Abstract
BackgroundNumerous studies have reported a relationship between depression and temporomandibular disorders (TMD), but the conclusions remain undefined. The aim of this article was to examine the temporal relationship between depression and TMD.MethodsIn this retrospective matched case-control study, we recruited all samples from a randomsample sub-dataset of one million insured individuals for the year 2005 (Longitudinal Health Insurance Database (LHID2005)). All beneficiaries were enrolled in the National Health Insurance (NHI) programme in Taiwan. We used propensity scoring and matched the case and control groups (1:1) by ten confounding factors to detect the effect of different types of depression on TMD.ResultsThe positive correlative factors of TMD included the total number of times medical advice was sought for an unspecified anomaly of jaw size plus malocclusion (TTSMA-JS, p = 0.045), the total number of times medical advice was sought for an anxiety state (TTSMA-AS, p = 0.000), and the total number of times medical advice was sought for a panic disorder (TTSMA-P, p = 0.009). Dysthymia (synonymous with chronic depression) had an effect on TMD. The odds ratio (OR) of dysthymia for TMD measured by multiple logistic regression was 1.91 (p = 0.008) after adjusting for demographic factors, psychiatric comorbidities, and maxillofacial confounders.ConclusionsThis study demonstrated the established temporal relationship between dysthymia and TMD. The inclusion of a psychiatrist on the TMD management team is appropriate.
Highlights
Numerous studies have reported a relationship between depression and temporomandibular disorders (TMD), but the conclusions remain undefined
A meta-analysis study reported that 30% of randomly selected subjects showed a perceived dysfunction, and 44% demonstrated a clinically assessed dysfunction of their temporomandibular joint (TMJ) pain with/without joint sound [1]
Various studies have indicated that painful temporomandibular disorders are associated with high levels of depression [9,10,11]
Summary
Numerous studies have reported a relationship between depression and temporomandibular disorders (TMD), but the conclusions remain undefined. The aim of this article was to examine the temporal relationship between depression and TMD. Temporomandibular disorders (TMD) are a significant public health problem globally. TMD has been considered a multifaceted and complex disease process [2]. The presence of pain elsewhere in the body, Depression has been increasing over time, and it is one of the leading causes of disease-related disability worldwide [7]. A large cross-sectional epidemiological study of Portuguese college students reported that 61.4% of the students with the symptom of TMD had signs of anxiety or depression [8]. Various studies have indicated that painful temporomandibular disorders are associated with high levels of depression [9,10,11]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
