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Yap AU, Sultana R, Natu VP. Somatic and temporomandibular disorder symptoms - Idioms of psychological distress in Southeast Asian youths. Cranio 2024; 42:364-371. [PMID: 34569454 DOI: 10.1080/08869634.2021.1982496] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To evaluate the prevalence/severity of somatic and temporomandibular disorder (TMD) symptoms in Southeast Asian youths and determine their associations with psychological distress. METHODS Demographic information, Patient Health Questionnaire-15 (PHQ-15), Fonseca Anamnestic Index (FAI), and Depression, Anxiety, Stress Scale-21 (DASS-21) responses were gathered electronically and analyzed using non-parametric statistical and logistic regression analysis (p < 0.05). RESULTS Of 400 youths (mean age 18.7 ± 1.7 years; 52.3% females), 65.0%/47.0% reported somatic/TMD symptoms, and 10.5% had TMDs. Significant differences in psychological distress were observed among the varying severity of somatic/TMD symptoms. Correlations between PHQ-15/FAI and DASS-21 scores were weak to moderately strong (rs = 0.30-0.61). Stepwise logistic regression indicated that female gender, TMD symptoms, and stress were risk factors for somatic symptoms, while somatic symptoms and stress were probable factors for TMDs. CONCLUSION Somatic and TMD symptoms are common in Southeast Asian youths and may be a manifestation of psychological distress.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital, Jurong East, Singapore, Singapore
- Faculty of Dentistry, National University of Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
- National Dental Research Institute, National Dental Centre Singapore, Singapore
- School of Health and Social Sciences, Nanyang Polytechnic, Singapore, Singapore
| | | | - Vaishali Prakash Natu
- Faculty of Dentistry, National University of Singapore, Singapore
- School of Health and Social Sciences, Nanyang Polytechnic, Singapore, Singapore
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Yap AU, Marpaung C, Gunardi I. Psychometric properties of the Indonesian Fonseca anamnestic index and the presence/severity of temporomandibular disorders among Indonesian young adults. Cranio 2024; 42:379-386. [PMID: 34719331 DOI: 10.1080/08869634.2021.1999615] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The psychometric properties of the Indonesian FAI (FAI-I) and presence/severity of temporomandibular disorders (TMDs) among Indonesian young adults were explored. METHODS The FAI-I was developed following the INfORM guidelines and used to determine the presence/severity of TMDs. Internal consistency/test-retest reliability were examined with Cronbach's alpha/intra-class correlation (ICC) coefficients. Construct/criteria validity were established by correlating (Spearman) the FAI-I to the five major TMD symptoms (5 Ts) and OHIP-14 (p < 0.05). RESULTS Five hundred-one participants (mean age 19.73 ± 1.27 years; 75.2% women) were recruited from a local University. Of these, 40.7% had no TMD, while 49.9%, 8.8%, and 0.6% had mild, moderate, and severe TMD. While Cronbach's α = 0.57 and ICC = 0.72, correlation coefficients to total 5 Ts and OHIP-14 were 0.53 and 0.47, respectively. CONCLUSION The FAI-I had low internal consistency, good test-retest reliability, and good validity. Moderate-to-severe TMD was experienced by 9.4% of the young adults examined.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore, Singapore
- National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-, Singapore Health Services, Singapore, Singapore
- Department of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia
| | - Carolina Marpaung
- Department of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia
| | - Indrayadi Gunardi
- Department of Oral Medicine, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia
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Moreira-Souza L, Pelai EB, Bigaton DR, Freitas DQ, Oenning ACC, Asprino L. Is there a relationship between the presence of external root resorption in second molars adjacent to impacted mandibular third molars with awake bruxism and masticatory muscle activity? Clin Oral Investig 2024; 28:401. [PMID: 38940883 DOI: 10.1007/s00784-024-05775-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 06/11/2024] [Indexed: 06/29/2024]
Abstract
OBJECTIVES This study aimed to assess whether awake bruxism and masticatory muscle activity could be related to external root resorption (ERR) in second molars adjacent to impacted mandibular third molars. MATERIALS AND METHODS Sixty patients, with requests for a cone-beam, computed tomography, were divided into two groups: ERR (patients with ERR in the second molar, n = 30), and control group (n = 30). Awake bruxism was assessed through the Oral Behaviors Checklist (OBC) and an ecological momentary assessment (EMA). Surface electromyography (EMG) was used to assess the masseter and anterior temporal muscle function. Normality and homogeneity of variances were demonstrated. Descriptive analysis was performed, using the T-test and Chi-square test to compare the characteristics of the groups. A multiple regression model was performed. RESULTS The ERR group presented more non-functional oral activities related to awake bruxism than the control group, according to OBC (p = 0.027) and EMA (p = 0.035). In addition, the ERR group had higher EMG activity than the control group in rest and isotonic protocols (p < 0.05). CONCLUSIONS Awake bruxism and greater masticatory muscle activity seem to be related to the presence of ERR in second molars adjacent to impacted mandibular third molars. CLINICAL RELEVANCE The results of the present study can reinforce the theory that triggering ERR in the second molars adjacent to impacted mandibular third molars may be related to mechanical forces coming from the masticatory function.
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Affiliation(s)
- Larissa Moreira-Souza
- Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas (UNICAMP), São Paulo, Brazil
| | - Elisa Bizetti Pelai
- Department of Oral Diagnosis, Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil.
| | - Delaine Rodrigues Bigaton
- Department of Oral Diagnosis, Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil
| | - Deborah Queiroz Freitas
- Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas (UNICAMP), São Paulo, Brazil
| | | | - Luciana Asprino
- Department of Oral Diagnosis, Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil
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Borges REA, Mendonça LDRA, Dos Santos Calderon P. Diagnostic and screening inventories for temporomandibular disorders: A systematic review. Cranio 2024; 42:341-347. [PMID: 34275426 DOI: 10.1080/08869634.2021.1954376] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Objective: To evaluate reliable and validated temporomandibular disorder (TMD) diagnostic instruments for use as diagnostic tools in epidemiological surveys.Methods: Two independent reviewers performed searches in the Medline/PubMed, Cochrane Library, and Web of Science databases to identify validation studies of diagnostic and screening instruments for TMD published up to March 2021.Results: Sixteen studies were included for the systematic review. Different TMD instruments were evaluated, such as FAI, RDC/TMD, DC/TMD, Helkimo Index, and AAOP Questionnaire. The instruments differed according to the number of items. Some questionnaires appear to be effective for the initial screening of TMD patients and can be incorporated in clinical practice and epidemiological studies since they are easy and fast to apply.Conclusion: To provide an accurate TMD diagnosis, it is important to use instruments that involve a clinical examination. Authors suggest the development of a new validated diagnostic tool for use in epidemiological surveys.
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Affiliation(s)
- Raul Elton Araújo Borges
- Department of Dentistry, Federal University of Rio Grande Do Norte UFRN, Center of Health Science. Natal, RN, Brazil
| | - Luana da Rocha Alves Mendonça
- Department of Dentistry, Federal University of Rio Grande Do Norte UFRN, Center of Health Science. Natal, RN, Brazil
| | - Patrícia Dos Santos Calderon
- Department of Dentistry, Federal University of Rio Grande Do Norte UFRN, Center of Health Science. Natal, RN, Brazil
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Yap AU, Zhang MJ, Lei J, Fu KY. Accuracy of the Fonseca Anamnestic Index for identifying pain-related and/or intra-articular Temporomandibular Disorders. Cranio 2024; 42:259-266. [PMID: 34259594 DOI: 10.1080/08869634.2021.1954375] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Objectives: This study established the diagnostic accuracy of the Fonseca Anamnestic Index (FAI) in relation to the Diagnostic Criteria for TMD (DC/TMD) standard.Methods: A total of 866 TMD patients and 57 TMD-free controls were instructed to answer the FAI and DC/TMD Symptom Questionnaire (SQ). Participants were subsequently categorized into no (NT), pain-related (PT), and/or intra-articular (IT) TMDs using the DC/TMD protocolized examination/algorithms. Receiver operating characteristics (ROC) curves, best cut-off points, and accuracy measures were determined.Results:The FAI demonstrated high accuracy for detecting all TMDs, PT, and IT (AUC = 0.96-0.98). The best cut-off points were 22.50 for all TMDs/IT and 27.50 for PT. Sensitivity of the FAI was high (94.23-98.21%), but specificity was moderate (87.72%) for all diagnostic categories.Discussion:The diagnostic accuracy of the FAI for identifying pain-related and intra-articular TMDs was high. FAI scores ≥25 points should be used to screen for TMDs.
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Affiliation(s)
- Adrian Ujin Yap
- Centre for TMD & Orofacial Pain, Peking University, Hospital & School of Stomatology, Beijing, China; Department of Dentistry, Ng Teng Fong General Hospital; and Faculty of Dentistry, National University Health System, Singapore; National Dental Research Institute Singapore, National Dental Center Singapore and Duke-NUS Medical School, Singapore Health Services, Singapore
| | - Min Juan Zhang
- Centre for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology; Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology: National Clinical Research Center for Oral Diseases, Beijing, China
| | - Jie Lei
- Centre for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology; Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology: National Clinical Research Center for Oral Diseases, Beijing, China
| | - Kai-Yuan Fu
- Centre for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology; Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology: National Clinical Research Center for Oral Diseases, Beijing, China
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Liu CG, Yap AU, Fu KY, Lei J. The "5Ts" screening tool: Enhancements and threshold values for effective TMD identification. Oral Dis 2024. [PMID: 38287488 DOI: 10.1111/odi.14877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 01/11/2024] [Accepted: 01/15/2024] [Indexed: 01/31/2024]
Abstract
OBJECTIVE This study aimed to enhance the quintessential "five temporomandibular disorder (TMD) symptoms" (5Ts) screener by incorporating frequency options and distinguishing between TMJ and muscle pain. The diagnostic accuracy along with cut-off points for the effective identification of TMDs was also established. METHODS Participants, aged ≥18 years, were recruited from a university-based hospital. After completing surveys encompassing demographic data and the enhanced 5Ts (with frequency options [5Ts-F] and differentiation of TMJ/muscle pain [6Ts-F]), protocolized interviews and clinical examinations were performed following DC/TMD. The diagnostic accuracy and best cut-off points were determined with the area under the receiver operating characteristic curves (AUCs). RESULTS 324 participants were recruited (mean age 30.0 ± 11.4 years). Among these, 86.4% had TMDs. 5Ts exhibited high diagnostic accuracy for detecting all TMDs (AUC = 0.92) with sensitivity/specificity values of 83.9%/88.6%. Both 5Ts-F and 6Ts-F had slightly better accuracy (AUCs = 0.95/0.96), comparable sensitivity, and superior specificity (97.7%) compared to 5Ts. The best cut-off points were 1.5 for 5Ts and 2.5 for 5Ts-F/6Ts-F. CONCLUSIONS Although all three TMD screeners presented high diagnostic accuracy, 5Ts-F/6Ts-F had notably improved specificity. 5Ts scores of >1.5 and 5Ts-F/6Ts-F scores of >2.5 are to be applied for screening the presence of TMDs.
