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Temporomandibular disorders and oral health-related quality of life. A systematic review

Forskningsöversiktsartikel
Författare Lars Dahlström
Gunnar E Carlsson
Publicerad i Acta Odontol Scand
Volym 68
Nummer/häfte 2
Sidor 80-85
Publiceringsår 2010
Publicerad vid Institutionen för odontologi
Sidor 80-85
Språk en
Ämnesord craniomandibular disorders, oral health impact profile, pain, quality of life, TMD
Ämneskategorier Odontologisk beteendevetenskap, Övrig odontologi

Sammanfattning

Objective. Oral health-related quality of life (OHRQoL) is considered an important aspect of different oral conditions. It has gained increased attention also in temporomandibular disorders (TMD) in recent years. The purpose was to systematically review the literature on OHRQoL and TMD. Material and methods. A systematic search of the dental literature was performed in Medline and Cochrane library databases, supplemented with a hand search. Various combinations of search terms related to OHRQoL and TMD were used. Among numerous titles found in Medline with different search terms, abstracts and eventually full papers of potentially interest were reviewed. Twelve papers fulfilled the inclusion criteria and were included in the review. Results. Most studies used Oral Health Impact Profile, an instrument with good psychometric properties, for evaluation. All articles described a substantial impact on OHRQoL in TMD patients. Only a small portion of all patients, a few percent, had no impact at all. The difference between men and women was small and not significant. The impact appears to be more pronounced in patients with more signs and symptoms. The perceived impact of pain on OHRQoL seems to be substantial. Two studies found that the impact increased with age among TMD patients. Conclusions. The reviewed studies convincingly demonstrated that OHRQoL was negatively affected among TMD patients.

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