Uticaj Covid-19 na učestalost javljanja Temporomandibularnih poremećaja
Ključne reči:
poremećaji temporomandibularnih zglobova; COVID-19; stres.
Sažetak
Uvod
Različiti psihološki faktori koji se javljaju tokom pandemije COVID-19 mogu doprineti razvoju hroničnog emocionalnog stresa, koji je najveći faktor u razvoju poremećaja temporomandibularnih zglobova (TMP). Ovo istraživanje ima za cilj da proceni korelaciju između TMP i pandemije COVID-19 među studentima.
Metode
Autori su sproveli istraživanje na Medicinskom fakultetu u Nišu, koristeći anonimnu onlajn anketu, tokom dva različita perioda, 2022. godine u vrhuncu pandemije i 2023. godine nakon što je SZO proglasila kraj pandemije. Upitnik je sadržavao pitanja koja procenjuju uticaj COVID-19 na život pacijenata, kao i pitanja iz Fonseca upitnika.
Rezultati
Uzorak je obuhvatio 363 (2022) i 212 (2023) ispitanika. Statistička značajnost utvrđena je korišćenjem χ2 testa. Studenti sa TMP bili su zastupljeniji 2023. godine nego 2022. godine (83% naspram 76%). TMP je bio značajno prisutniji među ženskim ispitanicima (p<0.001). Značaj nije utvrđen među ispitanicima na osnovu studijske grupe, statusa vakcinacije ili na osnovu toga da li su oni ili njihovi najbliži bili pogođeni COVID-19.
Zaključak
Dokazi o značajno visokom broju TMP pronađeni su među studentima. To bi moglo biti povezano sa pandemijom COVID-19 zbog velikog broja stresogenih faktora koji utiču na studente.
Ključne reči
poremećaji temporomandibularnih zglobova; COVID-19; stres.
Reference
1. Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, Monill JM, Salvador A. Anatomy of the temporomandibular joint. Semin Ultrasound CT MR. 2007 Jun;28(3):170-83. doi: 10.1053/j.sult.2007.02.002. PMID: 17571700.
2. Checherita L.E., Stamatin O., Liana A., Luca D.E. Parafunctions in dysfunctional syndrome of the stomatognathic system- Literature review. Rom. J. Med. Dent. Educ. 2020;9:53-61.
3. De La Torre Canales G, Camara-Souza MB, Munoz Lora VR, Guarda-Nardini L, Conti PC, Rodrigues Garcia RM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: a systematic review. J Oral Rehabil. 2018;45(11):881-9.
4. Osiewicz M, Lobbezoo F, Ciapala B, Pytko-Polonczyk J, Manfredini D. Pain predictors in a population of temporomandibular disorders paients. J Clin Med. 20206;(2):452.
5. Kindler S, Samietz S, Houshmand M, Grabe HJ, Berhardt O, Biffar R, et al. Depressive and anxiety symptoms as risk factors for temporomandibular join pain: a prospective cohort study in the general population. J Pain. 2012;13(12):1188-97.
6. Boscato N, Almeida RC, Koller CD, Presta AA, Goettems ML. Influence of anxiety on temporomandibular disorders: an epidemiological survey with elders and adults in Southern Brazil. J Oral Rehabil. 2013;40(9):643-9.
7. Ziegler MG. Psychological stress and the autonomic nervous system. In: Robertson D, Biaggioni I, Burnstock G, Low PA, editors. Primer on the autonomic nervous system. 2nd ed. Cambridge: Academic Press; 2004. p. 189-90.
8. Marker RJ, Campeau S, Maluf KS. Psychosocial stress alters the strength of reticulospinal input to the human upper trapezius. J Neurophysiol. 2017;117(1):457-66.
9. Mayer EA, Naliboff BD, Craig AD. Neuroimaging of the brain-gut axis: from basic understanding to treatment of functional GI disorders. Gastroenterology. 2006;131(6):1952-42
10. Herbert C, El Bolock A, Abdennadher S. How do you feel during the COVID-19 pandemic? A survey using psychological and linguistic self-report measures, and machine learning to investigate mental health, subjective experience, personality, and behaviour during the COVID-19 pandemic among university students. BMC Psychol. 2021 Jun 2;9(1):90. doi: 10.1186/s40359-021-00574-x. PMID: 34078469; PMCID: PMC8170461.
