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Impact of pain-related temporomandibular disorders on jaw functional limitation, psychological distress and quality of life in postoperative class III East Asian patients

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Abstract

Objectives

This cross-sectional study determined the prevalence of painful TMD and its impact on jaw function, psychological status and oral health-related quality of life (OHRQoL) in postoperative Chinese patients. It also assessed factors influencing OHRQoL of these patients.

Materials and methods

Subjects were recruited from the National Dental Centre Singapore dentofacial deformity registry. Invitations to participate in the study were sent to patients who sought treatment from March 2011 to November 2017. Patients who consented were directed to an online link to complete a series of questionnaires based on the Diagnostic Criteria for TMD (DC-TMD) and the orthognathic quality of life questionnaire (OQLQ).

Results

The subjects (n = 99) had a mean age of 25.2 ± 6.0 years and postoperative time of 29.4 ± 22.7 months. 18.2% were found to suffer from pain-related TMD postorthognathic surgery and these patients (n = 18) had significantly higher median JFLS-8 score than those without TMD pain (p = 0.008). Time since surgery was significantly associated with OHRQoL (p = 0.00000026).

Conclusions

Prevalence of painful TMD and psychological distress was low while prevalence of jaw functional limitation was moderately high in postoperative class III Chinese patients.

Clinical relevance

Painful TMD impacted jaw function especially when subjects open wide enough to drink, yawn, talk and smile but had no significant consequence on psychological status and OHRQoL.

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Acknowledgements

We would like to thank Assistant Professor Fan Qiao and Nadkarni Nivedita Vikas from the Duke-National University of Singapore Medical School for their help in statistical analysis.

Funding

Cost of printing the invitation letters and postage for the study were provided by the National Dental Centre Singapore.

Author information

Authors and Affiliations

  1. Department of Orthodontics, National Dental Centre Singapore, 5 Second Hospital Avenue, Singapore, 168938, Singapore

    Yi Lin Song

  2. Department of Dentistry, Ng Teng Fong General Hospital, 1 Jurong East Street 21, Singapore, 609606, Singapore

    Adrian U-jin Yap

  3. Faculty of Dentistry, National University of Singapore, 9 Lower Kent Ridge Road, Singapore, 119085, Singapore

    Adrian U-jin Yap

  4. Department of Prosthodontics, National Dental Centre Singapore, 5 Second Hospital Avenue, Singapore, 168938, Singapore

    Adrian U-jin Yap

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  1. Yi Lin Song
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  2. Adrian U-jin Yap
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Correspondence to Yi Lin Song.

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This research was approved by the SingHealth Centralized Institutional Review Board (CIRB Ref 2016/2232).

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Song, Y.L., Yap, A.Uj. Impact of pain-related temporomandibular disorders on jaw functional limitation, psychological distress and quality of life in postoperative class III East Asian patients. Clin Oral Invest 24, 953–961 (2020). https://doi.org/10.1007/s00784-019-02994-x

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