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Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Bruxism | Research

Temporomandibular disorder severity and its association with psychosocial and sociodemographic factors in Turkish adults

Authors: Mehmet Melih Omezli, Damla Torul, Ceren Varer Akpinar

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

There is a lack of awareness regarding temporomandibular disorder (TMD) and its association with psychological and sociodemographic factors in the Turkish population. This study aimed to evaluate the relationship between signs/symptoms of anxiety-depression, sociodemographic factors, parafunctional habits, bruxism, and the presence and severity of the symptoms of TMD in Turkish adults.

Methods

The participants completed an online questionnaire consisting of sociodemographic questions, the Fonseca Anamnestic Index, and the Patient Health Questionnaire-4.

Results

The mean age of the 2580 participants was 35.29 ± 12.70 years, and 63.3% were women. The frequency of the participants who showed symptoms of TMD was 69.8%. The severity of TMD symptoms was significantly greater in participants who had signs/symptoms of anxiety and depression (p < 0.05). Sociodemographic and psychological data showed an association between the presence and severity of the symptoms of TMD and sex (OR 1.52, 95% confidence interval (CI) 1.26–1.85), parafunctional habits (OR 2.64, 95% CI 2.36–2.99), bruxism (OR 3.14, 95% CI 1.78–4.90), signs/symptoms of anxiety (OR 2.30, 95% CI 1.76–3.00), and signs/symptoms of depression (OR 1.90, 95% CI 1.48–2.42).