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Affiliation(s)
- C G Liu
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China
- Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China
- National Center for Stomatology and National Clinical Research Center for Oral Diseases, Beijing, China
- National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
- Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - A U Yap
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China
- Department of Dentistry, Ng Teng Fong General Hospital, and Faculty of Dentistry, National University Health System, Singapore, Singapore
- National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-NUS Medical School, Singapore Health Services, Singapore, Singapore
| | - K Y Fu
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China
- Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China
- National Center for Stomatology and National Clinical Research Center for Oral Diseases, Beijing, China
- National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
- Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - J Lei
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China
- Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China
- National Center for Stomatology and National Clinical Research Center for Oral Diseases, Beijing, China
- National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
- Beijing Key Laboratory of Digital Stomatology, Beijing, China
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Miçooğulları M, Yüksel İ, Angın S. Efficacy of scapulothoracic exercises on proprioception and postural stability in cranio-cervico-mandibular malalignment: A randomized, double-blind, controlled trial. J Back Musculoskelet Rehabil 2024; 37:883-896. [PMID: 38427467 DOI: 10.3233/bmr-230323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/03/2024]
Abstract
BACKGROUND Cranio-cervico-mandibular (CCM) malalignment is associated with forward head posture (FHP) and temporomandibular joint (TMJ) disorders and affects masticatory muscles. OBJECTIVE This randomized, double-blind controlled trial aimed to compare the efficacy of scapula-thoracic (ST) exercises on temporomandibular and cervical joint position sense and postural stability in individuals with CCM malalignment. METHODS Fourty-nine participants with CCM malalignment were randomly assigned to the ST exercise group (STEG, n= 24) or the control group (CG, n= 25). STEG included progressive strengthening, proprioceptive, and stabilization exercises. All participants were assessed before treatment, at the end of the 8th week treatment period and at the 12th week post-treatment follow-up. Cranio-vertebral angle measurement, Fonseca's Questionnaire, Helkimo Clinical Dysfunction Index, TMJ position test, cervical joint position error test and postural stability assessment were used. RESULTS The TMJ and cervical joint position sense, total sway degree, area gap percentage, sway velocity and antero-posterior body sway results showed significant improvement in the STEG compared to the CG (p< 0.05), however medio-lateral body sway did not differ between groups (p> 0.05). CONCLUSIONS Postural stability, TMJ and cervical joint position sense appear to be affected in individuals with CCM malalignment. Our results showed that an exercise program including ST stabilization, proprioception and strengthening of the scapular muscles may be effective in the management of CCM malalignment and will allow clinicians to plan holistic treatment.
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Affiliation(s)
- Mehmet Miçooğulları
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Cyprus International University, Lefkoşa, Turkey
| | - İnci Yüksel
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, Lefkoşa, Turkey
| | - Salih Angın
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Cyprus International University, Lefkoşa, Turkey
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Cutrim RC, Santos-de-Araújo AD, Pontes-Silva A, Protazio JB, Anselmo-E-Silva CI, Costa CPS, Gonçalves MC, de Oliveira Brito Monzani J, de Almeida LV, Filho EMM, De Jesus Tavarez RR, Dibai-Filho AV, Bassi-Dibai D. Short-term heart rate variability at rest in individuals with temporomandibular disorder: a comparative analysis. Clin Oral Investig 2023; 27:6559-6566. [PMID: 37733026 DOI: 10.1007/s00784-023-05261-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 09/11/2023] [Indexed: 09/22/2023]
Abstract
OBJECTIVE Compare heart rate variability (HRV) indices in participants with and without myogenic temporomandibular disorder (TMD). Secondarily, we correlated HRV indices with pain and quality of life variables. METHODS This is a comparative observational cross-sectional study. Individuals of both genders with and without a history of TMD were included. Short-term heart rate variability was assessed using a Polar V800. Central sensitization was assessed using the Central Sensitization Inventory. Pain through the numeric pain scale and the impact of oral health on quality of life using the OHIP-14 questionnaire. RESULTS A total of 80 participants were enrolled in the study: most individuals included in both groups were young adults, women and slightly overweight. We observed a decrease in HRV in the TMD group (p < 0.01) when compared to the control group. In addition, we observed a greater impact of oral health on quality of life, central sensitization in addition to high resting pain scores (p < 0.01). We observed significant correlation between the LF index of HRV and the FAI score (r = 0.311; p = 0.05). The NPS, CSI and OHIP-14 scores did not correlate with any of the HRV indices (p > 0.05). CONCLUSION The short-term HRV in individuals with TMD is significantly lower when compared to a control group. Furthermore, there seems to be a relationship between the severity of the dysfunction and the HRV variables. CLINICAL RELEVANCE Using portable and low-cost devices, the HRV can be easily collected and analyzed, without the need for an arsenal of equipment such as the conventional electrocardiogram. This measure can contribute to the therapy adopted and identify individuals prone to unfavorable outcomes involving ANS modulation.
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Affiliation(s)
| | - Aldair Darlan Santos-de-Araújo
- Department of Physical Therapy, Postgraduate Program in Physiotherapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil
| | - André Pontes-Silva
- Department of Physical Therapy, Postgraduate Program in Physiotherapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil
| | - Jhonata Botelho Protazio
- Postgraduate Program in Physical Education, Universidade Federal do Maranhão, São Luís, MA, Brazil
| | - Cassius Iury Anselmo-E-Silva
- Department of Physical Therapy, Postgraduate Program in Physiotherapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil
| | - Cyrene Piazera Silva Costa
- Postgraduate Program in Dentistry, Universidade Ceuma, São Luís, MA, Brazil
- Postgraduate Program in Management of Health Services and Programs, Universidade Ceuma, São Luís, MA, Brasil
| | | | | | - Lucivalda Viegas de Almeida
- Postgraduate Program in Management of Health Services and Programs, Universidade Ceuma, São Luís, MA, Brasil
| | | | | | - Almir Vieira Dibai-Filho
- Postgraduate Program in Physical Education, Universidade Federal do Maranhão, São Luís, MA, Brazil
- Postgraduate Program in Adult Health, Universidade Federal Do Maranhão, São Luís, MA, Brazil
| | - Daniela Bassi-Dibai
- Postgraduate Program in Dentistry, Universidade Ceuma, São Luís, MA, Brazil.
- Postgraduate Program in Management of Health Services and Programs, Universidade Ceuma, São Luís, MA, Brasil.
- Postgraduate Program of Environment, Ceuma University, São Luís, MA, Brazil.
- Physical Therapy Departament, Universidade Ceuma, Rua Josué Montello, 1, Jardim Renascença, São Luís, MA, Brazil.
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Gaş S, Ekşi Özsoy H, Cesur Aydın K. The association between sleep quality, depression, anxiety and stress levels, and temporomandibular joint disorders among Turkish dental students during the COVID-19 pandemic. Cranio 2023; 41:550-555. [PMID: 33543679 DOI: 10.1080/08869634.2021.1883364] [Citation(s) in RCA: 27] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVE This study aimed to examine the association between sleep quality, depression, anxiety and stress levels, and the frequency of temporomandibular disorders in a sample of Turkish dental students during the COVID-19 pandemic. METHODS The current cross-sectional study was conducted with 699 dental university students during the COVID-19 pandemic. Fonseca Anamnestic Index (FAI), Pittsburgh Sleep Quality Index (PSQI), and Depression Anxiety Stress Scale-21 (DASS-21) were used in the present study. RESULTS The incidence of temporomandibular joint disorders in the present study was found to be 77.5%. Female students' FAI scores were found to be statistically significantly higher than males (p < 0.05). Additionally, higher depression and anxiety and stress levels caused increased PSQI and FAI scores. CONCLUSION During the COVID-19 pandemic, increased temporomandibular joint disorders were observed with increased impaired sleep quality and higher depression, anxiety and stress levels among dental university students.
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Affiliation(s)
- Selin Gaş
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Beykent University, Istanbul, Turkey
| | - Hilal Ekşi Özsoy
- Department of Prosthodontics, Faculty of Dentistry, Beykent University, Istanbul, Turkey
| | - Kader Cesur Aydın
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Istanbul Medipol University, Istanbul, Turkey
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Yap AU, Marpaung C. Correlates between temporomandibular disorder severity, emotional distress, and eudaimonic well-being among young adults. Oral Dis 2023; 29:2780-2788. [PMID: 35942541 DOI: 10.1111/odi.14343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 07/09/2022] [Accepted: 07/23/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES This study examined the correlates between severity of temporomandibular disorders (TMDs), emotional distress, and eudaimonic well-being. SUBJECTS AND METHODS TMD severity, negative emotions, and eudaimonia were assessed with the Fonseca Anamnestic Index (FAI), Depression, Anxiety, Stress Scales-21 (DASS-21), and Psychological Well-being Scale-18 (PWBS-18) in a cohort of community young adults. Statistical evaluations were done with non-parametric tests/correlation and multivariate regression analyses (α = 0.05). RESULTS Amongst the 873 participants (mean age 19.8 ± 1.66 years), 40.7%, 49.0%, and 10.3% had no (NT), mild (MT), and moderate-to-severe (ST) TMD, respectively. Significant differences in total-DASS, depression, anxiety, and stress were ST ≥ MT > NT. Significant variances in total-PWSB and self-acceptance were NT > MT > ST while that for environmental mastery, positive relations, and purpose in life were NT > MT, ST. An inverse relationship was discerned between total-DASS and total-PWBS (correlation coefficient = -0.54). The prospect of ST was increased by anxiety but reduced by positive relations and self-acceptance. CONCLUSIONS Young adults with mild and moderate-to-severe TMD experienced substantially higher emotional distress and lower eudaimonia than those with no TMD. As emotional distress and eudaimonic well-being are interrelated, positive psychological interventions may be beneficial for managing TMD-related psychosocial disabilities.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore
- National Dental Research Institute, National Dental Centre Singapore and Duke-NUS Medical School, SingHealth, Singapore
- Department of Prosthodontics, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
| | - Carolina Marpaung
- Department of Prosthodontics, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
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Do Temporomandibular Disorder Patients with Joint Pain Exhibit Forward Head Posture? A Cephalometric Study. Pain Res Manag 2023; 2023:7363412. [PMID: 36776487 PMCID: PMC9911253 DOI: 10.1155/2023/7363412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/14/2022] [Accepted: 11/25/2022] [Indexed: 02/05/2023]
Abstract
Purpose To evaluate head and cervical posture in individuals with or without temporomandibular disorders (TMDs) and to assess the correlations between pain, severity of symptoms, and posture. Methods A total of 384 patients (129 males and 255 females) was included. The Fonseca Anamnestic Index (FAI) was used to assess the severity and prevalence of TMD and the presence of temporomandibular joint (TMJ) pain. Patients were divided into three groups: the TMD-free group, TMD without TMJ pain group, and TMD with TMJ pain group. Subsequently, the patients with TMJ pain were further divided into mild TMD and moderate/severe TMD groups. Nine parameters were traced on cephalograms to characterize the head and cervical posture. Results TMD patients with TMJ pain showed increased forward head posture (FHP) than patients without TMJ pain and TMD-free subjects. No significant difference was observed between the TMD patients without TMJ pain and TMD-free subjects. In the TMD patients with the TMJ pain group, the moderate/severe TMD patients demonstrated increased FHP compared to mild TMD patients. TMD patients with joint pain had greater CVT/RL (B = 3.099), OPT/RL (B = 2.117), and NSL/C2' (B = 4.646) than the patients without joint pain after adjusting for confounding variables (P < 0.05). Conclusion TMD patients with TMJ pain showed increased FHP compared to other groups, and FHP became more significant as TMD severity increased in male patients, indicating the FHP might play an important role in the development of TMJ pain. In the clinical assessment of TMD, the patients' abnormal head and cervical posture might be considered.
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Kaynak BA, Taş S, Salkın Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio 2023; 41:78-83. [PMID: 32840464 DOI: 10.1080/08869634.2020.1812808] [Citation(s) in RCA: 20] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To determine the reliability and diagnostic accuracy of the Turkish version of the Fonseca anamnestic index (FAI-T). METHODS The cultural equivalence of the FAI was established according to the International Network for Orofacial Pain and Related Disorders Methodology. The test-retest reliability, internal consistency, and diagnostic accuracy of the FAI-T was carried out in a sample of 66 controls and 139 patients with TMD. Diagnostic accuracy of the FAI-T was evaluated against the Research Diagnostic Criteria for Temporomandibular Disorders. RESULTS Internal consistency analysis resulted in a Cronbach's alpha coefficient of 0.805. The intraclass correlation coefficient (ICC) values of each index question ranged from 0.739 to 0.897. FAI had a high level of accuracy (area under the ROC curve of 0.928). CONCLUSION The results provide considerable evidence that the FAI-T can be used as a screening tool for the identification of TMD in Turkish-speaking populations.
