Investigating the effect of obsessive‐compulsive disorder on clinical symptoms of temporomandibular joint disorders

Abstract

ObjectivesTemporomandibular disorders (TMD) are a group of clinical conditions involving muscles of mastication, temporomandibular joint (TMJ), and related structures or both. TMD is characterized by facial pain in TMJ and muscles of mastication, limitation or deviation of jaw movement, and TMJ sounds during jaw movement and function. The highest risk of TMD prevalence is between 18 and 24 years, and a relationship is between chronic TMD and psychological disorders such as stress and depression.The knowledge of the function of this joint and those with TMD symptoms when visiting the dentist will help to provide an ideal treatment plan for the patient. Therefore, if the therapist is familiar with the various etiological factors of this disorder, he will provide better treatment, especially if the simultaneous effect of psychological factors such as stress and obsessive‐compulsive disorder (OCD) along with occlusal factors such as posterior cross‐bite, overjet, and overbite is measured, it can be a valuable guide for clinicians.Methods and MaterialsIn this study, 385 patients were examined by DASS42 and Maudsley's test and classified into normal, with stress, and stress plus OCD groups. TMJ was examined for each of them by the TMD‐RDC test. The presence or absence of TMD was noted in their file.ResultsThe prevalence of TMD was 20.7% in the normal group, 30.70% in the stress group, and 44.68% in the stress and OCD group. After analyzing the data by SPSS 24 and performing analysis of variance and Duncan tests, no significant difference was found between the probability of TMD in normal and stressed groups, but the stress and OCD group has a higher chance of TMD.ConclusionAlthough the co‐occurrence of stress and OCD is associated with the prevalence of TMD, it cannot be considered a cause of TMD.

Investigating the effect of depression on clinical symptoms of temporomandibular disorder in young stressful men

“…It has been estimated that 60%–70% of the general population experiences at least one sign or symptom of TMD in their life time; however, only 5% of individuals show severe TMD that requires treatment (Poveda Roda et al, 2007 ). Recent studies showed that psychosocial factors such as stress, anxiety, alexithymia, and catastrophizing could affect the onset of TMD and its response to treatment (De la Torre Canales et al, 2020 ; Rollman & Gillespie, 2000 ; Sadrzadeh‐Afshar et al, 2023 ; Shahnavazi et al, 2021 ). Different malocclusions have also been a controversial risk factor for TMD (Manfredini et al, 2017 ; Salari et al, 2024 ).…”