Temporomandibular disorders impact on quality of life

Authors

  • Natalia Hermeto Mendes Braga Pontifícia Universidade Católica de Minas Gerais https://orcid.org/0000-0003-1817-954X
  • Paulo Isaías Seraidarian Pontifícia Universidade Católica de Minas Gerais
  • Vinícius de Magalhães Barros Pontifícia Universidade Católica de Minas Gerais https://orcid.org/0000-0002-2633-010X
  • Marina Araújo Leite Assis Pontifícia Universidade Católica de Minas Gerais
  • Elyonara Mello de Figueiredo Departamento de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais
  • Rodrigo Villamarim Soares Pontifícia Universidade Católica de Minas Gerais https://orcid.org/0000-0001-7698-7532

DOI:

https://doi.org/10.34019/1982-8047.2024.v50.44502

Keywords:

Temporomandibular joint; Temporomandibular joint disorders; Surveys and questionnaires; Quality of life.

Abstract

 

Introduction: The increase in global life expectancy has increased interest in studies evaluating the population's quality of life, as well as the need to adopt instruments to evaluate it. Among them, the WHOQOL-bref, developed by the World Health Organization, assesses quality of life through the physical, psychological, social and environmental domains. Temporomandibular disorders (TMDs) are a set of musculoskeletal conditions that involve the temporomandibular joint (TMJ), muscles and associated structures, presenting signs and symptoms such as pain in the face and temporomandibular joint, muscle tension, pain and limited mouth opening, among others. Objective: To evaluate, through a cross-sectional study, the impact of temporomandibular disorders on the quality of life of individuals affected by this condition. Material and Methods: individuals attending a dental clinic at an University Department of Dentistry, were evaluated using the following instruments: RDC/TMD (Research Diagnostic Criteria for Temporomandibular Disorders), axes I and II, the TMI (Temporomandibular Index) and the WHOQOL- bref. 81 individuals were evaluated, 50 females and 31 males. Results: there was no difference between the groups regarding sociodemographic variables. Significant differences between individuals with (TMDG) and without TMD (CG) were found in relation to the psychological domain, and the correlation analysis revealed that, with the exception of the environmental domain, all others had a negative correlation with psychosocial variables detected in axis II of the RDC/TMD, such as chronic pain; SFNE (non-specific physical symptoms) with and without pain; depression and TMI. Conclusion: temporomandibular disorders have a negative impact on people's quality of life, which shows the importance of carrying out new investigations to increase the understanding of this condition on the health of affected individuals.

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References

Chen C, Liu GG, Shi QL, Sun Y, Zhang H, Wang MJ et al. Health-related quality of life and associated factors among oldest-old in china. J Nutr Health Aging. 2020;24(3):330-8. doi: 10.1007/s12603-020-1327-2

Bitiniene D, Zamaliauskiene R, Kubilius R, Leketas M, Gailius T, Smirnovaite K. Quality of life in patients with temporomandibular disorders: a systematic review. Stomatologija. 2018; 20(1):3-9.

Hernandes JC, Di Castro V, Mendonça ME, Porto CC. Quality of life of women who practice dance: a systematic review protocol. Syst Rev. 2018; 7(1):92. doi: 10.1186/s13643-018-0750-5

Kalfoss MH, Reidunsdatter RJ, Klöckner CA, Nilsen M. Validation of the WHOQOL-BREF: psychometric properties and normative data for the Norwegian general population. Health Qual Life Outcomes. 2021; 19(1):1-12. doi: 10.1186/s12955-020-01656-x

Fleck MPA, Louzada S, Xavier M, Chachamovich X, Vieira G, Santos L et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Rev Saúde Pública, 2000; 34(2):178-83. doi: 10.1590/S0034-89102000000200012

World Health Organization. The World Health Organization quality of life (WHOQOL) [Internet]. Geneva: WHO; 2017 [citado em 2024 abr. 22]. Disponível em: https://www.who.int/toolkits/whoqol.

Barros V, Seraidarian PI, Côrtes MIS, Paula LV. The impact of orofacial pain on the quality of life of patients with temporomandibular disorder. J Orofac Pain. 2009; 23(1):28-37.

