Abstract
AIMS: To evaluate influence of variables gender, diagnosis and severity of types of Temporomandibular Disorder (TMD) on the quality of life of the individual. METHODS: The sample consisted of one hundred one individuals seeking TMD treatment at the Faculdade de Odontologia/ Universidade Federal de Juiz de Fora. The TMD diagnosis was done through the RDC/TMD: Axis I (Research Diagnostic Criteria/Temporomandibular Disorder). The severity of TMD was established by the Temporomandibular Index (TMI) and the impact on quality of life by the OHIP-14 (Oral Health Impact Profile). The data was tabulated and analyzed by the Mann-Whitney test, T student test and Spearman correlation analysis (?=0,05). RESULTS: Most patients had diagnosis of muscular disorder, followed by diagnoses of arthralgia and disk displacement, respectively. All patients had a negative impact on at least one question from OHIP-14.CONCLUSIONS: Women presented worse quality of life when compared to men. The presence of muscular disorder was related to greater impact on quality of life (p<0,05). The relationship between severity of TMD and quality of life in the muscle sub-index of TMI was observed in all domains of OHIP-14 (p<0,05). In addition, there was positive correlation between TMI and the psychological incapacity.
Highlights
Temporomandibular Disorder (TMD) is defined as a group of clinical alterations which affect the masticatory muscles, the temporomandibular joint (TMJ) and correlated structures [1,2,3], reflected mainly by joint noises, deviation or irregular mandibular function and by pain, described as an unpleasant sensorial and emotional experience, associated with actual or potential tissue damage [4,5,6].This variety of clinical symptoms shows that there is no single etiological factor responsible for TMD
Temporomandibular Index (TMI) sub-indices values found in this study corroborate the literature [12,15], as they assessed quite similar samples comprising individuals with TMD symptoms and seeking treatment
The association between life quality and gender, the results of this study showed statistical significance (p < 0.05) for all areas, except for functional limitations and handicap
Summary
Temporomandibular Disorder (TMD) is defined as a group of clinical alterations which affect the masticatory muscles, the temporomandibular joint (TMJ) and correlated structures [1,2,3], reflected mainly by joint noises, deviation or irregular mandibular function and by pain, described as an unpleasant sensorial and emotional experience, associated with actual or potential tissue damage [4,5,6]. This variety of clinical symptoms shows that there is no single etiological factor responsible for TMD. TMD is considered the most common cause of non-dental pain in the orofacial region and leads to a chronic pain condition and as such, like headaches and back pain, it can greatly influence patients social behavior and psychological state, resulting in a negative impact on daily activities, emotional health and energy level of the affected individual [1,2,3,4,5,6,7].
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