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Comparison of perceived oral health in patients with temporomandibular disorders and dental anxiety using oral health-related quality of life profiles

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Abstract

Background

Oral health-related quality of life (OHRQoL) instruments provide information beyond what is represented in their summary scores. Individual item information also provides useful insight into patient-related oral health problems. Our study aim was to compare patients’ perceived impact from temporomandibular disorders (TMD) and from dental anxiety on oral health using item profiles contained within the Oral Health Impact Profile (OHIP).

Methods

We measured OHRQoL using the German version of the 14-item OHIP in 416 TMD patients, 173 dental anxiety patients, and 2,026 general population subjects.

Results

Dental anxiety patients demonstrated the highest mean OHIP summary scores, i.e., the worst OHRQoL (22.4 in anxiety patients, 14.0 in TMD patients, 4.1 in general population; P < 0.001). The prevalence of frequently occurring responses of the individual items was 6–62% in dental anxiety patients, 3–40% in TMD patients, and 0.2–0.4% in the general population. The item prevalence of both patient groups was very similar for functional and pain-related OHRQoL domains. Dental anxiety patients indicated problems more frequently than TMD patients in the OHIP domains of psychological discomfort and psychological disability.

Conclusions

This insight into patients’ perceived oral health provided by OHIP item profiles may be important for patient diagnosis and outcome assessment in the clinical setting.

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Abbreviations

OHRQoL:

Oral health-related quality of life

TMD:

Temporomandibular disorders

OHIP:

Oral Health Impact Profile

OHIP-G14:

German short form of the Oral Health Impact Profile (with 14 items)

SD:

Standard deviation

CI:

Confidence interval

RDC/TMD:

Research diagnostic criteria for temporomandibular disorders

SF-36:

Short Form 36 health survey questionnaire

GCPS:

Graded Chronic Pain Scale

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Acknowledgements

We thank Linda S. Raab for editorial assistance and Annett Schrock for data management.

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Authors and Affiliations

  1. Department of Prosthodontics and Materials Science, University of Leipzig, Nürnberger Str. 57, Leipzig, 04103, Germany

    Oliver Schierz

  2. Department of Diagnostic and Biological Sciences, University of Minnesota School of Dentistry, Minneapolis, MN, USA

    Mike T. John

  3. Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University of Hamburg, Hamburg, Germany

    Daniel R. Reißmann

  4. Dental Fears Clinic, Horner Landstr. 173, Hamburg, Germany

    Mats Mehrstedt

  5. Department of Prosthodontics, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany

    András Szentpétery

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  1. Oliver Schierz
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Correspondence to Oliver Schierz.

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Schierz, O., John, M.T., Reißmann, D.R. et al. Comparison of perceived oral health in patients with temporomandibular disorders and dental anxiety using oral health-related quality of life profiles. Qual Life Res 17, 857–866 (2008). https://doi.org/10.1007/s11136-008-9360-3

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