of 12 weeks. Results: The comparisons between pre-and post-intervention intragroups were performed by the non-parametric Wilcoxon test with a 5% significance level. There was a frequency distribution of the responses to the 36 items of the SF-36 questionnaire and comparisons between times. In the test group, 49 patients received a SS and did HTEs. In the control group, 21 patients performed HTEs. In the statistical analysis, among the eight domains, three were identified with significant scores: pain, mental health, and vitality. Conclusion: It was found that there was an improvement in pain and quality of life after the treatment of TMD with a SS and HTE.

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Impact of pain-related temporomandibular disorders on jaw functional limitation, psychological distress and quality of life in postoperative class III East Asian patients

Cited by 8 publications

References 48 publications

Inter‐relationships between pain‐related temporomandibular disorders, somatic and psychological symptoms in Asian youths

Inter‐relationships between pain‐related temporomandibular disorders, somatic and psychological symptoms in Asian youths

Associations between temporomandibular disorders, pain, jaw and masticatory function in dentofacial deformity patients: A cross‐sectional study

Quality of life assessment in patients with temporomandibular disorder with stabilization splints and home therapeutic exercises: a randomized clinical trial

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