Madhavi Akula, Sujatha Mekala Mary, Mazhar Muthahera, Pabba Kankshini, Lavanya G, Gupta Amrita
Department of Conservative Dentistry and Endodontics, Sai Dental Surgery, Hyderabad, IND.
Department of Oral Medicine and Radiology, Government Dental College and Hospital, Vijayawada, Vijayawada, IND.
Cureus. 2024 Jul 1;16(7):e63625. doi: 10.7759/cureus.63625. eCollection 2024 Jul.
Background Orofacial discomfort refers to various disorders that affect the mouth, jaws, and face. These conditions may substantially influence a person's quality of life (QoL). This kind of pain may be categorised into two primary classifications: acute and chronic. Acute orofacial pain (OFP) usually occurs suddenly and lasts for a short period. It is commonly caused by specific factors such as dental treatments, traumas, or infections. Hence, this study aimed to assess the influence of acute and chronic orofacial discomfort on the overall QoL. Methodology This research used a convenience sample to gather data from the five groups. It was conducted as a cross-sectional study. Four categories of OFP syndromes were utilised: temporomandibular disorders (TMDs), atypical dental pain (ADP), trigeminal neuralgia (TN), and persistent dentoalveolar pain disorder (PDAP). In addition, a control group consisting of individuals who did not experience any discomfort was also included in the study. Participants received a standardised explanation of the questionnaires utilised, and in most instances, they completed them at the clinic under the supervision of one of the investigators. Results The correlations between each version of the Oral Health Impact Profile (OHIP) were statistically significant (p < 0.001), with correlation values ranging from 0.92 to 0.97. When comparing the occurrence of OHIP items across the four pain types, we identified 18 variations that exceeded the 35% prevalence threshold we established for identifying important items that frequently occur out of the 315 comparisons. The question "Have you had a painful aching in your mouth?" showed a low frequency in patients with TN, TMD, and ADP but a significant prevalence in patients with PDAP (90%). This difference in prevalence across pain types was the biggest seen. The question that seemed to distinguish between the pain categories most effectively was "Have you experienced a toothache?" This question had a high occurrence in PDAP (65%) and ADP (60%), perhaps allowing for differentiating these two diseases from TN and TMD. The highest prevalence differences, over 30%, were most often seen when PDAP was included as one of the disorders being compared. ADP had the fewest variances, over 30%, occurring just seven times. Conclusion Both acute and chronic OFPs have a major negative influence on QoL, but they affect it differently and to differing extents. Injury-related acute pain obviously poses rapid and severe restrictions on physical function and causes temporary psychological distress and temporary social exclusion. On the other hand, chronic pain for the patient always implies being locked in a physical world that does not allow him or her to bypass physical limitations, psychological disorders remain constant, and isolation from other people persists for life.
背景 口面部不适是指影响口腔、颌骨和面部的各种病症。这些情况可能会对一个人的生活质量(QoL)产生重大影响。这种疼痛可分为两大类:急性和慢性。急性口面部疼痛(OFP)通常突然发作,持续时间较短。它通常由特定因素引起,如牙科治疗、外伤或感染。因此,本研究旨在评估急性和慢性口面部不适对整体生活质量的影响。
方法 本研究采用便利抽样法从五组人群中收集数据。研究采用横断面研究设计。使用了四类口面部疼痛综合征:颞下颌关节紊乱症(TMD)、非典型牙痛(ADP)、三叉神经痛(TN)和持续性牙槽疼痛障碍(PDAP)。此外,研究还纳入了一个由未经历任何不适的个体组成的对照组。参与者接受了对所使用问卷的标准化解释,并且在大多数情况下,他们在一名研究人员的监督下在诊所完成问卷。
结果 口腔健康影响概况(OHIP)各版本之间的相关性具有统计学意义(p < 0.001),相关值范围为0.92至0.97。在比较四种疼痛类型中OHIP项目的发生率时,我们在315次比较中确定了18个超过我们设定的35%患病率阈值的差异,这些差异用于识别经常出现的重要项目。“您口腔中有疼痛性酸痛吗?”这个问题在TN、TMD和ADP患者中的出现频率较低,但在PDAP患者中患病率较高(90%)。这种不同疼痛类型之间患病率的差异是所观察到的最大差异。似乎最能有效区分疼痛类别的问题是“您经历过牙痛吗?”这个问题在PDAP(65%)和ADP(60%)中出现频率较高,这可能有助于将这两种疾病与TN和TMD区分开来。当将PDAP作为被比较的病症之一时,最常出现超过30%的最高患病率差异。ADP出现超过30%差异的情况最少,仅出现七次。
结论 急性和慢性口面部疼痛均对生活质量有重大负面影响,但它们对生活质量的影响方式和程度不同。与损伤相关的急性疼痛显然对身体功能造成迅速而严重的限制,并导致暂时的心理困扰和暂时的社会隔离。另一方面,对患者来说,慢性疼痛总是意味着被困在一个不允许他或她绕过身体限制的身体世界中,心理障碍持续存在,与他人的隔离持续终生。