Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review

Canales, Giancarlo De la Torre; Câmara-Souza, Mariana Barbosa; Lora, Victor Ricardo Manuel Muñoz; Guarda-Nardini, Luca; Conti, Paulo César Rodrigues; Garcia, Renata Matheus Rodrigues; Cury, Altair Antoninha Del Bel; Manfredini, Daniele

doi:10.1111/joor.12685

Cited by 108 publications

(76 citation statements)

References 30 publications

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“…According to Manfredini et al, both DEP and SOM scores have a significant relationship with GCPS rating [6,32]. Therefore, patients with the highest levels of pain-related disability were those with the highest levels of depression and somatization [17]. Thus, the inclusion of a higher number of chronic painful TMD patients might provide different results with respect to the present findings and should be considered in the design phase of future studies.…”

Section: Discussionmentioning

confidence: 68%

“…Additionally, psychosocial status is also included among the possible risk factors for TMD [11][12][13][14]. In general terms, a shortcoming of the literature on the topic is that the majority of risk assessment studies on TMDs is based on non-patient populations [15,16], whilst the studies on TMD patient populations are focused on specific subpopulations of TMDs (e.g., muscle or joint disorders) [6,17].…”

Section: Introductionmentioning

confidence: 99%

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Pain Predictors in a Population of Temporomandibular Disorders Patients

Osiewicz

Lobbezoo

Ciapała

et al. 2020

JCM

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The aim of the present study was to assess the potential role of some biological, psychological, and social factors to predict the presence of painful temporomandibular disorders (TMDs) in a TMD-patient population. The study sample consisted of 109 consecutive adult patients (81.7% females; mean age 33.2 ± 14.7 years) who were split into two groups based on Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) diagnoses: painful TMD and non-painful TMD. The presence of pain was adopted as the depended variable to be identified by the following independent variables (i.e., predictors): age, gender, bruxism, tooth wear, chewing gum, nail biting, perceived stress level, chronic pain-related impairment (GCPS), depression (DEP), and somatization (SOM). Single-variable logistic regression analysis showed a significant relationship between TMD pain and DEP with an odds ratio of 2.9. Building up a multiple variable model did not contribute to increase the predictive value of a TMD pain model related to the presence of depression. Findings from the present study supported the existence of a relationship between pain and depression in painful TMD patients. In the future, study designs should be improved by the adoption of the best available assessment approaches for each factor.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Pain Predictors in a Population of Temporomandibular Disorders Patients

Osiewicz

Lobbezoo

Ciapała

et al. 2020

JCM

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“…Campi et al proved that the presence of depression significantly contributes to increased pain sensitivity in women suffering from TMD. De La Torre Canales et al found a high prevalence of somatisation and depression in TMD patients. These psychological dimensions should have been taken into account in our study by using axis II of the RDC/TMD.…”

Section: Discussionmentioning

confidence: 97%

Pre‐operative parafunctional or dysfunctional oral habits are associated with the temporomandibular disorders after orthognathic surgery: An observational cohort study

Bruguiere

Sciote

Roland-Billecart

et al. 2018

J of Oral Rehabilitation

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Background: Temporomandibular disorders (TMDs) are frequent and disabling, and hence, preventing them is an important health issue. Combining orthodontic and surgical treatments for malocclusions has been shown to affect temporomandibular joint (TMJ) health. However, publications regarding the risk factors that predict negative TMJ outcomes after orthognathic surgery are scarce.Objective: Present prospective cohort study was conducted to identify an association between pre-operative dysfunctional/parafunctional oral habits and the presence of TMD symptoms after orthognathic surgery. Method:We included 237 patients undergoing orthodontics and surgical treatment for malocclusions associated with dentofacial deformities within the Department of Oral and Maxillofacial Surgery of the University of Lille. Their parafunctional and dysfunctional oral habits were recorded through clinical examination along with the presence of TMD symptoms before and after the surgery. According to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) classification, the TMD symptoms studied were myalgia, arthralgia, disc displacement with or without reduction. Results: Multivariate analysis revealed significant associations among bruxism (odds ratio [OR] 3.17 [1.066; 9.432]), lingual interposition (OR 4.241 [1.351; 13.313]), as well as primary swallowing (OR 3.54 [1.225; 10.234]) and the presence of postoperative symptoms of myalgia. Moreover, a significant association was observed between the presence of any dysfunctional oral habit and postoperative disc displacement with reduction (OR 4.611 [1.249; 17.021]). Conclusion: Bruxism and dysfunctional oral habits were shown to be risk factors for the presence of TMD symptoms also after combined orthodontic and surgical treatment. Treating such habits before orthognathic surgery should help prevent TMD. K E Y W O R D S malocclusion, oral health, orthognathic surgery, sleep bruxism, temporomandibular joint disorders

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“…In contrast, however, it could be argued that disability is a phenomenon not entirely explained by pain intensity, with numerous other relevant aspects, such as psychosocial factors [18,84,85]. However, most of the analyzed studies included patients with chronic TMD, thereby showing a certain predisposition to central sensitization [86,87], as well as to cognitive/emotional maladaptive factors [88][89][90]. It is, therefore, possible that the relevance of nociceptive information gains greater prominence in explaining the relationship in disability between the orofacial and cervical regions.…”

Section: Discussionmentioning

confidence: 99%

Craniocervical and Cervical Spine Features of Patients with Temporomandibular Disorders: A Systematic Review and Meta-Analysis of Observational Studies

Cuenca‐Martínez

Herranz‐Gómez

Madroñero-Miguel

et al. 2020

JCM

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To assess neck disability with respect to jaw disability, craniocervical position, cervical alignment, and sensorimotor impairments in patients with temporomandibular disorders (TMD), a systematic review and meta-analysis of observational studies trials were conducted. The meta-analysis showed statistically significant differences in the association between neck disability and jaw disability (standardized mean difference (SMD), 0.72 (0.56–0.82)). However, results showed no significant differences for cervical alignment (SMD, 0.02 (−0.31–0.36)) or for the craniocervical position (SMD, −0.09 (−0.27–0.09)). There was moderate evidence for lower pressure pain thresholds (PPT) and for limited cervical range of motion (ROM). There was limited evidence for equal values for maximal strength between the patients with TMD and controls. There was also limited evidence for reduced cervical endurance and conflicting evidence for abnormal electromyographic (EMG) activity and motor control in TMD patients. Results showed a clinically relevant association between cervical and mandibular disability in patients with TMD. Regarding sensory-motor alterations, the most conclusive findings were observed in the reduction of PPT and cervical ROM, with moderate evidence of their presence in the patients with TMD. Lastly, the evidence on impaired motor control and cervical EMG activity in patients with TMD was conflicting.

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Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review

Abstract: The prevalence of severe-to-moderate somatisation and depression was high in TMD patients, while severe physical impairment was not commonly reported.

Cited by 108 publications

References 30 publications

Pain Predictors in a Population of Temporomandibular Disorders Patients

Pain Predictors in a Population of Temporomandibular Disorders Patients

Pre‐operative parafunctional or dysfunctional oral habits are associated with the temporomandibular disorders after orthognathic surgery: An observational cohort study

Craniocervical and Cervical Spine Features of Patients with Temporomandibular Disorders: A Systematic Review and Meta-Analysis of Observational Studies

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