Universidade Federal do Ceará, Faculdade de Odontologia (Fortaleza/CE, Brazil).
Universidade Estadual de Campinas (Campinas/SP, Brazil).
Dental Press J Orthod. 2022 Jul 4;27(3):e2220422. doi: 10.1590/2177-6709.27.3.e2220422.oar. eCollection 2022.
This study aimed to evaluate and compare pain intensity and Oral Health-related Quality of Life (OHRQoL) in women with temporomandibular disorder (TMD) before (T1) and during (T2) COVID-19 pandemic.
Sample was composed of forty-one female participants with painful TMD, who presented for TMD treatment. Subjects were asked to indicate their pain intensity and to answer the Oral Health Impact Profile-14 (OHIP-14). Participants data were collected twice: T1 (evaluation of medical records fulfilled before COVID-19 pandemic) and T2 (by means of an online form). Socio-demographic data were assessed in T1. Statistical analysis was performed with a significance level of 5% (Wilcoxon, chi-square or Fisher's exact tests, multiple linear regressions).
No difference was found in pain intensity (p=0.26) and OHIP-14 global scores (p=0.53). Physical pain (p=0.03) and social disability (p=0.05) domains improved. In T1, subject's occupation was associated with OHIP-14 global score, physical pain, and physical disability domains. In T2, age was associated with OHIP-14 global scores as well as physical pain, psychological discomfort, and psychological disability domains.
COVID-19 pandemic did not worsen pain intensity and OHRQoL in women with painful TMD, and it is suggested that socio-demographic characteristics influenced TMD patients coping skills during pandemic.
本研究旨在评估和比较患有颞下颌关节紊乱(TMD)的女性在 COVID-19 大流行前后(T1 和 T2)的疼痛强度和口腔健康相关生活质量(OHRQoL)。
样本由 41 名患有疼痛性 TMD 的女性参与者组成,她们因 TMD 治疗而就诊。要求受试者指出他们的疼痛强度,并回答口腔健康影响概况-14 项(OHIP-14)。在 T1(在 COVID-19 大流行之前评估病历)和 T2(通过在线表格)两次收集参与者的数据。在 T1 评估社会人口统计学数据。使用 5%的显著性水平进行统计分析(Wilcoxon、卡方或 Fisher 精确检验、多元线性回归)。
疼痛强度(p=0.26)和 OHIP-14 总分(p=0.53)无差异。躯体疼痛(p=0.03)和社会障碍(p=0.05)领域有所改善。在 T1 中,受试者的职业与 OHIP-14 总分、躯体疼痛和躯体残疾领域相关。在 T2 中,年龄与 OHIP-14 总分以及躯体疼痛、心理不适和心理残疾领域相关。
COVID-19 大流行并未加重疼痛性 TMD 女性的疼痛强度和 OHRQoL,并且表明社会人口统计学特征影响了 TMD 患者在大流行期间的应对技能。