The Effect Of Temporomandibular Joint Dysfunction On Pain, Quality Of Life And Psychological Status
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Temporomandibular joint pain severity and headache severity
研究概览
简要总结
The aim of this study was to investigate the effects of temporomandibular joint dysfunction (TMJD) on pain, quality of life and psychological status.
A total of one hundred twenty people participated in the study, sixty with TMJD symptoms (according to the Research Diagnostic Criteria for Temporomandibular Disorders) and sixty without TMJD symptoms. The severity of temporomandibular joint (TMJ) pain and headache was assessed using a visual analog scale (VAS), pain threshold using an algometer, anxiety and depression levels with the Hospital Anxiety and Depression Scale (HADS), and the quality of life level was assessed by Short Form-36 (SF-36).
Treatment of TMJD with appropriate therapies and psychological support techniques may reduce TMJD symptoms and improve patients' quality of life and psychological status.
详细描述
Temporomandibular joint dysfunction (TMJD) occurs as a result of the impaired functioning of the structures of the masticatory system. This disruption affects the chewing muscles, temporomandibular joint (TMJ), and related structures around the joint. TMJD can produce signs and symptoms, including pain in the TMJ and chewing muscles, restricted mouth opening, and articular sounds such as clicking and/or crepitus. Other symptoms include TMJ pain, limitation in joint movements, difficulty in chewing, jaw locking (trismus), lateral deviation of the jaw, tenderness in the TMJ and chewing muscles, tinnitus and pain, dizziness, and head and neck pain.
However, to the best of the investigator's knowledge, no previous studies have examined the relationship between quality of life, pain, and psychological status in individuals with TMJD. This study was designed to investigate whether a relationship between pain, quality of life, and psychological status in individuals with TMJD and asymptomatic individuals without TMJD.
One hundred twenty individuals were included in this study performed between March and July 2017 at the Gazi University and Ankara Yıldırım Beyazıt University Dentistry Faculties, Turkey. The research was designed as a controlled, observational, cross-sectional study. Sixty of the 165 individuals presenting with TMJD symptoms were diagnosed with TMJD by a specialist dentist, and those meeting the inclusion criteria were enrolled in the first group. Sixty individuals who met the inclusion criteria out of 143 individuals who did not exhibit TMJD symptoms were enrolled in the second group. These two groups were established based on clinical and radiological examination results. TMJD was diagnosed by professional and experienced dentists using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). RDC/TMD has been described as the gold standard physical examination method in the clinical diagnosis of TMD.
Individuals agreeing to take part in the study were included after signing informed consent forms. Ethical committee permission was granted by the Ankara Yıldırım Beyazıt University Social and Humanities Ethics Committee (date: 02.08.2016, no: 356).
Individuals who were able to understand and speak Turkish and cooperate, and aged 17 years or older were included in the study.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 17 Years 至 57 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •For Group 1 (group with TMJD):
- •Patients diagnosed with TMJD
- •Able to understand and speak Turkish and cooperate
- •Aged 17 years or older and 65 years or younger
- •Patients have articular sounds in the form of clicks or crepitation from the TMJ during mouth opening or chewing
- •Sensitivity and pain in the TMJ at palpation
- •Not receiving TMJ treatment in the past six months
- •Presence of TMJD symptoms for at least three months For Group 2 (group without TMJD)
- •Able to understand and speak Turkish and cooperate
- •Aged 17 years or aged 17 years or older and 65 years or younger
- •Maximum mouth opening 30 mm or more
- •Absence of articular sounds such as TMJ click or crepitation during mouth opening and closing and/or chewing activity.
- •Absence of tenderness and pain in the TMJ and chewing muscles at palpation
排除标准
- •For Group 1 (group with TMJD):
- •Absence of at least one of the TMJD symptoms
- •Presence of a history of tumor, cervical discopathy, orthopedic and rheumatic pathologies, head, neck and/or jaw surgery and pregnancy For Group 2 (group without TMJD)
- •Presence of at least one of the symptoms of TMJD
- •Presence of a history of tumor, cervical discopathy, orthopedic and rheumatic pathologies, head, neck and/or jaw surgery and pregnancy
结局指标
主要结局
Temporomandibular joint pain severity and headache severity
时间窗: 5 months
Individuals in both groups were asked to mark TMJ pain and headache on a 10 cm straight line using a visual analogue scale (VAS), and the results were recorded in cm. Patients were asked about pain in bilateral resting and mobile positions of the TMJ. On the VAS scale, "0" indicates no pain, and "10" the most severe pain possible.
次要结局
- Psychological status (anxiety and depression levels)(5 months)
- Short Form-36(5 months)
研究者
Tolgahan YILDIZ
Research Assistant
Hacettepe University