Department of Experimental Dentistry, Wroclaw Medical University, Poland.
Department of Neurology, Wroclaw Medical University, Poland.
Dent Med Probl. 2023 Oct-Dec;60(4):609-617. doi: 10.17219/dmp/171894.
Temporomandibular disorders (TMD) pose a serious health problem that can have a negative effect on patients' lives, impair work performance, and result in work absences and restrictions in daily activities.
The aim of this observational, cross-sectional study was to evaluate the level of satisfaction with life among Polish patients with TMD and to assess the influence of pain severity on this parameter. A secondary goal was to investigate sleep quality within this patient group and explore its relationship with pain.
A total of 219 patients from the Outpatient Clinic for Temporomandibular Disorders at the University Dental Polyclinic in Wroclaw, Poland, participated in this study. These individuals underwent a clinical examination using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) protocol and completed 2 validated questionnaires, namely the Satisfaction With Life Scale (SWLS) and the Pittsburgh Sleep Quality Index (PSQI). Furthermore, the patients were assessed for the severity of masseter muscle pain (MMP) and temporal muscle pain (TMP), and the average pain in these muscles (AMP) was calculated. Subsequently, a statistical analysis was performed on the collected data.
The group of patients with average satisfaction with life exhibited significantly higher levels of MMP (p = 0.025) and AMP (p = 0.044) as compared to the high-satisfaction group. Regarding sleep quality, 50.23% of the patients experienced poor sleep quality. Poor sleep quality was found to be statistically associated with higher levels of TMP (p = 0.032) and AMP (p = 0.028). Moreover, women demonstrated significantly worse sleep quality as compared to men (p = 0.002). The findings indicate that PSQI has a greater impact on SWLS than vice versa.
Due to a large number of TMD patients experiencing poor sleep quality and the associated reduced life satisfaction, these parameters should be considered as influential factors that modify the management of patients with TMD.
颞下颌关节紊乱（TMD）是一个严重的健康问题，会对患者的生活产生负面影响，降低工作表现，并导致缺勤和日常活动受限。
本观察性、横断面研究旨在评估波兰 TMD 患者的生活满意度水平，并评估疼痛严重程度对该参数的影响。次要目标是研究该患者群体的睡眠质量，并探讨其与疼痛的关系。
本研究纳入了来自波兰弗罗茨瓦夫大学牙科综合医院颞下颌关节紊乱门诊的 219 名患者。这些患者接受了使用颞下颌关节紊乱诊断标准（DC/TMD）方案的临床检查，并完成了 2 份经过验证的问卷，即生活满意度量表（SWLS）和匹兹堡睡眠质量指数（PSQI）。此外，还评估了患者的咬肌疼痛（MMP）和颞肌疼痛（TMP）严重程度，以及这些肌肉的平均疼痛（AMP）。随后对收集的数据进行了统计分析。
生活满意度平均的患者组表现出显著更高的 MMP（p = 0.025）和 AMP（p = 0.044）水平，与高满意度组相比。关于睡眠质量，50.23%的患者睡眠质量差。研究发现，睡眠质量差与 TMP（p = 0.032）和 AMP（p = 0.028）水平较高存在统计学关联。此外，女性的睡眠质量明显比男性差（p = 0.002）。研究结果表明，PSQI 对 SWLS 的影响大于 SWLS 对 PSQI 的影响。
由于大量 TMD 患者睡眠质量差，生活满意度降低，这些参数应被视为影响 TMD 患者管理的因素。
