Oral Health-Related Quality of Life in Temporomandibular Disorder Patients Treated with Stabilization Splint
Abstract
Introduction: The study aims to evaluate the oral health index related to the quality of life in patients with temporomandibular disorder (TMD) referred to the Mashhad School of Dentistry between 2018 and 2019 before and three months after treatment. Materials and Methods: This observational prospective study was conducted by interviewing patients with temporomandibular joint (TMJ) pain and clicking who referred to the Department of Prosthodontics, Mashhad Dental School, Iran, between 2018 and 2019. The demographic information of 63 patients was recorded separately. Then, using the Persian version of the OHIP-14 and GHQ-28 questionnaire, the quality of life in patients with TMD was compared before and three months after stabilization splint treatment. To evaluate the quality of life, the OHIP-sum index was used, and finally, the obtained data were analyzed by SPSS software using the Mann-Whitney test, paired-sample t-test, and Wilcoxon test.Results: OHIP sum was 24.31±8.82 and 13.15±9.52, before and after the intervention respectively. The GHQ sum was 33.32±12.9 and 20.71±11.07 before and after the intervention respectively, showing a significant decrease. The most problems of the stabilization splint users were related to psychological discomfort and the least common problems were related to functional limitations. Conclusion: The treatment of TMD using stabilization splints can significantly increase the oral health-related quality of life (OHRQoL) in these patients. Keywords: Oral health-related quality of life (OHRQoL); Temporomandibular disorders (TMD); Stabilization splint (SS).
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2. Yap AU, Qiu LY, Natu VP, Wong MCM. Functional, physical and psychosocial impact of Temporomandibular Disor- ders. 2020;25(2):188–94. Available from: http://dx.doi.org/doi:10.4317/medoral.23320
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4. Bess FH, Gustafson SJ, Corbett BA, Lambert EW, Camarata SM, Hornsby BWY. Salivary cortisol profiles of children with hearing loss. Ear Hear. 2016;37(3):334.
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6. Madani AS, Ajami B. An evaluation on occlusal relation and malocclusion in the incidence of temporomandibular disorders among Mashhad adolescents. J Dent Med. 2004;17(2):62–70.
7. Dahlström L, Carlsson GE. Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontol Scand. 2010;68(2):80–5.
8. Bayat M, Abbasi AJ, Noorbala AA, Mohebbi SZ, Moharrami M, Yekaninejad MS. Oral health-related quality of life in patients with temporomandibular disorders: A case-control study considering psychological aspects. Int J Dent Hyg. 2018;16(1):165–70.
9. de Resende CMBM, de Oliveira Medeiros FGL, de Figueiredo Rêgo CR, Bispo A de SL, Barbosa GAS, de Almeida EO. Short-term effectiveness of conservative therapies in pain, quality of life, and sleep in patients with temporomandibular disorders: A randomized clinical trial. CRANIO® [Internet]. 2019 Jun 15;0(0):1–9. Available from: https://doi.org/10.1080/08869634.2019.1627068
10. Mohammad-Hoseyni A, Pirmoradian-Najafabadi M, Ashnagar S, Nokhbatolfoghahaei H, Fekrazad R. Effect of low level laser therapy on pain reduction after midpalatal expansion in rats. J Dent (Tehran). 2015;12(9):655.
11. Kuttila M, Bell Y Le, Savolainen-Niemi E, Kuttila S, Alanen P. Efficiency of occlusal appliance therapy in secondary otalgia and temporomandibular disorders. Acta Odontol Scand. 2002;60(4):248–54.
12. Ekberg E, Vallon D, Nilner M. The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial. J Orofac Pain. 2003;17(2).
13. List T, Axelsson S. Management of TMD: evidence from systematic reviews and meta‐analyses. J Oral Rehabil. 2010;37(6):430–51.
14. Al‐Ani Z, Gray RJ, Davies SJ, Sloan P, Glenny A. Stabilization splint therapy for the treatment of temporomandibular myofascial pain: a systematic review. J Dent Educ. 2005;69(11):1242–50.
15. Niemelä K, Korpela M, Raustia A, Ylöstalo P, Sipilä K. Efficacy of stabilisation splint treatment on temporomandibular disorders. J Oral Rehabil. 2012;39(11):799–804.