11. Wang C., Pan R., Wan X., Tan Y., Xu L., Ho C.S.H., Ho R.C.M. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int. J. Environ. Res. Public Health. 2020;17:1729.
12. Ohrbach R, Fillingim RB, Mulkey F, Gonzalez Y, Gordon S, Gremillion H, et al. Clinical findings and pain symptoms as potential risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. J Pain. 2011; 12(11 suppl):T27–45. 10.1016/j.jpain.2011.09.001
13. Generaal E, Vogelzangs N, Macfarlane GJ, Geenen R, Smit JH, de Geus EJ, et al. Biological stress systems, adverse life events and the onset of chronic multisite musculoskeletal pain: a 6-year cohort study. Ann Rheum Dis. 2016;75:847–54. 10.1136/annrheumdis-2014-206741
14. Almeida-Leite CM, Stuginski-Barbosa J, Conti PCR. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? J Appl Oral Sci 2020;28:e20200263 10.1590/1678-7757-2020-0263
15. Clauw DJ, Häuser W, Cohen SP, Fitzcharles MA. Considering the potential for an increase in chronic pain following the COVID-19 pandemic [published online ahead of print, 2020 Jun 3]. Pain 2020; 10.1097/j.pain.0000000000001950
16. Asquini G, Bianchi AE, Borromeo G, Locatelli M, Falla D. The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders. PLoS One. 2021 Feb 2;16(2):e0245999. doi: 10.1371/journal.pone.0245999. PMID: 33529226; PMCID: PMC7853459.
17. Afari N, Wen Y, Buchwald D, Goldberg J, Plesh O. Are post-traumatic stress disorder symptoms and temporomandibular pain associated? Findings from a community-based twin registry. J Orofac Pain. 2008;22(1):41–49.
18. Staniszewski K, Lygre H, Bifulco E, Kvinnsland S, Willassen L, Helgeland E, et al. Temporomandibular Disorders Related to Stress and HPA-Axis Regulation. Pain Res Manag. 2018;2018:7020751 10.1155/2018/7020751
19. Araújo Oliveira Ferreira DM, Costa YM, de Quevedo HM, Bonjardim LR, Rodrigues Cont PCR. Experimental Psychological Stress on Quantitative Sensory Testing Response in Patients with Temporomandibular Disorders. J Oral Facial Pain Headache. 2018;32(4):428–435. 10.11607/ofph.2046
20. Ohrbach R, Michelotti A. The role of stress in the etiology of oral parafunction and myofascial pain. Oral Maxillofac Surg Clin North Am. 2018;30(3):369–379. 10.1016/j.coms.2018.04.011
21. Kindler S, Schwahn C, Bernhardt O, Söhnel A, Mksoud M, Biffar R, et al. Association Between Symptoms of Posttraumatic Stress Disorder and Signs of Temporomandibular Disorders in the General Population. J Oral Facial Pain Headache. 2019. Winter;33(1):67–76. 10.11607/ofph.1905
22. Asquini G, Bianchi AE, Borromeo G, Locatelli M, Falla D. The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders. PLoS One. 2021 Feb 2;16(2):e0245999. doi: 10.1371/journal.pone.0245999. PMID: 33529226; PMCID: PMC7853459.
23. Speculand B., Hughes A.O., Goss A.N. Role of recent stressful life events experience in the onset of TMJ dysfunction pain. Community Dent. Oral Epidemiol. 1984;12:197–202.
24. Brown F.F., Robinson M.E., Riley J.L., Gremillion H.A. Pain Severity, Negative Affect, and Microstressers as Predictors of Life Interference in TMD Patients. CRANIO® 1996;14:63–70.
25. Schiffman E.L., Fricton J.R., Haley D. The relationship of occlusion, parafunctional habits and recent life events to mandibular dysfunction in a non-patient population. J. Oral Rehabil. 1992;19:201–223.
