Symptom Dimensions of Temporomandibular Disorders: Correlates With Emotional Distress, Jaw Function and Oral Health-Related Quality of Life.

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

Journal of oral rehabilitation Pub Date : 2025-05-09 DOI:10.1111/joor.14014

Adrian Ujin Yap, Chengge Liu, Kai Yuan Fu, Jie Lei

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引用次数: 0

Abstract

Background: A unified framework for assessing temporomandibular disorder (TMD) pain and dysfunction across multiple symptom dimensions is beneficial.

Objectives: The study explored the associations between TMD symptom subtypes and dimensions with emotional distress, jaw function and oral health-related quality of life (OHRQoL). Additionally, it examined factors linked to high jaw functional limitation (JFL) and low OHRQoL.

Methods: Participants, recruited from a major university, completed a survey that included demographics, the four-dimensional five TMD symptoms (5Ts-4D) screener, depression, anxiety and stress scales-21 (DASS-21), JFL scale-8 (JFLS-8) and oral health impact profile for TMDs (OHIP-TMD). Data were analysed using Chi-square and nonparametric tests, along with logistic regression (α = 0.05).

Results: Among the 414 participants (mean age 22 years, 77.8% women), 23.4% reported no TMD symptoms (NT), while 15.7%, 22.2% and 38.6% experienced pain-related (PT), intra-articular (IT) and combined (CT) symptoms respectively. Notable differences in global TMD severity (CT>IT/PT>NT), global distress (CT>IT, NT), JFL (CT>PT, IT, NT) and global OHIP (CT>IT/PT/NT; IT>NT) scores were observed. Moderate correlations were found between global TMD severity and both JFL and global OHIP in the PT and CT groups (r_s 0.41-0.64), and between global distress and these factors in the CT group (r_s 0.59-0.61). High JFL was associated with symptom interference (OR 1.38) and anxiety (OR 1.20), while low OHRQoL was related to symptom duration (OR 1.26) and interference (OR 2.09).

Conclusions: Individuals with CT show elevated symptom severity, emotional distress, jaw function and OHRQoL impairments. Tailored interventions targeting TMD duration, interference and anxiety could improve outcomes.

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颞下颌疾病的症状维度：与情绪困扰、颌功能和口腔健康相关生活质量相关

背景：一个跨多个症状维度评估颞下颌紊乱（TMD）疼痛和功能障碍的统一框架是有益的。目的：探讨TMD症状亚型和维度与情绪困扰、颌功能和口腔健康相关生活质量（OHRQoL）的关系。此外，它还检查了与高颌功能限制（JFL）和低OHRQoL相关的因素。方法：从一所重点大学招募的参与者完成了一项调查，包括人口统计学、四维TMD五种症状（5Ts-4D）筛查、抑郁、焦虑和压力量表-21 （DASS-21）、JFLS-8 （JFLS-8）和口腔健康影响量表（o嘻哈-TMD）。数据分析采用卡方检验和非参数检验，并采用logistic回归（α = 0.05）。结果：在414名参与者（平均年龄22岁，77.8%为女性）中，23.4%的人报告没有TMD症状（NT），而15.7%、22.2%和38.6%的人分别经历了疼痛相关（PT）、关节内（IT）和联合（CT）症状。整体TMD严重程度（CT>IT/PT>NT）、整体窘迫（CT>IT， NT）、JFL （CT>PT， IT， NT）和整体OHIP (CT>IT/PT/NT；观察IT b> NT评分。在PT组和CT组中，整体TMD严重程度与JFL和整体OHIP之间存在中度相关性（rs为0.41-0.64），在CT组中，整体窘迫与这些因素之间存在中度相关性（rs为0.59-0.61）。高JFL与症状干扰（OR 1.38）和焦虑（OR 1.20）相关，低OHRQoL与症状持续时间（OR 1.26）和干扰（OR 2.09）相关。结论：CT表现为症状严重程度升高、情绪困扰、下颌功能和OHRQoL障碍。针对TMD持续时间、干扰和焦虑的量身定制的干预措施可以改善结果。

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.