The impact of oro‐facial pain conditions on oral health‐related quality of life: A systematic review

Abstract

Pain in the oro‐facial region is one of the most common reasons for patients to seek dental treatment. Oral health‐related quality of life (OHRQoL) can be affected not only by pain, but also by other oral disorders. Four main dimensions, Oral Function, Orofacial Pain, Orofacial Appearance and Psychosocial Impact, have been suggested to cover different areas of OHRQoL. The aim of this systematic review was to map the impact of oro‐facial pain conditions on the Orofacial Pain dimension of OHRQoL (PROSPERO registration: CRD42017064033). Studies were included if they reported Oral Health Impact Profile (OHIP) mean or median domain scores for patients with odontogenic pain, oral mucosal pain/burning mouth syndrome (BMS), third molar extractions or temporomandibular disorders (TMD). A search in PubMed (MEDLINE), EMBASE, Cochrane, CINAHL and PsycINFO on 8 June 2017, updated 14 January 2019, combined with a hand search identified 2104 articles. After screening of abstracts, 1607 articles were reviewed in full text and 36 articles were included that reported OHIP data for 44 patient populations including 5849 patients. Typical Orofacial Pain impact for all four conditions (odontogenic pain, oral mucosal pain/BMS, pain after third molar extractions and TMD) was between 2 and 3 on a 0‐8 converted OHIP scale with the highest reported impact for pain after 3rd molar extractions. This review provides standardised information about OHRQoL impact from four oro‐facial pain conditions as a model for the Orofacial Pain dimension. The results show moderate impact for the pain dimension of OHRQoL in patients with common oro‐facial pain conditions.

Methodological considerations when measuring oral health–related quality of life

“…Scores far away from the mean in the negative direction would indicate extreme suffering. For the first time, the data provided in this Special Issue of the Journal of Oral Rehabilitation allows such clinically relevant comparisons for several important patient populations 89‐92 …”

“…88 A well-accepted approach is to define scores above the 70th percentile of general population norms as moderately im- comparisons for several important patient populations. [89][90][91][92] Another interesting approach for interpretation of the scores is to translate the summary score into a numerical frequency representing the oral problem count per day (Figure 1). For the 49-item OHIP, one OHIP point translates to 15.2 impacts per month.…”

Dental patients' functional, pain‐related, aesthetic, and psychosocial impact of oral conditions on quality of life—Project overview, data collection, quality assessment, and publication bias

“…Patient populations, containing one or more dental patient samples, were extracted from each publication by the authors of the four articles in the Special Issue 14‐17 . The total number of populations in project MOM is a count of unique populations; that is, each population was only counted once.…”

“…Patient populations, containing one or more dental patient samples, were extracted from each publication by the authors of the four articles in the Special Issue. [14][15][16][17] The total number of populations in project MOM is a count of unique populations; that is, each population was only counted once. For example, if several publications investigated edentulous patients, we considered all these publications as investigating one population.…”

A simplified CAD/CAM extraoral surgical guide for therapeutic injections

“…Orofacial pain and temporomandibular joint disorders (TMDs) are one of the most common reasons for seeking dental treatment worldwide [ 1 ]. They have a very high percentage of muscle-related causes, particularly those related to the lateral pterygoid muscle (LPM).…”