26. Abu-Raisi S.S., Ibrahim S.A., Ajina M.A., Ibrahim E.A., Almulhim A.Y., Aljalal M.A., Almajed Z.S. Temporomandibular Disorder among Women Who Experienced Posttraumatic Stress Disorder after a Miscarriage. J. Int. Soc. Prev. Community Dent. 2019;9:445–452.
27. Nomura K, Vitti M, Oliveira AS, Chaves TC, Semprini M, Siéssere S, Hallak JE, Regalo SC. Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in Brazilian dental undergraduates. Braz Dent J. 2007;18(2):163-7.
28. de Oliveira AS, Dias EM, Contato RG, Berzin F. Prevalence study of signs and symptoms of temporomandibular disorder in Brazilian college students. Braz Oral Res. 2006 Jan-Mar;20(1):3-7.
29. Alahmary AW. Association of Temporomandibular Disorder Symptoms with Anxiety and Depression in Saudi Dental Students. Open Access Maced J Med Sci. 2019 Dec 10;7(23):4116-4119.
30. Augusto VG, Perina KCB, Penha DSG, Dos Santos DCA, Oliveira VAS. Temporomandibular dysfunction, stress and common mental disorder in university students. Acta Ortop Bras. 2016 Nov-Dec;24(6):330-333.
31. Gaş S, Ekşi Özsoy H, Cesur Aydın K. The association between sleep quality, depression, anxiety and stress levels, and temporomandibular joint disorders among Turkish dental students during the COVID-19 pandemic. Cranio. 2021 Feb 5:1-6.
32. Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy. J Sleep Res. 2020 Aug;29(4):e13074.
33. Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusébio E, Neves A, Pipa J, Santa Clara E, Santiago T, Viana P, Drummond M. Sleep quality in times of Covid-19 pandemic. Sleep Med. 2020 Oct;74:81-85.
34. Westersund CD, Scholten J, Turner RJ. Relationship between craniocervical orientation and center of force of occlusion in adults. Cranio. 2017 Sep;35(5):283-289.
35. Berni KC, Dibai-Filho AV, Rodrigues-Bigaton D. Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. J Bodyw Mov Ther. 2015 Jul;19(3):404-9.
36. Lei J, Fu J, Yap AU, Fu KY. Temporomandibular disorders symptoms in Asian adolescents and their association with sleep quality and psychological distress. Cranio. 2016 Jul;34(4):242-9.
37. Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, Fenning AS, Vandelanotte C. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. Int J Environ Res Public Health. 2020 Jun 7;17(11):4065.
38. Xiao H, Zhang Y, Kong D, et al. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020;26:e923549–8.
39. Altena E, Baglioni C, Espie CA, et al. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: practical recommendations from a task force of the European CBT-I Academy. J Sleep Res. 2020;29(4):e13052
40. Campbell JH, Courey MS, Bourne P, Odziemiec C. Estrogen receptor analysis of human temporomandibular disc. J Oral Maxillofac Surg. 1993 Oct;51(10):1101-5.
41. Koidis PT, Zarifi A, Grigoriadou E, Garefis P. Effect of age and sex on craniomandibular disorders. J Prosthet Dent. 1993 Jan;69(1):93-101.
2. Checherita L.E., Stamatin O., Liana A., Luca D.E. Parafunctions in dysfunctional syndrome of the stomatognathic system- Literature review. Rom. J. Med. Dent. Educ. 2020;9:53-61.
3. De La Torre Canales G, Camara-Souza MB, Munoz Lora VR, Guarda-Nardini L, Conti PC, Rodrigues Garcia RM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: a systematic review. J Oral Rehabil. 2018;45(11):881-9.
4. Osiewicz M, Lobbezoo F, Ciapala B, Pytko-Polonczyk J, Manfredini D. Pain predictors in a population of temporomandibular disorders paients. J Clin Med. 20206;(2):452.
5. Kindler S, Samietz S, Houshmand M, Grabe HJ, Berhardt O, Biffar R, et al. Depressive and anxiety symptoms as risk factors for temporomandibular join pain: a prospective cohort study in the general population. J Pain. 2012;13(12):1188-97.
6. Boscato N, Almeida RC, Koller CD, Presta AA, Goettems ML. Influence of anxiety on temporomandibular disorders: an epidemiological survey with elders and adults in Southern Brazil. J Oral Rehabil. 2013;40(9):643-9.
