Nilsu EREL, Ebru YAPALAK, Ezgi ERDENOL, Özge ARİFAĞAOĞLU, Bulem YÜZÜGÜLLÜ

Çiğneme Kası Ağrısının Yaşam Kalitesi ve Anksiyete Seviyesine Etkisi

ÖZET Amaç: Bu çalışmanın amacı, yalnızca çiğneme kası ağrısına sahip TMD hastalarının ağız sağlığını değerlendiren OHIP-14 anketi ile GAD-7 anket puanlanma sonuçlarını cinsiyet, eğitim durumu ve mesleki duruma göre karşılaştırmak ve yaş ile arasındaki korelasyonu incelemektir. Gereç ve Yöntem: Yaşları 18 ile 68 arasında değişen, yalnızca çiğneme kası ağrısına sahip ve şikayeti olan 80 hasta, kinisyen tarafından DC/TMD Eksen I formunun Türkçe versiyonuna göre muayene edilmiş ve teşhis konmuştur. Ardından, hastalardan sırasıyla GAD-7 ve OHIP-14 anketlerinin Türkçe versiyonunu doldurmaları istenmiştir. Bulgular: Erkeklerin OHIP-14(7+8) ve OHIP-14(13+14) puanları kadınların puanlarından istatistiksel olarak daha yüksek bulunmuştur. Yaş, eğitim ve meslek gruplarına göre GAD-7 toplam, OHIP-14 toplam ve alt skorları arasında istatistiksel olarak anlamlı fark bulunamamıştır. GAD-7 Toplam skoru ile OHIP-14 toplam skoru ve OHIP-14‘ün psikolojik değerlendirmesi için alt skorları arasında yapılan korelasyon analizinde pozitif yönlü orta düzeyde anlamlı korelasyon bulunmuştur Sonuç: Erkek hastaların fiziksel açıdan ağız sağlığı ile ilgili yaşam kalitesinin, çiğneme kas ağrısından daha çok etkilendiği belirlenmiştir. Ayrıca, yaş, meslek ve eğitim durumu farklılıkları; çiğneme kası ağrısı olan hastalarda ağız sağlığı ile ilgili yaşam kalitesi ve anksiyete açısından herhangi bir değişim göstermemiştir. Anahtar Kelimeler: Çiğneme kası ağrısı; GAD-7; OHIP-14

Anahtar Kelimeler:

Çiğneme Kası Ağrısı, GAD-7, OHIP-14

Effect of Masticatory Muscle Pain on Life Quality and Anxiety Level

ABSTRACT Aim: Aim of this study was to compare the OHIP-14 and GAD-7 questionnaire scoring results of TMD patients with only masticatory muscle pain, according to gender, educational and occupational status, and examine the correlation between age. Materials and Method: Eighty patients aged between 18 and 68 who had only masticatory muscle pain and had complaints were examined and diagnosed by clinician according to the Turkish version of DC/TMD Axis I form. Then, patients were asked to fill the Turkish version of GAD-7 and OHIP-14 questionnaires. Results: Men’s OHIP-14(7+8) and OHIP-14(13+14) scores were statistically higher than women’s. There was no statistically significant difference between GAD-7 total, OHIP-14 total and sub-scores according to age, education and occupational groups. In the correlation analysis between GAD-7 total, OHIP-14 total and sub-scores for psychological evaluation of OHIP-14, positive moderately significant correlation was found. Conclusion: It’s been determined that the quality of life of male patients related to physical oral health is more affected by masticatory muscle pain. Also, differences in age, occupation and educational status didn’t show any change in terms of oral health-related quality of life and anxiety in patients with masticatory muscle pain. Keywords: Masticatory muscle pain; GAD-7; OHIP-14

Keywords:

