Journal of oral rehabilitation最新文献_第9页

Pain, Function and Quality of Life in Temporomandibular Disorder Patients With Different Disc Positions 不同椎间盘位置的颞下颌关节紊乱患者的疼痛、功能和生活质量

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13861

Yi-jun Li, Sophie Lau Rui Han, Zi-ang Xu, Qiao-yu Cheng, Pei-di Fan, Yun-hao Zheng, Jun Wang, Xin Xiong

Background

Whether pain, jaw function and quality of life are correlated with disc positions is controversial, and similar studies evaluating disc positions by magnetic resonance imaging (MRI) are very limited.

Objective

This study evaluated the pain, mandibular function and quality of life of the temporomandibular disorders (TMDs) patients with different disc positions according to MRI, and the relationship among them.

Methods

Three hundred and thirty-five participants were included. Patients completed questionnaires included the Numeric Rating Scale (NRS), Jaw Functional Limitation Scale 8-item (JFLS-8), the Generalised Anxiety Disorder 7-item (GAD-7), Patient Health Questionnaire 9-item (PHQ-9) and Oral Health Impact Profile for TMD (OHIP-TMD). MRI was conducted to evaluate these diagnoses, resulting in the identification of three distinct categories: normal positioning (NP), disc displacement with reduction (DDwR) and disc displacement without reduction (DDwoR).

Results

Participants had the mean age of 28.55 ± 11.10 years (80.90% women). DDwR and DDwoR had a higher percentage of females compared with NP. Significant differences existed among patients in all questionnaires. The DDwoR group had significantly the highest pain, functional limitation and the worst quality of life. Moreover, they experienced the most difficulties in chewing tough foods, yawning, experiencing pain and psychological discomfort. Moreover, the multivariate regression showed that age, female gender, diagnosis as DDwoR, GAD-7 and PHQ-9 were significantly linked to higher functional limitation. Worse quality of life was associated with age, diagnosis as DDwoR, GAD-7 and PHQ-9.

Conclusions

Among patients with different disc positions, DDwoR showed the highest pain, functional limitation and the worst quality of life. Also, NP showed a proportion of chronic pain. Physical pain, psychological discomfort and chewing tough food were regarded as the most impaired. Women who experience anxiety and depression tended to have a higher propotion of dysfunction and a lower quality of life.

背景：疼痛、下颌功能和生活质量是否与椎间盘位置相关尚存争议，通过磁共振成像（MRI）评估椎间盘位置的类似研究非常有限：本研究通过磁共振成像评估了不同椎间盘位置的颞下颌关节紊乱症（TMDs）患者的疼痛、下颌功能和生活质量，以及它们之间的关系：方法：共纳入 335 名参与者。患者填写的问卷包括：数字评定量表（NRS）、下颌功能限制量表8项（JFLS-8）、广泛性焦虑症7项（GAD-7）、患者健康问卷9项（PHQ-9）和TMD口腔健康影响档案（OHIP-TMD）。通过磁共振成像对这些诊断进行评估，最终确定了三个不同的类别：正常定位（NP）、椎间盘移位伴缩小（DDwR）和椎间盘移位不伴有缩小（DDwoR）：参与者的平均年龄为 28.55±11.10 岁（80.90% 为女性）。与 NP 相比，DDwR 和 DDwoR 的女性比例更高。在所有问卷调查中，患者之间均存在显著差异。DDwoR组患者的疼痛、功能受限程度和生活质量明显最高。此外，他们在咀嚼坚硬食物、打哈欠、疼痛和心理不适等方面遇到的困难也最多。此外，多变量回归显示，年龄、女性性别、诊断为 DDwoR、GAD-7 和 PHQ-9 与较高的功能受限有明显联系。生活质量的下降与年龄、DDwoR 诊断、GAD-7 和 PHQ-9 有关：结论：在不同椎间盘位置的患者中，DDwoR 表现出最高的疼痛、功能限制和最差的生活质量。此外，NP也显示出一定比例的慢性疼痛。身体疼痛、心理不适和咀嚼坚硬食物被认为是最严重的障碍。经历过焦虑和抑郁的女性往往有更高的功能障碍倾向和更低的生活质量。

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引用次数: 0

Temporomandibular Joint Discectomy in Patients With Disc Displacement: Assessment of Osteoarthritis at 10- and 30-Year Follow-Up 椎间盘移位患者的颞下颌关节切除术：骨关节炎 10 年和 30 年随访评估。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13854

Caroline Hol, Peer Mork-Knutsen, Tore A. Larheim, Tore Bjørnland, Linda Z. Arvidsson

Background

Few ≥ 10-year follow-up studies of temporomandibular joint (TMJ) discectomy without replacement in patients with disc displacement (DD) analyse the relationship between the surgery and osteoarthritis (OA) exist.

Objectives

To radiologically evaluate bony joint changes and OA development 10 and 30 years after TMJ discectomy as well as 30-year clinical outcome.