7. Ziegler MG. Psychological stress and the autonomic nervous system. In: Robertson D, Biaggioni I, Burnstock G, Low PA, editors. Primer on the autonomic nervous system. 2nd ed. Cambridge: Academic Press; 2004. p. 189-90.
8. Marker RJ, Campeau S, Maluf KS. Psychosocial stress alters the strength of reticulospinal input to the human upper trapezius. J Neurophysiol. 2017;117(1):457-66.
9. Mayer EA, Naliboff BD, Craig AD. Neuroimaging of the brain-gut axis: from basic understanding to treatment of functional GI disorders. Gastroenterology. 2006;131(6):1952-42
10. Herbert C, El Bolock A, Abdennadher S. How do you feel during the COVID-19 pandemic? A survey using psychological and linguistic self-report measures, and machine learning to investigate mental health, subjective experience, personality, and behaviour during the COVID-19 pandemic among university students. BMC Psychol. 2021 Jun 2;9(1):90. doi: 10.1186/s40359-021-00574-x. PMID: 34078469; PMCID: PMC8170461.
11. Wang C., Pan R., Wan X., Tan Y., Xu L., Ho C.S.H., Ho R.C.M. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int. J. Environ. Res. Public Health. 2020;17:1729.
12. Ohrbach R, Fillingim RB, Mulkey F, Gonzalez Y, Gordon S, Gremillion H, et al. Clinical findings and pain symptoms as potential risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. J Pain. 2011; 12(11 suppl):T27–45. 10.1016/j.jpain.2011.09.001
13. Generaal E, Vogelzangs N, Macfarlane GJ, Geenen R, Smit JH, de Geus EJ, et al. Biological stress systems, adverse life events and the onset of chronic multisite musculoskeletal pain: a 6-year cohort study. Ann Rheum Dis. 2016;75:847–54. 10.1136/annrheumdis-2014-206741
14. Almeida-Leite CM, Stuginski-Barbosa J, Conti PCR. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? J Appl Oral Sci 2020;28:e20200263 10.1590/1678-7757-2020-0263
15. Clauw DJ, Häuser W, Cohen SP, Fitzcharles MA. Considering the potential for an increase in chronic pain following the COVID-19 pandemic [published online ahead of print, 2020 Jun 3]. Pain 2020; 10.1097/j.pain.0000000000001950
16. Asquini G, Bianchi AE, Borromeo G, Locatelli M, Falla D. The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders. PLoS One. 2021 Feb 2;16(2):e0245999. doi: 10.1371/journal.pone.0245999. PMID: 33529226; PMCID: PMC7853459.
17. Afari N, Wen Y, Buchwald D, Goldberg J, Plesh O. Are post-traumatic stress disorder symptoms and temporomandibular pain associated? Findings from a community-based twin registry. J Orofac Pain. 2008;22(1):41–49.
18. Staniszewski K, Lygre H, Bifulco E, Kvinnsland S, Willassen L, Helgeland E, et al. Temporomandibular Disorders Related to Stress and HPA-Axis Regulation. Pain Res Manag. 2018;2018:7020751 10.1155/2018/7020751
19. Araújo Oliveira Ferreira DM, Costa YM, de Quevedo HM, Bonjardim LR, Rodrigues Cont PCR. Experimental Psychological Stress on Quantitative Sensory Testing Response in Patients with Temporomandibular Disorders. J Oral Facial Pain Headache. 2018;32(4):428–435. 10.11607/ofph.2046
20. Ohrbach R, Michelotti A. The role of stress in the etiology of oral parafunction and myofascial pain. Oral Maxillofac Surg Clin North Am. 2018;30(3):369–379. 10.1016/j.coms.2018.04.011
21. Kindler S, Schwahn C, Bernhardt O, Söhnel A, Mksoud M, Biffar R, et al. Association Between Symptoms of Posttraumatic Stress Disorder and Signs of Temporomandibular Disorders in the General Population. J Oral Facial Pain Headache. 2019. Winter;33(1):67–76. 10.11607/ofph.1905
22. Asquini G, Bianchi AE, Borromeo G, Locatelli M, Falla D. The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders. PLoS One. 2021 Feb 2;16(2):e0245999. doi: 10.1371/journal.pone.0245999. PMID: 33529226; PMCID: PMC7853459.
