| 0262 Functional and psychosocial impairment related to specific temporomandibular disorder diagnoses | ||
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D. REIßMANN1, M.T. JOHN1, O. SCHIERZ1, and R.W. WASSELL2, 1University of Leipzig, Germany, 2University of Newcastle upon Tyne, England, Uk Objectives: Comparing the level of impaired Oral Health-Related Quality of Life (OHRQoL) in patients with a specific Temporomandibular Disorder (TMD) diagnosis to general population subjects unaffected by TMD to derive the unique functional and psychosocial impact due to TMD. Methods: A sample of 293 patients with a single physical diagnosis of TMD was included in this study. The sample was drawn from a total of 471 consecutive adult patients seeking treatment for masticatory muscle and temporomandibular joint problems and with at least one axis I diagnosis, according to the German version of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD-G). OHRQoL was measured using the German version of the Oral Health Impact Profile (OHIP-G). To derive the functional and psychosocial impact due to TMD mean OHIP-G scores were calculated from adult subjects of a regional population sample: a) without any sign/symptom according to the Helkimo-Index (N=35) and b) without any RDC/TMD axis I diagnosis (N=135). These means were subtracted from the mean OHIP scores of the TMD patient sample. Results: All TMD-patients with a single axis I diagnosis presented much higher impaired OHRQoL (OHIP-G means for diagnoses ranged 27.5–56.2) compared to general population subjects (9.7 in subjects without any TMD sign/symptom and 14.8 in those without RDC/TMD axis I diagnosis). Group I diagnosis (myofascial pain) showed the highest OHRQoL impact with the lowest in patients with group II diagnosis (principally disc displacement with reduction). All these differences were statistically significant (t-test p<0.05). Conclusion: TMD has a significant impact on Oral Health-Related Quality of Life independent of which diagnosis is regarded. OHRQoL in patients with pain-associated diagnoses (myofascial pain, arthralgia) is more impaired then in patients with pain-free diagnoses (disc displacement). | ||
| Seq #61 - Diagnosis and genetics of TMD/orofacial pain 10:45 AM-12:15 PM, Thursday, March 22, 2007 Ernest N. Morial Convention Center 292 | ||
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