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Affiliation(s)
- Besime Ahu Kaynak
- Department of Health Management, Toros University, School of Health Sciences, Mersin, Turkey
| | - Serkan Taş
- School of Health Science, Department of Physical Therapy and Rehabilitation, Toros University, Mersin, Turkey
| | - Yasemin Salkın
- School of Health Sciences, Department of Physiotherapy and Rehabilitation, Toros University, Mersin, Turkey
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Ghadirian H, Khami MR, Tabatabaei SN, mirhashemi AH, Bahrami R. COVID-19 vaccination and psychological status of Iranian dental students. Front Public Health 2022; 10:946408. [PMID: 36187676 PMCID: PMC9524372 DOI: 10.3389/fpubh.2022.946408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 08/08/2022] [Indexed: 01/21/2023] Open
Abstract
Objective The purpose of the present study was to investigate the association of COVID-19 vaccination with the quality and quantity of sleep, the level of stress, and temporomandibular joint (TMJ) disorders (TMDs) in Iranian dental students. Materials and methods In this cross-sectional research, we applied a questionnaire including 30 questions on the Perceived Stress Scale (PSS), sleep quality and quantity, Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), and vaccination status. All vaccinated students of the dental schools located in the city of Tehran were invited to participate in the study. Participants were divided into three groups: those vaccinated for less than a month, those vaccinated for 1-3 months, and those vaccinated for more than 3 months. A paired t-test served for statistical analysis. Results Overall, 171 out of 235 students (72.77%) completed the questionnaire, among which 90 individuals were fully vaccinated, and were included in the data analysis. Stress levels decreased (mean difference = -1.23, p-value = 0.002) and sleep quality and quantity improved mostly 1-3 months after the vaccination (mean difference = -0.5, p-value = 0.016). However, TMD symptoms were mostly alleviated in people vaccinated for more than 3 months (mean difference = -2.86, p-value <0.05). In this respect, no significant difference was observed between the two genders. Conclusion According to the results of the study, vaccination was associated with the improvement of psychological consequences of the COVID-19 pandemic. It is recommended that further longitudinal studies be conducted on larger sample sizes and different age groups by using various data collection methods (especially regarding the assessment of TMD).
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Affiliation(s)
- Hannaneh Ghadirian
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Reza Khami
- Research Center for Caries Prevention, Dentistry Research Institute, Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Amir Hossein mirhashemi
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Rashin Bahrami
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran,*Correspondence: Rashin Bahrami
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Yap AU, Lee DZR, Marpaung C. Negative affectivity and emotions in youths with temporomandibular disorders across cultures. Cranio 2022:1-9. [PMID: 35951310 DOI: 10.1080/08869634.2022.2107146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
OBJECTIVE The relationships between temporomandibular disorders (TMDs) and negative affectivity/emotions across cultures and the emotional predictors for TMDs in Southeast Asian youths were investigated. METHODS The presence of TMDs and negative affectivity/emotions were determined with the Fonseca Anamnestic Index (FAI) and Depression, Anxiety, Stress Scales-21 (DASS-21). Statistical evaluations were done with non-parametric and logistic regression analyses (α. RESULTS The total sample comprised 400 Singaporean and 501 Indonesian youths (mean age 19.30 ± 1.48 years; 65.0% women) of whom 47.0% and 59.3% had mild-to-severe TMDs, respectively. For both cultures, participants with TMDs had significantly greater negative affectivity, depression, anxiety, and stress than those with no TMDs. Indonesian youths also presented higher levels of emotional distress than their Singaporean counterparts. Correlations between FAI and anxiety/stress scores were moderately strong. CONCLUSION Cultural variations can influence the expression of TMDs and emotional distress. Being female and anxious increased the risk of TMDs.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore
- National Dental Research Institute Singapore, National Dental Center Singapore and Duke-NUS Medical School, Singapore Health Services, Singapore
- School of Health and Social Sciences, Nanyang Polytechnic, Singapore
- Department of Prosthodontics, Trisakti University, Jakarta, Indonesia
| | | | - Carolina Marpaung
- Department of Prosthodontics, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
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Santos LFD, Foltran-Mescollotto F, Castro-Carletti EMD, Pelai EB, Moraes MD, Rodrigues-Bigaton D, Pertille A. Strength of scapular elevation in women with TMD and asymptomatic women. BRAZILIAN JOURNAL OF ORAL SCIENCES 2022. [DOI: 10.20396/bjos.v21i00.8668356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Temporomandibular disorder (TMD) is recognized for its high prevalence, presenting characteristic signs and symptoms. Cervical spine pain is present in 70% of diagnosed TMD cases. Aim: To verify if women with TMD present changes in isometric muscle strength in the scapula elevation. Methods: This is an observational, cross-sectional study. Thirty-five women, aged 22.89±2.04 years, were divided into the TMD group (TMDG), diagnosed with TMD according to the DC/TMD, and control group (CG), with asymptomatic individuals. The volunteers accessed a online link by the smartphone in order to answer questions on personal data, the Fonseca Anamnestic Index (FAI), Neck Disability Index (NDI), and Masticatory preference. In all participants, evaluation of the force of the scapula elevation muscles was performed, using a load cell model MM-100 (Kratos® SP, Brazil). Data were analyzed descriptively using the maximum, mean, and standard deviation and a two-way ANCOVA test was applied for all variables. A significance level of 5% was considered. Results: There were no statistically significant differences between the TMDG and CG for the maximal and mean muscle strength of scapular elevation. There were statistically significant differences in FAI (p <0.001*) between the CG and the TMDG. Conclusion: Based on the results, it was not possible to confirm the hypothesis that women diagnosed with TMD present lower isometric strength during scapular elevation (right/left).
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Yap AU, Apipi M, Ismail SM, Yusof ZYM, Kadir K. Psychometric properties of the Malay Fonseca Anamnestic Index for temporomandibular disorders. Cranio 2022:1-8. [PMID: 35384792 DOI: 10.1080/08869634.2022.2059130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE This study translated/cross-culturally adapted the Fonseca Anamnestic Index (FAI) for temporomandibular disorders (TMDs) into Malay and psychometrically tested the Malay-FAI (FAI-M). METHODS The FAI-M was created according to international guidelines. Internal consistency/test-retest reliability were assessed with Cronbach's alpha/intra-class correlation (ICC) coefficients. Construct and convergent validity were appraised by relating the FAI-M to the Global Oral Health (GOH) questionnaire and Short-form Oral Health Impact Profile (S-OHIP) using Kruskal-Wallis and Spearman's rho correlation (α = 0.05). RESULTS Of the 243 participants enrolled, 54.7% (n = 133) had no TMDs, while TMDs were present in 45.3% (n = 110). The FAI-M presented very good internal consistency (α = 0.90) and test-retest reliability (ICC = 0.99). Theoretically predicted FAI-M score patterns matched the GOH categories, and strong correlations were discerned between FAI-M and S-OHIP (rs = 0.71). CONCLUSION The FAI-M exhibited good psychometric properties and can be applied in Malay-speaking populations.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore; National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-NUS Medical School, Singapore Health Services, Singapore
| | - Muzaffar Apipi
- Department of Oral and Maxillofacial Surgery, Slim River Hospital, Perak, Malaysia
| | - Siti Mazlipah Ismail
- Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Zamros Yuzadi Mohd Yusof
- Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Kathreena Kadir
- Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
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Uçar İ, Batın S, Arık M, Payas A, Kurtoğlu E, Karartı C, Seber T, Çöbden SB, Taşdemir H, Unur E. Is scoliosis related to mastication muscle asymmetry and temporomandibular disorders? A cross-sectional study. Musculoskelet Sci Pract 2022; 58:102533. [PMID: 35217300 DOI: 10.1016/j.msksp.2022.102533] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 01/20/2022] [Accepted: 02/17/2022] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Patients with adolescent idiopathic scoliosis (AIS) may face motor control problems and health disability barriers during mandibular movements and chewing. However, studies investigating the extent of these disadvantages, and possible associated factors are quite limited in patients with AIS. This study was conducted to gain a deeper perspective on the effect of AIS on temporomandibular disorders (TMD) and to contribute to the small amount of data on this subject. METHODS Twenty-nine patients with AIS and 29 age- and sex-matched asymptomatic controls participated in this cross-sectional study. Cobb's method was used to measure scoliosis curves. In both groups, the volume of the masseter muscle was determined on magnetic resonance imaging, and Helkimo and Fonseca anamnestic indexes were used to evaluate temporomandibular joint (TMJ). RESULTS It was observed that the TMD symptoms were higher in the AIS group (22.6- Helkimo and 1.2 - Fonseca) than the asymptomatic group (13.6 - Helkimo and 0.7 - Fonseca). There was no significant asymmetry in masseter volume in patients with AIS, however the volume of the masseter muscles was smaller in the AIS group (R = 14.6/L = 13.6) compared to the control group (R = 16.1/L = 16.2). CONCLUSIONS The study results indicate that spinal curvatures affect the anatomical, biomechanical, and kinesiological features of the masticatory system, and individuals with AIS may experience more chewing problems than asymptomatic individuals. Examining musculoskeletal properties of masticatory system can provide information about the limitation of the TMJ in patients with AIS.
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Affiliation(s)
- İlyas Uçar
- Erciyes University, Faculty of Medicine, Department of Anatomy, Turkey.
| | - Sabri Batın
- Kayseri Training and Research Hospital, Department of Orthopaedics and Traumatology, Turkey
| | - Mustafa Arık
- Pınarbaşı State Hospital, Department of Orthopaedics and Traumatology, Turkey
| | - Ahmet Payas
- Hitit University, Sungurlu Vocational School, Department of Therapy and Rehabilitation, Turkey
| | - Erdal Kurtoğlu
- Erciyes University, Faculty of Medicine, Department of Anatomy, Turkey
| | - Caner Karartı
- Kırşehir Ahi Evran University, Department of Physiotherapy and Rehabilitation, Turkey
| | - Turgut Seber
- Kayseri Training and Research Hospital, Department of Pediatric Radiology, Turkey
| | - Serap Bulut Çöbden
- Kayseri Training and Research Hospital, Department of Otolaryngology, Turkey
| | - Hande Taşdemir
- Erciyes University, Faculty of Medicine, Department of Anatomy, Turkey
| | - Erdoğan Unur
- Erciyes University, Faculty of Medicine, Department of Anatomy, Turkey
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Yarasca-Berrocal E, Huamani-Echaccaya J, Tolmos-Valdivia R, Tolmos-Regal L, López-Gurreonero C, Cervantes-Ganoza LA, Cayo-Rojas CF. Predictability and Accuracy of the Short-Form Fonseca Anamnestic Index in Relation to the Modified Helkimo Index for the Diagnosis of Temporomandibular Disorders: A Cross-Sectional Study. J Int Soc Prev Community Dent 2022; 12:178-188. [PMID: 35462743 PMCID: PMC9022391 DOI: 10.4103/jispcd.jispcd_227_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 09/05/2021] [Accepted: 10/05/2021] [Indexed: 11/17/2022] Open
Abstract
Aim The aim of this study was to evaluate the predictability and accuracy of the Short-Form Fonseca Anamnestic Index (SFAI) in relation to the modified Helkimo Index for the diagnosis of temporomandibular disorders (TMDs). Materials and Methods A cross-sectional, prospective, and analytical predictive study was conducted in 240 students of a public institute of higher technological education in Ica, Peru during the months of February to May 2018. The SFAI of 10 closed questions and the Helkimo Index modified by Maglione (gold standard) were used as instruments to diagnose TMDs. For the analysis of concordance between both instruments, Cohen's Kappa Index was applied. To evaluate the association according to gender and age group, Pearson's chi-square test was used. For validity of the SFAI in relation to accuracy, sensitivity and specificity were calculated, and they were verified by receiver operating characteristics (ROC) to determine the best cutoff points (area under the curve [AUC]) considering a P value < 0.05. Regarding the predictability of the SFAI, the positive and negative predictive value was calculated by applying Bayes' theorem. Results The SFAI was highly significantly associated with the modified Helkimo Index according to gender (P < 0.001), age group (P < 0.001), and overall (P < 0.001) moderate overall agreement (k = 0.416; 95% confidence interval [CI] = 0.287-0.545); better concordance was obtained in individuals older than 20 years (k = 0.490, CI = 0.302-0.679) and women (k = 0.565, CI = 0.371-0.759). The ROC curve analysis of the SFAI showed good accuracy (0.852, CI = 0.800-0.905) and was highly significant (P < 0.001), with an optimal cutoff point of 17.5 and good sensitivity (80.10%) and specificity (74.36%). In addition, a very good positive predictive value (PPV) (94.15%) and a fair negative predictive value (NPV) (42.02%) were obtained. Conclusions Although there was moderate concordance between the SFAI and the modified Helkimo Index for the diagnosis of TMDs, the SFAI obtained good accuracy in the overall analysis of sensitivity and specificity. In addition, it demonstrated a high predictive efficacy for detecting positive TMD cases, whereas its ability to rule out positive cases was fair.
