Department of Dental Prosthetics, Dental Division, Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.
Department of Prosthetic Dentistry, Division of Stomatology, University Medical Center Ljubljana, 1000 Ljubljana, Slovenia.
Int J Environ Res Public Health. 2022 Mar 5;19(5):3052. doi: 10.3390/ijerph19053052.
This study aimed to characterize self-reported headaches because of problems with the teeth, mouth, jaws, or dentures (HATMJD) in chronic patients with temporomandibular disorders (TMDs) in order to compare their results with those of TMD patients without such headaches and to investigate the associations of HATMJD with depression, anxiety, physical symptoms, oral behaviors, and sleep quality. We conducted a case-control study on consecutive chronic TMD patients referred to the University Medical Center of Ljubljana, Slovenia. A self-reported HATMJD was extracted from item #12 in the 49-item version of the Oral Health Impact Profile questionnaire. Axis II instruments of the Diagnostic Criteria for TMD (i.e., for screening of depression, anxiety, specific comorbid functional disorders, and oral behaviors) and the Pittsburgh Sleep Quality Index were used in this study. In total, 177 TMD patients (77.4% women; mean age: 36.3 years) participated in this study; 109 (61.6%) patients were classified as TMD patients with HATMJD. TMD patients with at least mild depressive and anxiety symptoms, with at least low somatic symptom severity, and a high number of parafunctional behaviors had more HATMJD. Parafunctional behavior and sleep quality were the most prominent predictive factors of the occurrence of HATMJD. TMD patients with HATMJD have more psychosocial dysfunction, a higher frequency of oral behaviors, and poorer sleep quality than TMD patients without such headaches.
本研究旨在描述因牙齿、口腔、颌骨或义齿问题而导致的自述头痛（HATMJD），以比较慢性颞下颌关节紊乱病（TMD）患者的结果与无此类头痛的 TMD 患者的结果，并探讨 HATMJD 与抑郁、焦虑、身体症状、口腔行为和睡眠质量的关联。我们对来自斯洛文尼亚卢布尔雅那大学医学中心的连续慢性 TMD 患者进行了病例对照研究。从 Oral Health Impact Profile 问卷的 49 项版本中的第 12 项中提取出自述的 HATMJD。用于本研究的是 TMD 诊断标准的轴 II 工具（即筛查抑郁、焦虑、特定合并功能性疾病和口腔行为）和匹兹堡睡眠质量指数。共有 177 名 TMD 患者（77.4%为女性；平均年龄：36.3 岁）参与了这项研究；109 名（61.6%）患者被归类为有 HATMJD 的 TMD 患者。至少有轻度抑郁和焦虑症状、至少有低度躯体症状严重程度和高数量的功能紊乱行为的 TMD 患者更易发生 HATMJD。功能紊乱行为和睡眠质量是发生 HATMJD 的最突出的预测因素。与无此类头痛的 TMD 患者相比，有 HATMJD 的 TMD 患者有更多的社会心理功能障碍、更多的口腔行为和更差的睡眠质量。