16. Bitiniene D, Zamaliauskiene R, Kubilius R, Leketas M, Gailius T, Smirnovaite K. Quality of life in patients with temporomandibular disorders. A systematic review. Stomatologija. 2018;20(1):3–9.
17. Burden DJ. Oral health-related benefits of orthodontic treatment. In: Seminars in Orthodontics. Elsevier; 2007. p. 76–80.
18. Organization WH. The world health report 2006: working together for health. World Health Organization; 2006.
19. Blanco-Aguilera A, Blanco-Aguilera E, Serrano-Del-Rosal R, Biedma-Velázquez L, Rodriguez-Torronteras A, Segura-Saint-Gerons R, et al. Influence of clinical and psychological variables upon the oral health-related quality of life in patients with temporomandibular disorders. Med Oral Patol Oral Cir Bucal. 2017;22(6):e669–78.
20. Benoliel R, Zini A, Zakuto A, Slutzky H, Haviv Y, Sharav Y, et al. Subjective Sleep Quality in Temporomandibular Disorder Patients and Association with Disease Characteristics and Oral Health–Related Quality of Life. J Oral Facial Pain Headache. 2017;31(4):313–22.
21. Kokkola O, Suominen AL, Qvintus V, Myllykangas R, Lahti S, Tolvanen M, et al. Efficacy of stabilisation splint treatment on the oral health-related quality of life–A randomised controlled one-year follow-up trial. J Oral Rehabil. 2018;45(5):355–62.
22. Navabi N, Nakhaee N, Mirzadeh A. Validation of a Persian version of the oral health impact profile (OHIP-14). Iran J Public Health. 2010;39(4):135.
23. Slade GD. Derivation and validation of a short‐form oral health impact profile. Community Dent Oral Epidemiol. 1997;25(4):284–90.
24. Polyzois G, Lagouvardos P, Partalis C, Zoidis P, Polyzois H. Short‐Term Assessment of the OHIP‐14 Scale on Denture Wearers Using Adhesives. J Prosthodont. 2015;24(5):373–80.
25. Oliveira VS de. Correlação entre sonolência diurna, bruxismo e alterações emocionais em pacientes com dor nos músculos mastigatórios. 2017;
26. Alajbeg I, Brakus RB, Brakus I. Comparison of amitriptyline with stabilization splint and placebo in chronic TMD patients: A pilot study. Acta Stomatol Croat. 2018;52(2):114–22.
27. Pficer JK, Dodic S, Lazic V, Trajkovic G, Milic N, Milicic B. Occlusal stabilization splint for patients with temporomandibular disorders : Meta-analysis of short and long term effects. 2017;1–21.
28. PAIN O. Outcomes of therapeutic TMD interventions on oral health related quality of life: A qualitative systematic review. 2018;
29. Iva Z, Marijana G, Melita V-P. Changes in Pain Intensity and Oral Healthrelated Quality of Life in Patients with Temporomandibular Disorders During Stabilization Splint Therapy–A Pilot Study. Acta Clin Croat. 2014;53(1.):7–15.
30. Silvola A-S, Tolvanen M, Rusanen J, Sipilä K, Lahti S, Pirttiniemi P. Do changes in oral health-related quality-of-life, facial pain and temporomandibular disorders correlate after treatment of severe malocclusion? Acta Odontol Scand. 2016;74(1):44–50.
31. Carmeli E, Sheklow SL, Bloomenfeld I. Comparative study of repositioning splint therapy and passive manual range of motion techniques for anterior displaced temporomandibular discs with unstable excursive reduction. Physiotherapy. 2001;87(1):26–36.
32. Inglehart MR, Widmalm S-E, Syriac PJ. Occlusal Splints and Quality of Life--Does the Patient-Provider Relationship Matter? Oral Health Prev Dent. 2014;12(3).
33. Wieckiewicz M, Boening K, Wiland P, Shiau Y-Y, Paradowska-Stolarz A. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain. 2015;16(1):106.
34. Rener-Sitar K, Čelebić A, Petričević N, Marion L. Splint Therapy and Gender Differences in Oral-Health-Related-Quality-Of-Life: 1-Year Prospective Study. In: International Association for Dental Research. 2010.
35. Silvola A-S, Rusanen J, Tolvanen M, Pirttiniemi P, Lahti S. Occlusal characteristics and quality of life before and after treatment of severe malocclusion. Eur J Orthod. 2012;34(6):704–9.