Methods

Twenty-two discectomy patients at the University of Oslo, Norway, with records confirming initial TMJ diagnosis and attendance of 10-year radiological follow-up were evaluated and eligible for 30-year follow-up. Primary variables: discectomy and CT-/CBCT-diagnosed OA at follow-ups. Secondary variables: perioperative TMJ diagnoses and remodelling at follow-up. Unoperated TMJs (Unop-TMJs) in unilaterally operated patients were controls. Statistical association and correlation analyses were performed for the 10-year follow-up (significance level p < 0.05).

Results

Twenty-two patients attended the 10-year follow-up (mean follow-up 11 years) with 27 operated TMJs (Op-TMJs) and 17 Unop-TMJs. OA perioperatively was associated with DD without reduction (p = 0.001) and additional disc abnormalities (p = 0.016). Although statistically non-significant, the number of TMJs with OA had increased at 10-year follow-up (p = 0.114, Op-TMJs: 14 to 20 joints; Unop-TMJs: 2 to 5 joints). Remodelling was correlated with discectomy (p = 0.003) and to OA (p = 0.006). Nine patients attended the 30-year follow-up (mean follow-up 32 years, 11 Op-TMJs). All TMJs with OA at 30-year follow-up had OA at 10-year follow-up. Mean maximal interincisal opening was 39 mm. No DC-TMD-diagnosed arthralgia was found.

Conclusion

Osteoarthritis developed similarly between Op- and Unop-TMJs. Only remodelling, not OA, was correlated to the surgery. The clinical results were still favourable at final follow-up.

背景：很少有对椎间盘移位（DD）患者进行颞下颌关节（TMJ）不置换椎间盘切除术≥10年的随访研究，分析手术与骨关节炎（OA）之间的关系：对颞下颌关节盘切除术后10年和30年的骨关节变化和OA发展情况以及30年的临床结果进行放射学评估：方法：对挪威奥斯陆大学的 22 名颞下颌关节切除术患者进行评估，这些患者的记录证实了最初的颞下颌关节诊断，并参加了 10 年的放射学随访，符合 30 年随访条件。主要变量：椎间盘切除术和随访时 CT/CBCT 诊断出的 OA。次要变量：颞下颌关节围手术期诊断和随访时的重塑。单侧手术患者的未手术颞下颌关节（Unop-TMJs）为对照组。对 10 年随访进行了统计关联和相关分析（显著性水平为 p）：22 名患者接受了 10 年随访（平均随访时间为 11 年），其中 27 名患者的颞下颌关节接受了手术（Op-TMJ），17 名患者的颞下颌关节未接受手术（Unop-TMJ）。围手术期的 OA 与 DD 无缩小（p = 0.001）和额外的椎间盘异常（p = 0.016）有关。尽管在统计学上没有显著意义，但在10年的随访中，患有OA的颞下颌关节数量有所增加（p = 0.114，Op-TMJs：14至20个关节；Unop-TMJs：2至5个关节）。重塑与椎间盘切除术（p = 0.003）和 OA（p = 0.006）相关。九名患者接受了 30 年的随访（平均随访时间为 32 年，11 名颞下颌关节手术患者）。所有在 30 年随访时有 OA 的颞下颌关节在 10 年随访时都有 OA。平均最大颚间开度为 39 毫米。没有发现 DC-TMD 诊断出的关节痛：结论：Op-TMJs和Unop-TMJs的骨关节炎发展相似。只有重塑而非 OA 与手术相关。在最后的随访中，临床结果仍然良好。

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引用次数: 0

Long-Term Prognosis and Influencing Factors of Chinese Adolescents With Temporomandibular Disorder After Physical Therapy 中国青少年颞下颌关节紊乱症患者物理治疗后的长期预后及影响因素。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13865

Lei Jin, Yuan Yao, Zhongyi Fang, Shuai Fan, Bin Cai, Lili Xu, Shasha Liu

Background

Physical therapy is the preferred conservative treatment for patients with temporomandibular disorder (TMD). However, few studies have investigated the application of physical therapy in adolescents, especially follow-up studies on the long-term prognosis of these patients. This study investigated the short-term effects and long-term prognosis of physical therapy in adolescent patients with TMD and the factors influencing long-term symptoms.

Methods

Information regarding baseline data, specific treatment methods, treatment times and evaluation results was collected retrospectively for adolescent patients with TMD who received physical therapy. Patients were followed up via telephone and online questionnaires, and the influence of age, sex, disease course, mouth opening, pain intensity, oral parafunctional habits and treatment methods on long-term symptoms was analysed.

Results

Pain intensity, maximum mouth opening and the joint noise score improved significantly in 270/286 patients who received individualised comprehensive physical therapy. TMD-related symptoms improved with no noticeable impact on daily life in 187/199 patients who were followed up for an extended period (average, 30.71 ± 10.86 months) and were divided into asymptomatic or symptomatic groups according to the persistence of symptoms. Logistic regression analysis revealed that uncorrected oral parafunctional habits and fewer treatments were related to long-term symptoms.

