Pain, Function and Quality of Life in Temporomandibular Disorder Patients With Different Disc Positions.

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

Journal of oral rehabilitation Pub Date : 2024-12-01 Epub 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

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引用次数: 0

Abstract

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.

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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

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。

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

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.