Influence of the COVID-19 Pandemic on Pain and Oral Health-related Quality of Life in Women with Temporomandibular Disorder

Overview

Journal Dental Press J Orthod

Specialty Dentistry

Date 2022 Jul 6

PMID 35792790

Authors

Ana Karolina Reis Mendonca

Luana Pinheiro Guerra Fontoura

Thaynara Domingos da Rocha

Rocharles Cavalcante Fontenele

Tereza Nicolle Burgos Nunes

Romulo Rocha Regis

Livia Maria Sales Pinto-Fiamengui

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to evaluate and compare pain intensity and Oral Health-related Quality of Life (OHRQoL) in women with temporomandibular disorder (TMD) before (T1) and during (T2) COVID-19 pandemic.

Materials And Methods: Sample was composed of forty-one female participants with painful TMD, who presented for TMD treatment. Subjects were asked to indicate their pain intensity and to answer the Oral Health Impact Profile-14 (OHIP-14). Participants data were collected twice: T1 (evaluation of medical records fulfilled before COVID-19 pandemic) and T2 (by means of an online form). Socio-demographic data were assessed in T1. Statistical analysis was performed with a significance level of 5% (Wilcoxon, chi-square or Fisher's exact tests, multiple linear regressions).

Results: No difference was found in pain intensity (p=0.26) and OHIP-14 global scores (p=0.53). Physical pain (p=0.03) and social disability (p=0.05) domains improved. In T1, subject's occupation was associated with OHIP-14 global score, physical pain, and physical disability domains. In T2, age was associated with OHIP-14 global scores as well as physical pain, psychological discomfort, and psychological disability domains.

Conclusion: COVID-19 pandemic did not worsen pain intensity and OHRQoL in women with painful TMD, and it is suggested that socio-demographic characteristics influenced TMD patients coping skills during pandemic.

Citing Articles

Oral condition of patients hospitalized for Covid-19 and its impact on quality of life.

Duailibe L, Rodrigues L, de Arruda A, Sabino-Silva R, Ferreira R, Tavarez R Braz Oral Res. 2025; 39:e009.

PMID: 39907323 PMC: 11790071. DOI: 10.1590/1807-3107bor-2025.vol39.009.

Impact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disorders.

Kim S, Jeong B, Kim Y, Park J BMC Oral Health. 2024; 24(1):447.

PMID: 38609928 PMC: 11015653. DOI: 10.1186/s12903-024-04168-y.

Sociodemographic Profile: A Forgotten Factor in Temporomandibular Disorders? A Scoping Review.

Carapinha I, De la Torre Canales G, Lorenzi Poluha R, Camara-Souza M, Christidis N, Ernberg M J Pain Res. 2024; 17:393-414.

PMID: 38318333 PMC: 10840546. DOI: 10.2147/JPR.S434146.

Comparison of painful temporomandibular disorders, psychological characteristics, sleep quality, and oral health-related quality of life of patients seeking care before and during the Covid-19 pandemic.

Yap A, Lei J, Liu C, Fu K BMC Oral Health. 2023; 23(1):438.

PMID: 37393220 PMC: 10315038. DOI: 10.1186/s12903-023-03158-w.

The influence of the COVID-19 pandemic, sex, and age on temporomandibular disorders subtypes in East Asian patients: a retrospective observational study.

Yap A, Park J, Lei J, Liu C, Kim S, Lee B BMC Oral Health. 2023; 23(1):248.

PMID: 37118748 PMC: 10144894. DOI: 10.1186/s12903-023-02933-z.

References

Almeida-Leite C, Stuginski-Barbosa J, Conti P . How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders?. J Appl Oral Sci. 2020; 28:e20200263. PMC: 7213779. DOI: 10.1590/1678-7757-2020-0263. View

Ornell F, Schuch J, Sordi A, Kessler F . "Pandemic fear" and COVID-19: mental health burden and strategies. Braz J Psychiatry. 2020; 42(3):232-235. PMC: 7236170. DOI: 10.1590/1516-4446-2020-0008. View

Slade G, Diatchenko L, Bhalang K, Sigurdsson A, Fillingim R, Belfer I . Influence of psychological factors on risk of temporomandibular disorders. J Dent Res. 2007; 86(11):1120-5. DOI: 10.1177/154405910708601119. View

