Severity and form of temporomandibular disorder symptoms: Functional, physical, and psychosocial impacts.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-03-01 Epub Date: 2021-07-08 DOI:10.1080/08869634.2021.1950336

Adrian Ujin Yap, Carolina Marpaung

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Abstract

Objective: The associations between the presence of differing severity/form of temporomandibular disorder (TMD) symptoms and oral health-related quality of life (OHRQoL) were explored.

Methods: The severity and form of TMDs in young adults were categorized based on the Fonseca Anamnestic Index (FAI) and Diagnostic Criteria for TMDs (DC/TMD), and OHRQoL was assessed with the Oral Health Impact Profile-14 (OHIP-14). Data were analyzed using non-parametric statistics (α = 0.05).

Results: The study cohort consisted of 501 young adults (mean age 19.7 ± 1.3 years; 75.2% women). Participants with severe/moderate TMDs had significantly higher OHIP severity scores than those with mild/no TMDs. Moreover, participants with combined/pain-related symptoms exhibited significantly higher severity scores compared to those without symptoms. The physical pain and psychological discomfort domains were typically more impaired regardless of severity/form of TMD symptoms.

Conclusion: More severe and painful symptoms were related to greater impairments in OHRQoL, especially in the physical and psychological domains.

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颞下颌关节紊乱症状的严重程度和形式：对功能、身体和社会心理的影响。

目的探讨不同严重程度/形式的颞下颌关节紊乱症（TMD）症状与口腔健康相关生活质量（OHRQoL）之间的关联：方法：根据丰塞卡颞下颌关节紊乱症指数（Fonseca Anamnestic Index，FAI）和颞下颌关节紊乱症诊断标准（Diagnostic Criteria for TMDs，DC/TMD）对年轻成年人的颞下颌关节紊乱症严重程度和形式进行分类，并使用口腔健康影响档案-14（Oral Health Impact Profile-14，OHIP-14）对口腔健康相关生活质量进行评估。数据采用非参数统计法进行分析（α = 0.05）：研究对象包括 501 名年轻成年人（平均年龄为 19.7 ± 1.3 岁；75.2% 为女性）。重度/中度 TMD 患者的 OHIP 严重性评分明显高于轻度/无 TMD 患者。此外，与无症状者相比，有合并/疼痛相关症状者的严重程度得分明显更高。无论 TMD 症状的严重程度/形式如何，身体疼痛和心理不适领域的受损程度通常都更严重：结论：更严重和更疼痛的症状与更大的 OHRQoL 损害有关，尤其是在身体和心理领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.