Quality of life of older adults with temporomandibular disorders
Keywords:
quality of life, temporomandibular disorders, temporomandibular joint, older adultsAbstract
Introduction: temporomandibular disorders (TMD) are a painful skeletal muscle condition that affects the muscles of the mastication, the temporomandibular joint (TMJ) and various anatomical structures of the stomatognathic system.
Objective: to compare the quality of life; determined with the OHIP instrument 49-Mx, of older adults with temporomandibular disorders (TMD) vs. free of TTM.
Method: an analytical observational study was conducted in the elderly population in a Gerontological Unit of Puebla, Mexico. The diagnosis of TMD was established in the facilities; with the diagnostic criteria for TTM proposed by Dworkin and improved by Schiffman in 2014 by a previously trained researcher. Additionally, the quality of life (OHIP 49-Mx) was evaluated by the same researcher. The statistical management was performed with Mann-Whitney U (medium contrast) with significant value ≤0.05, in the SPSSv.21 program.
Results: 192 older adults were evaluated; 131 (68.2%) with TTM; 84% women Patients with TMD had higher medians in most dimensions of the OHIP instrument 49 Mx: limitación funcional Md=16 vs. 13, p=0,06; dolor Md=8,0 vs. 4,0 p=0.02; incomodidad psicológica Md=3 vs. 3, p=0,31; inhabilidad física Md=11 vs. 3, p≤0,00; inhabilidad psicológica Md=1 vs. 1; p=0,03; inhabilidad social, Md=0 vs. 0; p=0,90 e incapacidad Md=1 vs. 1, p=0,03.Md=16 vs. 13, p=0.06; pain Md=8.0 vs. 4.0, p=0.02; psychological discomfort Md=3 vs. 3, p=0.31; physical disability Md=11 vs. 3, p≤0.00; psychological disability Md=1 vs. one, p=0.03; social disability Md=0 vs. 0, p=0.90 and disability Md=1 vs. 1, p=0.03.
Conclusions: the elderly with TMD, showed a lower quality of life related to oral health; specifically in the dimensions of functional limitation, physical, psychological and pain disability.
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References
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20.Hernández NB, Garbey MN, LLoga TG, Martínez JS. Repercusión del envejecimiento en la calidad de vida de los adultos mayores. RIC [en línea]. 2018 May [citado 4 Jun 2019]; 97(3):596-605. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/1946/3735
21.Mangen MJJ, Bolkenbaas M, Huijts SM, van Werkhoven CH, Bonten MJM, de Wit GA. Quality of life in community-dwelling Dutch elderly measured by EQ-5D-3L. Health Quality of Life Outcomes [en línea]. 2017 Jan [citado 4 Jun 2019]; 6 15:1–6. DOI: http://dx.doi.org10.1186/s12955-016-0577-5
22.Padilla-Sánchez M de L, Saucedo-Campos G, Ponce-Rosas ER, González-Pedraza A. Estado de dentición y su impacto en la calidad de vida en adultos mayores. CES Odont [en línea]. 2017 Jul [citado 4 Jun 2019]; 30(2):16-22. Disponible en: http://revistas.ces.edu.co/index.php/odontologia/article/viewFile/4609/pdf
23.Bayat M, Moharrami M, Abbasi AJ, Noorbala AA, Mohebbi SZ, Yekaninejad MS. Oral health- related quality of live in patients with temporomandibular disorders: a case- control study considering psychological aspects. Int J Dent Hyg [en línea] 2018 Feb. [citado 4 Jun 2019]; 16(1):165-70. DOI: http://dx.doi.org10.1111/idh.12266
24.Almoznino G, Zini A, Zakuto A, Sharav Y, Haviv Y, Avraham H, et al. Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders. J Oral Facial Pain Headache [en línea]. 2015 [citado 4 Jun 2019]; 29(3):231-41. DOI: http://dx.doi.org10.11607/ofph.1413
25.Fotedar S, Chauhan A, Bhardwaj V, Manchanda K. Oral health-related quality of life in Indian patients with temporomandibular disorders. J Cranio-Max Dis [en línea]. 2015 [citado 4 Jun 2019]; (1). Disponible en: https://www.researchgate.net/publication/273139002_Oral_health-related_quality_of_life_in_Indian_patients_with_temporomandibular_disorders
