Adrian Ujin Yap, Aziz Khakimov, Abd Aziz Alias, Kathreena Kadir, Zamri Bin Radzi
{"title":"前瞻性正畸患者的颞下颌紊乱症状：与治疗需求、社会心理困扰、颌功能和口腔健康相关生活质量的相关性","authors":"Adrian Ujin Yap, Aziz Khakimov, Abd Aziz Alias, Kathreena Kadir, Zamri Bin Radzi","doi":"10.1111/joor.70049","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Emerging research suggests that reduced Oral Health-Related Quality of Life (OHRQoL) in orthodontic patients may be more closely linked to Temporomandibular disorders (TMDs) than malocclusion severity.</p><p><strong>Objectives: </strong>This study assessed the burden and severity of TMD symptoms in prospective orthodontic patients, examined their relationships with malocclusion severity, somatic symptoms, psychological distress, jaw function and OHRQoL, and identified factors associated with high jaw functional limitation (JFL) and low OHRQoL.</p><p><strong>Methods: </strong>Participants completed a survey covering demographics, the Five TMD Symptoms-Burden screener, Short-form Fonseca Anamnestic Index, Somatic Symptom Scale-8, Patient Health Questionnaire-4, Jaw Functional Limitation Scale-8 and Oral Health Impact Profile-14. Data were matched to the Index of Orthodontic Treatment Need (IOTN) and nature of malocclusion, then analysed using Chi-square/non-parametric tests and multivariate regression (α = 0.05).</p><p><strong>Results: </strong>Of the 296 participants (mean age 21.6 [SD = 5.6]; 58.1% female), 40.2% had no TMD symptoms, while 15.4% experienced intra-articular, 8.8% pain-related and 35.5% combined symptoms. Significant differences in age, within-race patterns, TMD symptom burden/severity, IOTN-aesthetic component, somatic symptom burden, psychological distress, JFL and OHRQoL were observed. Moderate correlations were found between TMD burden and TMD severity, somatic burden and OHRQoL (r<sub>s</sub> = 0.45-0.67), as well as between TMD severity and somatic burden (r<sub>s</sub> = 0.42).</p><p><strong>Conclusions: </strong>High JFL was significantly associated with age, sex, race, TMD symptom severity and the nature of malocclusion. Conversely, low OHRQoL was significantly related to age, somatic symptom burden and JFL. Routine TMD screening is essential for prospective orthodontic patients given their high prevalence.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0000,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Temporomandibular Disorder Symptoms in Prospective Orthodontic Patients: Correlations With Treatment Needs, Psychosocial Distress, Jaw Function and Oral Health-Related Quality of Life.\",\"authors\":\"Adrian Ujin Yap, Aziz Khakimov, Abd Aziz Alias, Kathreena Kadir, Zamri Bin Radzi\",\"doi\":\"10.1111/joor.70049\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Emerging research suggests that reduced Oral Health-Related Quality of Life (OHRQoL) in orthodontic patients may be more closely linked to Temporomandibular disorders (TMDs) than malocclusion severity.</p><p><strong>Objectives: </strong>This study assessed the burden and severity of TMD symptoms in prospective orthodontic patients, examined their relationships with malocclusion severity, somatic symptoms, psychological distress, jaw function and OHRQoL, and identified factors associated with high jaw functional limitation (JFL) and low OHRQoL.</p><p><strong>Methods: </strong>Participants completed a survey covering demographics, the Five TMD Symptoms-Burden screener, Short-form Fonseca Anamnestic Index, Somatic Symptom Scale-8, Patient Health Questionnaire-4, Jaw Functional Limitation Scale-8 and Oral Health Impact Profile-14. Data were matched to the Index of Orthodontic Treatment Need (IOTN) and nature of malocclusion, then analysed using Chi-square/non-parametric tests and multivariate regression (α = 0.05).</p><p><strong>Results: </strong>Of the 296 participants (mean age 21.6 [SD = 5.6]; 58.1% female), 40.2% had no TMD symptoms, while 15.4% experienced intra-articular, 8.8% pain-related and 35.5% combined symptoms. Significant differences in age, within-race patterns, TMD symptom burden/severity, IOTN-aesthetic component, somatic symptom burden, psychological distress, JFL and OHRQoL were observed. Moderate correlations were found between TMD burden and TMD severity, somatic burden and OHRQoL (r<sub>s</sub> = 0.45-0.67), as well as between TMD severity and somatic burden (r<sub>s</sub> = 0.42).</p><p><strong>Conclusions: </strong>High JFL was significantly associated with age, sex, race, TMD symptom severity and the nature of malocclusion. Conversely, low OHRQoL was significantly related to age, somatic symptom burden and JFL. Routine TMD screening is essential for prospective orthodontic patients given their high prevalence.</p>\",\"PeriodicalId\":16605,\"journal\":{\"name\":\"Journal of oral rehabilitation\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-08-29\",\"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://doi.org/10.1111/joor.70049\",\"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}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/joor.70049","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}
Temporomandibular Disorder Symptoms in Prospective Orthodontic Patients: Correlations With Treatment Needs, Psychosocial Distress, Jaw Function and Oral Health-Related Quality of Life.
Background: Emerging research suggests that reduced Oral Health-Related Quality of Life (OHRQoL) in orthodontic patients may be more closely linked to Temporomandibular disorders (TMDs) than malocclusion severity.
Objectives: This study assessed the burden and severity of TMD symptoms in prospective orthodontic patients, examined their relationships with malocclusion severity, somatic symptoms, psychological distress, jaw function and OHRQoL, and identified factors associated with high jaw functional limitation (JFL) and low OHRQoL.
Methods: Participants completed a survey covering demographics, the Five TMD Symptoms-Burden screener, Short-form Fonseca Anamnestic Index, Somatic Symptom Scale-8, Patient Health Questionnaire-4, Jaw Functional Limitation Scale-8 and Oral Health Impact Profile-14. Data were matched to the Index of Orthodontic Treatment Need (IOTN) and nature of malocclusion, then analysed using Chi-square/non-parametric tests and multivariate regression (α = 0.05).
Results: Of the 296 participants (mean age 21.6 [SD = 5.6]; 58.1% female), 40.2% had no TMD symptoms, while 15.4% experienced intra-articular, 8.8% pain-related and 35.5% combined symptoms. Significant differences in age, within-race patterns, TMD symptom burden/severity, IOTN-aesthetic component, somatic symptom burden, psychological distress, JFL and OHRQoL were observed. Moderate correlations were found between TMD burden and TMD severity, somatic burden and OHRQoL (rs = 0.45-0.67), as well as between TMD severity and somatic burden (rs = 0.42).
Conclusions: High JFL was significantly associated with age, sex, race, TMD symptom severity and the nature of malocclusion. Conversely, low OHRQoL was significantly related to age, somatic symptom burden and JFL. Routine TMD screening is essential for prospective orthodontic patients given their high prevalence.
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.
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