Do temporomandibular disorder and age predict oral health-related quality of life in men and women?
DOI:
https://doi.org/10.21527/2176-7114.2024.48.14485Keywords:
Mandibular Diseases, Dentistry, HealthAbstract
This study aimed to verify whether temporomandibular disorder (TMD) and age predict oral health-related quality of life (OHRQoL) in both men and women. This is a quantitative, analytical, observational and cross-sectional research. The sample was chosen intentionally and for convenience, and consisted of 407 adults, of both genders, living in different regions of Brazil. A sociodemographic questionnaire was used with questions related to gender, age, education, and income, among others; the Oral Health Impact Profile (OHIP-14) and Fonseca Anamnesic Questionnaire also were used. Data were analyzed by Kolmogorov-Smirnov, Levene, bootstrapping, Student's t, Cohen's d, Pearson's correlation and multiple regression analysis (p<0.05). The women perceived themselves as having worse OHRQoL and higher TMD. The increase in TMD score is associated with worsening of OHRQoL, with greater intensity among women. For women, TMD was a positive predictor for all domains and the total OHRQoL score, while age presented a significant and positive prediction only on the domains of functional limitation (β=0.14), physical disability (β=0.17) and total score (β=0.10). For men, TMD was a positive predictor, while age did not present a significant prediction on the domains and the total OHRQoL score. Women perceived themselves as having worse OHRQoL and higher TMD. It is noteworthy that TMD was an intervening factor in the OHRQoL of both men and women, and age can potentiate this influence in women.
References
Rota AC, Biato ECL, Macedo SB, Moraes ACR. Nas trincheiras da disfunção temporomandibular: estudo de vivências. Ciênc saúde coletiva. 2021;26(9):4.173-4.182. DOI: https://doi.org/10.1590/1413-81232021269.14592020
Ramos MM, González AP, Hoz Aizpúrua JL. Dor orofacial musculoesquelético orofacial (disfunção craniomandibular). RCOE. 2013;18(3):161-165.
Mendes LMR, Barreto MCA, Castro SS. Instruments that assess functioning in individuals with temporomandibular disorders and the International Classification of Functioning: systematic review. Braz J pain. 2021;4(1):63-67. DOI: https://doi.org/10.5935/2595-0118.20210001.
Rodrigues CA, Magri LV, Melchior MO, Mazzetto MO. Evaluation of the impact on quality of life of patients with temporomandibular disorders. Rev dor. 2015;16(3):181-185. DOI: https://doi.org/10.5935/1806-0013.20150036
Fernandes K, Guimarães AS, Cruz MM. The effect of biofeedback on pain and sleep in a patient with temporomandibular disorder. Case report. Braz J pain. 2020;3(4):381-384.
Afonso A, Silva I, Meneses R, Frias-Bulhosa J. Qualidade de vida relacionada com a saúde oral: validação portuguesa de OHIP-14. Psicol, saúde, doenças. 2017;18(2):374-388. DOI: http://dx.doi.org/10.15309/17psd180208
Waked JP, Canuto MPLAM, Gueiros MCSN, Aroucha JMCNL, Farias CG, Caldas Júnior AF. Model for Predicting Temporomandibular Dysfunction: Use of Classification Tree Analysis. Braz dent J. 2020;31(4):360-367. DOI: https://doi.org/10.1590/0103-6440202003279
Bagis B, Ayaz EA, Turgut S, Durkan R, Ozcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J med sci. 2012;9(7):539-544. DOI: https://doi.org/10.7150/ijms.4474
Vilanova LS, Gonçalves TM, Meirelles L, Garcia RC. Hormonal fluctuations intensify temporomandibular disorder pain without impairing masticatory function. Int J Prosthod. 2015;28(1):72-74. DOI: https://doi.org/10.11607/ijp.4040
Kim T, Shin J, Lee J, Lee YJ, Kim M, Ahn Y, Park KB, et al. Gender Difference in Associations between Chronic Temporomandibular Disorders and General Quality of Life in Koreans: A Cross-Sectional Study. PloS One. 2015;16(10). DOI: https://doi.org/10.1371/journal.pone.0145002
World Health Organization (WHO). International Classification of Impairments, Disabilities, and Handicaps. A manual of classification relating to the consequences of disease. 1976.