Conclusion

The long-term prognosis of adolescent patients with TMD after physical therapy was satisfactory. However, 52.8% of the patients experienced persistent TMD-related symptoms for an extended period, possibly due to insufficient treatment times and parafunctional habits.

Trial Registration

ClinicalTrials.gov identifier: NCT05781607

背景：物理治疗是颞下颌关节紊乱症（TMD）患者首选的保守疗法。然而，很少有研究调查物理治疗在青少年中的应用，尤其是对这些患者长期预后的跟踪研究。本研究调查了物理治疗对青少年 TMD 患者的短期效果和长期预后，以及影响长期症状的因素：方法：对接受物理治疗的青少年 TMD 患者的基线数据、具体治疗方法、治疗时间和评估结果等信息进行回顾性收集。通过电话和在线问卷对患者进行随访，分析年龄、性别、病程、张口度、疼痛强度、口腔副功能习惯和治疗方法对长期症状的影响：结果：在接受个性化综合物理治疗的 270/286 名患者中，疼痛强度、最大张口度和关节噪音评分均有明显改善。对 187/199 名患者进行了长期随访（平均 30.71 ± 10.86 个月），并根据症状的持续时间将其分为无症状组和有症状组。逻辑回归分析表明，未纠正的口腔副功能习惯和较少的治疗次数与长期症状有关：结论：经过物理治疗后，青少年 TMD 患者的长期预后令人满意。结论：经过物理治疗后，青少年 TMD 患者的长期预后令人满意，但 52.8% 的患者长期存在 TMD 相关症状，这可能与治疗时间不足和副功能习惯有关：试验注册：ClinicalTrials.gov identifier：试验注册：ClinicalTrials.gov 标识符：NCT05781607。

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引用次数: 0

Correlation Between Swallowing and Cognitive Brain Networks in Older Adults via Functional MRI 通过功能磁共振成像研究老年人吞咽与认知脑网络之间的相关性

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13855

Jie Wang, Mengqing Zhang, Hongmei Wen, Cheng Yang, Xiaomei Wei, Yonghui Wang, Zulin Dou

<div> <section> <h3> Background</h3> <p>Clinical evidence supports that swallowing function is correlated with cognition, but the neurobiological mechanism associated with cognitive impairment and dysphagia remains unclear.</p> </section> <section> <h3> Objectives</h3> <p>To compare the brain activation patterns of the swallowing and the cognitive tasks and explore neural associations between swallowing and cognitive function via task-related functional magnetic resonance imaging (fMRI).</p> </section> <section> <h3> Methods</h3> <p>A total of 13 healthy older adults (aged > 60 years) were recruited. Participants underwent the clinical dementia rating (CDR) test and the Montreal Cognitive Assessment (MoCA). A block-designed task-related fMRI study was conducted where each participant completed both swallowing and cognitive tasks within a single session. During the swallowing task, participants swallowed 2 mL of thickened water, while the Stroop Colour Word Test (SCWT) served as the cognitive task. First-level analysis of swallowing time-series images utilised the general linear model (GLM) with Statistical Parametric Mapping (SPM), applying a voxel threshold of <i>p</i> < 0.001 for significance. Common activations in brain regions during swallowing and cognitive tasks were extracted at the group level, with significance set at <i>p</i> < 0.05, corrected for multiple comparisons using the false discovery rate (FDR), with a minimum cluster size of 20 voxels. Correlation analysis between behavioural measurements and imaging signals was also conducted.</p> </section> <section> <h3> Results</h3> <p>Some regions were commonly activated in both task networks; these regions were the bilateral occipital lobe, cerebellum, lingual gyrus, fusiform, middle frontal gyrus, precentral and postcentral gyrus, right supramarginal and inferior parietal lobe. Most importantly, the average beta value of cognitive and swallowing tasks in these areas are both significantly negative related to the MoCA score. Furthermore, opposite signal changes were seen in the bilateral prefrontal lobes during the swallowing task, while positive activation in the bilateral prefrontal lobes was observed during the SCWT. Postcentral gyrus activation was more extensive than precentral gyrus activation in the swallowing task.</p> </section> <section> <h3> Conclusion</h3> <p>The common activation of swallowing and cognitive tasks had multiple foci. The activity of cognitive and swallowing task in these areas is significantly negative correlated with the MoCA score. These findings may he

