Onoda Norio, Mikami Toshihiko, Saito Naoaki, Kobayashi Tadaharu
Division of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.
Cranio. 2023 Nov;41(6):486-493. doi: 10.1080/08869634.2021.1883378. Epub 2021 Feb 8.
To evaluate oral health-related quality of life (OHRQoL) in patients with temporomandibular disorders (TMDs).
Subjects included 56 patients diagnosed with TMD. Control subjects consisted of 30 individuals without temporomandibular joint symptoms. OHRQoL was evaluated using the Japanese version of the Oral Health Impact Profile (OHIP-J54) before and 4 months after treatment.
Total score and all subscale scores of the OHIP-J54 in patients before treatment were significantly higher than those of the control subjects and were significantly improved after treatment, except for social disability. Gender and NRS pain scores had statistically significant effects on OHRQoL, which was low in females and patients with severe pain.
OHIP-J54 appeared to be useful for understanding psychological and social problems as a screening tool and for assessing the extent of changes in the well-being of patients with TMD.
评估颞下颌关节紊乱病(TMD)患者的口腔健康相关生活质量(OHRQoL)。
研究对象包括56例被诊断为TMD的患者。对照组由30名无颞下颌关节症状的个体组成。在治疗前和治疗后4个月,使用日本版口腔健康影响程度量表(OHIP-J54)对OHRQoL进行评估。
治疗前患者的OHIP-J54总分及所有子量表得分均显著高于对照组,且治疗后除社会功能障碍外均有显著改善。性别和数字评定量表疼痛评分对OHRQoL有统计学显著影响,女性和重度疼痛患者的OHRQoL较低。
OHIP-J54似乎作为一种筛查工具,对于了解心理和社会问题以及评估TMD患者健康状况的变化程度很有用。