2. Torre Molina Y de la, Cabrera Velázquez M. Problemas intraarticulares en el paciente geriátrico. Gac Méd Espir [en línea]. 2018 May [citado 4 Jun 2019]; 20(2):69-82. Disponible en: https://www.proxydgb.buap.mx:2057/login.aspx?direct=true&db=lth&AN=131957762&lang=es&site=eds-live
3. Muñoz QG, Vázquez De Lara CLG, Espinosa IA, Delgado MMA. Rehabilitación dental y trastornos temporomandibulares en adolescentes de Puebla, México. Rev Fac Nac Salud Púb [en línea]. 2014 May [citado 4 Jun 2019]; 32(2):61-6. Disponible en: http://www.scielo.org.co/scielo.php?pid=S0120-386X2014000200008&script=sci_abstract&tlng=es
4. Sandoval I, Ibarra Nicole FG, Marinkovic K, Díaz W, Romo F. Prevalencia de Trastornos Temporomandibulares según los CDI/TTM, en un Grupo de Adultos Mayores de Santiago, Chile. Int J Odontostomat [en línea]. 2015 Abr [citado 4 Jun 2019]; 9(1):73-78. DOI: http://dx.doi.org/10.4067/S0718-381X2015000100011
5. Lamster IB, Asadourian L, Carmen T del, Friedman PK. The aging mouth: differentiating normal aging from disease. Periodontology 2000 [en línea]. 2016 Oct [citado 4 Jun 2019]; 72(1):96-107. DOI: http://dx.doi.org10.1111/prd.12131
6. Carlsson GE, Ekback G, Johansson A, Ordell S, Unell L. Is there a trend of decresing prevalence of TMD-related symptoms with ageing among the elderly? Acta Odontol Scan [en línea]. 2014 Nov [citado 4 Jun 2019]; 72(8):714-20. DOI: http://dx.doi.org10.3109/00016357.2014.898787
7. Yekkalam N, Wänman A. Associations between craniomandibular disorders, sociodemographic factors and self-perceived general and oral health in an adult population. Acta Odontol Scan [en línea]. 2014 Nov [citado 4 Jun 2019]; 72(8):1054-65. DOI: http://dx.doi.org10.3109/00016357.2014.949843
8. Arcos D, Nilo C, Frugone-Zambra R. Sintomatología y patología temporomandibular frecuente en adultos mayores desdentados totales de según criterios diagnósticos (RDC/TMD). Rev Nac Odontol [en línea]. 2016 Oct [citado 4 Jun 2019]; 12(23):1-14. DOI: https://doi.org/10.16925/od.v12i23.1379
9. Macedo J, Doi M, Oltramari-Navarro PV, Gorres V, Mendes MS, Machado Silva I, et al. Association between Ear Fullness, Earache, and Temporomandibular Joint Disorders in the Elderly. Int Arc Otorhinol [en línea]. 2014 Oct [citado 4 Jun 2019]; 18(4):383–6. Disponible en: http://www.proxydgb.buap.mx:2048/login?url=http%3a%2f%2fsearch.ebscohost.com%2flogin.aspx%3fdirect%3dtrue%26db%3da9h%26AN%3d98845205%26lang%3des%26site%3dehost-live
10.Kim T, Shin J, Lee J, Lee Y, Kim M, Ha I, et al. Gender Difference in Associations between Chronic Temporomandibular Disorders and General Quality of Life in Koreans: A Cross-Sectional Study. Plos One [en línea]. 2015 Dic [citado 4 Jun 2019]; 10(12):e0145002. DOI: http://dx.doi.org0.1371/journal.pone.0145002
11.Wira VV, Pragustine Y, Himawan LS, Ariani N, Tanti I. Relationship between Chronic Pain Severity and Quality of Life in TMD Patients. J Int Dental Med Res [en línea]. 2018 Jan [citado 4 Jun 2019]; 11(1):215–9. Disponible en: http://www.jidmr.com/journal/wp-content/uploads/2018/04/41JM-040-Ira-Tanti.pdf
12.Song YL, Yap AUJ, Song YLBMMOR, Yap AUJBMs PhD. Orthognathic treatment of dentofacial disharmonies: its impact on temporomandibular disorders, quality of life, and psychosocial wellness. CRANIO: J Craniomand Sleep Prac [en línea]. 2017 Jan [citado 4 Jun 2019]; 35(1):52-7. DOI: http://dx.doi.org10.1080/08869634.2016.1147676
13.Laura M, Nadia R, Valmore B, José N, Sergia L, Liliana N, et al. Impacto de la polimedicación en la calidad de vida de adultos mayores institucionalizados en un centro geriátrico del estado Zulia. Arch Ven Farm Terap [en línea]. 2018 Abr; 37(2):103-9. Disponible en: https://www.redalyc.org/articulo.oa?id=55949906003
