Segù M, Lobbia S, Canale C, Collesano V
Cattedra di Protesi Dentaria, Corso di Laurea in Odontoiatria e Protesi Dentaria, Facoltà di Medicina e Chirurgia, Università degli Studi di Pavia, Pavia, Italy.
Minerva Stomatol. 2003 Jun;52(6):279-87.
Oral disorders have a psycho-social impact on the quality of life, that can be measured with instruments as the Oral Health Impact Profile questionnaire (OHIP). Using the OHIP, we evaluated if and how the orofacial pain can affect the quality of life in temporomandibular disorders (TMD) patients.
A transversal case-control study was carried out. Study subjects were patients referred to the Section of Prosthetic Dentistry and Temporomandibular Disorders of the University of Pavia (Italy). Subjects were recruited sequentially until the target of 124. The controls were 61 "pain free" subjects, who were recruited from the same clinic. In analyzing the data, the chi squared test was used for categorical data, and t test and one-way analysis of variance were used for numerical scores.
The subjects in this study were predominantly females (83.9%). The mean age of subjects was 35.1 years (standard deviation= 14.0). The most frequently reported symptoms were pain in the temporomandibular joint (TMJ) (87.1%). The data showed that orofacial pain had an important impact on daily life (p<0.05) and that its most common outcomes were psychological.
Comparison with a "pain free" population clearly indicated that orofacial pain and associated symptoms negatively affect the quality of life of TMD patients.
口腔疾病对生活质量具有心理社会影响，可使用口腔健康影响程度量表问卷（OHIP）等工具进行衡量。我们使用OHIP评估了口面部疼痛是否以及如何影响颞下颌关节紊乱病（TMD）患者的生活质量。
开展了一项横断面病例对照研究。研究对象为被转诊至意大利帕维亚大学义齿修复与颞下颌关节紊乱病科的患者。按顺序招募研究对象，直至达到124例的目标。对照组为61名“无疼痛”受试者，从同一诊所招募。在分析数据时，分类数据采用卡方检验，数值分数采用t检验和单因素方差分析。
本研究中的受试者以女性为主（83.9%）。受试者的平均年龄为35.1岁（标准差 = 14.0）。最常报告的症状是颞下颌关节（TMJ）疼痛（87.1%）。数据表明，口面部疼痛对日常生活有重要影响（p<0.05），其最常见的后果是心理方面的。
与“无疼痛”人群的比较清楚地表明，口面部疼痛及相关症状会对TMD患者的生活质量产生负面影响。