Locker D. Concepts of oral health, disease and quality of life. In: Slade, GD (ed.). Measuring oral health and quality of life. 1997.
Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of Oral Health Impact Profile-shor form. CHD. 2005;33:307-314.
Fonseca DM, Bonfante G, Valle AL, Freitas SFT. Diagnóstico pela anamnese da disfunção craniomandibular. Rev Gaúcha Odontol. 1994;21:23-28.
Helkimo M. Studies on function and dysfunction of the masticatory system, II: index for anamnestic and clinical dysfunction and occlusal state. Sven Tandlak Tidskr. 1974;67(2):101-121.
Campos JADB, Gonçalves DAG, Camparis CM, Speciali JG. Confiabilidade de um formulário para diagnóstico da severidade da disfunção temporomandibular. Rev bras fisiot. 2009;13(1):38-43.
Haukoos JS, Lewis RJ. Advanced statistics: bootstrapping confidence intervals for statistics with “difficult” distributions. AEM. 2005;12(4):360-5. DOI: https://doi.org/10.1197/j.aem.2004.11.018
Cohen J. Statistical Power Analysis. Curr Dir Psychol Sci. 1992;1(3):98-101. DOI: https://doi.org/10.1111/1467-8721.ep10768783
Hair Júnior JF, Black WC, Babin BJ, Anderson RE, Tatham RL, Sant’Anna MPGAS. Análise multivariada de dados. Porto Alegre: Bookman; 2009.
Ramalho D, Macedo L, Goffredo Filho G, Goes C, Tesch R. Correlation between the levels of non-specific physical symptoms and pressure pain thresholds measured by algometry in patients with temporomandibular disorders. J oral rehabil. 2015;42(2):120-126. DOI: https://doi.org/10.1111/joor.12236
Trize DM, Calabria MP, Franzolin SOB, Cunha CO, Marta SN. Is quality of life affected by temporomandibular disorders? Einstein. 2018;16(4):1-6. DOI: https://doi.org/10.31744/einstein_journal/2018AO4339
Sassi FC, Silva AP, Santos RKS, Andrade CRF. Tratamento para disfunções temporomandibulares: uma revisão sistemática. ACR. 2018;23:1-13. DOI: https://doi.org/10.1590/2317-6431-2017-1871
Racine M, Tousignant-Laflamme Y, Kloda LA, Dion D, Dupuis G, Choinière M. A systematic literature review of 10 years of research on sex/gender and experimental pain perception - part 1: are there really differences between women and men? Pain. 2012;153(3):608-618. DOI: https://doi.org/10.1016/j.pain.2011.11.025
Beaumont S, Garg K, Gokhale A, Heaphy N. Temporomandibular Disorder: a practical guide for dental practitioners in diagnosis and management. Aust dent J. 2020;65(3):172-180. DOI: https://doi.org/10.1111/adj.12785
Robinson JL, Johnson PM, Kister K, Yin MT, Chen J, Wadhwa S. Estrogen signaling impacts temporomandibular joint and periodontal disease pathology. Odontology. 2020;108(2):153-165. DOI: https://doi.org/10.1007/s10266-019-00439-1
Hunt CA, Mun CJ, Owens MA, Lerman SF, Kunatharaju S, Tennen HA, Buenaver LF, et al. Sleep, Positive Affect, and Circulating Interleukin-6 in Women With Temporomandibular Joint Disorder. Psychosom med. 2022.84(3):383-92. DOI: https://doi.org/10.1097/PSY.0000000000001047
Afonso AC, Silva I. Qualidade de vida relacionada com saúde oral e variáveis associadas: revisão integrativa. Psicol, saúde doenças. 2015;16(3):311-330.
