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Psychosocial and Clinical Characteristics of Temporomandibular Disorder Patients Attributing Symptoms to Dental Treatment
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Type
Academic journal
Author
Hee-Won Kim (Pusan National University Dental Hospital) Yong-Woo Ahn (Pusan National University Dental Hospital) Sung-Hee Jeong (Pusan National University Dental Hospital) Hye-Min Ju (Pusan National University Dental Hospital) Kyung-Hee Kim (Inje University) Hye-Mi Jeon (Pusan National University Hospital)
Journal
THE KOREAN ACADEMY OF OROFACIAL PAIN AND ORAL MEDICINE Journal of Oral Medicine and Pain Vol.50 No.1 KCI Accredited Journals
Published
2025.3
Pages
16 - 24 (9page)

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Psychosocial and Clinical Characteristics of Temporomandibular Disorder Patients Attributing Symptoms to Dental Treatment
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Purpose: Temporomandibular disorder (TMD) is a multifactorial condition influenced by biological, psychological, and social factors. Some patients perceive dental treatment as the cause of their TMD, which may impact symptom perception and treatment response. This study aims to compare the psychosocial and clinical characteristics of patients who attribute their TMD onset to prior dental treatment (DT group) with those who do not (NT group).
Methods: A total of 250 patients diagnosed with TMD at Pusan National University Den- tal Hospital between January and October 2024 were included. Patients were classified into the DT group (n=92) if they attributed their symptoms to previous dental procedures, while the remaining NT group (n=158) consisted of patients with other primary com- plaints. Patients were additionally categorized into Generation X (1965-1980), Genera- tion Y (1981-1999), and Generation Z (2000-2012). Clinical assessments were conducted following the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), and psy- chosocial factors were evaluated using the Oral Behaviors Checklist (OBC), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-15 (PHQ-15).
Results: The DT group had a significantly higher mean age (54.16±16.87 years) compared to the NT group (39.71±19.12 years, p<0.001). Psychological distress scores (PHQ-9, GAD- 7, and PHQ-15) were significantly higher in the DT group, particularly among Generation X patients (p<0.05). Muscle-related pain was more prevalent in the DT group (75%) than in the NT group. Interestingly, OBC scores were higher in the NT group (p<0.05).
Conclusions: Patients who attributed their TMD onset to dental treatment reported higher psychological distress and a greater prevalence of muscle-related pain, underscoring the need for a biopsychosocial approach to TMD management. Clinicians should consider the impact of patient perception on TMD symptoms and integrate psychological assessment and counseling to enhance treatment efficacy and patient adherence.
#Biopsychosocial approach #Dental care #Myalgia #Psychosocial factors #Temporomandibular joint disorders

Contents

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
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