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Affiliation(s)
| | | | - Rita Tolmos-Valdivia
- Academic Program of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru
| | - Luis Tolmos-Regal
- Faculty of Human Medicine Daniel Alcides Carrión, Universidad Nacional San Luis Gonzaga de Ica, Ica, Peru
| | | | | | - César F. Cayo-Rojas
- Academic Program of Stomatology, Universidad Privada San Juan Bautista, Ica, Peru
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Association between Self-Reported Bruxism, Peripartum Depression and Myogenous Temporomandibular Disorders among Postpartum Women in Turkey. BALKAN JOURNAL OF DENTAL MEDICINE 2021. [DOI: 10.2478/bjdm-2021-0022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Summary
Background/Aim: It is possible to find studies in the literature evaluating the relationship among self-reported bruxism, psychological factors, and myogenous temporomandibular disorder. In addition, the relationship between these issues has not yet been clarified. The objective of this study was to evaluate the association between peripartum depression, self-reported bruxism, and myogenous temporomandibular disorders among postpartum women in Turkey.
Material and Methods: This study included 220 women, whom were asked about their bruxism behaviour during day and during sleep. Besides, all of them assessed with Short-Form Fonseca’s Anamnestic Index for myogenous temporomandibular disorder and the Edinburgh postnatal depression scale for peripartum depression.
Results: The results showed that, self-reported bruxism was observed at a statistically significantly higher rate (94.3%) in peripartum depression group. 86.5% of the patients with self-reported bruxism had myogenous temporomandibular disorder (p<0.001). As a result, 80.0% of the patients with peripartum depression had myogenous temporomandibular disorder (p<0.001).
Conclusions: In conclusion, a significant relationship has been found between peripartum depression and self-reported bruxism, self-reported bruxism and myogenous temporomandibular disorder, and peripartum depression and myogenous temporomandibular disorder. The present study is the first to evaluate the relationship between peripartum depression, self-reported bruxism, and myogenous temporomandibular disorder so it could be considered as a pilot attempt, and further studies using more representative samples are encouraged.
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Yap AU, Zhang MJ, Cao Y, Lei J, Fu KY. Comparison of psychological states and oral health-related quality of life of patients with differing severity of temporomandibular disorders. J Oral Rehabil 2021; 49:177-185. [PMID: 34185873 DOI: 10.1111/joor.13216] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 05/23/2021] [Accepted: 06/24/2021] [Indexed: 01/05/2023]
Abstract
BACKGROUND Studies on temporomandibular disorder (TMD) severity in patient populations are scarce. OBJECTIVES This study sought to compare the psychological states and oral health-related quality of life (OHRQoL) among patients with differing TMD severity. METHODS Adult patients (≥18 years old) with and without (controls) TMDs were recruited from the TMD/oro-facial pain centre and prosthodontics department, respectively. The presence and severity of TMDs were established with the Fonseca Anamnestic Index (FAI), and TMD diagnoses were confirmed with the Diagnostic Criteria for TMDs (DC/TMD). Psychological states and OHRQoL were examined with the Depression, Anxiety, Stress Scales-21 (DASS-21) and Oral Health Impact Profile for TMDs (OHIP-TMD). Data were subjected to chi-square, Kruskal-Wallis/Mann-Whitney U tests and Spearman's correlation (α = .05). RESULTS A total of 961 participants with a mean age of 32.99 ± 13.14 years (71.19% women) were assessed. Frequencies of the various TMD categories were as follows: no TMD/controls (12.07%), mild TMD (24.56%), moderate TMD (40.37%) and severe TMD (23.00%). The three most common TMD-related symptoms were TMJ noises, mouth opening difficulty and muscle pain. Participants with moderate/severe TMD presented a higher proportion of intra-articular and/or combined disorders. They reported significantly higher levels of depression, anxiety, stress and poorer OHRQoL than their counterparts with no/mild TMD (p < .001). Moderate-to-strong correlations were observed between FAI and DASS-21/OHIP-TMD scores (rs = 0.42-0.72). CONCLUSIONS Patients with moderate/severe TMD had significantly higher levels of psychological disturbance and poorer OHRQoL. As OHRQoL and psychological states are correlated, psychological well-being must be considered when managing patients with moderate/severe TMDs.
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Affiliation(s)
- Adrian Ujin Yap
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China.,Department of Dentistry, Faculty of Dentistry, Ng Teng Fong General Hospital, National University Health System, Singapore City, Singapore.,Duke-NUS Medical School, National Dental Centre Singapore, National Dental Research Institute Singapore, Singapore Health Services, Singapore City, Singapore
| | - Min-Juan Zhang
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China.,Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China.,National Clinical Research Center for Oral Diseases, Beijing, China.,National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China.,Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Ye Cao
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China.,Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China.,National Clinical Research Center for Oral Diseases, Beijing, China.,National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China.,Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Jie Lei
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China.,Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China.,National Clinical Research Center for Oral Diseases, Beijing, China.,National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China.,Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Kai-Yuan Fu
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China.,Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China.,National Clinical Research Center for Oral Diseases, Beijing, China.,National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China.,Beijing Key Laboratory of Digital Stomatology, Beijing, China
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Yap AU, Chen C, Wong HC, Yow M, Tan E. Temporomandibular disorders in prospective orthodontic patients. Angle Orthod 2021; 91:377-383. [PMID: 33534890 DOI: 10.2319/010720-863.1] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2020] [Accepted: 12/01/2020] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVES To determine the prevalence and severity of temporomandibular disorders (TMDs) in prospective orthodontic patients. The association between TMDs and malocclusion severity as well as the impact of TMDs on oral health-related quality of life (OHRQoL) were also examined. MATERIALS AND METHODS A total of 350 consecutive patients seeking orthodontic treatment were invited to participate in the study. The presence of TMDs was established with the Fonseca Anamnestic Index (FAI), while malocclusion severity and OHRQoL were evaluated using the Peer Assessment Rating (PAR) index and Oral Health Impact Profile-14 (OHIP-14), respectively. Data were analyzed using chi-square, Kruskal-Wallis, and Mann-Whitney U tests and Spearman's correlation (P < .05). RESULTS Of the 350 patients, 164 consented to participation. Data from 26 participants were excluded because of incomplete entries, and that from 138 subjects (mean age 21.02 ± 5.45 years) were examined. TMD-related symptoms were present in two-thirds of the subjects, with 20.3% experiencing moderate/severe TMDs. While no significant difference in PAR scores were observed between the group with no TMDs and those with TMDs, subjects with TMDs had significantly higher OHIP-14 summary/domain scores than those without TMDs. Although a moderately strong correlation was observed between the FAI and summary OHIP-14 scores (rs = 0.57), no association was observed between FAI and PAR index scores. CONCLUSIONS The prevalence of TMD-related symptoms in prospective orthodontic patients was high, emphasizing the importance of screening the masticatory system before initiating orthodontic therapy. Although the presence of TMDs was not associated with malocclusion severity, it had a significant negative impact on OHRQoL.
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Yap AU, Sultana R, Natu VP. Stress and emotional distress: their associations with somatic and temporomandibular disorder-related symptoms. PSYCHOL HEALTH MED 2021; 27:876-887. [PMID: 33879010 DOI: 10.1080/13548506.2021.1908571] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Although Asians are posited to be predisposed to somatization, studies on the inter-relationships between emotional and physical symptoms in Asian youths are still limited. This study determined the associations between emotional, somatic, and Temporomandibular Disorder (TMD)-related symptoms in Asian youths. Youths were recruited from a local polytechnic and the prevalence/severity of emotional distress was ascertained with the Depression, Anxiety, and Stress Scale-21. Somatic and TMD-related symptoms were appraised with the Patient Health Questionnaire-15 and Fonseca Anamnestic Index. Data were analysed using non-parametric statistical and logistic regression analysis (p < 0.05). The study sample (n = 400; 209 females) had a mean age of 18.7 ± 1.7 years. Moderate-to-severe depression, anxiety, and stress were present in 31.0%, 36.8%, and 16.5% of the subjects respectively. Subjects with moderate-to-severe emotional distress had significantly higher somatic and TMD symptom scores (p < 0.001). Correlations between emotional and somatic/TMD symptom scores were moderately strong (rs = 0.46-0.61). Stepwise logistic regression indicated that moderate-to-severe somatization was associated with the female gender, anxiety, and stress, and moderate-to-severe TMDs were related to somatization and stress. Asian youths with elevated emotional distress experienced significantly higher levels of somatic and TMD-related symptoms. The stress construct appears to pose a greater risk for somatization and TMDs than depression and anxiety.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore.,National Dental Research Institute, National Dental Centre Singapore and Duke-NUS Medical School, SingHealth, Singapore.,School of Health and Social Sciences, Nanyang Polytechnic, Singapore
| | | | - Vaishali Prakash Natu
- School of Health and Social Sciences, Nanyang Polytechnic, and Faculty of Dentistry, National University of Singapore, Singapore
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Yap AU, Zhang MJ, Lei J, Fu KY. Diagnostic accuracy of the short-form Fonseca Anamnestic Index in relation to the Diagnostic Criteria for Temporomandibular Disorders. J Prosthet Dent 2021; 128:977-983. [PMID: 33795162 DOI: 10.1016/j.prosdent.2021.02.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 02/22/2021] [Accepted: 02/23/2021] [Indexed: 01/31/2023]
Abstract
STATEMENT OF PROBLEM Screening for temporomandibular disorders (TMDs) is important in research and clinical practice. The short-form Fonseca Anamnestic Index (SFAI) was recently introduced but had only been validated for muscle disorders. PURPOSE The purpose of this clinical study was to determine the diagnostic accuracy of the SFAI and its discrete and pooled items in relation to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) benchmark. MATERIAL AND METHODS A total of 866 consecutive participants with TMDs and 57 TMD-free controls (aged ≥18 years) were recruited. The participants (n=923; mean age 32.8 ±13.3 years; women 79.2%) answered the FAI, and TMD diagnoses were derived based on the DC/TMD protocol and algorithms. The 5-item SFAI, which comprised 2 pain-related and 3 function-related TMD questions, was subsequently acquired and assessed with reference to the DC/TMD diagnoses. The receiver operating characteristics (ROC) was used to verify accuracy (area under the curve [AUC]) and the best cutoff points. Sensitivity, specificity, predictive values, and likelihood ratios were also examined. RESULTS Pain-related (PT) and intra-articular (IT) TMDs were present in 48.3% (446/923) and 82.7% (763/923) of the participants, respectively. The SFAI demonstrated high accuracy for identifying all TMDs, PT, and IT (AUC of 0.97, 0.99, and 0.97, respectively). The best cutoff points were 12.5 for all TMDs/IT and 17.5 for PT. Sensitivity of the SFAI ranged from 90.7% to 97.5% while specificity varied from 93.0% to 96.5%, with the highest values for PT. As positive predictive values (99.4% to 99.5%) were greater than negative ones (41.7% to 83.3%), the SFAI was better at detecting the presence than the absence of TMDs. With reference to PT, the sensitivity, and specificity of the 2 discrete and pooled pain-related questions (questions 3 and 4), extended from 82.3% to 99.3% and 77.2% to 96.5% respectively. With regard to IT diagnoses, sensitivity and specificity ranged from 56.0% to 98.3% and 86.0% to 98.3% for the 3 discrete and pooled function-related items (questions 1, 2, and 5). CONCLUSIONS The SFAI presented high degrees of diagnostic accuracy in relation to the DC/TMD and can be used for screening TMDs. SFAI scores between 15 and 50 points should be used to identify the presence of TMDs, with scores ≥20 points specifying possible pain-related TMDs.
