Esteve María, Rosales-Leal Juan I
Stomatology Department, School of Dentistry, University of Granada, Granada, Spain.
J Oral Rehabil. 2025 Mar;52(3):350-356. doi: 10.1111/joor.13908. Epub 2024 Nov 18.
To analyse temporomandibular disorders (TMD), bruxism and well-being in patients with fibromyalgia and compare these outcomes with a control group.
Diagnostic criteria for the assessment of TMD, bruxism and well-being were used in a clinic context including patients with fibromyalgia (n = 71) and a control group of healthy subjects (n = 151). Participants completed an online questionnaire measuring temporomandibular pain, headache attributed to TMD, jaw locking, joint sounds, headache to bruxism, potential sleep bruxism, potential awake bruxism, jaw functional limitation scale 8 (JFLS-8), generalised anxiety disorder scale 7, oral health impact profile scale 14, World Health Organization well-being index (WHO-5) and Pittsburgh sleep quality index (PSQI).
TMD and bruxism were significantly associated with the type of population (χ = 8.77-57.62; p < 0.05; ES = 0.20-0.51). Fibromyalgia patients showed higher prevalence (% values) than control group in temporomandibular pain, headache attributed to TMD, jaw locking, headache attributed to potential bruxism, sleep bruxism and awake bruxism. However, there was a greater prevalence of joint sounds in the control group compared to the fibromyalgia group. Also, fibromyalgia patients scored significantly higher (p < 0.001) on JFLS-8, GAD-7, OHIP-14 and PSQI with a large effect size (ES = 0.51-0.73), while WHO-5 scores were significantly lower (ES = 0.58).
Patients with fibromyalgia had greater prevalence than the control group in TMJ pain, headache attributed to TMD, jaw locking, headache attributed to bruxism, sleep bruxism and awake bruxism. Another main finding was that patients with fibromyalgia had greater jaw functional limitation, generalised anxiety and impact of oral health on an individual's life. In addition, fibromyalgia patients showed lower sleep quality and well-being index.
分析纤维肌痛患者的颞下颌关节紊乱症（TMD）、磨牙症及健康状况，并与对照组进行比较。
在临床环境中，使用TMD、磨牙症及健康状况评估的诊断标准，纳入纤维肌痛患者（n = 71）和健康受试者对照组（n = 151）。参与者完成一份在线问卷，测量颞下颌疼痛、归因于TMD的头痛、下颌锁定、关节弹响、归因于磨牙症的头痛、潜在睡眠磨牙症、潜在清醒磨牙症、下颌功能受限量表8（JFLS - 8）、广泛性焦虑症量表7、口腔健康影响概况量表14、世界卫生组织健康指数（WHO - 5）和匹兹堡睡眠质量指数（PSQI）。
TMD和磨牙症与人群类型显著相关（χ = 8.77 - 57.62；p < 0.05；效应大小ES = 0.20 - 0.51）。纤维肌痛患者在颞下颌疼痛、归因于TMD的头痛、下颌锁定、归因于潜在磨牙症的头痛、睡眠磨牙症和清醒磨牙症方面的患病率（%值）高于对照组。然而，与纤维肌痛组相比，对照组关节弹响的患病率更高。此外，纤维肌痛患者在JFLS - 8、GAD - 7、OHIP - 14和PSQI上的得分显著更高（p < 0.001），效应大小较大（ES = 0.51 - 0.73），而WHO - 5得分显著更低（ES = 0.58）。
纤维肌痛患者在颞下颌关节疼痛、归因于TMD的头痛、下颌锁定、归因于磨牙症的头痛、睡眠磨牙症和清醒磨牙症方面的患病率高于对照组。另一个主要发现是，纤维肌痛患者的下颌功能受限、广泛性焦虑以及口腔健康对个人生活的影响更大。此外，纤维肌痛患者的睡眠质量和健康指数较低。
