Individuals requiring orthognathic surgery have more depression and pain than controls

Abstract

Isabela Polesi BERGAMASCHI (a) Maria Fernanda PETINATI (b) Michelle Nascimento MEGER (b) Delson João da COSTA (a) João Armando BRANCHER (b) Erika Calvano KÜCHLER (c) Rafaela SCARIOT (a)

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

“…Chronic pain is prevalent among subjects with DFD, who have a 2.4 times higher risk of pain. 1,36,37 Based on the information from the DC/TMD symptom questionnaire, our study observed 53% of patients with DFD reporting pain before the initiation of treatment.…”

“…The prevalence of non-painful TMD among the control (group 0) and the pre-treatment (group 1) population did not differ, consistent with Sebastiani et al, who reported the prevalence of disc displacement is similar in DFD and controls. 1 Similarly, Valle-Corotti et al observed no difference in the TMD symptoms among patients with malocclusion and DFD. 34 In our study, unsurprisingly, painful TMD, especially masseter myalgia, was observed significantly more often in the pre-surgical orthodontic stage (group 2).…”

“…Patients with dentofacial deformity (DFD) requiring orthognathic surgery (OS) usually present with impaired masticatory function, orofacial pain and temporomandibular disorders (TMD) in addition to poor aesthetics and quality of life. [1][2][3][4][5] Often, these factors influence each other, making it difficult to assess the outcomes of OS.…”

“…[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. 9,7 The impact of OS on the TMJ and the surrounding structures is still controversial.…”

“…18 Thus, a holistic approach with the use of validated self-reported measures, 11 reliable clinical objective measures, a matched control group, a large sample size and a long follow-up are distinct advantages. 1,2,7,12 This study aimed to investigate the relationship between TMD, jaw function, pain, ME and MVBF in OS patients compared to ageand gender-matched controls. The hypothesis was that patients with DFD have jaw function limitation, poor masticatory efficiency, decreased bite force and higher prevalence of TMD and pain before OS treatment compared to age-and gender-matched controls.…”