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Affiliation(s)
- Adrian Ujin Yap
- Guest Academic, Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, PR China; Clinical Associate Professor, Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore; Adjunct Associate Professor, National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-NUS Medical School, SingHealth, Singapore
| | - Min-Juan Zhang
- Research Associate, Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, PR China; National Clinical Research Center for Oral Diseases, Beijing, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, PR China; Beijing Key Laboratory of Digital Stomatology, Beijing, PR China
| | - Jie Lei
- Associate Professor, Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, PR China; National Clinical Research Center for Oral Diseases, Beijing, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, PR China; Beijing Key Laboratory of Digital Stomatology, Beijing, PR China
| | - Kai-Yuan Fu
- Professor, Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, PR China; National Clinical Research Center for Oral Diseases, Beijing, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, PR China; Beijing Key Laboratory of Digital Stomatology, Beijing, PR China.
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Faria-Fortini I, Polese JC, Faria CDCM, Scianni AA, Nascimento LR, Teixeira-Salmela LF. Fall Efficacy Scale-International cut-off score discriminates fallers and non-fallers individuals who have had stroke. J Bodyw Mov Ther 2021; 26:167-173. [PMID: 33992239 DOI: 10.1016/j.jbmt.2020.12.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 11/12/2020] [Accepted: 12/01/2020] [Indexed: 01/01/2023]
Abstract
BACKGROUND Falls, which are common events after stroke, may lead to activity limitations and increased dependence. It is important to identify which commonly employed clinical measures could differentiate individuals, who are fallers from the non-fallers. AIM To investigate specific cut-off values of clinical measures that could discriminate fallers and non-fallers individuals with chronic stroke. METHOD This cross-sectional study involved 105 community-dwelling individuals with stroke. The primary outcome was report of falls over the last six months. The clinical predictors included measures of mobility (walking speed, stair ascent/descent cadences, time to perform the Timed Up and Go test, and ABILOCO) and the Fall Efficacy Scale - International (FES-I) scores. To identify which measures were able to detect between-group differences, independent Student's t-tests were employed. For measures which were able to discriminate fallers from the non-fallers, the Receiver Operating Characteristics (ROC) and the Area Under the ROC Curve (AUC) were calculated. RESULTS Out of the 105 participants (61 men), 41% reported falls over the previous 6 months. Stair ascent cadence, ABILOCO, and FES-I scores significantly differentiated the groups, but only the FES-I demonstrated acceptable discriminatory ability (AUC = 0.71). The optimal FES-I cut-off score was 28 points (sensitivity = 0.71; specificity = 0.57; positive predictive value = 51%; and negative predictive value = 74%). CONCLUSIONS The FES-I demonstrated good discriminatory ability to classify individuals with chronic stroke, who were fallers from the non-fallers. The use of the established cut-off value of 28 points is recommended and may help clinical reasoning and decision-making in stroke rehabilitation.
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Affiliation(s)
- Iza Faria-Fortini
- Department of Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
| | - Janaíne C Polese
- Department of Physical Therapy, Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil
| | - Christina D C M Faria
- Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Aline Alvim Scianni
- Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Lucas R Nascimento
- Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Vitória, Brazil
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Stasiak G, Maracci LM, de Oliveira Chami V, Pereira DD, Tomazoni F, Bernardon Silva T, Ferrazzo V, Marquezan M. TMD diagnosis: Sensitivity and specificity of the Fonseca Anamnestic Index. Cranio 2020; 41:199-203. [PMID: 33108257 DOI: 10.1080/08869634.2020.1839724] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To verify whether the Fonseca Anamnestic Index (FAI) has adequate sensitivity and specificity to be used in the diagnosis of temporomandibular disorder (TMD). METHODS Two hundred-sixty-five participants with symptoms of TMDs were assessed through the FAI and through the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and then classified as sick or non-sick. The sensitivity, specificity, and predictive values of the FAI in relation to the RDC/TMD were calculated using the STATA 14.0 software. RESULTS Most of the patients were female, white, without a steady job, and the average age was 37.57 years. The FAI showed high sensitivity (97.21%) but obtained a low specificity (26.00%). The positive and negative predictive values were 84.96% and 68.42%, respectively. CONCLUSION The FAI is very sensitive in identifying patients who actually have TMD but not very specific in identifying non-TMD patients, being indicated only for initial screening of patients.
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Affiliation(s)
| | - Lucas Machado Maracci
- Post-graduate Student in Dental Sciences, Federal University of Santa Maria, RS, Brazil
| | | | | | - Fernanda Tomazoni
- Department of Stomatology, Federal University of Santa Maria, RS, Brazil
| | | | | | - Mariana Marquezan
- Department of Stomatology, Federal University of Santa Maria, RS, Brazil
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26
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Pelai EB, Foltran-Mescollotto F, de Castro-Carletti EM, de Moraes M, Rodrigues-Bigaton D. Comparison of the pattern of activation of the masticatory muscles among individuals with and without TMD: A systematic review. Cranio 2020; 41:102-111. [PMID: 33073743 DOI: 10.1080/08869634.2020.1831836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To verify the characteristics of the electromyographic signal of masticatory muscles in individuals with TMD and asymptomatic individuals. METHODS A systematic review was carried out, selecting cross-sectional studies with at least one electromyographic parameter (FM; iEMG; RMS) of the masticatory muscles (anterior temporal, bilateral masseter, and suprahyoid muscles) of individuals with TMD compared to asymptomatic individuals. RESULTS This review identified 1656 titles, of which 30 articles were included in the final analysis. It was observed that the data referring to the pattern of activation of masticatory muscles in the rest, isometry, and isotonic conditions of individuals with TMD are heterogeneous. This fact may be related to variability in the methods and analyses applied in the studies. CONCLUSION Data referring to the pattern of activation of masticatory muscles in the rest and isometry conditions and in the mastication cycle of individuals with TMD and asymptomatic individuals are diverse.
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Affiliation(s)
- Elisa Bizetti Pelai
- Post-Graduate Program in Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, Brazil
| | - Fabiana Foltran-Mescollotto
- Graduate Program in Human Movement Sciences, Methodist University of Piracicaba - UNIMEP, Piracicaba, Brazil
| | | | - Marcio de Moraes
- Post-Graduate Program in Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, Brazil
| | - Delaine Rodrigues-Bigaton
- Post-Graduate Program in Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, Brazil
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27
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Transcultural Adaptation and Validation of the Fonseca Anamnestic Index in a Spanish Population with Temporomandibular Disorders. J Clin Med 2020; 9:jcm9103230. [PMID: 33050338 PMCID: PMC7600423 DOI: 10.3390/jcm9103230] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 10/03/2020] [Accepted: 10/06/2020] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The Fonseca Anamnestic Index (FAI) offers a simple method to screen temporomandibular disorders (TMD). This study aimed to validate the Spanish version of the FAI in patients with TMD. METHODS The sample consisted of 125 subjects (66 TMD and 59 controls) aged over 18 years. Construct validity, internal consistency, test-retest reliability, concurrent validity and capacity to discriminate between TMD and healthy subjects were analyzed. RESULTS The Spanish version of the FAI showed a structure formed by three factors. Cronbach's alpha was 0.826. The reliability of the items varied between substantial to almost perfect and was excellent for the total score (intraclass correlation coefficient = 0.937). The standard error of measurement (SEM) was 6.52, with a minimum detectable change (MDC) of 12.78. FAI score showed a significant correlation with headache, neck pain and vertigo measurements. A cut-off point >35 showed a sensitivity = 83.33% and a specificity = 77.97% in differentiating between healthy and TMD patients, with an area under the curve (AUC) = 0.865. CONCLUSIONS The Spanish version of the FAI is a valid and reliable instrument for diagnosing people with TMD, with appropriate general clinimetric properties. Discrimination between patients with and without TMD is excellent.
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Alyessary AS, Yap AU, Almousawi A. The Arabic Fonseca Anamnestic Index: Psychometric properties and use for screening temporomandibular disorders in prospective orthodontic patients. Cranio 2020; 41:131-138. [PMID: 33000996 DOI: 10.1080/08869634.2020.1827627] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE This study aimed to develop/evaluate the psychometric properties of the Arabic Fonseca Anamnestic Index (FAI-A) and estimate the prevalence of TMDs in prospective orthodontic patients. METHODS The FAI-A was derived by forward-backward translation/cross-cultural adaption of the English FAI. Psychometric assessment of the FAI-A was performed with 308 orthodontic patients. Reliability was established via internal consistency and test-retest techniques, whereas, validity was verified by construct and convergent validity. RESULTS Cronbach's alpha value for the FAI-A was 0.77, and the intraclass correlation coefficient was 0.99. For construct validity, the distribution of eigenvalues indicated that three items (mouth opening difficulty, jaw movement difficulty, and jaw fatigue) accounted for 60.5% of the total variance observed. For convergent validity, the FAI-A items were significantly correlated to the global question. CONCLUSION The FAI-A showed good reliability/validity and may be useful for screening TMDs. About 17% of prospective orthodontic patients presented with moderate-to-severe TMD symptoms.