36. Sipilä K, Suominen AL, Alanen P, Heliövaara M, Tiittanen P, Könönen M. Association of clinical findings of temporomandibular disorders (TMD) with self-reported musculoskeletal pains. Eur J Pain. 2011;15(10):1061–7.
2. Yap AU, Qiu LY, Natu VP, Wong MCM. Functional, physical and psychosocial impact of Temporomandibular Disor- ders. 2020;25(2):188–94. Available from: http://dx.doi.org/doi:10.4317/medoral.23320
3. Durham J, Newton-John TRO, Zakrzewska JM. Temporomandibular disorders. bmj. 2015;350:h1154.
4. Bess FH, Gustafson SJ, Corbett BA, Lambert EW, Camarata SM, Hornsby BWY. Salivary cortisol profiles of children with hearing loss. Ear Hear. 2016;37(3):334.
5. De Leeuw R, Klasser GD. Orofacial pain: guidelines for assessment, diagnosis, and management. Quintessence Chicago; 2008.
6. Madani AS, Ajami B. An evaluation on occlusal relation and malocclusion in the incidence of temporomandibular disorders among Mashhad adolescents. J Dent Med. 2004;17(2):62–70.
7. Dahlström L, Carlsson GE. Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontol Scand. 2010;68(2):80–5.
8. Bayat M, Abbasi AJ, Noorbala AA, Mohebbi SZ, Moharrami M, Yekaninejad MS. Oral health-related quality of life in patients with temporomandibular disorders: A case-control study considering psychological aspects. Int J Dent Hyg. 2018;16(1):165–70.
9. de Resende CMBM, de Oliveira Medeiros FGL, de Figueiredo Rêgo CR, Bispo A de SL, Barbosa GAS, de Almeida EO. Short-term effectiveness of conservative therapies in pain, quality of life, and sleep in patients with temporomandibular disorders: A randomized clinical trial. CRANIO® [Internet]. 2019 Jun 15;0(0):1–9. Available from: https://doi.org/10.1080/08869634.2019.1627068
10. Mohammad-Hoseyni A, Pirmoradian-Najafabadi M, Ashnagar S, Nokhbatolfoghahaei H, Fekrazad R. Effect of low level laser therapy on pain reduction after midpalatal expansion in rats. J Dent (Tehran). 2015;12(9):655.
11. Kuttila M, Bell Y Le, Savolainen-Niemi E, Kuttila S, Alanen P. Efficiency of occlusal appliance therapy in secondary otalgia and temporomandibular disorders. Acta Odontol Scand. 2002;60(4):248–54.
12. Ekberg E, Vallon D, Nilner M. The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial. J Orofac Pain. 2003;17(2).
13. List T, Axelsson S. Management of TMD: evidence from systematic reviews and meta‐analyses. J Oral Rehabil. 2010;37(6):430–51.
14. Al‐Ani Z, Gray RJ, Davies SJ, Sloan P, Glenny A. Stabilization splint therapy for the treatment of temporomandibular myofascial pain: a systematic review. J Dent Educ. 2005;69(11):1242–50.
15. Niemelä K, Korpela M, Raustia A, Ylöstalo P, Sipilä K. Efficacy of stabilisation splint treatment on temporomandibular disorders. J Oral Rehabil. 2012;39(11):799–804.
16. Bitiniene D, Zamaliauskiene R, Kubilius R, Leketas M, Gailius T, Smirnovaite K. Quality of life in patients with temporomandibular disorders. A systematic review. Stomatologija. 2018;20(1):3–9.
17. Burden DJ. Oral health-related benefits of orthodontic treatment. In: Seminars in Orthodontics. Elsevier; 2007. p. 76–80.
18. Organization WH. The world health report 2006: working together for health. World Health Organization; 2006.
19. Blanco-Aguilera A, Blanco-Aguilera E, Serrano-Del-Rosal R, Biedma-Velázquez L, Rodriguez-Torronteras A, Segura-Saint-Gerons R, et al. Influence of clinical and psychological variables upon the oral health-related quality of life in patients with temporomandibular disorders. Med Oral Patol Oral Cir Bucal. 2017;22(6):e669–78.