Conclusions

The results of the present study suggest that females and those who report bruxism, parafunctional habits, and signs/symptoms of anxiety-depression are more likely to show symptoms of TMD with different severity.
Literature
1.
go back to reference Kim YK, Kim SG, Im JH, Yun PY. Clinical survey of the patients with temporomandibular joint disorders, using Research Diagnostic Criteria (Axis II) for TMD: preliminary study. J Craniomaxillofac Surg. 2012;40:366–72.CrossRef Kim YK, Kim SG, Im JH, Yun PY. Clinical survey of the patients with temporomandibular joint disorders, using Research Diagnostic Criteria (Axis II) for TMD: preliminary study. J Craniomaxillofac Surg. 2012;40:366–72.CrossRef
2.
go back to reference Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologicfindings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112:453–62.CrossRef Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologicfindings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112:453–62.CrossRef
3.
go back to reference Resende C, Rocha L, Paiva RP, et al. Relationship between anxiety, quality of life, and sociodemographic characteristics and temporomandibular disorder. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;129:125–32.CrossRef Resende C, Rocha L, Paiva RP, et al. Relationship between anxiety, quality of life, and sociodemographic characteristics and temporomandibular disorder. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;129:125–32.CrossRef
4.
go back to reference Goncalves DA, Dal Fabbro AL, Campos JA, Bigal ME, Speciali JG. Symptoms of temporomandibular disorders in the population: an epidemiological study. J Orofac Pain. 2010;24:270–8. Goncalves DA, Dal Fabbro AL, Campos JA, Bigal ME, Speciali JG. Symptoms of temporomandibular disorders in the population: an epidemiological study. J Orofac Pain. 2010;24:270–8.
5.
go back to reference Valesan LF, Da-Cas CD, Reus JC, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021;25:441–53.CrossRef Valesan LF, Da-Cas CD, Reus JC, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021;25:441–53.CrossRef
6.
go back to reference Huhtela OS, Napankangas R, Suominen AL, Karppinen J, Kunttu K, Sipila K. Association of psychological distress and widespread pain with symptoms of temporomandibular disorders and self-reported bruxism in students. Clin Exp Dent Res. 2021;7:1154–66.CrossRef Huhtela OS, Napankangas R, Suominen AL, Karppinen J, Kunttu K, Sipila K. Association of psychological distress and widespread pain with symptoms of temporomandibular disorders and self-reported bruxism in students. Clin Exp Dent Res. 2021;7:1154–66.CrossRef
7.
go back to reference Suvinen TI, Reade PC, Kemppainen P, Kononen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: Towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain. 2005;9:613–33.CrossRef Suvinen TI, Reade PC, Kemppainen P, Kononen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: Towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain. 2005;9:613–33.CrossRef
8.
go back to reference Fillingim RB, Ohrbach R, Greenspan JD, et al. Psychological factors associated with development of TMD: the OPPERA prospective cohort study. J Pain. 2013;14:75–90.CrossRef Fillingim RB, Ohrbach R, Greenspan JD, et al. Psychological factors associated with development of TMD: the OPPERA prospective cohort study. J Pain. 2013;14:75–90.CrossRef
9.
go back to reference Slade GD, Diatchenko L, Bhalang K, et al. Influence of psychological factors on risk of temporomandibular disorders. J Dent Res. 2007;86:1120–5.CrossRef Slade GD, Diatchenko L, Bhalang K, et al. Influence of psychological factors on risk of temporomandibular disorders. J Dent Res. 2007;86:1120–5.CrossRef
10.
go back to reference Giannakopoulos NN, Keller L, Rammelsberg P, Kronmuller KT, Schmitter M. Anxiety and depression in patients with chronic temporomandibular pain and in controls. J Dent. 2010;38:369–76.CrossRef Giannakopoulos NN, Keller L, Rammelsberg P, Kronmuller KT, Schmitter M. Anxiety and depression in patients with chronic temporomandibular pain and in controls. J Dent. 2010;38:369–76.CrossRef
11.
go back to reference Liao CH, Chang CS, Chang SN, et al. The risk of temporomandibular disorder in patients with depression: a population-based cohort study. Community Dent Oral Epidemiol. 2011;39:525–31.CrossRef Liao CH, Chang CS, Chang SN, et al. The risk of temporomandibular disorder in patients with depression: a population-based cohort study. Community Dent Oral Epidemiol. 2011;39:525–31.CrossRef
12.
go back to reference Gameiro GH, da Silva Andrade A, Nouer DF, Ferraz de Arruda Veiga MC. How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Investig. 2006;10:261–268. Gameiro GH, da Silva Andrade A, Nouer DF, Ferraz de Arruda Veiga MC. How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Investig. 2006;10:261–268.
13.
go back to reference Kindler S, Samietz S, Houshmand M, et al. Depressive and anxiety symptoms as risk factors for temporomandibular joint pain: a prospective cohort study in the general population. J Pain. 2012;13:1188–97.CrossRef Kindler S, Samietz S, Houshmand M, et al. Depressive and anxiety symptoms as risk factors for temporomandibular joint pain: a prospective cohort study in the general population. J Pain. 2012;13:1188–97.CrossRef