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Affiliation(s)
- Akram S Alyessary
- Department of Prosthodontics Dentistry, College of Dentistry, University of Kerbala, Iraq
| | - Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital, National University Health System, Singapore
- Faculty of Dentistry, National University of Singapore, Singapore
- Duke-NUS Medical School, Singapore
- National Dental Research Institute Singapore, National Dental Centre Singapore
| | - Ali Almousawi
- Department of Family and Community Medicine, College of Medicine, University of Kerbala, Iraq
- Department of Prosthodontics Dentistry, Department of Family and Community MedicineCollege of Dentistry, University of Kerbala, Iraq
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Yap AU, Natu VP. Inter‐relationships between pain‐related temporomandibular disorders, somatic and psychological symptoms in Asian youths. J Oral Rehabil 2020; 47:1077-1083. [DOI: 10.1111/joor.13033] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 05/25/2020] [Accepted: 05/28/2020] [Indexed: 12/11/2022]
Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry Ng Teng Fong General HospitalNational University Health System Singapore Singapore
- Faculty of Dentistry National University of Singapore Singapore Singapore
- Duke‐NUS Medical School Singapore Singapore
- National Dental Research Institute SingaporeNational Dental Centre Singapore Singapore
- School of Health ScienceNanyang Polytechnic Singapore Singapore
| | - Vaishali Prakash Natu
- Faculty of Dentistry National University of Singapore Singapore Singapore
- School of Health ScienceNanyang Polytechnic Singapore Singapore
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Dos Santos DM, Politti F, de Azevedo LMA, de Cassia das Neves Martins R, Ricci FC, Masuda KSY, do Nascimento EMM, Spinato IL, de Paula Gomes CAF, Biasotto-Gonzalez DA. Association between convergence insufficiency and temporomandibular disorder cross-sectional study. Clin Oral Investig 2020; 25:851-858. [PMID: 32500402 DOI: 10.1007/s00784-020-03372-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 05/24/2020] [Indexed: 02/07/2023]
Abstract
OBJECTIVES Evaluate whether there is an association between convergence insufficiency and temporomandibular disorder (TMD) and whether there is an association between pain and range of motion in different degrees of TMD. METHODS We evaluated 138 individuals with TMD and 46 without TMD using the Research Diagnostic Criteria for temporomandibular disorders, the Fonseca Anamnestic Index (FAI), Numeric Pain Rating Scale, and the measurement of mandibular range of motion (ROM). Convergence insufficiency was diagnosed using the convergence test and Convergence Insufficiency Symptom Survey. Analysis of variance was used to compare age and mandibular ROM. The Kruskal-Wallis was used to compare mandibular ROM and pain between groups. The chi-square test was used to evaluate associations between TMD subgroups and the FAI, sex, and ocular convergence. RESULTS The majority of individuals without TMD did not exhibit convergence insufficiency. The frequency convergence insufficiency was significantly higher among individuals with severe TMD (p < 0.003). Mean pain severity differed between individuals with and without TMD. Mandibular ROM diminished with the increase in TMD severity. CONCLUSIONS Convergence insufficiency, age, the increase in pain, and the reduction in mandibular range of motion were associated with the degrees of TMD severity. Despite the significant associations between convergence insufficiency and both pain and TMD severity, these variables cannot be indicated as predictive factors due to the low variability in the linear regression analysis. CLINICAL RELEVANCE The present findings can assist in decision making regarding the treatment of severe TMD and the evaluation of ocular convergence.
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Affiliation(s)
- Douglas Meira Dos Santos
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil
| | - Fabiano Politti
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil
| | - Ludmila Menezes Alves de Azevedo
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil
| | - Rita de Cassia das Neves Martins
- Physical Therapy Department, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil
| | - Felipe Cunha Ricci
- Physical Therapy Department, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil
| | - Kelly Sayuri Yun Masuda
- Physical Therapy Department, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil
| | | | - Itana Lisane Spinato
- Postgraduate Program in Morphofunctional Sciences, Universidade Federal do Ceará, Av. da Universidade, 2853, Benfica, Fortaleza, CE, 60020-181, Brazil
| | - Cid Andre Fidelis de Paula Gomes
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil
| | - Daniela Aparecida Biasotto-Gonzalez
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho-UNINOVE, Rua Vergueiro, 235/249, Liberdade, São Paulo, SP, 01504-001, Brazil.
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von Piekartz H, Schwiddessen J, Reineke L, Armijo-Olivio S, Bevilaqua-Grossi D, Biasotto Gonzalez DA, Carvalho G, Chaput E, Cox E, Fernández-de-Las-Peñas C, Gadotti IC, Gil Martínez A, Gross A, Hall T, Hoffmann M, Julsvoll EH, Karegeannes M, La Touche R, Mannheimer J, Pitance L, Rocabado M, Strickland M, Stelzenmüller W, Speksnijder C, van der Meer HA, Luedke K, Ballenberger N. International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study. J Oral Rehabil 2020; 47:685-702. [PMID: 32150764 DOI: 10.1111/joor.12959] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2019] [Revised: 02/11/2020] [Accepted: 02/25/2020] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To identify assessment tools used to evaluate patients with temporomandibular disorders (TMD) considered to be clinically most useful by a panel of international experts in TMD physical therapy (PT). METHODS A Delphi survey method administered to a panel of international experts in TMD PT was conducted over three rounds from October 2017 to June 2018. The initial contact was made by email. Participation was voluntary. An e-survey, according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), was posted using SurveyMonkey for each round. Percentages of responses were analysed for each question from each round of the Delphi survey administrations. RESULTS Twenty-three experts (completion rate: 23/25) completed all three rounds of the survey for three clinical test categories: 1) questionnaires, 2) pain screening tools and 3) physical examination tests. The following was the consensus-based decision regarding the identification of the clinically most useful assessments. (1) Four of 9 questionnaires were identified: Jaw Functional Limitation (JFL-8), Mandibular Function Impairment Questionnaire (MFIQ), Tampa Scale for Kinesiophobia for Temporomandibular disorders (TSK/TMD) and the neck disability index (NDI). (2) Three of 8 identified pain screening tests: visual analog scale (VAS), numeric pain rating scale (NRS) and pain during mandibular movements. (3) Eight of 18 identified physical examination tests: physiological temporomandibular joint (TMJ) movements, trigger point (TrP) palpation of the masticatory muscles, TrP palpation away from the masticatory system, accessory movements, articular palpation, noise detection during movement, manual screening of the cervical spine and the Neck Flexor Muscle Endurance Test. CONCLUSION After three rounds in this Delphi survey, the results of the most used assessment tools by TMD PT experts were established. They proved to be founded on test construct, test psychometric properties (reliability/validity) and expert preference for test clusters. A concordance with the screening tools of the diagnostic criteria of TMD consortium was noted. Findings may be used to guide policymaking purposes and future diagnostic research.
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Affiliation(s)
- Harry von Piekartz
- Department Physical Therapy and Rehabilitation science, University of Applied Science Osnabrück, Osnabrück, Germany
| | - Julius Schwiddessen
- Department Physical Therapy and Rehabilitation science, University of Applied Science Osnabrück, Osnabrück, Germany
| | - Lukas Reineke
- Department Physical Therapy and Rehabilitation science, University of Applied Science Osnabrück, Osnabrück, Germany
| | - Susan Armijo-Olivio
- Faculty of Rehabilitation Medicine, Faculty of Medicine and Dentistry Rehabilitation Research Center, University of Alberta, Edmonton Institute of Health Economics (IHE), Edmonton, AB, Canada
| | | | | | - Gabriela Carvalho
- Lübeck University and Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,University of São Paulo, São Paulo, Brazil
| | - Eve Chaput
- University of Montreal and Western University, Montreal, QC, Canada.,Quebec Association of Orthopedic Manual Physiotherapy (AQPMO), Montreal, QC, Canada
| | - Erin Cox
- Kinatex Sports Physio, Laval, QC, Canada
| | - Cesar Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain.,Cátedra de Docencia, Clínica e Investigación en Fisioterapia: Terapia Manual, Punción Seca y Ejercicio Terapéutico - University Rey Juan Carlos of Madrid, Madrid, Spain
| | - Inae Caroline Gadotti
- Department of Physical Therapy, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, USA
| | | | - Anita Gross
- Rehabilitation Sciences - McMaster University, Hamilton, ON, Canada
| | - Toby Hall
- Curtin University, Perth, WA, Australia.,University of Western Australia, Perth, WA, Australia
| | | | | | | | - Roy La Touche
- Departamento de Fisioterapia, Centro Superior de Estudios - Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.,Grupo de Investigación Motion in Brains, Instituto de Neurociencia y Ciencias del Movimiento (INCIMOV), Centro Superior de Estudios, Universitarios La Salle - Universidad Autónoma de Madrid, Madrid, Spain.,Instituto de Neurociencia y Dolor Craneofacial (INDCRAN), Madrid, Spain
| | - Jeffrey Mannheimer
- Delaware Valley Physical Therapy Associates, New Jersey, NJ, USA.,Department of Regenerative and Rehabilitation Medicine, Columbia University, New York, NY, USA.,Physical Therapy Board of Craniofacial & Cervical Therapeutics Office for physical therapy, Lawrenceville, NJ, USA
| | - Laurent Pitance
- Faculté des Sciences de la Motricité FSM, Institut de Recherche Expetimentale et Clinique (IREC), Laboratoire de Neuro musculo squelettique (NMSK) - University catholic of Louvain, Neuve, Belgium
| | - Mariano Rocabado
- Dean Faculty of Rehabilitation Science, University Andrés Bello, Santiago, Chile
| | - Mark Strickland
- Operations Central Texas, For Health Sciences - University of St. Augustine, St. Augustine, FL, USA
| | | | - Caroline Speksnijder
- Division Surgical Specialty, Oral and Maxillofacial Surgery and Special Dental Care, Head and Neck Surgical Oncology - University Medical Center Utrecht, Utrecht, The Netherlands
| | - Hedwig Aleida van der Meer
- Centre for Applied Research on Education - Amsterdam University of Applied Sciences, Amsterdam Centre for Innovative Health Practice (ACHIEVE), Amsterdam, The Netherlands
| | - Kerstin Luedke
- Department of Physical Therapy, University Lübeck, Lübeck, Germany
| | - Nicolaus Ballenberger
- Department Physical Therapy and Rehabilitation science, University of Applied Science Osnabrück, Osnabrück, Germany
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32
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Yap AU, Qiu LY, Natu VP, Wong MC. Functional, physical and psychosocial impact of Temporomandibular Disorders in adolescents and young adults. Med Oral Patol Oral Cir Bucal 2020; 25:e188-e194. [PMID: 31893474 PMCID: PMC7103440 DOI: 10.4317/medoral.23298] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 09/16/2019] [Indexed: 11/23/2022] Open
Abstract
Background This community-based study investigated the functional, physical and psychosocial impact of Temporomandibular Disorders (TMDs) in adolescents and young adults. It also determined the discriminative capacity of a TMDs-specific oral health related quality of life (OHRQoL) instrument and compared three formats of appraising OHRQoL data.
Material and Methods Subjects were recruited from a local Polytechnic. The presence of TMDs was established with the Fonseca Anamnestic Index (FAI), whilst TMDs-specific OHRQoL was evaluated with the Oral Health Impact Profile–TMDs (OHIP-TMDs). Demographic information, FAI and OHIP-TMDs responses were gathered with an on-line questionnaire. Data was analysed using Mann-Whitney U-test, chi-square test and Spearman’s rho correlation with significance level set at 0.05.
Results Data from a total of 244 participants were compiled and examined. The “no TMDs” (NT) group consisted of 140 subjects (119 females; 21 males) with a mean age of 20.41±3.29 years, while the “with TMDs” (WT) group composed of 104 subjects (88 females; 16 males) aged 19.82±3.04 years. Significant differences in median severity scores were observed between subjects with and without TMDs for all OHIP-TMDs domains and total OHIP (p values < 0.001). For appraisal of extent and prevalence, significant differences were again observed (p values < 0.05) with the exception of the functional limitation and handicap domains.
Conclusions TMDs impacted physical and psychosocial well-being of adolescents and young adults. OHIP-TMDs, preferably appraised by severity, extent and prevalence, was able to discriminate between subjects with and without TMDs. It holds promise as a TMDs-specific OHRQoL instrument for epidemiological studies. Key words:Temporomandibular Disorders, Oral health, Quality of life, Biopsychosocial.
