Ning Wanchen, Schmalz Gerhard, Li Ping, Huang Shaohong
Stomatological Hospital, Southern Medical University, Guangzhou, China.
Department of Cariology, Endodontology and Periodontology, Leipzig University, Leipzig, Germany.
J Oral Rehabil. 2022 Nov;49(11):1106-1114. doi: 10.1111/joor.13363. Epub 2022 Sep 20.
The aim of this systematic review was to assess the oral health-related quality of life (OHRQoL) of patients with osteoarthritis (OA) of the temporomandibular joint (TMJ).
This systematic literature search applied the search terms "oral health-related quality of life AND osteoarthritis of jaw OR arthritis of temporomandibular joint AND oral health-related quality of life" in PubMed, Medline, Web of Science and Scopus. Eligibility criteria were publication until 31 August 2021, examination of children or adults with OA of TMJ, reporting of any OHRQoL measurement and a full text in English language. Two different, independent and experienced reviewers performed this systematic literature search. The analysis of respective data was qualitative. For quality appraisal, the available checklist from the Agency for Healthcare Research and Quality (AHRQ) was applied.
Out of 102 findings, eight studies were included in qualitative analysis. Seven clinical investigations were performed in adults aged between 34 and 43 years. The other included study was performed on children. The quality of two studies was moderate, and six studies were evaluated as of high quality. Most studies applied the 14-item short form of the oral health impact profile (OHIP 14) for assessment of OHRQoL. OHIP 14 ranged between 9.24 and 38.86 points in means of sum score. Comparison with healthy individuals revealed worse OHRQoL of OA patients in two studies. Associations between OHRQoL with either oral health, general quality of life or disease-related parameters were rarely reported and heterogeneous. Five of the included studies reported subscales of OHIP 14, showing an impairment in all subscales.
There are hints that patients with OA of the TMJ show a reduced OHRQoL. More studies are needed, especially regarding oral health, disease-related parameters and pain intensity and its potential influence on OHRQoL.
本系统评价旨在评估颞下颌关节骨关节炎（OA）患者的口腔健康相关生活质量（OHRQoL）。
本系统文献检索在PubMed、Medline、科学网和Scopus中使用检索词“口腔健康相关生活质量 AND 颌骨骨关节炎 OR 颞下颌关节关节炎 AND 口腔健康相关生活质量”。纳入标准为截至2021年8月31日发表的文献、对患有颞下颌关节OA的儿童或成人进行的研究、报告任何OHRQoL测量结果且全文为英文。两名不同的、独立且经验丰富的评审员进行了本系统文献检索。对各自数据的分析为定性分析。为进行质量评估，应用了医疗保健研究与质量局（AHRQ）的可用清单。
在102项检索结果中，8项研究纳入定性分析。7项临床研究在年龄介于34至43岁的成年人中进行。另一项纳入研究是针对儿童进行的。2项研究质量中等，6项研究被评估为高质量。大多数研究应用口腔健康影响程度量表（OHIP - 14）的14项简表来评估OHRQoL。OHIP - 14总分均值在9.24至38.86分之间。两项研究中与健康个体的比较显示OA患者的OHRQoL较差。OHRQoL与口腔健康、总体生活质量或疾病相关参数之间的关联报道较少且存在异质性。纳入的5项研究报告了OHIP - 14的子量表，显示所有子量表均有损害。
有迹象表明颞下颌关节OA患者的OHRQoL降低。需要更多研究，特别是关于口腔健康、疾病相关参数以及疼痛强度及其对OHRQoL的潜在影响。