Cohen-Carneiro F, Souza-Santos R, Rebelo MAB. Qualidade de vida relacionada à saúde bucal: contribuição dos fatores sociais. Ciênc saúde coletiva. 2011;16(1):1.007-1.015.
Lemos GA, Paulino MR, Forte FDS, Beltrão RTS, Batista AUD. Influência da presença e gravidade da disfunção temporomandibular na qualidade de vida relacionada com a saúde oral. Rev dor. 2015;16(1):10-14.
Dahlström L, Carlsson GE. Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta odontol scand. 2010;68(2):80-85. DOI: https://doi.org/10.3109/00016350903431118
Teixeira MFN, Martins AB, Celeste RK, Hugo FN, Hilgert JB. Association between resilience and quality of life related to oral health in the elderly. Rev bras epidemiol. 2015;18(1):220-233. DOI: https://doi.org/10.1590/1980-5497201500010017
Michelotti A, Iodice G. The role of orthodontics in temporomandibular disorders. J oral rehabil. 2010;37(6):411-429. DOI: https://doi.org/10.1111/j.1365-2842.2010.02087.x
Janal MN, Prevalence of myofascial temporomandibular disorder in US community women. J oral rehabil. 2008;35(11):801-809. DOI: https://doi.org/10.1111/j.1365-2842.2008.01854.x
Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Dubner R, Bair E, Baraian C, et al. Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. J pain. 2011;12(11):46-60. DOI: https://doi.org/10.1016/j.jpain.2011.08.007
Byles JE, Gallienne L, Blyth FM, Banks E. Relationship of age and gender to the prevalence and correlates of psychological distress in later life. Int Psychogeriatr. 2012;24(6):1.009-1.018. DOI: https://doi.org/10.1017/S1041610211002602
Tonin RH, Iwaki Filho L. Grossmann E, Lazarin RO, Pinto GNS, Previdelli ITS, Iwaki LCV. Correlation between age, gender, and the number of diagnoses of temporomandibular disorders through magnetic resonance imaging: A retrospective observational study. Cranio. 2020;38(1):34-42. DOI: https://doi.org/10.1080/08869634.2018.1476078
Slade GD. Derivation and validation of a short-form oral health impact profile. Community dent oral epidemiol. 1997;25(4):284-290. DOI: https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
Atchison KA. Understanding the quality in quality care and quality of life. In: Inglehart MR, Bagramian RA. Oral Health-Related Quality of Life. USA: Quintessence Books; 2002. p. 13-29.
Oral K, Kuçuk BB, Ebeoglu B, Dinçer S. Etiology of temporomandibular disorder pain. Agri. 2009;21(3):89-94.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Contexto & Saúde
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista Contexto & Saúde, authors agree to the following terms:
The works are licensed under the Creative Commons Atribuição 4.0 Internacional (CC BY 4.0) license, which allows:
Share — to copy and redistribute the material in any medium or format;
Adapt — to remix, transform, and build upon the material for any purpose, including commercial.
These permissions are irrevocable, provided that the following terms are respected:
Attribution — authors must be properly credited, with a link to the license and indication of any changes made.
No additional restrictions — no legal or technological measures may be applied that restrict the use permitted by the license.
Notes:
The license does not apply to elements in the public domain or covered by legal exceptions.
The license does not grant all rights necessary for specific uses (e.g., image rights, privacy, or moral rights).
The journal is not responsible for opinions expressed in the articles, which are the sole responsibility of the authors. The Editor, with the support of the Editorial Board, reserves the right to suggest or request modifications when necessary.
Only original scientific articles presenting research results of interest that have not been published or simultaneously submitted to another journal with the same objective will be accepted.
Mentions of trademarks or specific products are intended solely for identification purposes, without any promotional association by the authors or the journal.
License Agreement (for articles published from September 2025): Authors retain copyright over their article and grant Revista Contexto & Saúde the right of first publication.
