Association Between Number of Temporomandibular Disorders Symptoms and Oral Health Quality of Life: A Cross-Sectional Study in a Community-Based Population

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-06-26 DOI:10.1111/joor.70004

Jiale Wang, Yu Zhong, YunHao Zheng, Yu Long, Fang Luo, Yaxin Weng, Xin Xiong, Shanbao Fang

{"title":"Association Between Number of Temporomandibular Disorders Symptoms and Oral Health Quality of Life: A Cross-Sectional Study in a Community-Based Population","authors":"Jiale Wang, Yu Zhong, YunHao Zheng, Yu Long, Fang Luo, Yaxin Weng, Xin Xiong, Shanbao Fang","doi":"10.1111/joor.70004","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>There are limited studies on the number of Temporomandibular disorders (TMD) symptoms affecting oral health-related quality of life (OHRQoL) in large community populations. Furthermore, there is a lack of comparative studies between different TMD subtypes.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>The aim was to explore the relationship between OHRQoL and the number of TMD symptoms in a community-based population.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Participants were recruited through convenience sampling in different communities. Data collected included demographic characteristics, oral health impact profile (OHIP-5), and TMD symptoms profile (5 T-TMD). The data were analysed by means of the Kolmogorov–Smirnov test, the Kruskal–Wallis test, Mann–Whitney <i>U</i> test, and linear regression analysis. Furthermore, visual correlation images of TMD symptom numbers and OHIP-5 scores were plotted, and burst point analyses were conducted.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 1327 valid questionnaires were collected. The mean OHIP-5 scores for participants with either subtype of TMD were found to be significantly lower than those for participants without TMD symptoms (<i>p</i> < 0.05). The TMD subtypes with the most and least significant regression coefficients on OHRQoL were TMD Pain Symptoms and Dysfunction (PD, 6.75) and the presence of temporomandibular joint sounds (TS, 3.38). The more TMD symptoms, the higher the OHIP-5 score. The regression coefficient of TMD on OHRQoL exhibited a statistically significant increase when the number of typical TMD symptoms exceeded three (<i>p</i> < 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The impact on OHRQoL was most pronounced when temporomandibular joint sounds were present in conjunction with pain or dysfunction. Clinicians should carefully assess their patients experiencing over three typical TMD symptoms.</p>\n </section>\n </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 11","pages":"2000-2009"},"PeriodicalIF":4.0000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/joor.70004","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background

There are limited studies on the number of Temporomandibular disorders (TMD) symptoms affecting oral health-related quality of life (OHRQoL) in large community populations. Furthermore, there is a lack of comparative studies between different TMD subtypes.

Objective

The aim was to explore the relationship between OHRQoL and the number of TMD symptoms in a community-based population.

Methods

Participants were recruited through convenience sampling in different communities. Data collected included demographic characteristics, oral health impact profile (OHIP-5), and TMD symptoms profile (5 T-TMD). The data were analysed by means of the Kolmogorov–Smirnov test, the Kruskal–Wallis test, Mann–Whitney U test, and linear regression analysis. Furthermore, visual correlation images of TMD symptom numbers and OHIP-5 scores were plotted, and burst point analyses were conducted.

Results

A total of 1327 valid questionnaires were collected. The mean OHIP-5 scores for participants with either subtype of TMD were found to be significantly lower than those for participants without TMD symptoms (p < 0.05). The TMD subtypes with the most and least significant regression coefficients on OHRQoL were TMD Pain Symptoms and Dysfunction (PD, 6.75) and the presence of temporomandibular joint sounds (TS, 3.38). The more TMD symptoms, the higher the OHIP-5 score. The regression coefficient of TMD on OHRQoL exhibited a statistically significant increase when the number of typical TMD symptoms exceeded three (p < 0.05).

Conclusion

The impact on OHRQoL was most pronounced when temporomandibular joint sounds were present in conjunction with pain or dysfunction. Clinicians should carefully assess their patients experiencing over three typical TMD symptoms.

Abstract Image

查看原文本刊更多论文

颞下颌紊乱症状与口腔健康生活质量的关系：一项基于社区人群的横断面研究

背景：在大型社区人群中，颞下颌紊乱（TMD）症状影响口腔健康相关生活质量（OHRQoL）的数量研究有限。此外，缺乏不同TMD亚型之间的比较研究。目的：探讨社区人群中TMD症状数量与OHRQoL的关系。方法：采用方便抽样的方法在不同社区进行调查。收集的数据包括人口统计学特征、口腔健康影响概况（OHIP-5）和TMD症状概况（5 T-TMD）。采用Kolmogorov-Smirnov检验、Kruskal-Wallis检验、Mann-Whitney U检验和线性回归分析。绘制TMD症状数与OHIP-5评分的视觉相关图，并进行爆发点分析。结果：共回收有效问卷1327份。两种TMD亚型患者的OHIP-5平均得分均显著低于无TMD症状的患者(p结论：当颞下颌关节声音同时伴有疼痛或功能障碍时，对OHRQoL的影响最为明显。临床医生应该仔细评估他们的患者经历三种以上典型的TMD症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.