背景：临床证据支持吞咽功能与认知相关，但与认知障碍和吞咽困难相关的神经生物学机制仍不清楚：比较吞咽任务和认知任务的大脑激活模式，并通过任务相关功能磁共振成像（fMRI）探索吞咽和认知功能之间的神经关联：方法：共招募了 13 名健康的老年人（年龄大于 60 岁）。参与者接受了临床痴呆评级（CDR）测试和蒙特利尔认知评估（MoCA）。我们进行了一项分块设计的与任务相关的 fMRI 研究，每位参与者都在一个疗程内完成了吞咽和认知任务。在吞咽任务中，受试者吞咽 2 mL 的浓稠水，而认知任务则是 Stroop 颜色词测试（SCWT）。利用一般线性模型（GLM）和统计参数映射（SPM）对吞咽时间序列图像进行了一级分析，采用的体素阈值为 p：在两个任务网络中，一些区域被普遍激活；这些区域包括双侧枕叶、小脑、舌回、纺锤体、额叶中回、中央前回和中央后回、右侧边际上叶和顶叶下叶。最重要的是，这些区域认知任务和吞咽任务的平均贝塔值均与 MoCA 评分呈显著负相关。此外，在吞咽任务中，双侧前额叶出现了相反的信号变化，而在SCWT中则观察到双侧前额叶的正激活。在吞咽任务中，中央后回的激活比中央前回的激活更为广泛：结论：吞咽和认知任务的共同激活有多个病灶。结论：吞咽和认知任务的共同激活有多个病灶，这些区域的认知和吞咽任务活动与 MoCA 评分呈显著负相关。这些发现可能有助于说明吞咽困难和认知障碍之间的关联，因为认知和吞咽涉及共同的脑区，并可能为吞咽困难的进一步康复提供参考：临床试验：（中国临床试验注册中心）：ChiCTR1900021795。

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引用次数: 0

Impact of a mandibular advancement device on corticomotor plasticity in patients with obstructive sleep apnea 下颌前突矫正器对阻塞性睡眠呼吸暂停患者皮质运动可塑性的影响。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13846

Yuri M. Costa, Hidetoshi Hayakawa, Eduardo. E. Castrillon, Dyna Mara A. O. Ferreira, Takashi Iida, Mohit Kothari, Peter Svensson

Background

Neuroplasticity induced by mandibular advancement appliance (MAD) in patients with obstructive sleep apnoea (OSA) is poorly documented.

Objective

This randomised placebo-controlled crossover mechanistic study assessed the effects of short-term use of a MAD on corticomotor excitability of the masseter and tongue in patients with OSA.

Methods

Adults (n = 28) with mild or moderate OSA were randomly allocated to sleep with a MAD for 2-weeks with 40% of the maximal protrusion (MAD active position) and without any jaw protrusion (MAD placebo position). The outcomes were assessed at baseline, and after 2 and 6 weeks, with a 2-week washout period. The primary outcome was the amplitude of motor evoked potential (MEP) assessed on the right masseter, right side of tongue and right first dorsal interosseous with transcranial magnetic stimulation. Corticomotor map volume of the same muscles was also assessed. Repeated-measures ANOVAs followed by Tukey test were applied to the data (p < .050).

Results

There was a significant increase in the MEP amplitude of the masseter and tongue following the MAD active position compared with the baseline and MAD placebo (Tukey: p < .001). There were no significant MEP amplitude differences between the baseline and placebo positions (p > .050). Moreover, there was a significant increase in corticomotor map volume for the masseter and tongue muscles following the MAD active position compared with baseline and MAD placebo (Tukey: p < .003).

Conclusion

Excitability of the masseter and tongue motor pathways is, at least transiently, increased in patients with OSA following a short-term use of MAD. This novel finding of MAD-induced neuroplasticity in corticomotor pathways may contribute to a further understanding of the mechanisms of oral appliances for treating OSA.

背景：下颌前突矫正器（MAD）对阻塞性睡眠呼吸暂停（OSA）患者神经可塑性的影响鲜有文献报道：这项随机安慰剂对照交叉机制研究评估了短期使用下颌前突矫正器对 OSA 患者颌间肌和舌头皮质运动兴奋性的影响：方法：患有轻度或中度 OSA 的成人（n = 28）被随机分配到使用 MAD 睡眠 2 周，最大突出量为 40% 的位置（MAD 主动位置）和没有任何下颌突出的位置（MAD 安慰剂位置）。结果在基线、2 周和 6 周后进行评估，并有 2 周的冲洗期。主要结果是通过经颅磁刺激评估右侧颌间肌、舌右侧和右侧第一背侧骨间肌的运动诱发电位（MEP）振幅。同时还评估了相同肌肉的皮质运动图体积。对数据进行重复测量方差分析，然后进行 Tukey 检验（P 结果：与基线和 MAD 安慰剂相比，MAD 主动体位后咀嚼肌和舌头的 MEP 振幅明显增加（Tukey：P.050）。此外，与基线和 MAD 安慰剂相比，MAD 主动体位后咀嚼肌和舌肌的皮质运动图谱体积有明显增加（Tukey： p 结论：MAD 主动体位后咀嚼肌和舌肌的皮质运动图谱体积有明显增加：短期使用 MAD 后，OSA 患者的颌下肌和舌运动通路的兴奋性至少会短暂增加。MAD 在皮质运动通路中诱导神经可塑性的这一新发现可能有助于进一步了解口腔矫治器治疗 OSA 的机制。

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引用次数: 0

Critical Appraisal of Clinical Trials Evaluating Physical Therapy Treatments for Temporomandibular Disorders: A Scoping Review 对评估颞下颌关节紊乱症物理疗法的临床试验进行严格评估：范围界定综述》。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13864

Jorge Ballesteros-Frutos, Ruben Fernandez-Matias, Pablo Gallardo-Zamora, Daniel Pecos-Martín

Background

Physical therapy seems the most promising treatment for temporomandibular disorders (TMD), although their effectiveness is controversial in general, due to high heterogeneity regarding study designs, applied treatments and outcomes measures.