14.
go back to reference Pastore GP, Goulart DR, Pastore PR, Prati AJ, de Moraes M. Comparison of instruments used to select and classify patients with temporomandibular disorder. Acta Odontol Latinoam. 2018;31:16–22. Pastore GP, Goulart DR, Pastore PR, Prati AJ, de Moraes M. Comparison of instruments used to select and classify patients with temporomandibular disorder. Acta Odontol Latinoam. 2018;31:16–22.
15.
go back to reference Stasiak G, Maracci LM, de Oliveira Chami V, et al. TMD diagnosis: Sensitivity and specificity of the Fonseca Anamnestic Index. Cranio. 2020;66:1–5.CrossRef Stasiak G, Maracci LM, de Oliveira Chami V, et al. TMD diagnosis: Sensitivity and specificity of the Fonseca Anamnestic Index. Cranio. 2020;66:1–5.CrossRef
16.
go back to reference Topuz MF, Oghan F, Ceyhan A, et al. Assessment of the severity of temporomandibular disorders in females: validity and reliability of the Fonseca anamnestic index. Cranio. 2020;66:1–4.CrossRef Topuz MF, Oghan F, Ceyhan A, et al. Assessment of the severity of temporomandibular disorders in females: validity and reliability of the Fonseca anamnestic index. Cranio. 2020;66:1–4.CrossRef
17.
go back to reference ChuinsiriN, Jitprasertwong P. Prevalence of self-reported pain-related temporomandibular disorders and association with psychological distress in a dental clinic setting. J Int Med Res. 2020;48:300060520951744.CrossRef ChuinsiriN, Jitprasertwong P. Prevalence of self-reported pain-related temporomandibular disorders and association with psychological distress in a dental clinic setting. J Int Med Res. 2020;48:300060520951744.CrossRef
18.
go back to reference Kroenke K, Spitzer RL, Williams JB, Lowe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50:613–21. Kroenke K, Spitzer RL, Williams JB, Lowe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50:613–21.
19.
go back to reference Kaynak BA, Tas S, Salkin Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio. 2020;66:1–6.CrossRef Kaynak BA, Tas S, Salkin Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio. 2020;66:1–6.CrossRef
20.
go back to reference Demirci İ, Ekşi H. Don't bother your pretty little head otherwise you can’t enjoy life. In: ERPA international congresses on education, 28 June–1 July 2018, Istanbul/Turkey. Demirci İ, Ekşi H. Don't bother your pretty little head otherwise you can’t enjoy life. In: ERPA international congresses on education, 28 June–1 July 2018, Istanbul/Turkey.
21.
go back to reference Kmeid E, Nacouzi M, Hallit S, Rohayem Z. Prevalence of temporomandibular joint disorder in the Lebanese population, and its association with depression, anxiety, and stress. Head Face Med. 2020;16:19.CrossRef Kmeid E, Nacouzi M, Hallit S, Rohayem Z. Prevalence of temporomandibular joint disorder in the Lebanese population, and its association with depression, anxiety, and stress. Head Face Med. 2020;16:19.CrossRef
22.
go back to reference Qvintus V, Sipila K, Le Bell Y, Suominen AL. Prevalence of clinical signs and pain symptoms of temporomandibular disorders and associated factors in adult Finns. Acta Odontol Scand. 2020;78:515–21.CrossRef Qvintus V, Sipila K, Le Bell Y, Suominen AL. Prevalence of clinical signs and pain symptoms of temporomandibular disorders and associated factors in adult Finns. Acta Odontol Scand. 2020;78:515–21.CrossRef
23.
go back to reference Progiante PS, Pattussi MP, Lawrence HP, Goya S, Grossi PK, Grossi ML. Prevalence of temporomandibular disorders in an adult Brazilian community population using the research diagnostic criteria (Axes I and II) for temporomandibular disorders (The Maringa Study). Int J Prosthodont. 2015;28:600–9.CrossRef Progiante PS, Pattussi MP, Lawrence HP, Goya S, Grossi PK, Grossi ML. Prevalence of temporomandibular disorders in an adult Brazilian community population using the research diagnostic criteria (Axes I and II) for temporomandibular disorders (The Maringa Study). Int J Prosthodont. 2015;28:600–9.CrossRef
24.
go back to reference Locker D, Slade G. Prevalence of symptoms associated with temporomandibular disorders in a Canadian population. Community Dent Oral Epidemiol. 1988;16:310–3.CrossRef Locker D, Slade G. Prevalence of symptoms associated with temporomandibular disorders in a Canadian population. Community Dent Oral Epidemiol. 1988;16:310–3.CrossRef
25.
go back to reference Nekora-Azak A, Evlioglu G, Ordulu M, Issever H. Prevalence of symptoms associated with temporomandibular disorders in a Turkish population. J Oral Rehabil. 2006;33:81–4.CrossRef Nekora-Azak A, Evlioglu G, Ordulu M, Issever H. Prevalence of symptoms associated with temporomandibular disorders in a Turkish population. J Oral Rehabil. 2006;33:81–4.CrossRef
26.
go back to reference Gas S, EksiOzsoy H, Cesur Aydin 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. 2021;66:1–6.CrossRef Gas S, EksiOzsoy H, Cesur Aydin 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. 2021;66:1–6.CrossRef
27.
