Objective: The purpose of the present study is to evaluate the outcomes of coronavirus and outbreak-induced pandemics in terms of temporomandibular dysfunction (TMD), depression and oral health-related quality of life. We also aimed to determine any associations between the coronavirus disease-2019 (COVID-19) positive group, the COVID- 19 contact group and the control group and each patient's depression, TMD and their oral health-related quality of life. Material and Methods: One thousand-twenty participants in the 13-75 age range answered questions consisting of the Oral Health Impact Profile Questionnaire (OHIP- 14), the Fonseca Questionnaire and the Patient Health Questionnaire-9 (PHQ-9). The present study was done online in Turkey. Participants who agreed to participate in the survey continued to answer the survey questions by stating their status regarding COVID-19. Participants were divided into 3 groups according to their COVID-19-related status: COVID-19 positive, COVID-19 contact and control group. Results: According to the results of present study, a statistically significant difference was found between the OHIP-14, Fonseca and PHQ-9 survey results and the groups (p<0.001, p<0.05, p<0.001 respectively). Of COVID-19 positives, 17.3% had poor oral health-related quality of life, 91.4% had any level of depression between mild and severe depression, and 66.4% had any level of TMD. Conclusion: According to the results of the present study in COVID- 19 positives, the oral health-related quality of life was lowest, moderate TMD and severe TMD were higher, and symptoms of severe depression were more. Furthermore the coronavirus and pandemic increase depression and TMD, and reduce the quality of life related to oral health.
Keywords: COVID-19; temporomandibular joint dysfunction syndrome; depression; oral health
Amaç: Bu çalışmanın amacı, koronavirüs ve salgın kaynaklı pandemilerin sonuçlarını temporomandibular disfonksiyon (TMD), depresyon ve ağız sağlığı ile ilişkili yaşam kalitesi açısından değerlendirmektir. Ayrıca koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID- 19)] pozitif grup, COVID-19 temas grubu ve kontrol grubu ile her hastanın depresyon, TMD ve ağız sağlığı ile ilgili yaşam kalitesi arasındaki ilişkileri belirlemeyi amaçladık. Gereç ve Yöntemler: 13-75 yaş aralığındaki 1.020 katılımcı, Ağız Sağlığı Etki Profili Anketi [Oral Health Impact Profile Questionnaire (OHIP-14)], Fonseca Anketi ve Hasta Sağlığı Anketi-9'dan [Patient Health Questionnaire-9 (PHQ-9)] oluşan soruları yanıtladı. Bu çalışma, Türkiye genelinde çevrim içi olarak yapıldı. Ankete katılmayı kabul eden katılımcılar, COVID-19 ile ilgili durumlarını belirterek anket sorularını cevaplamaya devam etti. Katılımcılar, COVID- 19 ile ilgili durumlarına göre 3 gruba ayrıldı: COVID-19 pozitif, COVID- 19 temaslı ve kontrol grubu. Bulgular: Bu çalışmanın sonuçlarına göre OHIP-14, Fonseca ve PHQ-9 anket sonuçları ile gruplar arasında istatistiksel olarak anlamlı fark bulundu (sırasıyla p<0,001, p<0,05, p<0,001). COVID-19 pozitiflerin %17,3'ünün ağız sağlığıyla ilgili yaşam kalitesi kötüydü, %91,4'ünün hafif depresyon ile şiddetli depresyon arasında herhangi bir düzeyde depresyonu vardı ve %66,4'ü herhangi bir düzeyde TMD'ye sahipti. Sonuç: Mevcut çalışma sonuçlarına göre COVID-19 pozitiflerinde ağız sağlığı ile ilgili yaşam kalitesi en düşük, orta TMD ve şiddetli TMD daha yüksek ve şiddetli depresyon belirtileri daha fazlaydı. Ayrıca koronavirüs ve pandemi, depresyonu ve TMD'yi artırmakta, ağız sağlığı ile ilişkili yaşam kalitesini düşürmektedir.