Objectives

The aim of this scoping review is to analyse the methodological characteristics of clinical trials evaluating physical therapy treatments in subjects with TMD.

Methods

A systematic search was conducted in Medline/PubMed, SPORTDiscus, Scopus, Web of Science, SciELO, Cochrane, ScienceDirect and EMBASE databases on 31 October 2023. Clinical trials evaluating physical therapy interventions in patients older than 18 years with TMD, published in English or Spanish languages. Data regarding content reporting of study designs, sample characteristics, interventions and outcome measures was extracted. Descriptive summary statistics were reported.

Results

The search retrieved 15 322 records, and 136 were included. There were 107 randomised clinical trials, 5 non-randomised controlled trials and 24 non-controlled trials. Most studies had moderate to high risk of bias, small sample sizes (median, 44 subjects) and short follow-up periods (1–3 months). The most common diagnostic criteria used was the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (48.9%). The most reported experimental interventions were manual therapy (40.4%), exercise (30.2%) and electrotherapy modalities (27.2%), and the most common outcome measure domains were pain (83.8%), range of movement (61.8%), disability (45.6%) and mechanosensitivity (29.4%). There was poor content reporting of experimental interventions.

Conclusions

Current literature of clinical trials of physical therapy interventions for TMD has moderate to high risk of bias, poor content reporting, small sample size and short-term follow-ups which limit internal and external validity, as well as applicability into clinical practice.

背景：物理疗法似乎是治疗颞下颌关节紊乱症（TMD）最有前途的方法，但由于研究设计、应用疗法和结果测量方面的高度异质性，其有效性总体上存在争议：本综述旨在分析对 TMD 患者的物理治疗进行评估的临床试验的方法特点：于 2023 年 10 月 31 日在 Medline/PubMed、SPORTDiscus、Scopus、Web of Science、SciELO、Cochrane、ScienceDirect 和 EMBASE 数据库中进行了系统检索。评估针对 18 岁以上 TMD 患者的物理治疗干预措施的临床试验，以英语或西班牙语发表。提取了有关研究设计、样本特征、干预措施和结果测量的内容报告数据。结果：搜索共检索到 15 322 条记录，其中 136 条被纳入。其中包括 107 项随机临床试验、5 项非随机对照试验和 24 项非对照试验。大多数研究存在中度至高度偏倚风险，样本量小（中位数为 44 例受试者），随访时间短（1-3 个月）。最常用的诊断标准是颞下颌关节紊乱研究诊断标准（RDC/TMD）（48.9%）。报告最多的实验干预措施是手法治疗（40.4%）、运动（30.2%）和电疗模式（27.2%），最常见的结果测量领域是疼痛（83.8%）、活动范围（61.8%）、残疾（45.6%）和机械敏感性（29.4%）。实验干预的内容报告较少：目前有关 TMD 物理治疗干预的临床试验文献存在中度到高度的偏倚风险、内容报告不完善、样本量小以及短期随访等问题，这些问题限制了试验的内部和外部有效性，也限制了试验在临床实践中的适用性。

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引用次数: 0

Relationships Between Test Results for Oral Hypofunction, Subjective Frailty Symptoms and Oral Health-Related Quality of Life of Japanese Dental Outpatients: A Multicentre, Cross-Sectional Study 日本牙科门诊患者口腔功能低下测试结果、主观虚弱症状与口腔健康相关生活质量之间的关系：一项多中心横断面研究。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13858

Daisaku Morinaga, Takatoshi Itoh, Yoshiki Soejima, Tadashi Horikawa, Shoji Nagai, Fumitaka Takeshita, Naruyoshi Abe, Toshio Kaku, Toshikazu Iijima, Daigo Soejima, Toshihiro Hara, Ryuta Sato, Mamoru Murakami, Takashi Sawase, Masahiro Nishimura

Background

Oral hypofunction is the stage before oral dysfunction. The subjective symptoms of poor oral function and the decline in oral health-related quality of life (OHRQoL) that occur in the oral hypofunction stage can be missed.

Objective

This multicentre cross-sectional study was performed to examine the relationships between the test results for oral hypofunction, subjective frailty symptoms and OHRQoL of outpatients in dental clinics.