Masticatory muscle pain, GAD-7, OHIP-14,

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1.Fernandes G, Franco AL, Siqueira JT, Gonçalve DA, Camparis CM. Sleep bruxism increases the risk for painful temporomandibular disorder, depression and non-specific physical symptoms. J Oral Rehabil 2012;39:538–44.
2. Miloro M, Ghali GE, Larsen P, Waite P. Peterson's principles of oral and maxillofacial surgery. 2th ed. London: BC Decker; 2004. p.37
3. McNeill C. Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent 1997;77:510-22.
4. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6:301-55.
5. Kurt H. , Mumcu E. , Ateş M. Temporamandibular Rahatsızlıkların Teşhisinde Temporamandibular Rahatsızlıklar/Araştırma Teşhis Kriterlerinin (TMR/ATK) Kullanımı. J Istanbul Univ Fac Dent 2012; 40: 1-5.
6. Katon W, Roy-Byrne P. Anxiety disorders: efficient screening is the first step in improving outcomes. Ann. Med 2007;146:390-92.
7. Yeung E, Abou-Foul A, Matcham F, Poate T, Fan K. Integration of mental health screening in the management of patients with temporomandibular disorders. Br J Oral Maxillofac Surg 2017;55:594-99.
8. Donnarumma V, Ohrbach R, Simeon V, Lobbezoo F, Piscicelli N, Michelotti A. Association between waking-state oral behaviours, according to the oral behaviors checklist, and TMD subgroups. J Oral Rehabil 2021;48:996-1003.
9. Manfredini D, Winocur E, Ahlberg J, Guarda-Nardini L, Lobbezoo F. Psychosocial impairment in temporomandibular disorders patients. RDC/TMD axis II findings from a multicentre study. J Dent 2010;38:765-72.
10. Kapos FP, Look JO, Zhang L, Hodges JS, Schiffman EL. Predictors of Long-Term Temporomandibular Disorder Pain Intensity: An 8-Year Cohort Study. J Oral Facial Pain Headache 2018;32:113-22.
11. Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med 2007;146:317-25.
12. Perazzo MF, Serra-Negra JM, Firmino RT, Pordeus IA, Martins-JÚnior PA, Paiva SM. Patient-centered assessments: how can they be used in dental clinical trials?. Braz Oral Res 2020;34 Suppl 2:e075.
13. Slade GD. Measuring oral health and quality of life. Chapel Hill: University of North Carolina 1997. p.115-17. Available from: https://www.adelaide.edu.au/arcpoh/downloads/publications/reports/miscellaneous/measuring-oral-health-and-quality-of-life.pdf
14. Murray H, Locker D, Mock D, Tenenbaum HC. Pain and the quality of life in patients referred to a craniofacial pain unit. J Orofac Pain 1996;10:316-23.
15.Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25:284-90.
16.Durham J, Steele JG, Wassell RW, et al. Creating a patient-based condition-specific outcome measure for Temporomandibular Disorders (TMDs): Oral Health Impact Profile for TMDs (OHIP-TMDs). J Oral Rehabil 2011;38:871-83.
17. Arifagaoglu O, Koseoglu Secgin C, Yuzugullu B. Effect of the COVID-19 pandemic on anxiety in patients with masticatory muscle pain [published online ahead of print, 2021 Sep 21]. J Prosthet Dent 2021;S0022-3913:00490-X.
18. Yule PL, Durham J, Playford H, et al. OHIP-TMDs: a patient-reported outcome measure for temporomandibular disorders. Community Dent Oral Epidemiol 2015;43:461-70.
19. Manfredini D, Marini M, Pavan C, Pavan L, Guarda-Nardini L. Psychosocial profiles of painful TMD patients. J Oral Rehabil 2009;36:193-98.
20. Polat S, Polat N, Çetinoğlu AOR. Diagnostic criteria for temporomandibular disorders: assessment instruments. Int RDC/TMD Consort Netw 2014
21. Basol ME, Karaagaçlioglu L, Yilmaz B. Türkçe agiz sagligi etki ölçeginin gelistirilmesi-OHIP-14-TR/Developing a turkish oral health impact profile-OHIP-14-TR: Turkiye Klinikleri J Med Sci 2014;20:85-92.
22. Kim TY, Shin JS, Lee J, et al. Gender Difference in Associations between Chronic Temporomandibular Disorders and General Quality of Life in Koreans: A Cross-Sectional Study. PLoS One 2015;10:e0145002. Published 2015 Dec 16.
23.Velly AM, Gornitsky M, Philippe P. Contributing factors to chronic myofascial pain: a case-control study. Pain 2003;104:491-99.
24. Dworkin SF, Massoth DL. Temporomandibular disorders and chronic pain: disease or illness?. J Prosthet Dent 1994;72:29-38.