Number and type of temporomandibular disorder symptoms: their associations with psychological distress and oral health-related quality of life

Yap, Adrian Ujin; Cao, Ye; Zhang, Min-Juan; Lei, Jie; Fu, Kai‐Yuan

doi:10.1016/j.oooo.2021.04.059

Cited by 18 publications

(18 citation statements)

References 25 publications

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“…Participants were recruited from consecutive adult patients seeking care at the TMD and Orofacial Pain Centre of the Peking University Hospital of Stomatology. The sample size computation was described previously and was estimated to be n = 770 based on the Wilcoxon–Mann–Whitney model, 0.50 effect size, 0.05 alpha error probability, 95% power, and allocation ratio of 12 (Yap et al, 2021b). Participant inclusion criteria were (a) aged ≥18 years old and (b) the presence of at least one Axis I TMD diagnoses as defined by the Diagnostic Criteria for TMDs (DC/TMD) (Schiffman et al, 2014).…”

Section: Methodsmentioning

confidence: 99%

Rasch validation of the oral health impact profile for temporomandibular disorders

et al. 2021

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Objectives This study examined the metric properties of the Oral Health Impact Profile for Temporomandibular Disorders (OHIP‐TMD) using Factor/Rasch analyses and created a short‐form version of the measure. Subjects and Methods Aggregated OHIP‐TMD data were obtained from a cross‐sectional study involving 844 TMD patients with diagnostic criteria for TMDs defined conditions. The dimensionality of the OHIP‐TMD was first evaluated with exploratory factor analysis. An eigenvalue >1.0 and oblique oblimin rotation were applied for extracting the factors. Rasch analysis was subsequently performed on the primary dimension using the ConQuest software. Results Multi‐dimensionality of the OHIP‐TMD was observed with the primary dimension comprising ten items. Adequate fit to the Rasch model was noted after deleting item 8 with infit/outfit mean‐square values ranging from 0.75 to 1.40 logits. Item difficulty ranged from −0.75 to 1.05 logits, while participants' ability to respond varied from −4.55 to 5.19 logits. The respondent spread was slightly skewed and satisfactory item‐response targeting was present. Conclusions The 22‐item OHIP‐TMD demonstrated multi‐dimensionality with the primary dimension consisting of nine reliable items with adequate fit to the Rasch model. The 9‐item short‐form version of the OHIP‐TMD (SOHIP‐TMD) is a promising tool for evaluating OHRQoL.

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Section: Methodsmentioning

confidence: 99%

Rasch validation of the oral health impact profile for temporomandibular disorders

et al. 2021

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“…Both TMDs and their related symptoms have been determined to impair oral healthrelated quality of life (OHRQoL). [11][12][13] Conversely, a variety of therapeutic TMD interventions seem to improve OHRQoL. 14 Patient-reported outcomes (PROs) have been defined by the US Department of Health and Human Services as 'any report of a patient's health condition that comes directly from the patient without interpretation of the patient's response by a clinician or anyone else'.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Similarly, the five primary indicators of TMDs as specified by the Symptom Questionnaire (SQ) of the DC/TMD could be categorised into pain‐related and intra‐articular symptoms. Both TMDs and their related symptoms have been determined to impair oral health‐related quality of life (OHRQoL) 11–13 . Conversely, a variety of therapeutic TMD interventions seem to improve OHRQoL 14…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular disorder symptoms in young adults: Three‐dimensional impact on oral health‐related quality of life

Yap

Tan

Marpaung

2022

J of Oral Rehabilitation

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Background:The impact of temporomandibular disorders on functional, pain, and psychosocial aspect of patients' quality of life needed to be assessed.Objectives: This study examined the three-dimensional impact of pain-related and/ or intra-articular Temporomandibular disorder (TMD) symptoms and ascertained the inter-relationships between the functional, pain, and psychosocial aspects of oral health-related quality of life (OHRQoL). Methods: Young adults were enlisted from a local university and TMD symptoms were assessed with the Diagnostic Criteria for TMDs Symptom Questionnaire (DC/ TMD-SQ). Participants were stratified into those with no (NT), pain-related (PT), intraarticular (IT), and mixed (MT) TMD symptoms. OHRQoL was examined using the Oral Health Impact Profile-14 (OHIP-14), and dimensional effects (oral function [OF], orofacial pain [OP], and psychosocial impact [PI]) were established subsequently. Data were evaluated with Kruskal-Wallis, Dunn, and Wilcoxon signed-rank tests (α = .05). Results:The mean age of the participants (n = 1205) was 7 ± 1.3 years (71.8% women).While 42.2% reported no TMD symptoms, 22.3%, 16.9%, and 18.5% had PT, IT, and MT accordingly. The MT, PT, and IT groups presented higher total OHIP-14 and dimension scores than the NT group (p < .01). Scores were also significantly different between the MT and IT groups except for OF. For all TMD groups, the ranking of dimensional impact was OP > PI > OF, and associations between the OP and PI dimensions were the strongest (correlation coefficient [r s ] = .57-.76). Conclusions: Young adults with PT and/or IT symptoms have poorer OHRQoL, especially in the OP and PI dimensions, which were moderate to strongly correlated. The use of the three dental Patient-reported Outcome (dPRO) dimensions could provide construct equivalency among OHRQoL measures. K E Y W O R D S dental patient-reported outcome measures, dental patient-reported outcomes, oral healthrelated quality of life, temporomandibular disorders How to cite this article: Yap AU, Tan SHX, Marpaung C. Temporomandibular disorder symptoms in young adults: Three-dimensional impact on oral health-related quality of life.

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“…Temporomandibular disorders (TMDs) are a group of clinical conditions that affect the masticatory muscles, the temporomandibular joints, and the associated structures [1,2]. The common signs and symptoms of TMD include pain, joint sounds, limited mouth opening, and asymmetric jaw movement [3].…”

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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Number and type of temporomandibular disorder symptoms: their associations with psychological distress and oral health-related quality of life

Cited by 18 publications

References 25 publications

Rasch validation of the oral health impact profile for temporomandibular disorders

Rasch validation of the oral health impact profile for temporomandibular disorders

Temporomandibular disorder symptoms in young adults: Three‐dimensional impact on oral health‐related quality of life

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

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