Methods

The basic characteristics and oral function test results of 637 dental clinic outpatients were evaluated. The subjective symptoms of physical and oral frailty were investigated using a questionnaire. OHRQoL was assessed using the Japanese short version of the Oral Health Impact Profile (OHIP-JP16) and OHRQoL dimension score.

Results

The overall prevalence of oral hypofunction was 37.8%, with no significant difference between men and women. No significant differences in the presence or absence of subjective symptoms of frailty and a high OHIP score were observed based on sex. However, the prevalence of oral hypofunction was significantly different among the age groups and increased with age. The subjective symptoms of frailty score, OHIP score and OHRQoL dimension score were significantly higher in patients with versus without oral hypofunction. Age, number of underlying diseases, total score for subjective symptoms of frailty, total score for OHIP and OHRQoL dimension score were significantly associated with oral hypofunction.

Conclusion

Oral hypofunction may affect the subjective symptoms of frailty and OHRQoL in older adults.

背景：口腔功能低下是口腔功能障碍之前的阶段。口腔功能低下阶段出现的口腔功能不良的主观症状和口腔健康相关生活质量（OHRQoL）的下降可能会被遗漏：这项多中心横断面研究旨在探讨牙科门诊患者口腔功能低下测试结果、主观虚弱症状和口腔健康相关生活质量之间的关系：方法：评估了 637 名牙科诊所门诊患者的基本特征和口腔功能测试结果。使用问卷调查了身体和口腔虚弱的主观症状。使用日文简版口腔健康影响档案（OHIP-JP16）和 OHRQoL 维度评分对 OHRQoL 进行评估：结果：口腔功能低下的总患病率为 37.8%，男女之间无明显差异。在是否存在虚弱的主观症状以及是否有较高的 OHIP 分数方面，没有观察到性别上的明显差异。然而，口腔功能低下的发生率在不同年龄组之间存在明显差异，且随着年龄的增长而增加。口腔功能低下患者的主观虚弱症状评分、OHIP 评分和 OHRQoL 维度评分明显高于无口腔功能低下的患者。年龄、基础疾病数量、虚弱主观症状总分、OHIP 总分和 OHRQoL 维度得分与口腔功能低下有显著相关性：结论：口腔功能低下可能会影响老年人的主观虚弱症状和 OHRQoL。

{"title":"Relationships Between Test Results for Oral Hypofunction, Subjective Frailty Symptoms and Oral Health-Related Quality of Life of Japanese Dental Outpatients: A Multicentre, Cross-Sectional Study","authors":"Daisaku Morinaga, Takatoshi Itoh, Yoshiki Soejima, Tadashi Horikawa, Shoji Nagai, Fumitaka Takeshita, Naruyoshi Abe, Toshio Kaku, Toshikazu Iijima, Daigo Soejima, Toshihiro Hara, Ryuta Sato, Mamoru Murakami, Takashi Sawase, Masahiro Nishimura","doi":"10.1111/joor.13858","DOIUrl":"10.1111/joor.13858","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral hypofunction is the stage before oral dysfunction. The subjective symptoms of poor oral function and the decline in oral health-related quality of life (OHRQoL) that occur in the oral hypofunction stage can be missed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This multicentre cross-sectional study was performed to examine the relationships between the test results for oral hypofunction, subjective frailty symptoms and OHRQoL of outpatients in dental clinics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The basic characteristics and oral function test results of 637 dental clinic outpatients were evaluated. The subjective symptoms of physical and oral frailty were investigated using a questionnaire. OHRQoL was assessed using the Japanese short version of the Oral Health Impact Profile (OHIP-JP16) and OHRQoL dimension score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall prevalence of oral hypofunction was 37.8%, with no significant difference between men and women. No significant differences in the presence or absence of subjective symptoms of frailty and a high OHIP score were observed based on sex. However, the prevalence of oral hypofunction was significantly different among the age groups and increased with age. The subjective symptoms of frailty score, OHIP score and OHRQoL dimension score were significantly higher in patients with versus without oral hypofunction. Age, number of underlying diseases, total score for subjective symptoms of frailty, total score for OHIP and OHRQoL dimension score were significantly associated with oral hypofunction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Oral hypofunction may affect the subjective symptoms of frailty and OHRQoL in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2634-2642"},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.13858","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thermal Facial Profile and Orofacial Myofunctional Aspects in Movement Disorder Patients: Comparison Between Parkinson Disease and Spinocerebellar Ataxia Type 3 运动障碍患者的面部热轮廓和口面部肌功能方面：帕金森病与脊髓小脑共济失调 3 型的比较。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-20 DOI: 10.1111/joor.13850

Yineth Carolina Navarrette Cortés, Paula Midori Castelo, Luciana Cerqueira Feitosa, Giovana Lúcia Azevedo Diaféria, Angélica de Veiga Said, Carolina Ribeiro Neves, Orlando Barsottini, Silvana Bommarito

Objective

To evaluate the orofacial myofunctional characteristics, masticatory performance and facial thermal profile in individuals with Parkinson disease (PD) and spinocerebellar ataxia (SCA3), comparing with healthy control ones.

