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      Associations among Orthodontic History, Psychological Status, and Temporomandibular-Related Quality of Life: A Cross-Sectional Study

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          Abstract

          Objectives

          This cross-sectional study aimed to evaluate the associations among orthodontic history, psychological status, and temporomandibular-related quality of life.

          Methods

          A questionnaire was developed and distributed to students in a local college, containing questions about demographic information, the Patient Health Questionnaire-4 (PHQ-4), the Fonseca anamnestic index, and the Oral Health Impact Profile for Temporomandibular Disorders (OHIP-TMD). The respondents were divided into with orthodontic history (OS) group and without OS group. Binary logistic regression and multiple linear regression were performed for statistical analysis.

          Results

          A total of 531 valid questionnaires were collected, covering 161 participants with OS and 370 participants without OS. No statistically significant differences were observed in the scores of PHQ-4 between the two groups. There was statistical difference in the prevalence of TMD (with OS group, 54.66%; without OS group, 40.81%) and the mean value ( ± standard deviations) of the scores of OHIP-TMD (with OS group, 9.64 ± 12.36; without OS group, 6.64 ± 10.79) ( p < 0.05). After adjusting confounding factors, participants with OS have worse temporomandibular-related quality of life and a higher risk of having TMD than the participants without OS.

          Conclusions

          Orthodontic history was related with the higher prevalence of TMD and worse temporomandibular-related quality of life, but not related with psychological distress, and the cause-and-effect relationship needs further exploration.

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          Most cited references42

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          An ultra-brief screening scale for anxiety and depression: the PHQ-4.

          Kurt Kroenke, Robert L Spitzer, Janet B W Williams … (2009)
          The most common mental disorders in both outpatient settings and the general population are depression and anxiety, which frequently coexist. Both of these disorders are associated with considerable disability. When the disorders co-occur, the disability is even greater. Authors sought to test an ultra-brief screening tool for both. Validated two-item ultra-brief screeners for depression and anxiety were combined to constitute the Patient Health Questionnaire for Depression and Anxiety (the PHQ-4). Data were analyzed from 2,149 patients drawn from 15 primary-care clinics in the United States. Factor analysis confirmed two discrete factors (Depression and Anxiety) that explained 84% of the total variance. Increasing PHQ-4 scores were strongly associated with functional impairment, disability days, and healthcare use. Anxiety had a substantial effect on functional status that was independent of depression. The PHQ-4 is a valid ultra-brief tool for detecting both anxiety and depressive disorders.
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            Temporomandibular disorders.

            Leonard Kaban, D Keith, S J Scrivani (2008)
            Article 0 comments Cited 147 times – based on 0 reviews     Review now
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              Gender differences in temporomandibular disorders in adult populational studies: A systematic review and meta-analysis

              C. H. Bueno, D D Pereira, M Pattussi … (2018)
              The objective of this study was to systematically evaluate gender differences in the prevalence of TMD. A systematic review was performed in PubMed, EMBASE, Web of Science and LILACS in duplicate by two independent reviewers. The inclusion criteria were cross-sectional studies that reported the prevalence of TMD for men and women and that used the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I group diagnostic criteria:(group I = muscle disorders; group II = disc displacements; group III = arthralgias/arthritis/arthrosis).To be eligible for inclusion, studies must include adult individuals (>18 years) from a non-clinical population (ie without pre-diagnosis of TMD); in other words, from population-based studies. There were no restrictions on the year and language of publication. The quality of the articles was assessed by an adapted version of the Newcastle-Ottawa Scale(NOS), and the publication bias was assessed by a funnel plot graph. Data were quantitatively analysed by meta-analysis using odds ratio (OR) as the measure effect. The electronic search retrieved a total of 6104 articles, of which 112 articles were selected for full-text reading according to the eligibility criteria. By means of manual search, one study was retrieved. Five articles were selected for meta-analysis with a combined sample of 2518 subjects. Women had higher prevalence of TMD in all RDC/TMD diagnostic groups. The meta-analysis yielded the following results: (a) OR = 2.24 for global TMD (groups I, II and III combined), (b) OR = 2.09 for group I, (c) OR = 1.6 for group II and (d) OR = 2.08 for group III. The importance of gender in the development of TMD has been demonstrated, with a two times greater risk of women to develop it as compared to men.
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                Author and article information

                Contributors
                Xin Xiong:
                ORCID: https://orcid.org/0000-0003-2175-0970
                Journal
                Journal ID (nlm-ta): Int J Clin Pract
                Journal ID (iso-abbrev): Int J Clin Pract
                Journal ID (publisher-id): IJCLP
                Title: International Journal of Clinical Practice
                Publisher: Hindawi
                ISSN (Print): 1368-5031
                ISSN (Electronic): 1742-1241
                Publication date Collection: 2022
                Publication date (Electronic): 28 May 2022
                Volume: 2022
                Electronic Location Identifier: 3840882
                Affiliations
                1National Clinical Research Center for Oral Diseases, State Key Laboratory of Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
                2Department of Nursing, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
                3Department of Stomatology, The Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
                Author notes

                Academic Editor: Hao Yu

                Author information
                https://orcid.org/0000-0001-8286-7852
                https://orcid.org/0000-0002-9040-6295
                https://orcid.org/0000-0003-2175-0970
                Article
                DOI: 10.1155/2022/3840882
                PMC ID: 9167145
                PubMed ID: 35685561
                SO-VID: ca5684b9-c39f-49d2-9153-ab7e5a948bd9
                Copyright © Copyright © 2022 Jia-Qi Liu et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 11 March 2022
                Date revision received : 8 May 2022
                Date accepted : 19 May 2022
                Categories
                Subject: Research Article

                ScienceOpen disciplines: Medicine
                Data availability:
                ScienceOpen disciplines: Medicine

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