Miller V, Poole C, Golightly Y, Barrett D, Chen DG, Ohrbach RE et al. Characteristics associated with high-impact pain in people with temporomandibular disorder: a cross-sectional study. J Pain. 2019; 20(3):288-300. doi: 10.1016/j.jpain.2018.09.007

Resende CMBM, Alves ACM, Coelho LT, Alchieri JC, Roncalli AG, Barbosa GAS. Quality of life and general health in patients with temporomandibular disorders. Braz Oral Res. 2013; 27(2):116-22. doi: 10.1590/s1806-83242013005000006

Shueb, S, Nixford DR, John MT, Alonso BF, Durham J. What is the impact of acute and chronic orofacial pain on quality of life? J Dent. 2015; 43(10):1203-10. doi: 10.1016/j.jdent.2015.06.001

Garstka AA, Kozowska L, Kijak K, Brzozka M, Gronwald H, Skomro P et al. Accurate diagnosis and treatment of painful temporomandibular disorders: a literature review supplemented by own clinical experience. Pain Res Manag. 2023; 2023:1002235. doi: 10.1155/2023/1002235.eCollection 2023

Thomas DC, Singer SR, Markman S. Temporomandibular disorders and dental occlusion: what do we know so far? Dent Clin North Am. 2023; 67(2):299-308. doi: 10.1016/j.cden.2022.11.002

Kapos FP, Exposto FG, Oyarzo JF, Durham J. Temporomandibular disorders: a review of current concepts in aetiology, diagnosis and management. Oral Surg. 2020; 13(4):321-34. doi: 10.1111/ors.12473

Zieliński G, Pająk-Zielińska B, Ginszt M. A meta-analysis of the global prevalence of temporomandibular disorders. Clin Med. 2024; 13(5):1365. doi.org/10.3390/jcm13051365

Miller VE, Chen DG, Barrett D, Poole C, Golightly YM, Sanders AE et al. Understanding the relationship between features associated with pain-related disability in people with painful temporomandibular disorder: an exploratory structural equation modeling approach. Pain. 2020; 161:2710-9. doi: 10.1097/j.pain.0000000000001976

Ferreira MC, Toledo IP, Dutra KL, Stefani FM, Porporatti AL, Flores-Mir C et al. Association between chewing dysfunctions and temporomandibular disorders: a systematic review. J Oral Rehabil. 2018; 45(10):819-35. doi: 10.1111/joor.12681

Ozdemir-karatas M, Peker K, Balik A, Uysal O, Tuncer EB. Identifying potential predictors of pain–related disability in Turkish patients with chronic temporomandibular disorder pain. J Headache Pain. 2013; 14(1):17. doi: 10.1186/1129-2377-14-17

Department of Oral Medicine Orofacial Pain Research Group. Research diagnostic criteria for temporomandibular disorders. AXIS I: Clinical physical examination forms and specifications instructions for scoring and assessment. AXIS II: Bio behavioral questionnaires instructions for scoring and assessment [Internet]. Washington: University of Washington; 2015 [citado em 2024 abr. 22]. Disponível em: https://ubwp.buffalo.edu/rdc-tmdinternational/wpcontent/uploads/sites/58/2017/01/RDC_Booklet_updated2011-modified_2015_12_01-1.pdf.

Anderson GC, Gonzalez YM, Orbach R, Truelove EL, Sommers E, Look JO et al. The research diagnostic criteria for temporomandibular disorders. VI: future directions. J Orofac Pain. 2010; 24(1):1-10.

Figueiredo INA, Araújo MG, Fonseca JB, Vieira CNL, Santiago JA, Santos CN et al. Occurrence and severity of neck disability in individuals with different types of temporomandibular disorder. Oral Maxillofac Surg. 2021; 25(4):471-6. doi: 10.1007/s10006-021-00943-1

Pehling J, Schiffman E, Look J, Schaefer J, Lenton P, Friton J. Interexaminer reliability and clinical validity of the temporomandibular index: a new outcome measure for temporomandibular disorders. J Orofac Pain. 2002; 16(4):296-304.