Method

Seventy-two participants aged between 30 and 85 years were evaluated and divided into PD, SCA3 and control groups. The assessments included clinical evaluation using the Orofacial Myofunctional Evaluation with Scores protocol (orofacial structures, mastication, swallowing and breathing aspects), masticatory performance assessed with a colour-changeable chewing gum and infrared thermography. The Kruskal–Wallis, one-way ANOVA and Wilcoxon tests were applied.

Results

With the exception of face and tongue, a difference was seen in the cheek, maxillomandibular relationship, lips, mentalis muscle and palate appearance and posture between patients and healthy control participants. Orofacial mobility, swallowing and masticatory function also scored higher in the control group. The SCA3 and PD groups required more time to eat the test-food and showed greater facial temperature asymmetries than the control one (p < 0.05). Masticatory performance measured by chewing gum did not differ.

Conclusion

Facial temperature asymmetries, swallowing and masticatory function scores and the time needed by the SCA3 and PD groups to eat the test-food were different from healthy participants, drawing attention to the impaired orofacial functions in patients with neurodegenerative disorders.

目的评估帕金森病（PD）和脊髓小脑共济失调症（SCA3）患者的口面部肌功能特征、咀嚼能力和面部热谱，并与健康对照组进行比较：对72名年龄在30至85岁之间的参与者进行评估，并将其分为帕金森病组、SCA3组和对照组。评估内容包括使用口面部肌肉功能评估计分方案进行临床评估（口面部结构、咀嚼、吞咽和呼吸方面）、使用可变色口香糖评估咀嚼性能以及红外热成像。结果显示，除脸部和舌头外，其他部位的咀嚼功能均正常：结果：除脸部和舌头外，患者与健康对照组之间在面颊、上下颌关系、嘴唇、心肌和上颚的外观和姿势方面存在差异。对照组的口面部活动度、吞咽和咀嚼功能得分也更高。与对照组相比，SCA3 组和 PD 组进食测试食物所需的时间更长，面部温度不对称程度更高（p 结论：SCA3 组和 PD 组在面部温度不对称程度、吞咽功能和咀嚼功能方面均优于对照组：SCA3组和帕金森病组的面部温度不对称性、吞咽和咀嚼功能得分以及进食测试食物所需的时间都与健康参与者不同，这引起了人们对神经退行性疾病患者口面部功能受损的关注。

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引用次数: 0

The Association Between the Central Sensitisation Inventory and Temporomandibular Disorders Is Confounded by Migraine, Depression, Widespread Pain and Parafunction. A Cross-Sectional Telehealth Study 中枢敏感性量表与颞下颌关节紊乱之间的关系受偏头痛、抑郁、广泛性疼痛和副功能的影响。一项跨部门远程保健研究

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-17 DOI: 10.1111/joor.13852

Letícia Bojikian Calixtre, Hedwig Aleida van der Meer, Corine Mirjam Visscher, Ana Beatriz de Oliveira, Daniela Aparecida de Godoi Gonçalves

Background

Temporomandibular disorders (TMDs) are conditions that involve the temporomandibular joints, masticatory muscles, and associated tissues, causing orofacial pain. Central sensitisation (CS) is a relevant part of the TMD pathophysiology. Migraine, psychological aspects, parafunctional oral habits and widespread pain are commonly associated with both TMD and CS and could confound the association between them.

Objectives

To investigate the association between painful TMD and the Central Sensitisation Inventory (CSI) score, and to assess the presence of confounders in this association.

Methods

Cross-sectional study that assessed women with and without orofacial pain complaints using telehealth. The TMD Pain Screener and an online physical examination determined the presence of painful TMD. The following questionnaires were applied: CSI, Headache Screening Questionnaire, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Oral Behavior Checklist, Jaw Functional Limitation Scale and the Nordic musculoskeletal questionnaire. A single regression investigated the association between the CSI score and TMD, and a multiple regression investigated the effect of the other outcomes as possible confounders. Confounding was considered present when the association between TMD and the CSI score changed more than 10% after adding a possible confounder to the regression model.

Results

Forty-two women with painful TMD and 53 without TMD were included. There was a significant association between the CSI score and the presence of painful TMD (R² = 0.639; p < 0.001). This association changed when the following outcomes were added to the model: presence of migraine, symptoms of depression, widespread pain and parafunctional oral habits.

Conclusion

The positive association between TMD and the CSI score was confounded by migraine, symptoms of depression, widespread pain and parafunctional oral habits.