go back to reference Korukcu O, Ozkaya M, Faruk Boran O, Boran M. The effect of the COVID-19 pandemic on community mental health: a psychometric and prevalence study in Turkey. Health Soc Care Community. 2021;29:204-e213.CrossRef Korukcu O, Ozkaya M, Faruk Boran O, Boran M. The effect of the COVID-19 pandemic on community mental health: a psychometric and prevalence study in Turkey. Health Soc Care Community. 2021;29:204-e213.CrossRef
28.
go back to reference Simoen L, Van den Berghe L, Jacquet W, Marks L. Depression and anxiety levels in patients with temporomandibular disorders: comparison with the general population. Clin Oral Investig. 2020;24:3939–45.CrossRef Simoen L, Van den Berghe L, Jacquet W, Marks L. Depression and anxiety levels in patients with temporomandibular disorders: comparison with the general population. Clin Oral Investig. 2020;24:3939–45.CrossRef
29.
go back to reference Delgado-Delgado R, Iriarte-Alvarez N, Valera-Calero JA, Centenera-Centenera MB, Garnacho-Garnacho VE, Gallego-Sendarrubias GM. Association between temporomandibular disorders with clinical and sociodemographic features: an observational study. Int J Clin Pract. 2021;75:13961.CrossRef Delgado-Delgado R, Iriarte-Alvarez N, Valera-Calero JA, Centenera-Centenera MB, Garnacho-Garnacho VE, Gallego-Sendarrubias GM. Association between temporomandibular disorders with clinical and sociodemographic features: an observational study. Int J Clin Pract. 2021;75:13961.CrossRef
30.
go back to reference FernandesAzevedo AB, Camara-Souza MB, Dantas IS, de Resende C, Barbosa GAS. Relationship between anxiety and temporomandibular disorders in dental students. Cranio. 2018;66:36. FernandesAzevedo AB, Camara-Souza MB, Dantas IS, de Resende C, Barbosa GAS. Relationship between anxiety and temporomandibular disorders in dental students. Cranio. 2018;66:36.
31.
go back to reference De La Torre CG, Camara-Souza MB, Munoz Lora VRM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: a systematic review. J Oral Rehabil. 2018;45:881–9.CrossRef De La Torre CG, Camara-Souza MB, Munoz Lora VRM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: a systematic review. J Oral Rehabil. 2018;45:881–9.CrossRef
32.
go back to reference Lei J, Liu MQ, Yap AU, Fu KY. Sleep disturbance and psychologic distress: prevalence and risk indicators for temporomandibular disorders in a Chinese population. J Oral Facial Pain Headache. 2015;29:24–30.CrossRef Lei J, Liu MQ, Yap AU, Fu KY. Sleep disturbance and psychologic distress: prevalence and risk indicators for temporomandibular disorders in a Chinese population. J Oral Facial Pain Headache. 2015;29:24–30.CrossRef
33.
go back to reference 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;29:135–43.CrossRef 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;29:135–43.CrossRef
34.
go back to reference Boscato N, Almeida RC, Koller CD, Presta AA, Goettems ML. Influence of anxiety on temporomandibular disorders-an epidemiological survey with elders and adults in Southern Brazil. J Oral Rehabil. 2013;40:643–9.CrossRef Boscato N, Almeida RC, Koller CD, Presta AA, Goettems ML. Influence of anxiety on temporomandibular disorders-an epidemiological survey with elders and adults in Southern Brazil. J Oral Rehabil. 2013;40:643–9.CrossRef
35.
go back to reference Pow EH, Leung KC, McMillan AS. Prevalence of symptoms associated with temporomandibular disorders in Hong Kong Chinese. J Orofac Pain. 2001;15:228–34. Pow EH, Leung KC, McMillan AS. Prevalence of symptoms associated with temporomandibular disorders in Hong Kong Chinese. J Orofac Pain. 2001;15:228–34.
36.
go back to reference Bueno CH, Pereira DD, Pattussi MP, Grossi PK, Grossi ML. Gender differences in temporomandibular disorders in adult populational studies: A systematic review and meta-analysis. J Oral Rehabil. 2018;45:720–9.CrossRef Bueno CH, Pereira DD, Pattussi MP, Grossi PK, Grossi ML. Gender differences in temporomandibular disorders in adult populational studies: A systematic review and meta-analysis. J Oral Rehabil. 2018;45:720–9.CrossRef
37.
go back to reference Miyake R, Ohkubo R, Takehara J, Morita M. Oral parafunctions and association with symptoms of temporomandibular disorders in Japanese university students. J Oral Rehabil. 2004;31:518–23.CrossRef Miyake R, Ohkubo R, Takehara J, Morita M. Oral parafunctions and association with symptoms of temporomandibular disorders in Japanese university students. J Oral Rehabil. 2004;31:518–23.CrossRef
38.
go back to reference Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorder (TMD). J Dent Res. 2002;81:284–8.CrossRef Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorder (TMD). J Dent Res. 2002;81:284–8.CrossRef
39.
go back to reference Johansson A, Unell L, Carlsson GE, Soderfeldt B, Halling A. Gender difference in symptoms related to temporomandibular disorders in a population of 50-year-old subjects. J Orofac Pain. 2003;17:29–35. Johansson A, Unell L, Carlsson GE, Soderfeldt B, Halling A. Gender difference in symptoms related to temporomandibular disorders in a population of 50-year-old subjects. J Orofac Pain. 2003;17:29–35.
Metadata
Title
Temporomandibular disorder severity and its association with psychosocial and sociodemographic factors in Turkish adults
Authors
Mehmet Melih Omezli
Damla Torul
Ceren Varer Akpinar
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02737-1

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