23. Speculand B., Hughes A.O., Goss A.N. Role of recent stressful life events experience in the onset of TMJ dysfunction pain. Community Dent. Oral Epidemiol. 1984;12:197–202.
24. Brown F.F., Robinson M.E., Riley J.L., Gremillion H.A. Pain Severity, Negative Affect, and Microstressers as Predictors of Life Interference in TMD Patients. CRANIO® 1996;14:63–70.
25. Schiffman E.L., Fricton J.R., Haley D. The relationship of occlusion, parafunctional habits and recent life events to mandibular dysfunction in a non-patient population. J. Oral Rehabil. 1992;19:201–223.
26. Abu-Raisi S.S., Ibrahim S.A., Ajina M.A., Ibrahim E.A., Almulhim A.Y., Aljalal M.A., Almajed Z.S. Temporomandibular Disorder among Women Who Experienced Posttraumatic Stress Disorder after a Miscarriage. J. Int. Soc. Prev. Community Dent. 2019;9:445–452.
27. Nomura K, Vitti M, Oliveira AS, Chaves TC, Semprini M, Siéssere S, Hallak JE, Regalo SC. Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in Brazilian dental undergraduates. Braz Dent J. 2007;18(2):163-7.
28. de Oliveira AS, Dias EM, Contato RG, Berzin F. Prevalence study of signs and symptoms of temporomandibular disorder in Brazilian college students. Braz Oral Res. 2006 Jan-Mar;20(1):3-7.
29. Alahmary AW. Association of Temporomandibular Disorder Symptoms with Anxiety and Depression in Saudi Dental Students. Open Access Maced J Med Sci. 2019 Dec 10;7(23):4116-4119.
30. Augusto VG, Perina KCB, Penha DSG, Dos Santos DCA, Oliveira VAS. Temporomandibular dysfunction, stress and common mental disorder in university students. Acta Ortop Bras. 2016 Nov-Dec;24(6):330-333.
31. Gaş S, Ekşi Özsoy H, Cesur Aydın K. The association between sleep quality, depression, anxiety and stress levels, and temporomandibular joint disorders among Turkish dental students during the COVID-19 pandemic. Cranio. 2021 Feb 5:1-6.
32. Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy. J Sleep Res. 2020 Aug;29(4):e13074.
33. Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusébio E, Neves A, Pipa J, Santa Clara E, Santiago T, Viana P, Drummond M. Sleep quality in times of Covid-19 pandemic. Sleep Med. 2020 Oct;74:81-85.
34. Westersund CD, Scholten J, Turner RJ. Relationship between craniocervical orientation and center of force of occlusion in adults. Cranio. 2017 Sep;35(5):283-289.
35. Berni KC, Dibai-Filho AV, Rodrigues-Bigaton D. Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. J Bodyw Mov Ther. 2015 Jul;19(3):404-9.
36. Lei J, Fu J, Yap AU, Fu KY. Temporomandibular disorders symptoms in Asian adolescents and their association with sleep quality and psychological distress. Cranio. 2016 Jul;34(4):242-9.
37. Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, Fenning AS, Vandelanotte C. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. Int J Environ Res Public Health. 2020 Jun 7;17(11):4065.
38. Xiao H, Zhang Y, Kong D, et al. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020;26:e923549–8.
39. Altena E, Baglioni C, Espie CA, et al. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: practical recommendations from a task force of the European CBT-I Academy. J Sleep Res. 2020;29(4):e13052
40. Campbell JH, Courey MS, Bourne P, Odziemiec C. Estrogen receptor analysis of human temporomandibular disc. J Oral Maxillofac Surg. 1993 Oct;51(10):1101-5.
41. Koidis PT, Zarifi A, Grigoriadou E, Garefis P. Effect of age and sex on craniomandibular disorders. J Prosthet Dent. 1993 Jan;69(1):93-101.
Objavljeno
2025/11/20
Broj časopisa
Rubrika
Originalni rad / Original article