颞下颌关节紊乱症状和牙齿缺失对 COVID-19 大流行封锁期间心理状态和口腔健康相关生活质量的不良影响。
Adverse Impacts of Temporomandibular Disorders Symptoms and Tooth Loss on Psychological States and Oral Health-Related Quality of Life During the COVID-19 Pandemic Lockdown.
机构信息
Department of Stomatology, Clinical Traditional Chinese Medicine College of Yangzhou University, Yangzhou, China.
Department of Gastroenterology, Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, China.
出版信息
Front Public Health. 2022 Jul 8;10:899582. doi: 10.3389/fpubh.2022.899582. eCollection 2022.
BACKGROUND
Emotion and quality of life may have been impacted by the coronavirus disease 2019 (COVID-19) crisis, especially in the lockdown. The impact of temporomandibular disorders (TMD) symptoms and tooth loss on mental status and Oral Health-Related Quality of Life (OHRQoL) are not fully understood in a stressful situation.
OBJECTIVES
We aimed to investigate whether TMD and tooth loss were the impaired risks of psychological states and OHRQoL in COVID-19 lockdown, and attempt to explore other potential risk factors.
METHODS
This cross-sectional study surveyed residents via an online self-reported questionnaire, when Yangzhou was in lockdown. Demographic data, clinical information, the level of anxiety, depression and OHRQoL were collected and analyzed.
RESULTS
Painful TMD symptoms and tooth loss are the risks of more severe anxiety and depression. TMD symptoms and tooth loss worsened OHRQoL. Lower education degree (OR: 6.31, = 0.019), TMD-related pain symptoms (OR: 10.62, = 0.005), tooth loss (OR: 3.12, = 0.035), sleep disorders (OR: 2.92, = 0.049) and relatively close contacts (OR: 3.95, = 0.020) were verified as risk factors for increased level of anxiety. With respect to depression, low socio-economic status (OR: 6.22, = 0.021), TMD-related pain (OR: 7.35, = 0.012), tooth loss (OR: 4.48, = 0.009), sleep disorders (OR: 5.13, = 0.007) and relatively close contacts (OR: 12.94, = 0.001) were identified as independent factors for developing depression. Additionally, drinking (B: -2.584, = 0.013) and never going to the dental clinic (B: -3.675, = 0.024) were relevant to better OHRQoL, while TMD without pain (B: 2.797, = 0.008), TMD-related pain (B: 12.079, < 0.001), tooth loss (B: 2.546, = 0.006), sleep disorders (B: 2.598, = 0.003) were independent factors for impaired OHRQoL.
CONCLUSION
Painful TMD symptoms, tooth loss and sleep disorders were the impaired risks of psychological states. TMD symptoms and tooth loss damaged OHRQoL when the city was in lockdown. Therefore, individualized psychological counseling is supposed to maintain control of mental health and OHRQoL under the stressful event.
背景
新型冠状病毒肺炎（COVID-19）疫情可能会影响情绪和生活质量，尤其是在封锁期间。在压力环境下，颞下颌关节紊乱（TMD）症状和牙齿缺失对心理状态和口腔健康相关生活质量（OHRQoL）的影响尚不清楚。
目的
本研究旨在探讨 TMD 和牙齿缺失是否是 COVID-19 封锁期间心理状态和 OHRQoL 受损的风险因素，并尝试探讨其他潜在的风险因素。
方法
本横断面研究通过在线自报问卷对扬州市居民进行调查。收集和分析人口统计学数据、临床信息、焦虑、抑郁程度和 OHRQoL。
结果
TMD 症状和牙齿缺失与更严重的焦虑和抑郁有关。TMD 症状和牙齿缺失会加重 OHRQoL。较低的受教育程度（OR：6.31， = 0.019）、TMD 相关疼痛症状（OR：10.62， = 0.005）、牙齿缺失（OR：3.12， = 0.035）、睡眠障碍（OR：2.92， = 0.049）和相对密切接触（OR：3.95， = 0.020）被证实是焦虑程度增加的风险因素。对于抑郁，社会经济地位较低（OR：6.22， = 0.021）、TMD 相关疼痛（OR：7.35， = 0.012）、牙齿缺失（OR：4.48， = 0.009）、睡眠障碍（OR：5.13， = 0.007）和相对密切接触（OR：12.94， = 0.001）被确定为抑郁的独立因素。此外，饮酒（B：-2.584， = 0.013）和从不看牙医（B：-3.675， = 0.024）与更好的 OHRQoL 相关，而无疼痛的 TMD（B：2.797， = 0.008）、TMD 相关疼痛（B：12.079， < 0.001）、牙齿缺失（B：2.546， = 0.006）、睡眠障碍（B：2.598， = 0.003）是 OHRQoL 受损的独立因素。
结论
疼痛性 TMD 症状、牙齿缺失和睡眠障碍是心理状态受损的风险因素。在城市封锁期间，TMD 症状和牙齿缺失会损害 OHRQoL。因此，在应激事件下，应该进行个性化的心理咨询，以维持心理健康和 OHRQoL 的控制。
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