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Affiliation(s)
- A-U Yap
- School of Health Sciences, Nanyang Polytechnic, 150 Ang Mo Kio Ave 8, Singapore 569815
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Kalatakis-dos-Santos AE, Fidelis-de-Paula-Gomes CA, Bassi-Dibai D, Gonçalves MC, Martins-de-Sousa PH, Pires FDO, Almeida MQG, Dibai-Filho AV. Correlation Between Habitual Physical Activity and Central Sensitization, Pain Intensity, Kinesiophobia, Catastrophizing, and the Severity of Myogenous Temporomandibular Disorder. J Chiropr Med 2019; 18:299-304. [PMID: 32952475 PMCID: PMC7486466 DOI: 10.1016/j.jcm.2019.07.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2018] [Revised: 07/11/2019] [Accepted: 07/14/2019] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE We sought to correlate habitual physical activity with central sensitization, pain intensity, kinesiophobia, catastrophizing, and the severity of chronic myogenous temporomandibular disorder (TMD). METHODS This was an observational study. Fifty-five individuals, male and female, aged 18 to 45 years, with pain for at least 3 months (chronic) related to myogenous TMD were included in the study. Myogenous TMD was evaluated by means of the Numerical Rating Scale, Catastrophic Thoughts on Pain Scale, Tampa Scale for Kinesiophobia, Fonseca Anamnestic Index, Central Sensitization Inventory, and habitual physical activity by means of the Baecke Questionnaire (BQ). The Spearman correlation coefficient (r s) was applied to verify the association of the BQ score with the pain variables. RESULTS No significant correlations (P > .05) were observed in the total or mean BQ scores (both r s = -0.17 to -0.04), nor in the analyses performed on the occupational (r s = -0.03 to 0.14), sport (r s = -0.16 to 0.01), and leisure domains (r s = -0.16 to -0.02). CONCLUSION Habitual physical activity as measured by the BQ is not associated with pain intensity, catastrophizing, kinesiophobia, central sensitization, or the severity of chronic myogenous TMD.
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Affiliation(s)
| | | | - Daniela Bassi-Dibai
- Postgraduate Program in Programs Management and Health Services, Ceuma University, São Luís, MA, Brazil
| | | | | | | | | | - Almir Vieira Dibai-Filho
- Postgraduate Program in Physical Education, Federal University of Maranhão, São Luís, MA, Brazil
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34
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Zhang M, Yap AU, Lei J, Fu K. Psychometric evaluation of the Chinese version of the Fonseca anamnestic index for temporomandibular disorders. J Oral Rehabil 2019; 47:313-318. [PMID: 31549419 DOI: 10.1111/joor.12893] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 09/12/2019] [Accepted: 09/19/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Min‐juan Zhang
- Center for TMD & Orofacial Pain Peking University School & Hospital of Stomatology Beijing China
- Department of Oral & Maxillofacial Radiology Peking University School & Hospital of Stomatology Beijing China
- National Clinical Research Center for Oral Diseases Beijing China
- National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China
- Beijing Key Laboratory of Digital Stomatology Beijing China
| | - Adrian U‐Jin Yap
- Center for TMD & Orofacial Pain Peking University School & Hospital of Stomatology Beijing China
- Department of Dentistry Ng Teng Fong General Hospital National University Health System Singapore Singapore
- Faculty of Dentistry National University of Singapore Singapore Singapore
- National Dental Centre Singapore SingHealth Singapore Singapore
| | - Jie Lei
- Center for TMD & Orofacial Pain Peking University School & Hospital of Stomatology Beijing China
- Department of Oral & Maxillofacial Radiology Peking University School & Hospital of Stomatology Beijing China
- National Clinical Research Center for Oral Diseases Beijing China
- National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China
- Beijing Key Laboratory of Digital Stomatology Beijing China
| | - Kai‐Yuan Fu
- Center for TMD & Orofacial Pain Peking University School & Hospital of Stomatology Beijing China
- Department of Oral & Maxillofacial Radiology Peking University School & Hospital of Stomatology Beijing China
- National Clinical Research Center for Oral Diseases Beijing China
- National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China
- Beijing Key Laboratory of Digital Stomatology Beijing China
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35
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Wiest DM, Candotti CT, Sedrez JA, Pivotto LR, Costa LMRD, Loss JF. Severidade da disfunção temporomandibular e sua relação com a postura corporal. FISIOTERAPIA E PESQUISA 2019. [DOI: 10.1590/1809-2950/18037026022019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO O objetivo deste estudo foi identificar se existe correlação entre a severidade da disfunção temporomandibular (DTM) e postura corporal, bem como evidenciar as diferenças existentes na postura corporal nos diferentes graus de severidade. Foram avaliadas 71 mulheres de 18 a 35 anos quanto à severidade da DTM e à postura corporal, sendo divididas em grupo sem DTM e grupo com DTM. Foram utilizados o questionário Mandibular Function Impairment Questionnaire e o software Digital Image-Based Postural Assessment de avaliação postural por fotogrametria. Foi realizada análise estatística com ANOVA de um fator e teste de correlação Tau B de Kendall (α<0,05). Os grupos com e sem DTM apresentaram diferenças estatísticas, com tamanho de efeito grande (ŋ2>0,528), para: lordose cervical, pulsão e inclinação da pelve. Quanto à correlação da postura com a severidade da DTM, índices fracos, mas significativos, foram encontrados: ângulo da lordose cervical (τ=0,250), ângulo da cifose dorsal (τ=0,192), ângulo de inclinação pélvica (τ=−0,222) e medida de pulsão da pelve (τ=0,283). Esses resultados indicam que a lordose cervical e a pulsão da pelve se apresentam em aumento da lordose e da pulsão conforme o acréscimo da severidade da DTM, enquanto o ângulo de inclinação se apresenta em menor grau, tendendo à retroversão. Apesar das correlações fracas, os resultados evidenciam alguma relação da postura corporal com a DTM.
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Viegas RGDS, Bussadori SK, Vicente IVRDS, Teixeira VP, Bozzella MA, Gonçalves MLL, Motta LJ, Pereira ÉS, Tubel MPDF, Santos EM. Evaluation of primary headache associated with temporomandibular dysfunction in adolescents from Santos, SP, Brazil: an observational study. J Phys Ther Sci 2018; 30:1372-1376. [PMID: 30464368 PMCID: PMC6220096 DOI: 10.1589/jpts.30.1372] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 08/20/2018] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Evaluate the association of primary headache and Temporomandibular Dysfunction
in healthy adolescents from the Santos, SP, Brazil. [Participants and
Methods] A total of 208 adolescents, aged 11 to 16 years old were randomly selected at the
dentistry clinic at Universidade Metropolitana de Santos. For that, the Fonseca Anamnestic
Index was applied, including information such as: limitation when opening the mouth and
moving the jaw, headaches, pain in the temporomandibular joint, noises in the
temporomandibular joint, and the habit of tightening or grinding the teeth. The data were
submitted to descriptive statistical analysis and the χ2 test and Fisher’s
exact test were used to evaluate the association of categorical variables. [Results] The
results were 63% of male participants, and 61% of female participants had
Temporomandibular Dysfunction. In both genders headache was associated with the presence
of Temporomandibular Dysfunction, with 93 participants with light headache and 39 with
moderate headache. [Conclusion] There was an association between headache and the presence
of Temporomandibular Dysfunction, and the percentage of affected males was slightly higher
among this association. In the sample of adolescents who presented Temporomandibular
Dysfunction, moderate headache was the main reported symptom of both genders.
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Affiliation(s)
| | - Sandra Kalil Bussadori
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho: Vergueiro Street, 235/249 Liberdade, 01504000, São Paulo, SP, Brazil.,Faculty of Dentistry, Universidade Metropolitana de Santos, Brazil
| | | | - Victor Perez Teixeira
- Faculty of Dentistry, Universidade Metropolitana de Santos, Brazil.,Faculty of Medicine, Universidade Metropolitana de Santos, Brazil
| | - Marcela Alessandra Bozzella
- Postgraduate Program in Health and Environment, Universidade Metropolitana de Santos, Brazil.,Faculty of Dentistry, Universidade Metropolitana de Santos, Brazil
| | - Marcela Letícia Leal Gonçalves
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho: Vergueiro Street, 235/249 Liberdade, 01504000, São Paulo, SP, Brazil
| | - Lara Jansiski Motta
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho: Vergueiro Street, 235/249 Liberdade, 01504000, São Paulo, SP, Brazil
| | | | | | - Elaine Marcílio Santos
- Postgraduate Program in Health and Environment, Universidade Metropolitana de Santos, Brazil
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37
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Özdinç S, Ata H, Selçuk H, Can HB, Sermenli N, Turan FN. Temporomandibular joint disorder determined by Fonseca anamnestic index and associated factors in 18- to 27-year-old university students. Cranio 2018; 38:327-332. [PMID: 30198391 DOI: 10.1080/08869634.2018.1513442] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVE The aim of this study was to investigate temporomandibular disorder (TMD) and associated risk factors. METHODS This study was conducted using 212 university students. Based on the Fonseca anamnestic index, the population was divided into two groups: those with TMD and those without TMD. The two groups were compared in terms of global body posture, craniohorizontal and craniovertebral angles, neck and temporomandibular joint range of motion, stress level, and sleep quality. RESULTS Stress level, sleep quality, and left cervical rotation were found to have statistical differences between the groups (p = 0.00, 0.00, and 0.046, respectively). Sleep quality and stress level were found to be important risk factors for the presence of TMD (p = 0.017 and 0.00, respectively). DISCUSSION In the prevention and treatment of TMD, a holistic approach that evaluates mechanical factors and psychosocial factors should be adopted.
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Affiliation(s)
- Sevgi Özdinç
- Health Science Faculty, Physiotherapy and Rehabilitation Department, Trakya University , Edirne, Turkey
| | - Hilal Ata
- Health Science Faculty, Physiotherapy and Rehabilitation Department, Trakya University , Edirne, Turkey
| | - Halit Selçuk
- Health Science Faculty, Physiotherapy and Rehabilitation Department, Trakya University , Edirne, Turkey
| | - Hilal Başak Can
- Health Science Faculty, Physiotherapy and Rehabilitation Department, Trakya University , Edirne, Turkey
| | - Nimet Sermenli
- Health Science Faculty, Physiotherapy and Rehabilitation Department, Trakya University , Edirne, Turkey
| | - Fatma Nesrin Turan
- Medicine Faculty, Biostatistics Department, Trakya University , Edirne, Turkey
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38
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Natu VP, Yap AUJ, Su MH, Irfan Ali NM, Ansari A. Temporomandibular disorder symptoms and their association with quality of life, emotional states and sleep quality in South-East Asian youths. J Oral Rehabil 2018; 45:756-763. [DOI: 10.1111/joor.12692] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 07/02/2018] [Accepted: 07/16/2018] [Indexed: 12/01/2022]
Affiliation(s)
- Vaishali P. Natu
- School of Health Sciences; Nanyang Polytechnic; Singapore City Singapore
| | - Adrian U-J. Yap
- Department of Dentistry; Ng Teng Fong General Hospital; National University Health System; Singapore City Singapore
- Faculty of Dentistry; National University of Singapore; Singapore City Singapore
| | - Marilyn Huiting Su
- Allied Health Division; Singapore General Hospital; Singapore City Singapore
| | | | - Anshad Ansari
- School of Health Sciences; Nanyang Polytechnic; Singapore City Singapore
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39
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Pastore GP, Goulart DR, Pastore PR, Prati AJ, de Moraes M. Self-medication Among Myofascial Pain Patients: A Preliminary Study. Open Dent J 2018; 12:347-353. [PMID: 29875887 PMCID: PMC5958295 DOI: 10.2174/1874210601812010347] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2017] [Revised: 04/12/2018] [Accepted: 04/23/2018] [Indexed: 11/22/2022] Open
Abstract
Background Self-medication has been reported as an option which people choose to relieve the suffering of conditions that cause pain, however, this could delay the correct diagnosis and therapy. Objective The aim of the present study was to determine the prevalence of self-medication among patients with Temporomandibular Disorder (TMD), and to analyze correlations with the severity of the disease. Methods A prospective study was conducted with patients who had been diagnosed with TMD. The patients were submitted to anamnesis and a physical examination. This research also used the Fonseca`s Anamnestic Index (FAI) and a questionnaire that was developed specifically for this study, containing questions related to the first health professional contacted and self-medication. The data were analyzed using comparative and correlative analysis (Version 18.0 of SPSS software), with the level of significance set at p<0.05. Results Thirty-four patients were included, with a prevalence of females (91.2%) and a mean age of 39.76 years. Half of the patients claimed to have chosen their own medications at time, especially analgesics. Sodium dipyrone was used by 12 of the participants. Dentists were the most commonly contacted health professionals (55.5%). No correlation was found between self-medication and the severity of TMD according to the FAI. Furthermore, the time period between the onset of symptoms and the first consultation was not affected by self-medication. Conclusion Self-medication seems to be highly prevalent among patients with TMD, although this practice does not seem to alter the severity of the disease.