Anahtar Kelimeler: COVID-19; temporomandibular eklem disfonksiyon sendromu; depresyon; oral sağlık
- Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683-90. [Crossref] [PubMed] [PMC]
- T.C. Sağlık Bakanlığı. COVID-19 Salgın Yönetimi ve Çalışma Rehberi. Bilimsel Danışma Kurulu Çalışması. 2021. Erişim tarihi: 17 Aralık 2021. Erişim linki: [Link]
- Fernandes G, Gonçalves DAG, Conti P. Musculoskeletal disorders. Dent Clin North Am. 2018;62(4):553-64. [Crossref] [PubMed]
- Mehta NM. The role of interprofessional education in the management of temporomandibular and sleep disorders. Cranio. 2013;31(3):159-60. [Crossref] [PubMed]
- Camacho JG, Oltramari-Navarro PV, Navarro Rde L, Conti AC, Conti MR, Marchiori LL, et al. Signs and symptoms of temporomandibular disorders in the elderly. Codas. 2014;26(1):76-80. [Crossref] [PubMed]
- Rugh JD, Woods BJ, Dahlström L. Temporomandibular disorders: assessment of psychological factors. Adv Dent Res. 1993;7(2):127-36. [Crossref] [PubMed]
- Rokaya D, Koontongkaew S. Can coronavirus disease-19 lead to temporomandibular joint disease? Open Access Macedonian Journal of Medical Sciences. 2020;8(T1):142-3. [Crossref]
- Başol ME, Karaağaçlıoğlu L, Yılmaz B. Türkçe Ağız Sağlığı Etki Ölçeğinin geliştirilmesi-OHIP-14-TR [Developing a Turkish Oral Health Impact Profile-OHIP-14-TR]. Turkiye Klinikleri J Dental Sci. 2014;20(2):85-92. [Link]
- Sari YE, Kokoglu B, Balcioglu H, Bilge U, Colak E, Unluoglu I. Turkish reliability of the patient health questionnaire-9. Biomed Res- India. 2016:S460-S2. [Link]
- Jin JM, Bai P, He W, Wu F, Liu XF, Han DM, et al. Gender differences in patients with COVID-19: focus on severity and mortality. Front Public Health. 2020;8:152. [Crossref] [PubMed] [PMC]
- Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. Erratum in: Lan cet. 2020;395(10229):1038. Erratum in: Lancet. 2020;395(10229):1038. [Crossref] [PubMed] [PMC]
- Wang B, Li R, Lu Z, Huang Y. Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis. Aging (Albany NY). 2020;12(7):6049-57. [Crossref] [PubMed] [PMC]
- Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74(4):281-2. [Crossref] [PubMed] [PMC]
- Wu Y, Xiong X, Fang X, Sun W, Yi Y, Liu J, et al. Psychological status of TMD patients, orthodontic patients and the general population during the COVID-19 pandemic. Psychol Health Med. 2021;26(1):62-74. [Crossref] [PubMed]
- Li W, Zhao N, Yan X, Zou S, Wang H, Li Y, et al. The prevalence of depressive and anxiety symptoms and their associations with quality of life among clinically stable older patients with psychiatric disorders during the COVID-19 pandemic. Transl Psychiatry. 2021;11(1):75. [Crossref] [PubMed] [PMC]
- De La Torre Canales G, Câmara-Souza MB, Mu-oz Lora VRM, Guarda-Nardini L, Conti PCR, Rodrigues Garcia RM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: a systematic review. J Oral Rehabil. 2018;45(11):881-9. [Crossref] [PubMed]
- Emodi-Perlman A, Eli I, Smardz J, Uziel N, Wieckiewicz G, Gilon E, et al. Temporomandibular disorders and bruxism outbreak as a possible factor of orofacial pain worsening during the COVID-19 pandemic-concomitant research in two countries. J Clin Med. 2020; 9(10):3250. [Crossref] [PubMed] [PMC]
- 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. [Crossref] [PubMed] [PMC]
- Ziegler MG. Psychological stress and the autonomic nervous system. In: Robertson D, Biaggioni I, Burnstock G, Low PA, Paton JFR, eds. Primer on the Autonomic Nervous System. 3rd ed. London: Elsevier; 2012. p.291-3. [Crossref]
- Tosato Jde P, Caria PH, Gomes CA, Berzin F, Politti F, Gonzalez Tde O, et al. Correlation of stress and muscle activity of patients with different degrees of temporomandibular disorder. J Phys Ther Sci. 2015;27(4):1227-31. [Crossref] [PubMed] [PMC]
- 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. [Crossref] [PubMed] [PMC]
- Chisnoiu AM, Picos AM, Popa S, Chisnoiu PD, Lascu L, Picos A, et al. Factors involved in the etiology of temporomandibular disorders - a literature review. Clujul Med. 2015;88(4):473-8. [Crossref] [PubMed] [PMC]
- Gumucio JP, Qasawa AH, Ferrara PJ, Malik AN, Funai K, McDonagh B, et al. Reduced mitochondrial lipid oxidation leads to fat accumulation in myosteatosis. FASEB J. 2019; 33(7):7863-81. [Crossref] [PubMed] [PMC]
- Öztürk O, Özer Kaya D. COVID-19'un kas iskelet sistemine etkisi [Effect of COVID-19 on musculoskeletal system]. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2020;5(2):179-82. [Link]
- Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954. Erratum in: Psychiatry Res. 2021;299:113803. [Crossref] [PubMed] [PMC]
- Saccomanno S, Bernabei M, Scoppa F, Pirino A, Mastrapasqua R, Visco MA. Coronavirus lockdown as a major life stressor: does it affect TMD symptoms? Int J Environ Res Public Health. 2020;17(23):8907. [Crossref] [PubMed] [PMC]
- Yap AU, Dworkin SF, Chua EK, List T, Tan KB, Tan HH. Prevalence of temporomandibular disorder subtypes, psychologic distress, and psychosocial dysfunction in Asian patients. J Orofac Pain. 2003;17(1):21-8. [PubMed]
- Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3): 228-9. [Crossref] [PubMed] [PMC]
- Barbisch D, Koenig KL, Shih FY. Is there a case for quarantine? Perspectives from SARS to Ebola. Disaster Med Public Health Prep. 2015;9(5):547-53. [Crossref] [PubMed]
- Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. 2020;33(2):e100213. Erratum in: Gen Psychiatr. 2020;33(2):e100213corr1. [Crossref] [PubMed] [PMC]
- Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. 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(5): 1729. [Crossref] [PubMed] [PMC]
- Varshney M, Parel JT, Raizada N, Sarin SK. Initial psychological impact of COVID-19 and its correlates in Indian Community: An online (FEEL-COVID) survey. PLoS One. 2020; 15(5):e0233874. [Crossref] [PubMed] [PMC]
- Soraci P, Ferrari A, Abbiati FA, Del Fante E, De Pace R, Urso A, et al. Validation and psychometric evaluation of the Italian version of the fear of COVID-19 Scale. Int J Ment Health Addict. 2020:1-10. [Crossref] [PubMed] [PMC]
- Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: development and initial validation. Int J Ment Health Addict. 2020:1-9. [Crossref] [PubMed] [PMC]
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