14.Castrejón-Pérez RC, Borges-Yáñez SA, Irigoyen-Camacho ME. Validación de un instrumento para medir el efecto de la salud bucal en la calidad de vida de adultos mayores mexicanos. Pan Amer J Pub Health [en línea]. 2010 May [citado 4 Jun 2019]; 27(5):321-9. Disponible en: http://iris.paho.org/xmlui/bitstream/handle/123456789/9689/a01v27n5.pdf?sequence=1
15.Enrique Vega, et al. Envejecimiento activo y saludable Visión OMS/OPS. Encuentro México-Japón 10/02/2015 [en línea]. México: OMS; 2015. [citado 4 Jun 2019]. Disponible en: http://www.geriatria.salud.gob.mx/descargas/mexico-japon/03_AYALA_envejecimiento_activo.pdf
16.Gurgel Alexandre S, Gadelha Silva H, Gomes Napoleão Silva VM, de Almeida Rocha V, Pinheiro Lopes J, Freita MC de. Conceptions of Nursing Undergraduate Students about the Elderly and Old Age. Rev Enfermagem UFPE [en línea]. 2016 Dec [citado 4 Jun 2019]; 10(12):4606-11. Disponible en: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11529
17.Secretaria de desarrollo social (SEDESOL) e Instituto Nacional de las personas adultas mayores (INAPAM). Programa anual de trabajo 2015 [en línea]. México: SEDESOL; 2015. [citado 4 Jun 2019]. Disponible en: https://www.gob.mx/cms/uploads/attachment/file/122561/PAT_2015.pdf
18.Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Networkpass:[*] and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache [en línea]. 2014; 28(1):6-27. DOI: http://dx.doi.org10.11607/jop.1151
19.Slade G, Spencer J. Development and evaluation of the oral health impact profile. Community Dent Health. 1994; 11(1):3–11.
20.Hernández NB, Garbey MN, LLoga TG, Martínez JS. Repercusión del envejecimiento en la calidad de vida de los adultos mayores. RIC [en línea]. 2018 May [citado 4 Jun 2019]; 97(3):596-605. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/1946/3735
21.Mangen MJJ, Bolkenbaas M, Huijts SM, van Werkhoven CH, Bonten MJM, de Wit GA. Quality of life in community-dwelling Dutch elderly measured by EQ-5D-3L. Health Quality of Life Outcomes [en línea]. 2017 Jan [citado 4 Jun 2019]; 6 15:1–6. DOI: http://dx.doi.org10.1186/s12955-016-0577-5
22.Padilla-Sánchez M de L, Saucedo-Campos G, Ponce-Rosas ER, González-Pedraza A. Estado de dentición y su impacto en la calidad de vida en adultos mayores. CES Odont [en línea]. 2017 Jul [citado 4 Jun 2019]; 30(2):16-22. Disponible en: http://revistas.ces.edu.co/index.php/odontologia/article/viewFile/4609/pdf
23.Bayat M, Moharrami M, Abbasi AJ, Noorbala AA, Mohebbi SZ, Yekaninejad MS. Oral health- related quality of live in patients with temporomandibular disorders: a case- control study considering psychological aspects. Int J Dent Hyg [en línea] 2018 Feb. [citado 4 Jun 2019]; 16(1):165-70. DOI: http://dx.doi.org10.1111/idh.12266
24.Almoznino G, Zini A, Zakuto A, Sharav Y, Haviv Y, Avraham H, et al. Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders. J Oral Facial Pain Headache [en línea]. 2015 [citado 4 Jun 2019]; 29(3):231-41. DOI: http://dx.doi.org10.11607/ofph.1413
25.Fotedar S, Chauhan A, Bhardwaj V, Manchanda K. Oral health-related quality of life in Indian patients with temporomandibular disorders. J Cranio-Max Dis [en línea]. 2015 [citado 4 Jun 2019]; (1). Disponible en: https://www.researchgate.net/publication/273139002_Oral_health-related_quality_of_life_in_Indian_patients_with_temporomandibular_disorders
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Published
2019-07-23
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Espinosa de Santillana IA, Álvarez Rodríguez J, Romero Ogawa T. Quality of life of older adults with temporomandibular disorders. Rev Inf Cient [Internet]. 2019 Jul. 23 [cited 2025 Apr. 3];98(3):319-31. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/2344
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