Oral health-related quality of life in women with temporomandibular joint disc anterior displacement, before and after disc repositioning and anchoring surgery, assessed with The Oral Health Impact Profile (OHIP-14)

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Publication date: Available online 16 May 2019

Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

Author(s): Roberto Ferreira Zanin, Guilherme Ommizolo, Alexandre Weber, Cláiton Heitz, Eduardo Martinelli Santayana de Lima

ABSTRACT

Objectives

to assess and compare oral health-related quality of life (OHRQOL) in women with temporomandibular join (TMJ) disc displacement without reduction, before disc repositioning and anchoring surgery, in short-term follow-up, different age groups, and using the Oral Health Impact Profile (OHIP-14).

Study Design

fifty women between 17 and 60-years-old were divided into four age groups: 17-27, 28-38, 39-49, and 50-60 years. All the patients were asked to answer the OHIP-14 form before surgery and during their short-term follow-up. Seven domains of OHRQoL were rated in a five-point Likert scale from 0 (never) to 4 (very often). Domains’ scores and total OHIP-14 wer compared between times with Student's t test in whole sample and age groups.

Results

The whole sample and groups 17-27, 28-38, 39-49 years showed a decrease statistically significant in all scores (p < 0.01). The group 50-60 years showed a decrease in score significant only in functional limitation (p = 0.05)

Conclusion

TMJ disc anterior displacement had a negative impact on women's OHRQOL due to physical pain, physical disability, and psychological discomfort. TMJ disc repositioning and anchoring surgery improved overall OHRQOL in patients between 17 and 49-years-old; however, in patients between 50 and 60-years-old only improved physical pain.