Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore, Singapore.
National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-NUS Medical School, Singapore Health Services, Singapore, Singapore.
J Oral Rehabil. 2022 Aug;49(8):769-777. doi: 10.1111/joor.13340. Epub 2022 Jun 6.
The impact of temporomandibular disorders on functional, pain, and psychosocial aspect of patients' quality of life needed to be assessed.
This study examined the three-dimensional impact of pain-related and/or intra-articular Temporomandibular disorder (TMD) symptoms and ascertained the inter-relationships between the functional, pain, and psychosocial aspects of oral health-related quality of life (OHRQoL).
Young adults were enlisted from a local university and TMD symptoms were assessed with the Diagnostic Criteria for TMDs Symptom Questionnaire (DC/TMD-SQ). Participants were stratified into those with no (NT), pain-related (PT), intra-articular (IT), and mixed (MT) TMD symptoms. OHRQoL was examined using the Oral Health Impact Profile-14 (OHIP-14), and dimensional effects (oral function [OF], orofacial pain [OP], and psychosocial impact [PI]) were established subsequently. Data were evaluated with Kruskal-Wallis, Dunn, and Wilcoxon signed-rank tests (α = .05).
The mean age of the participants (n = 1205) was 7 ± 1.3 years (71.8% women). While 42.2% reported no TMD symptoms, 22.3%, 16.9%, and 18.5% had PT, IT, and MT accordingly. The MT, PT, and IT groups presented higher total OHIP-14 and dimension scores than the NT group (p < .01). Scores were also significantly different between the MT and IT groups except for OF. For all TMD groups, the ranking of dimensional impact was OP > PI > OF, and associations between the OP and PI dimensions were the strongest (correlation coefficient [r ] = .57-.76).
Young adults with PT and/or IT symptoms have poorer OHRQoL, especially in the OP and PI dimensions, which were moderate to strongly correlated. The use of the three dental Patient-reported Outcome (dPRO) dimensions could provide construct equivalency among OHRQoL measures.
需要评估颞下颌关节紊乱对患者生活质量的功能、疼痛和心理社会方面的影响。
本研究检查了疼痛相关和/或关节内颞下颌关节紊乱（TMD）症状的三维影响，并确定了口腔健康相关生活质量（OHRQoL）的功能、疼痛和心理社会方面之间的相互关系。
从当地一所大学招募年轻人，并使用 TMD 症状诊断标准问卷（DC/TMD-SQ）评估 TMD 症状。参与者分为无（NT）、疼痛相关（PT）、关节内（IT）和混合（MT）TMD 症状。使用口腔健康影响概况-14 项（OHIP-14）评估 OHRQoL，随后建立了维度效应（口腔功能 [OF]、口腔颌面疼痛 [OP] 和心理社会影响 [PI]）。使用 Kruskal-Wallis、Dunn 和 Wilcoxon 符号秩检验（α=0.05）评估数据。
参与者（n=1205）的平均年龄为 7±1.3 岁（71.8%为女性）。虽然 42.2%的人没有 TMD 症状，但分别有 22.3%、16.9%和 18.5%的人有 PT、IT 和 MT。MT、PT 和 IT 组的总 OHIP-14 和维度评分均高于 NT 组（p<0.01）。除了 OF，MT 和 IT 组之间的评分也存在显著差异。对于所有 TMD 组，维度影响的排名为 OP>PI>OF，OP 和 PI 维度之间的相关性最强（相关系数[r]为.57-.76）。
患有 PT 和/或 IT 症状的年轻人 OHRQoL 较差，尤其是在 OP 和 PI 维度，这些维度具有中度至强相关性。使用三个牙科患者报告结局（dPRO）维度可以为 OHRQoL 测量提供结构等效性。
