Comorbidity of TMD and malocclusion

impacts on quality of life, masticatory capacity and emotional features

Authors

DOI:

https://doi.org/10.20396/bjos.v18i0.8657272

Keywords:

Temporomandibular joint disorders, Mastication, Malocclusion, Quality of life, Stress, psychological.

Abstract

Aim: to evaluate the synergic impact of muscular TMD and malocclusion on quality of life, masticatory capacity and emotional features of young adults. Methods: this cross-sectional study comprised 4 groups (n= 15): G1, individuals without TMD or malocclusion; G2, with TMD and malocclusion; G3, with TMD and without malocclusion, and G4, without TMD and with malocclusion. Muscular TMD was diagnosed by RCD/TMD. Data included quality of life (OHIP-14), masticatory capacity test (X50), emotional stress (PSS-14), depression (MDI), pain intensity and salivary cortisol. Comparative statistical analysis included One-way ANOVA and Tukey post hoc test (X50, stress and cortisol) and GENMOD followed by Wald test (OHIP-14 and pain data). Fisher's and Pearson's association analysis were carried out. Results: Comorbidity of muscular TMD and malocclusion leads to significant lower masticatory capacity (p<0.05). TMD groups independently of the occlusal condition had considerably lower OHIP-14 scores and higher stress levels (self-perceived and hormonal) (p<0.05).  There was no statistically significant difference of emotional depression among groups. A significant positive correlation was observed among quality of life, stress and pain perception. Conclusion: muscular TMD in the overlap of malocclusion potentializes their negative effect on masticatory capacity. In addition, the hindering effect of the comorbidity is variable, however, TMD has a greater negative impact on quality of life and stress, whilst malocclusion on mastication.

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Author Biographies

Beatriz Moraes D’Avilla, Hermínio Ometto University Center

Department of Orthodontics, Hermínio Ometto University Center - UNIARARAS, Araras, São Paulo, Brazil.

Michelle Cristina Berbet Pimenta, Hermínio Ometto University Center

Department of Orthodontics, Hermínio Ometto University Center - UNIARARAS, Araras, São Paulo, Brazil.

Vivian Fernades Furletti, Hermínio Ometto University Center

Department of Orthodontics, Hermínio Ometto University Center - UNIARARAS, Araras, São Paulo, Brazil.

Mario Vedovello Filho, Hermínio Ometto University Center

Department of Orthodontics, Hermínio Ometto University Center - UNIARARAS, Araras, São Paulo, Brazil.

Giovana Cherubini Venezian, Hermínio Ometto University Center

Department of Orthodontics, Hermínio Ometto University Center - UNIARARAS, Araras, São Paulo, Brazil.

William Custodio, Hermínio Ometto University Center

Department of Orthodontics, Hermínio Ometto University Center - UNIARARAS, Araras, São Paulo, Brazil.

References

Manfredini D, Lombardo L, Siciliani G. Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era? J Oral Rehabil. 2017 Nov;44(11):908-923. doi: 10.1111/joor.12531.

Okeson JP, de Leeuw R. Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dent Clin North Am. 2011 Jan;55(1):105-20. doi: 10.1016/j.cden.2010.08.007.

Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, Sanders AE, et al. Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res. 2016 Sep;95(10):1084-92. doi: 10.1177/0022034516653743.

Demir A, Uysal T, Basciftci FA, Guray E. The association of occlusal factors with masticatory muscle tenderness in 10- to 19-year old Turkish subjects. Angle Orthod. 2005 Jan;75(1):40-6.

Okeson JP. Evolution of occlusion and temporomandibular disorder in orthodontics: past, present, and future. Am J Orthod Dentofacial Orthop. 2015 May;147(5 Suppl):S216-23. doi: 10.1016/j.ajodo.2015.02.007.

De Felício CM, Mapelli A, Sidequersky FV, Tartaglia GM, Sforza C. Mandibular kinematics and masticatory muscles EMG in patients with short lasting TMD of mild-moderate severity. J Electromyogr Kinesiol. 2013 Jun;23(3):627-33. doi: 10.1016/j.jelekin.2013.01.016.

Berthaume MA. On the relationship between tooth shape and masticatory efficiency: a finite element study. Anat Rec (Hoboken). 2016 May;299(5):679-87. doi: 10.1002/ar.23328.

Giannakopoulos NN, Wirth A, Braun S, Eberhard L, Schindler HJ, Hellmann D. Effect of the occlusal profile on the masticatory performance of healthy dentate subjects. Int J Prosthodont. 2014 Jul-Aug;27(4):383-9. doi: 10.11607/ijp.3793.

Andiappan M, Gao W, Bernabé E, Kandala NB, Donaldson AN. Malocclusion, orthodontic treatment, and the Oral Health Impact Profile (OHIP-14): systematic review and meta-analysis. Angle Orthod. 2015 May;85(3):493-500. doi: 10.2319/051414-348.1.

Greene CS. Relationship between occlusion and temporomandibular disorders: implications for the orthodontist. Am J Orthod Dentofacial Orthop. 2011 Jan;139(1):11, 13, 15. doi: 10.1016/j.ajodo.2010.11.010.

Knuth BS, Cocco RA, Radtke VA, Medeiros JR, Oses JP, Wiener CD, et al. Stress, depression, quality of life and salivary cortisol levels in community health agents. Acta Neuropsychiatr. 2016 Jun;28(3):165-72. doi: 10.1017/neu.2015.58.

Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992 Fall;6(4):301-55.

Manfredini D, Stellini E, Gracco A, Lombardo L, Nardini LG, Siciliani G. Orthodontics is temporomandibular disorder-neutral. Angle Orthod. 2016 Jul;86(4):649-54. doi: 10.2319/051015-318.1.

van der Bilt A. Assessment of mastication with implications for oral rehabilitation: a review. J Oral Rehabil. 2011 Oct;38(10):754-80. doi: 10.1111/j.1365-2842.2010.02197.x.

Buschang PH, Throckmorton GS, Travers KH, Johnson G. The effects of bolus size and chewing rate on masticatory performance with artificial test foods. J Oral Rehabil. 1997 Jul;24(7):522-6.

Slade GD, Nuttall N, Sanders AE, Steele JG, Allen PF, Lahti S. Impacts of oral disorders in the United Kingdom and Australia. Br Dent J. 2005 Apr 23;198(8):489-93; discussion 483.

Luft CD, Sanches Sde O, Mazo GZ, Andrade A. [Brazilian version of the Perceived Stress Scale: translation and validation for the elderly]. Rev Saude Publica. 2007 Aug;41(4):606-15. Portuguese.

Bech P, Rasmussen NA, Olsen LR, Noerholm V, Abildgaard W. The sensitivity and specificity of the major depression inventory, using the present state examination as the index of diagnostic validity. J Affect Disord. 2001 Oct;66(2-3):159-64.

Olsen LR, Jensen DV, Noerholm V, Martiny K, Bech P. The internal and external validity of the major depression inventory in measuring severity of depressive states. Psychol Med. 2003 Feb;33(2):351-6.

Kino K, Sugisaki M, Haketa T, Amemori Y, Ishikawa T, Shibuya T, et al. The comparison between pains, difficulties in function, and associating factors of patients in subtypes of temporomandibular disorders. J Oral Rehabil. 2005 May;32(5):315-25.

Matsuda S, Yamaguchi T, Okada K, Gotouda A, Mikami S. Day-to-day variations in salivary cortisol measurements. J Prosthodont Res. 2012 Jan;56(1):37-41. doi: 10.1016/j.jpor.2011.04.004.

Kümbüloğlu O, Saracoglu A, Bingöl P, Hatipoğlu A, Ozcan M. Clinical study on the comparison of masticatory efficiency and jaw movement before and after temporomandibular disorder treatment. Cranio. 2013 Jul;31(3):190-201.

Irving J, Wood GD, Hackett AF. Does temporomandibular disorder pain dysfunction syndrome affect dietary intake? Dent Update. 1999 Nov;26(9):405-7.

Omar SM, McEwen JD, Ogston SA. A test for occlusal function. The value of a masticatory efficiency test in the assessment of occlusal function. Br J Orthod. 1987 Apr;14(2):85-90.

Esperão PT, de Oliveira BH, de Oliveira Almeida MA, Kiyak HA, Miguel JA. Oral health-related quality of life in orthognathic surgery patients. Am J Orthod Dentofacial Orthop. 2010 Jun;137(6):790-5. doi: 10.1016/j.ajodo.2008.08.031.

Tartaglia GM, Lodetti G, Paiva G, De Felicio CM, Sforza C. Surface electromyographic assessment of patients with long lasting temporomandibular joint disorder pain. J Electromyogr Kinesiol. 2011 Aug;21(4):659-64. doi: 10.1016/j.jelekin.2011.03.003.

Lobbezoo F, Drangsholt M, Peck C, Sato H, Kopp S, Svensson P. Topical review: new insights into the pathology and diagnosis of disorders of the temporomandibular joint. J Orofac Pain. 2004 Summer;18(3):181-91.

Feu D, de Oliveira BH, de Oliveira Almeida MA, Kiyak HA, Miguel JA. Oral health-related quality of life and orthodontic treatment seeking. Am J Orthod Dentofacial Orthop. 2010 Aug;138(2):152-9. doi: 10.1016/j.ajodo.2008.09.033.

Liu Z, McGrath C, Hägg U. The impact of malocclusion/orthodontic treatment need on the quality of life. A systematic review. Angle Orthod. 2009 May;79(3):585-91. doi: 10.2319/042108-224.1.

Dahlström L, Carlsson GE. Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontol Scand. 2010 Mar;68(2):80-5. doi: 10.3109/00016350903431118.

Rosmond R, Björntorp P. Low cortisol production in chronic stress. The connection stress-somatic disease is a challenge for future research. Lakartidningen. 2000 Sep;97(38):4120-4.

Kanehira H, Agariguchi A, Kato H, Yoshimine S, Inoue H. Association between stress and temporomandibular disorder. Nihon Hotetsu Shika Gakkai Zasshi. 2008 Jul;52(3):375-80.

Reiter S, Emodi-Perlman A, Goldsmith C, Friedman-Rubin P, Winocur E. Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders. J Oral Facial Pain Headache. 2015 29(2):135-43. doi: 10.11607/ofph.1297.

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Published

2019-11-12

How to Cite

1.
D’Avilla BM, Pimenta MCB, Furletti VF, Vedovello Filho M, Venezian GC, Custodio W. Comorbidity of TMD and malocclusion: impacts on quality of life, masticatory capacity and emotional features. Braz. J. Oral Sci. [Internet]. 2019 Nov. 12 [cited 2022 Sep. 30];18:e191679. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8657272

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