背景颞下颌关节紊乱症（TMD）是一种涉及颞下颌关节、咀嚼肌和相关组织的疾病，会引起口面部疼痛。中枢敏化（CS）是 TMD 病理生理学的一个相关部分。偏头痛、心理问题、副功能性口腔习惯和广泛性疼痛通常与 TMD 和 CS 相关，可能会混淆两者之间的联系。方法横断面研究通过远程保健对有和无口面部疼痛主诉的女性进行评估。通过 TMD 疼痛筛查器和在线体检确定是否存在 TMD 疼痛。采用了以下调查问卷：CSI、头痛筛查问卷、广泛性焦虑症-7、患者健康问卷-9、口腔行为检查表、下颌功能限制量表和北欧肌肉骨骼问卷。单一回归研究了 CSI 评分与 TMD 之间的关联，多元回归研究了其他结果作为可能混杂因素的影响。如果在回归模型中加入可能的混杂因素后，TMD 与 CSI 评分之间的关系变化超过 10%，则认为存在混杂因素。CSI 评分与是否存在疼痛性 TMD 之间存在明显关联（R2 = 0.639; p < 0.001）。结论 TMD 与 CSI 评分之间的正相关受到偏头痛、抑郁症状、广泛性疼痛和辅助功能性口腔习惯的影响。

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引用次数: 0

Exploring the Relationship Between Somatisation, Facial Pain and Psychological Distress in East Asian Temporomandibular Disorder Patients 探索东亚颞下颌关节紊乱病患者躯体化、面部疼痛和心理压力之间的关系

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2024-09-17 DOI: 10.1111/joor.13857

Adrian Ujin Yap, Sunghae Kim, Jung Hwan Jo, Byeong-min Lee, Ji Woon Park

Objectives

The relationship of somatisation with facial pain duration/intensity, pain-related interference/disability and psychological distress was investigated in East Asian temporomandibular disorder (TMD) patients. Correlations between somatisation, facial pain and psychological characteristics were also explored alongside the demographic/physical factors associated with moderate-to-severe depression and anxiety.

Methods

Anonymised data were acquired from records of consecutive ‘first-time’ patients seeking TMD care at a tertiary oral medicine clinic. Axis I physical TMD diagnoses were established utilising the diagnostic criteria for TMDs (DC/TMD) protocol and patients with TMD pain were stratified into those with pain-related (PT) and combined (CT) conditions. Axis II measures administered encompassed the Patient Health Questionnaire-15 (PHQ-15), Graded Chronic Pain Scale (GCPS), Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder Scale-7 (GAD-7). Individuals with PT and CT were further categorised into those without (Pain − Som/Comb − Som) and with somatisation (Pain + Som/Comb + Som). Statistical evaluations were performed with nonparametric and logistic regression analyses (α = 0.05).

Results

The final sample comprised 473 patients (mean age 36.2 ± 14.8 years; 68.9% women), of which 52.0% had concomitant somatisation. Significant differences in pain duration (Comb + Som > Pain − Som), pain-related interference/disability (Comb + Som > Comb − Som) and depression/anxiety (Pain + Som, Comb + Som > Pain − Som, Comb − Som) were discerned. Depression/anxiety was moderately correlated with somatisation (r_s = 0.64/0.52) but not facial pain characteristics. Multivariate modelling revealed that somatisation was significantly associated with the prospects of moderate-to-severe depression (OR 1.35) and anxiety (OR 1.24).

Conclusion

Somatisation exhibited a strong association with psychological distress when contrasted with facial pain in East Asian TMD patients.

目的研究东亚颞下颌关节紊乱症（TMD）患者的躯体化与面部疼痛持续时间/强度、疼痛相关干扰/残疾和心理困扰之间的关系。研究还探讨了躯体化、面部疼痛和心理特征之间的相关性，以及与中度至重度抑郁和焦虑相关的人口学/物理学因素。方法：研究人员从一家三级口腔医学诊所连续就诊的 "首次 "TMD 患者记录中获取了匿名数据。根据 TMDs 诊断标准（DC/TMD）协议确定了轴 I 物理 TMD 诊断，并将有 TMD 疼痛的患者分为疼痛相关（PT）和合并（CT）两种情况。进行的轴 II 测量包括患者健康问卷-15 (PHQ-15)、慢性疼痛分级量表 (GCPS)、患者健康问卷-9 (PHQ-9) 和一般焦虑症量表-7 (GAD-7)。有 PT 和 CT 的患者被进一步分为无躯体化（疼痛 - 躯体化/躯体化 - 躯体化）和有躯体化（疼痛 + 躯体化/躯体化 + 躯体化）两类。结果最终样本包括 473 名患者（平均年龄为 36.2 ± 14.8 岁；68.9% 为女性），其中 52.0% 伴有躯体化。在疼痛持续时间（Comb + Som > Pain - Som）、疼痛相关干扰/残疾（Comb + Som > Comb - Som）和抑郁/焦虑（Pain + Som, Comb + Som > Pain - Som, Comb - Som）方面存在显著差异。抑郁/焦虑与躯体化（rs = 0.64/0.52）呈中度相关，但与面部疼痛特征无关。多变量模型显示，躯体化与中度至重度抑郁（OR 1.35）和焦虑（OR 1.24）显著相关。

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引用次数: 0