Quality of life and general health in patients with temporomandibular disorders

Abstract

The aim of this study was to associate minor psychiatric disorders (general health) and quality of life with temporomandibular disorders (TMD) in patients diagnosed with different TMD classifications and subclassifications with varying levels of severity. Among 150 patients reporting TMD symptoms, 43 were included in the present study. Fonseca's anamnestic index was used for initial screening while axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC-TMD) was used for TMD diagnosis (muscle-related, joint-related or muscle and joint-related). Minor psychiatric disorders were evaluated through the General Health Questionnaire (GHQ) and quality of life was assessed using the World Health Organization Quality Of Life-Brief Version (WHOQOL-BREF). An association was found between minor psychiatric disorders and TMD severity, except for stress. A stronger association was found with mild TMD. Considering TMD classifications and severity together, only the item "death wish" from the GHQ was related to severe muscle-related TMD (p = 0.049). For quality of life, an association was found between disc displacement with reduction and social domain (p = 0.01). Physical domains were associated with TMD classifications and severity and the association was stronger for muscle and joint-related TMD (p = 0.037) and mild TMD (p = 0.042). It was concluded that patients with TMD require multiple focuses of attention since psychological indicators of general health and quality of life are likely associated with dysfunction.

Temporomandibular disorders and oral habits in high-school adolescents: a public health issue?

“…Table 3 shows the relationship between parafunctional habits and issues that assessed the TMD symptoms, adapted from previous studies [11][12][13] , presenting only statistically significant relationships by the chi-square test. It was found that the habit which was associated with the highest number of symptoms was the prone sleeping position.…”

“…Gavish et al 8 showed a lower prevalence of muscle tenderness in his study sample (23.4%), while for Winocur et al 13 these values ranged from 18% (men) to 43% (women). In relation to gender, literature presents countless researches which show the occurrence of female predominance [1][2][5][6][12][13]17 . This study also showed a statistically significant relationship (p = 0.032) between TMD and gender (women).…”

“…disease. Stress, psychosocial factors, depression and anxiety are common in these individuals and also lead to an impact in the individual social function, regardless their age group [6][7][10][11][12] .…”

Correlation between oral health-related quality of life and clinical dysfunction index in patients with temporomandibular joint osteoarthritis

“…Some studies reported positive correlations between the severity of TMD symptoms and OHRQoL (1,25); however, other studies found no such correlation (26). Therefore, we investigated whether the severity of signs and symptoms, as determined by the HDI, were correlated with OHRQoL in patients with TMJ OA.…”

“…The temporomandibular disorders (TMDs) are painful musculoskeletal disorders involving the masticatory muscles, temporomandibular joints (TMJ), and other orofacial anatomical structures (1). TMDs are thought to be the second most common cause of chronic orofacial pain, after dental pain (2).…”