De la Torre Canales G, Guarda-Nardini L, Rizzatti-Barbosa C, Conti P, Manfredini D . Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders. J Appl Oral Sci. 2019; 27:e20180210. PMC: 6322638. DOI: 10.1590/1678-7757-2018-0210. View

Shah K, Kamrai D, Mekala H, Mann B, Desai K, Patel R . Focus on Mental Health During the Coronavirus (COVID-19) Pandemic: Applying Learnings from the Past Outbreaks. Cureus. 2020; 12(3):e7405. PMC: 7182052. DOI: 10.7759/cureus.7405. View

Slade G, Nuttall N, Sanders A, Steele J, Allen P, Lahti S . Impacts of oral disorders in the United Kingdom and Australia. Br Dent J. 2005; 198(8):489-93. DOI: 10.1038/sj.bdj.4812252. View

Oliveira B, Nadanovsky P . Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dent Oral Epidemiol. 2005; 33(4):307-14. DOI: 10.1111/j.1600-0528.2005.00225.x. View

Varshney M, Parel J, Raizada N, Sarin S . Initial psychological impact of COVID-19 and its correlates in Indian Community: An online (FEEL-COVID) survey. PLoS One. 2020; 15(5):e0233874. PMC: 7259495. DOI: 10.1371/journal.pone.0233874. View

Zhang Y, Ma Z . Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study. Int J Environ Res Public Health. 2020; 17(7). PMC: 7177660. DOI: 10.3390/ijerph17072381. View

10.

Wang B, Li R, Lu Z, Huang Y . Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis. Aging (Albany NY). 2020; 12(7):6049-6057. PMC: 7185114. DOI: 10.18632/aging.103000. View

11.

Dahlstrom L, Carlsson G . Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontol Scand. 2010; 68(2):80-5. DOI: 10.3109/00016350903431118. View

12.

Bertoli E, de Leeuw R . Prevalence of Suicidal Ideation, Depression, and Anxiety in Chronic Temporomandibular Disorder Patients. J Oral Facial Pain Headache. 2016; 30(4):296-301. DOI: 10.11607/ofph.1675. View

13.

Virtanen M, Ferrie J, Singh-Manoux A, Shipley M, Stansfeld S, Marmot M . Long working hours and symptoms of anxiety and depression: a 5-year follow-up of the Whitehall II study. Psychol Med. 2011; 41(12):2485-94. PMC: 3095591. DOI: 10.1017/S0033291711000171. View

14.

Bragatto M, Bevilaqua-Grossi D, Regalo S, Sousa J, Chaves T . Associations among temporomandibular disorders, chronic neck pain and neck pain disability in computer office workers: a pilot study. J Oral Rehabil. 2016; 43(5):321-32. DOI: 10.1111/joor.12377. View

15.

Mazza C, Ricci E, Biondi S, Colasanti M, Ferracuti S, Napoli C . A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors. Int J Environ Res Public Health. 2020; 17(9). PMC: 7246819. DOI: 10.3390/ijerph17093165. View

16.

Almoznino G, Zini A, Zakuto A, Sharav Y, Haviv Y, Hadad A . Oral Health-Related Quality of Life in Patients with Temporomandibular Disorders. J Oral Facial Pain Headache. 2015; 29(3):231-41. DOI: 10.11607/ofph.1413. View

17.

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho C . Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020; 17(5). PMC: 7084952. DOI: 10.3390/ijerph17051729. View

18.

Liang L, Ren H, Cao R, Hu Y, Qin Z, Li C . The Effect of COVID-19 on Youth Mental Health. Psychiatr Q. 2020; 91(3):841-852. PMC: 7173777. DOI: 10.1007/s11126-020-09744-3. View

19.

Han W, Kwon S, Lee Y, Park C, Jang E . The associations between work-related factors and temporomandibular disorders among female full-time employees: findings from the Fourth Korea National Health and Nutrition Examination Survey IV (2007-2009). Ann Occup Environ Med. 2018; 30:42. PMC: 6011415. DOI: 10.1186/s40557-018-0253-9. View

20.

Bayat M, Abbasi A, Noorbala A, Mohebbi S, Moharrami M, Yekaninejad M . Oral health-related quality of life in patients with temporomandibular disorders: A case-control study considering psychological aspects. Int J Dent Hyg. 2017; 16(1):165-170. DOI: 10.1111/idh.12266. View