Functional and psychosocial impact related to specific temporomandibular disorder diagnoses
Functional and psychosocial impact related to specific temporomandibular disorder diagnoses
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DOI：
10.1016/j.jdent.2007.04.010
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发表时间：
2007-08-01
影响因子：
4.4
通讯作者：
Wassell, Robert W.
中科院分区：
文献类型：
--
作者：
Reibmann, Daniel R.;John, Mike T.;Wassell, Robert W.
目的：比较特定诊断为TMD的患者和未受TMD影响的普通人群的口腔健康相关生活质量(OHRQOL)受损水平，以得出TMD对患者的独特功能和心理社会影响。方法：根据TMD研究诊断标准，对471例TMD确诊为TMD的成人患者进行连续治疗。OHRQOL使用口腔健康影响概况(OHIP)进行测量。为了得出TMD对功能和心理社会的影响，对没有任何RDC/TMD轴I诊断的地区人群样本(N=135)的成年受试者进行了平均CHIP评分，根据Helkimo指数得出了一个没有任何体征/症状的亚组(N=35)。结果：所有单轴I诊断的TMD患者的OHRQOL受损程度(CHIP均数：27.5~56.2)均显著高于普通人群(无TMD体征/症状组9.7分，无RDC/TMD轴I组14.8分)。I组诊断(肌筋膜疼痛)对OHRQOL的影响最高，II组诊断(椎间盘移位)对OHRQOL的影响最低。有两个疼痛相关诊断的患者的OHRQL受损显著高于有一个疼痛相关诊断的患者(58.9比49.2，p=0.03)。结论：所有的TMD Axis I诊断都对OHRQL有显著影响。有疼痛相关症状的受试者比没有疼痛的受试者得分更高。有两个疼痛相关诊断的患者比有一个诊断的患者有更多的OHRQOL受损。(C)2007爱思唯尔有限公司。保留所有权利。
Objectives: Comparing the level of impaired oral health-related quality of life (OHRQoL) in patients with a specific temporomandibular disorder (TMD) diagnosis to general population subjects unaffected by TMD to derive the unique functional and psychosocial impact due to TMD.Methods: A sample of 471 consecutive treatment seeking adult patients with at least one physical (axis I) TMD diagnosis according to the research diagnostic criteria for temporomandibular disorders (RDC/TMD) was included in this study. OHRQoL was measured using the oral health impact profile (OHIP). To derive functional and psychosocial impact due to TMD mean CHIP scores were calculated from adult subjects of a regional population sample without any RDC/TMD axis I diagnosis (N = 135) from which a subgroup without any sign/symptom according to the Helkimo- index (N = 35) was derived. These means were subtracted from mean CHIP scores of the TMD patients.Results: All TMD patients with a single axis I diagnosis presented much higher impaired OHRQoL (CHIP means: 27.5-56.2) compared to general population subjects (9.7 in subjects without any TMD sign/symptom and 14.8 in those without RDC/TMD axis I diagnosis). Group I diagnosis (myofascial pain) showed the highest OHRQoL impact with the lowest in patients with group II diagnosis (disc displacement). Patients with two pain-related diagnoses had significantly higher impaired OHRQoL than patients with a single one (58.9 versus 49.2, p = 0.03).Conclusions: All TMD axis I diagnoses have significant impact on OHRQoL. Subjects with pain-associated conditions present higher scores than those without pain. Patients with two pain-related diagnoses have more impaired OHRQoL than subjects with one diagnosis. (c) 2007 Elsevier Ltd. All rights reserved.