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Affiliation(s)
- Gabriel Pires Pastore
- Department of Oral and Maxillofacial Surgery, Paulista University - UNIP, São Paulo, Brazil.,Institute of Education and Research - IEP / Sírio Libanês Hospital, São Paulo, Brazil.,Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
| | - Douglas Rangel Goulart
- Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil.,Department of Dentistry, UNIEURO University Center, Brasília, Brazil
| | | | | | - Márcio de Moraes
- Department of Oral Diagnosis, Oral and Maxillofacial Surgery Division, State University of Campinas, Piracicaba Dental School, Piracicaba, Brazil
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40
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Pires PF, de Castro EM, Pelai EB, de Arruda ABC, Rodrigues-Bigaton D. Analysis of the accuracy and reliability of the Short-Form Fonseca Anamnestic Index in the diagnosis of myogenous temporomandibular disorder in women. Braz J Phys Ther 2018. [PMID: 29519746 DOI: 10.1016/j.bjpt.2018.02.003] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The Fonseca Anamnestic Index is a questionnaire used to classify individuals with temporomandibular disorders. Previous studies have shown that the Fonseca Anamnestic Index provides a multidimensional measurement of the temporomandibular disorders construct and that the main dimension presents a good fit to the model according to the item response theory. OBJECTIVE To evaluate the between-day reliability, accuracy, and best cut-off score of the Short-Form Fonseca Anamnestic Index for the diagnosis of myogenous temporomandibular disorders. METHODS The sample consisted of 123 women (57 with myogenous temporomandibular disorders and 66 asymptomatic), evaluated by the Research Diagnostic Criteria for Temporomandibular Disorders. The participants answered the Short-Form Fonseca Anamnestic Index on two occasions with a seven-day interval between tests. For the analysis of between-day reliability, the intraclass correlation coefficient, the standard error of measurement and the minimum detectable change were used. The Receiver Operating Characteristic curve was used to determine the diagnostic accuracy and the best cut-off point. RESULTS The Short-Form Fonseca Anamnestic Index demonstrated excellent reliability (intraclass correlation coefficient≥0.95) for all items and for the total Short-Form Fonseca Anamnestic Index score (intraclass correlation coefficient=0.98; standard error of measurement=3.28; minimum detectable change=9.09). The level of accuracy of the Short-Form Fonseca Anamnestic Index for the diagnosis of myogenous temporomandibular disorders was high (area under the curve of 0.97), with a better cut-off score of 17.5 points. CONCLUSION The Fonseca Anamnestic Index should be used in its short form to classify the absence of myogenous temporomandibular disorders (scores between 0 and 15 points) or presence of myogenous temporomandibular disorders (scores between 20 and 50 points) in women.
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Affiliation(s)
- Paulo Fernandes Pires
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil
| | - Ester Moreira de Castro
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil
| | - Elisa Bizetti Pelai
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil
| | - Ana Beatriz Chiconelo de Arruda
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programa de Graduação em Fisioterapia, Piracicaba, SP, Brazil
| | - Delaine Rodrigues-Bigaton
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil.
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41
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Herpich CM, Gomes CAFDP, Dibai-Filho AV, Politti F, Souza CDS, Biasotto-Gonzalez DA. Correlation Between Severity of Temporomandibular Disorder, Pain Intensity, and Pressure Pain Threshold. J Manipulative Physiol Ther 2018; 41:47-51. [DOI: 10.1016/j.jmpt.2017.08.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Revised: 08/10/2017] [Accepted: 08/23/2017] [Indexed: 11/15/2022]
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42
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Florencio LL, de Oliveira AS, Carvalho GF, Dach F, Bigal ME, Fernández-de-Las-Peñas C, Bevilaqua-Grossi D. Association Between Severity of Temporomandibular Disorders and the Frequency of Headache Attacks in Women With Migraine: A Cross-Sectional Study. J Manipulative Physiol Ther 2017; 40:250-254. [PMID: 28390711 DOI: 10.1016/j.jmpt.2017.02.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2015] [Revised: 04/28/2016] [Accepted: 07/13/2016] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The aim of this study was to investigate the magnitude of association of the severity of temporomandibular disorders (TMDs) in women with episodic and chronic migraine. METHODS Thirty-one women with episodic migraine (mean age: 33 years), 21 with chronic migraine (mean age: 35 years) and 32 healthy controls (mean age: 31 years) were included. The Fonseca Anamnestic Index was applied to assess severity of TMDs. TMD severity was considered as follows: no TMD (0-19 points), mild TMD (20-49 points), moderate TMD (50-69 points), and severe TMD (70-100 points). To compare the proportion of TMD severity among groups, a χ2 test was performed. Prevalence ratio (PR) was calculated to determine the association of TMD severity and both migraine groups using the control group as the reference. RESULTS Women with chronic and episodic migraine were more likely to exhibit TMD signs and symptoms of any severity than healthy controls (χ2 = 30.26; P < .001). TMD prevalence was 54% for healthy controls, 78% for episodic migraine, and 100% for chronic migraine. Women with chronic migraine exhibited greater risk of more severe manifestations of TMD than healthy controls (PR: 3.31; P = .008). This association was not identified for episodic migraine (PR: 2.18; P = .101). CONCLUSION The presence of TMD signs and symptoms was associated with migraine independently of the frequency; however, the magnitude of the association of more severe TMD was significantly greater in chronic, but not episodic, migraine.
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Affiliation(s)
- Lidiane Lima Florencio
- Department of Biomechanics, Medicine, and Locomotor Apparatus Rehabilitation, Ribeirão Preto Medicine School, University of São Paulo, Ribeirão Preto-SP, Brazil.
| | - Anamaria Siriani de Oliveira
- Department of Biomechanics, Medicine, and Locomotor Apparatus Rehabilitation, Ribeirão Preto Medicine School, University of São Paulo, Ribeirão Preto-SP, Brazil
| | - Gabriela Ferreira Carvalho
- Department of Biomechanics, Medicine, and Locomotor Apparatus Rehabilitation, Ribeirão Preto Medicine School, University of São Paulo, Ribeirão Preto-SP, Brazil
| | - Fabiola Dach
- Department of Neurosciences and Behavioral Sciences, Ribeirão Preto Medicine School, University of São Paulo, Ribeirão Preto-SP, Brazil
| | | | - César Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain
| | - Débora Bevilaqua-Grossi
- Department of Biomechanics, Medicine, and Locomotor Apparatus Rehabilitation, Ribeirão Preto Medicine School, University of São Paulo, Ribeirão Preto-SP, Brazil
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43
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Rodrigues-Bigaton D, de Castro EM, Pires PF. Factor and Rasch analysis of the Fonseca anamnestic index for the diagnosis of myogenous temporomandibular disorder. Braz J Phys Ther 2017; 21:120-126. [PMID: 28460710 PMCID: PMC5537471 DOI: 10.1016/j.bjpt.2017.03.007] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Revised: 04/13/2016] [Accepted: 06/02/2016] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Rasch analysis has been used in recent studies to test the psychometric properties of a questionnaire. The conditions for use of the Rasch model are one-dimensionality (assessed via prior factor analysis) and local independence (the probability of getting a particular item right or wrong should not be conditioned upon success or failure in another). OBJECTIVE To evaluate the dimensionality and the psychometric properties of the Fonseca anamnestic index (FAI), such as the fit of the data to the model, the degree of difficulty of the items, and the ability to respond in patients with myogenous temporomandibular disorder (TMD). METHODS The sample consisted of 94 women with myogenous TMD, diagnosed by the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), who answered the FAI. For the factor analysis, we applied the Kaiser-Meyer-Olkin test, Bartlett's sphericity, Spearman's correlation, and the determinant of the correlation matrix. For extraction of the factors/dimensions, an eigenvalue >1.0 was used, followed by oblique oblimin rotation. The Rasch analysis was conducted on the dimension that showed the highest proportion of variance explained. RESULTS Adequate sample "n" and FAI multidimensionality were observed. Dimension 1 (primary) consisted of items 1, 2, 3, 6, and 7. All items of dimension 1 showed adequate fit to the model, being observed according to the degree of difficulty (from most difficult to easiest), respectively, items 2, 1, 3, 6, and 7. CONCLUSION The FAI presented multidimensionality with its main dimension consisting of five reliable items with adequate fit to the composition of its structure.
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Affiliation(s)
- Delaine Rodrigues-Bigaton
- Programa de Pós-graduação em Ciências do Movimento Humano, Universidade Metodista de Piracicaba (UNIMEP), Piracicaba, SP, Brazil
| | - Ester M de Castro
- Programa de Pós-graduação em Ciências do Movimento Humano, Universidade Metodista de Piracicaba (UNIMEP), Piracicaba, SP, Brazil
| | - Paulo F Pires
- Programa de Pós-graduação em Ciências do Movimento Humano, Universidade Metodista de Piracicaba (UNIMEP), Piracicaba, SP, Brazil.
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Catunda IS, Vasconcelos BCDE, Andrade ESDS, Costa DFN. Clinical effects of an avocado-soybean unsaponifiable extract on arthralgia and osteoarthritis of the temporomandibular joint: preliminary study. Int J Oral Maxillofac Surg 2016; 45:1015-22. [PMID: 27026059 DOI: 10.1016/j.ijom.2016.01.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2014] [Revised: 01/05/2016] [Accepted: 01/18/2016] [Indexed: 01/17/2023]
Abstract
The aim of the present preliminary study was to investigate the effectiveness of an avocado-soybean unsaponifiable extract (ASU) in patients with arthralgia and osteoarthritis of the temporomandibular joint (TMJ). A randomized, double-blind, placebo-controlled trial was carried out. Fourteen women diagnosed with arthralgia and osteoarthritis of the TMJ using the Research Diagnostic Criteria for Temporomandibular Disorders were included in the statistical analysis. The women were allocated randomly to two groups: ASU group and placebo group. Pain was measured using a visual analogue scale and pressure algometer. Mandibular function was evaluated through measurement of mandibular movements. Quality of life was measured using the Oral Health Impact Profile (OHIP-14). The medication (ASU capsules or placebo capsules) was used for 4 months and the total follow-up was 6 months. Those taking the ASU extract had a decrease in pain symptoms and an improvement in quality of life. Moreover, a significant reduction in the use of rescue medication was found in the ASU group compared to the placebo group. This preliminary study provides strong evidence of the effectiveness of an avocado-soybean unsaponifiable extract in patients with degenerative joint diseases and arthralgia in the TMJ. Further studies with larger samples should be performed.
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Affiliation(s)
- I S Catunda
- Department of Oral and Maxillofacial Surgery, University of Pernambuco, Recife, Pernambuco, Brazil
| | - B C do E Vasconcelos
- Department of Oral and Maxillofacial Surgery, University of Pernambuco, Recife, Pernambuco, Brazil.
| | - E S de S Andrade
- Oral Pathology, University of Pernambuco, Recife, Pernambuco, Brazil
| | - D F N Costa
- Division of Oral and Maxillofacial Surgery, Restauração Hospital, Recife, Pernambuco, Brazil
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