20. Benoliel R, Zini A, Zakuto A, Slutzky H, Haviv Y, Sharav Y, et al. Subjective Sleep Quality in Temporomandibular Disorder Patients and Association with Disease Characteristics and Oral Health–Related Quality of Life. J Oral Facial Pain Headache. 2017;31(4):313–22.
21. Kokkola O, Suominen AL, Qvintus V, Myllykangas R, Lahti S, Tolvanen M, et al. Efficacy of stabilisation splint treatment on the oral health-related quality of life–A randomised controlled one-year follow-up trial. J Oral Rehabil. 2018;45(5):355–62.
22. Navabi N, Nakhaee N, Mirzadeh A. Validation of a Persian version of the oral health impact profile (OHIP-14). Iran J Public Health. 2010;39(4):135.
23. Slade GD. Derivation and validation of a short‐form oral health impact profile. Community Dent Oral Epidemiol. 1997;25(4):284–90.
24. Polyzois G, Lagouvardos P, Partalis C, Zoidis P, Polyzois H. Short‐Term Assessment of the OHIP‐14 Scale on Denture Wearers Using Adhesives. J Prosthodont. 2015;24(5):373–80.
25. Oliveira VS de. Correlação entre sonolência diurna, bruxismo e alterações emocionais em pacientes com dor nos músculos mastigatórios. 2017;
26. Alajbeg I, Brakus RB, Brakus I. Comparison of amitriptyline with stabilization splint and placebo in chronic TMD patients: A pilot study. Acta Stomatol Croat. 2018;52(2):114–22.
27. Pficer JK, Dodic S, Lazic V, Trajkovic G, Milic N, Milicic B. Occlusal stabilization splint for patients with temporomandibular disorders : Meta-analysis of short and long term effects. 2017;1–21.
28. PAIN O. Outcomes of therapeutic TMD interventions on oral health related quality of life: A qualitative systematic review. 2018;
29. Iva Z, Marijana G, Melita V-P. Changes in Pain Intensity and Oral Healthrelated Quality of Life in Patients with Temporomandibular Disorders During Stabilization Splint Therapy–A Pilot Study. Acta Clin Croat. 2014;53(1.):7–15.
30. Silvola A-S, Tolvanen M, Rusanen J, Sipilä K, Lahti S, Pirttiniemi P. Do changes in oral health-related quality-of-life, facial pain and temporomandibular disorders correlate after treatment of severe malocclusion? Acta Odontol Scand. 2016;74(1):44–50.
31. Carmeli E, Sheklow SL, Bloomenfeld I. Comparative study of repositioning splint therapy and passive manual range of motion techniques for anterior displaced temporomandibular discs with unstable excursive reduction. Physiotherapy. 2001;87(1):26–36.
32. Inglehart MR, Widmalm S-E, Syriac PJ. Occlusal Splints and Quality of Life--Does the Patient-Provider Relationship Matter? Oral Health Prev Dent. 2014;12(3).
33. Wieckiewicz M, Boening K, Wiland P, Shiau Y-Y, Paradowska-Stolarz A. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain. 2015;16(1):106.
34. Rener-Sitar K, Čelebić A, Petričević N, Marion L. Splint Therapy and Gender Differences in Oral-Health-Related-Quality-Of-Life: 1-Year Prospective Study. In: International Association for Dental Research. 2010.
35. Silvola A-S, Rusanen J, Tolvanen M, Pirttiniemi P, Lahti S. Occlusal characteristics and quality of life before and after treatment of severe malocclusion. Eur J Orthod. 2012;34(6):704–9.
36. Sipilä K, Suominen AL, Alanen P, Heliövaara M, Tiittanen P, Könönen M. Association of clinical findings of temporomandibular disorders (TMD) with self-reported musculoskeletal pains. Eur J Pain. 2011;15(10):1061–7.
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| Issue | Vol 11, No 1 (Winter 2024) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v11i1.16489 | |
| Keywords | ||
| Oral health-related quality of life (OHRQoL) Temporomandibular disorders (TMD) Stabilization splint (SS) | ||
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How to Cite
1.
Mirmortazavi A, Aghasizadeh D, Nazerzadeh F, Shiezadeh I. Oral Health-Related Quality of Life in Temporomandibular Disorder Patients Treated with Stabilization Splint. J Craniomaxillofac Res. 2024;11(1):42-48.
