Shueb S S, Nixdorf D R, John M T, Alonso B Fonseca, Durham J
Division of TMD & Orofacial Pain, School of Dentistry University of Minnesota, Minneapolis, MN, USA.
Division of TMD & Orofacial Pain, School of Dentistry University of Minnesota, Minneapolis, MN, USA; Department of Neurology, Medical School, University of Minnesota, Minneapolis, MN, USA; HealthPartners Institute for Education and Research, Bloomington, MN, USA.
J Dent. 2015 Oct;43(10):1203-10. doi: 10.1016/j.jdent.2015.06.001. Epub 2015 Jun 12.
Orofacial pain (OFP) is thought to substantially reduce oral health-related quality of life (OHRQoL). Little has been reported about the impact of acute dental pain and persistent (chronic) orofacial pain conditions, other than temporomandibular disorders (TMD), on OHRQoL. The aim of this study was to examine and compare OHRQoL impairment among four OFP conditions: TMD, acute dental pain (ADP), trigeminal neuralgia (TN) and persistent dentoalveolar pain disorder (PDAP).
OHRQoL was measured using the OHIP-49 in a convenience sample of subjects with four OFP conditions (TMD (n=41), ADP (n=41), TN (n=21), PDAP (n=22) and a pain-free control group (n=21)). The mean OHIP-49 summary score described the level of impact and inferential and descriptive statistics were used to examine any differences inter-condition. The mean of the OHIP-14 and 5 were also measured by extracting the corresponding items from the OHIP-49.
All pain conditions presented with statistically significant (P<0.001) and clinically relevant (measured by effect sizes and the OHIP's minimal important difference) impairment when compared to the control group (P<0.001). The OHRQoL for the four OFP conditions had similar levels of impairment (TMD=62.3, ADP=55.5, TN=58.1 and PDAP=69.8).
TMD, ADP, TN and PDAP have substantial impact on OHRQoL as measured by the OHIP-49 and the extracted items for the OHIP-14 and 5. Differences among the four groups of orofacial pain conditions are likely not to be substantial.
口腔颌面疼痛（OFP）被认为会显著降低口腔健康相关生活质量（OHRQoL）。除颞下颌关节紊乱病（TMD）外，关于急性牙痛和持续性（慢性）口腔颌面疼痛状况对OHRQoL的影响，鲜有报道。本研究的目的是检查和比较四种口腔颌面疼痛状况下的OHRQoL损害情况：TMD、急性牙痛（ADP）、三叉神经痛（TN）和持续性牙槽骨疼痛障碍（PDAP）。
使用口腔健康影响程度量表（OHIP-49）对患有四种口腔颌面疼痛状况（TMD（n = 41）、ADP（n = 41）、TN（n = 21）、PDAP（n = 22））的受试者便利样本以及无疼痛对照组（n = 21）进行OHRQoL测量。OHIP-49平均总分描述了影响程度，使用推断性和描述性统计方法检查不同状况之间的差异。还通过从OHIP-49中提取相应项目来测量OHIP-14和5的平均分。
与对照组相比（P < 0.001），所有疼痛状况均呈现出具有统计学意义（P < 0.001）且具有临床相关性（通过效应量和OHIP的最小重要差异衡量）的损害。四种口腔颌面疼痛状况的OHRQoL损害水平相似（TMD = 62.3，ADP = 55.5，TN = 58.1，PDAP = 69.8）。
通过OHIP-49以及为OHIP-14和5提取的项目测量发现，TMD、ADP、TN和PDAP对OHRQoL有重大影响。四组口腔颌面疼痛状况之间的差异可能不大。
