Impact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disorders
Abstract Background The Coronavirus 2019 disease (COVID-19) caused drastic changes in people’s lifestyle that affected TMD characteristics through its physical and psychological influences. The aim of this study was to define the clinical and psychological characteristics of a large group of well-de...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-024-04168-y |
| _version_ | 1797208999979909120 |
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| author | Seong Hae Kim Bo Young Jeong Young Sun Kim Ji Woon Park |
| author_facet | Seong Hae Kim Bo Young Jeong Young Sun Kim Ji Woon Park |
| author_sort | Seong Hae Kim |
| collection | DOAJ |
| description | Abstract Background The Coronavirus 2019 disease (COVID-19) caused drastic changes in people’s lifestyle that affected TMD characteristics through its physical and psychological influences. The aim of this study was to define the clinical and psychological characteristics of a large group of well-defined TMD patients and seek their differences between before and during the COVID-19 pandemic to establish points of care to be emphasized in the post-pandemic era. Methods TMD patients diagnosed by the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) aged ≥ 18 were analyzed. Samples between September, 2017 to July, 2019 (n = 455) and March, 2021 to June, 2022 (n = 338) were collected to represent before and during COVID-19, respectively. The Graded Chronic Pain Scale (GCPS) and Symptom Checklist-90-Revision (SCL-90-R) were used to evaluate disability levels and psychological status. Clinical indices were compared between COVID periods and factors related to higher pain levels were investigated according to pandemic period. Results More patients reported pain on palpation of the masticatory muscles during the pandemic (p = 0.021) while the number decreased for neck muscles (p = 0.001) and TMJ (p < 0.001) areas. Patients reporting nocturnal bruxism (23.3–29.6%) and clenching (45.1–54.7%) significantly increased during the pandemic. TMD patients with pain without disability were more common during the pandemic regardless of pain intensity (p < 0.001). The number of patients expressing interference in daily activities decreased drastically during COVID-19 regardless of disability level (p < 0.001). Factors associated with higher than moderate pain intensity (CPI ≥ 50) were insomnia (odds ratio [OR] = 1.603, p = 0.047) and somatization (OR = 1.082, p < 0.001) before the pandemic. During the pandemic, age (OR = 1.024, p = 0.007), somatization (OR = 1.070, p = 0.006), and paranoid ideation (OR = 1.117, p = 0.003) were significantly associated with higher pain intensity. Conclusions The results of our study underline the importance of evaluating psychological profiles of TMD patients, especially somatization, paranoid ideation and psychoticism, in exceptional situations that may cause a change in individual mental status. This will lead to a better understanding of the individual TMD patient and help in planning personalized treatment strategies that will assist the patient in adjusting to changes occurring in special environments such as the COVID-19 pandemic. |
| first_indexed | 2024-04-24T09:47:44Z |
| format | Article |
| id | doaj.art-7613c8498304416d9982195fc9c83413 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-24T09:47:44Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-7613c8498304416d9982195fc9c834132024-04-14T11:31:01ZengBMCBMC Oral Health1472-68312024-04-0124111010.1186/s12903-024-04168-yImpact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disordersSeong Hae Kim0Bo Young Jeong1Young Sun Kim2Ji Woon Park3Center for Future Dentistry, School of Dentistry, Seoul National UniversityDepartment of Oral Medicine, Seoul National University Dental HospitalTransdisciplinary Major in Learning Health Systems, Department of Public Health Sciences, Graduate School, Korea UniversityDental Research Institute, Seoul National UniversityAbstract Background The Coronavirus 2019 disease (COVID-19) caused drastic changes in people’s lifestyle that affected TMD characteristics through its physical and psychological influences. The aim of this study was to define the clinical and psychological characteristics of a large group of well-defined TMD patients and seek their differences between before and during the COVID-19 pandemic to establish points of care to be emphasized in the post-pandemic era. Methods TMD patients diagnosed by the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) aged ≥ 18 were analyzed. Samples between September, 2017 to July, 2019 (n = 455) and March, 2021 to June, 2022 (n = 338) were collected to represent before and during COVID-19, respectively. The Graded Chronic Pain Scale (GCPS) and Symptom Checklist-90-Revision (SCL-90-R) were used to evaluate disability levels and psychological status. Clinical indices were compared between COVID periods and factors related to higher pain levels were investigated according to pandemic period. Results More patients reported pain on palpation of the masticatory muscles during the pandemic (p = 0.021) while the number decreased for neck muscles (p = 0.001) and TMJ (p < 0.001) areas. Patients reporting nocturnal bruxism (23.3–29.6%) and clenching (45.1–54.7%) significantly increased during the pandemic. TMD patients with pain without disability were more common during the pandemic regardless of pain intensity (p < 0.001). The number of patients expressing interference in daily activities decreased drastically during COVID-19 regardless of disability level (p < 0.001). Factors associated with higher than moderate pain intensity (CPI ≥ 50) were insomnia (odds ratio [OR] = 1.603, p = 0.047) and somatization (OR = 1.082, p < 0.001) before the pandemic. During the pandemic, age (OR = 1.024, p = 0.007), somatization (OR = 1.070, p = 0.006), and paranoid ideation (OR = 1.117, p = 0.003) were significantly associated with higher pain intensity. Conclusions The results of our study underline the importance of evaluating psychological profiles of TMD patients, especially somatization, paranoid ideation and psychoticism, in exceptional situations that may cause a change in individual mental status. This will lead to a better understanding of the individual TMD patient and help in planning personalized treatment strategies that will assist the patient in adjusting to changes occurring in special environments such as the COVID-19 pandemic.https://doi.org/10.1186/s12903-024-04168-yTemporomandibular disordersCoronavirusPandemicPainPsychologicalSomatization |
| spellingShingle | Seong Hae Kim Bo Young Jeong Young Sun Kim Ji Woon Park Impact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disorders BMC Oral Health Temporomandibular disorders Coronavirus Pandemic Pain Psychological Somatization |
| title | Impact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disorders |
| title_full | Impact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disorders |
| title_fullStr | Impact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disorders |
| title_full_unstemmed | Impact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disorders |
| title_short | Impact of the COVID-19 pandemic on clinical and psychological aspects of temporomandibular disorders |
| title_sort | impact of the covid 19 pandemic on clinical and psychological aspects of temporomandibular disorders |
| topic | Temporomandibular disorders Coronavirus Pandemic Pain Psychological Somatization |
| url | https://doi.org/10.1186/s12903-024-04168-y |
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