Association between oral health-related quality of life and symptoms of temporomandibular disorder among older adults: A cross-sectional study

Cranio. 2024 Apr 4:1-9. doi: 10.1080/08869634.2024.2333269. Online ahead of print.

Abstract

Objective: Evaluate the association between oral health-related quality of life (OHRQoL) and self-reported symptoms of TMD.

Methods: Representative samples of older adults (≥60 years) were included (n = 569). Both TMD symptoms and OHRQoL were assessed by Fonseca Anamnestic Index (FAI) and Oral Health Impact Profile-14 (OHIP-14), respectively. Prevalence (those answering "frequently" or "always" in at least one question), severity (total means scores), and extent (number of questions answered as "frequently" or "always") of OHRQoL were estimated.

Results: Overall, 33.4% and 9.5% had mild or moderate/severe TMD symptoms. Those with any symptom of TMD had a prevalence ratio (PR) 38% higher for the worst OHRQoL (95% confidence interval [95%CI]:1.04-1.82) compared to those without TMD symptoms. Worst OHRQoL were observed for those with mild (PR:1.35; 95%CI:1.01-1.81) and moderate/severe TMD (PR:1.53; 95%CI:1.04-2.26). Similar results were detected in the severity and extent of OHRQoL.

Conclusion: Severity TMD was associated with worse ORHQoL.

Keywords: Dental care for aged; aged; oral health; quality of life; temporomandibular joint disorders.