De La Torre Canales G, Guarda-Nardini L, Rizzatti-Barbosa CM, Conti PCR, Manfredini D. Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders. J Appl Oral Sci. 2019; 27:e20180210. doi: 10.1590/1678-7757-2018-0210

Contreras ERF, Fernandes G, Ongaro PCJ, Campi LB, Gonçalves DAG. Systemic diseases and other painful conditions in patients with temporomandibular disorders and migraine. Braz Oral Res. 2018; 32:e77. doi: 10.1590/1807-3107BOR-2018.vol32.0077

Hietaharju M, Kivimäki I, Heikkilä H, Näpänkangas R, Teerijoki-Oksa T, Tanner J et al. Comparison of Axis II psychosocial assessment methods of RDC/TMD and DC/TMD as part of DC/TMD-FIN phase II validation studies in tertiary care Finnish TMD pain patients. J Oral Rehabil. 2021; 48(12):1295-306. doi: 10.1111/joor.13260

Young I, Dunning J, Butts R, Mourad F, Cheland J. Reliability, construct validity, and responsiveness of the neck disability index and numeric pain rating scale in patients with mechanical neck pain without upper extremity symptoms, Physiother Theory Pract. 2019; 35(12):1328-35. doi: 10.1080/09593985.2018.1471763

Oliveira-Souza AIS, Ferro JKO, Barros MMMB, Oliveira DA. Cervical musculoskeletal disorders in patients with temporomandibular dysfunction: a systematic review and meta-analysis. J Bodyw Mov Ther. 2020; 24(4):84-101. doi: 10.1016/j.jbmt.2020.05.001

Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012; 24(3):69-71.

Manfredini D, Arveda N, Guarda-Nardini L, Segú M, Collesano V. Distribution of diagnoses in a population of patients with temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 114(5):e35-41. doi: 10.1016/j.oooo.2012.03.023

McMillan AS, Wong MC, Lee LTK, Yeung RWK. Depression and diffuse physical symptoms in southern Chinese with temporomandibular disorders. J Oral Rehabil. 2009; 36(6):403-7. doi: 10.1111/j.1365-2842.2009.01951.x

Osiewicz MA, Lobbezoo F, Loster BW, Loster JE, Manfredini D. Frequencies of temporomandibular disorders diagnoses based on RDC/TMD in a Polish patient population. Cranio. 2018; 36(5):304-10. doi: 10.1080/08869634.2017.1361052

Pigozzi LB, Progiante PS, Patussi MP, Pellizzer EP, Grossi PK, Grossi ML. General health quality of life in patients with temporomandibular disorders in a population-based cross-sectional study in southern Brazil. Int J Prosthodont. 2019; 32(3):237-40. doi: 10.11607/ijp.6072

Almoznino G, Zini A, Zakuto A, Sharav Y, Haviv Y, Hadad A et al. Oral health-related quality of life in patients with temporomandibular disorders. J Oral Facial Pain Headache. 2015; 29(3):231-41. doi: 10.11607/ofph.1413

Miettinen O, Lahti S, Sipilä K. Psychosocial aspects of temporomandibular disorders and oral health-related quality-of-life. Acta Odontol Scand. 2012; 70(4):331-6. doi: 10.3109/00016357.2011.654241

Deli R, Macri AL, Mannocci A, La Torre G. Measuring quality of life in TMD: use of SF-36. Ital J Public Health. 2009; 6(2):158-65.

Natu VP, Yap AUJ, Huiting SM, Ali NMI, Ansari A. Temporomandibular disorder symptoms and their association with quality of life, emotional states and sleep quality in south-east asian youths. J Oral Rehabil. 2018; 45(10):756-63. doi: 10.1111/joor.12692

Passos TTM, Gonçalves HR, Peixoto RM, Porto FR, Pereira TH, Junior AMLF. Avaliação da qualidade de vida de indivíduos com disfunção temporomandibular. Hu Rev. 2020; 45(1):13-21. doi: 10.34019/1982-8047.2019.v45.16970

Pereira Júnior FJ, Gonçalves DAG. Critérios de diagnóstico para desordens

temporomandibulares: protocolo clínico e instrumentos de avaliação [Internet]. 2020 [citado em 28/02/2020]. Disponível em: https://ubwp.buffalo.edu/rdc-tmdinternational/tmd-assessmentdiagnosis/dc-tmd/dc-tmd-translations/.

Published

2024-11-11

How to Cite

1.
Braga NHM, Seraidarian PI, Barros V de M, Assis MAL, Figueiredo EM de, Soares RV. Temporomandibular disorders impact on quality of life. HU Rev [Internet]. 2024Nov.11 [cited 2024Nov.20];50:1-8. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/44502

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