Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
Department of Oral Basic Sciences, Taibah University, Medina, Saudi Arabia.
J Oral Rehabil. 2020 Aug;47(8):1052-1064. doi: 10.1111/joor.12994. Epub 2020 Jul 4.
Pain in the oro-facial region is one of the most common reasons for patients to seek dental treatment. Oral health-related quality of life (OHRQoL) can be affected not only by pain, but also by other oral disorders. Four main dimensions, Oral Function, Orofacial Pain, Orofacial Appearance and Psychosocial Impact, have been suggested to cover different areas of OHRQoL. The aim of this systematic review was to map the impact of oro-facial pain conditions on the Orofacial Pain dimension of OHRQoL (PROSPERO registration: CRD42017064033). Studies were included if they reported Oral Health Impact Profile (OHIP) mean or median domain scores for patients with odontogenic pain, oral mucosal pain/burning mouth syndrome (BMS), third molar extractions or temporomandibular disorders (TMD). A search in PubMed (MEDLINE), EMBASE, Cochrane, CINAHL and PsycINFO on 8 June 2017, updated 14 January 2019, combined with a hand search identified 2104 articles. After screening of abstracts, 1607 articles were reviewed in full text and 36 articles were included that reported OHIP data for 44 patient populations including 5849 patients. Typical Orofacial Pain impact for all four conditions (odontogenic pain, oral mucosal pain/BMS, pain after third molar extractions and TMD) was between 2 and 3 on a 0-8 converted OHIP scale with the highest reported impact for pain after 3rd molar extractions. This review provides standardised information about OHRQoL impact from four oro-facial pain conditions as a model for the Orofacial Pain dimension. The results show moderate impact for the pain dimension of OHRQoL in patients with common oro-facial pain conditions.
口腔颌面部疼痛是患者寻求牙科治疗的最常见原因之一。口腔健康相关生活质量（OHRQoL）不仅受疼痛影响，还受其他口腔疾病影响。已提出四个主要维度，即口腔功能、口腔颌面部疼痛、口腔颌面部外观和心理社会影响，以涵盖 OHRQoL 的不同领域。本系统评价的目的是绘制口腔颌面部疼痛状况对 OHRQoL 的口腔颌面部疼痛维度（PROSPERO 注册：CRD42017064033）的影响。如果报告了牙源性疼痛、口腔黏膜疼痛/灼口综合征（BMS）、第三磨牙拔出或颞下颌关节紊乱（TMD）患者的口腔健康影响概况（OHIP）平均或中位数域评分，则纳入研究。2017 年 6 月 8 日在 PubMed（MEDLINE）、EMBASE、Cochrane、CINAHL 和 PsycINFO 进行了搜索，2019 年 1 月 14 日更新，结合手工搜索确定了 2104 篇文章。在筛选摘要后，对 1607 篇全文进行了审查，纳入了 36 篇报告了包括 5849 名患者在内的 44 个患者群体的 OHIP 数据的文章。所有四种情况下（牙源性疼痛、口腔黏膜疼痛/BMS、第三磨牙拔出后疼痛和 TMD）的典型口腔颌面部疼痛影响介于 2 到 3 之间，转换后的 0-8 分 OHIP 量表上报告的影响最高的是第三磨牙拔出后疼痛。本综述提供了四种口腔颌面部疼痛状况对 OHRQoL 影响的标准化信息，作为口腔颌面部疼痛维度的模型。结果表明，常见口腔颌面部疼痛状况患者的 OHRQoL 疼痛维度影响中等。
