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- Title
Temporomandibular disorders and psychosocial status in osteogenesis imperfecta - a cross-sectional study.
- Authors
Bendixen, K. H.; Gjørup, H.; Baad-Hansen, L.; Dahl Hald, J.; Harsløf, T.; Schmidt, M. H.; Langdahl, B. L.; Haubek, D.
- Abstract
Background: Osteogenesis Imperfecta (OI) is characterized by a number of deviations in the orofacial region. The aims of the present study were to investigate the occurrence of temporomandibular disorders, to evaluate the psychosocial status, and to assess the dental occlusion in a population of adult OI patients. Methods: Participants (<italic>n</italic> = 75) were classified with mild OI, type I (<italic>n</italic> = 56), or moderate-severe OI, type III and IV (<italic>n</italic> = 19). OI patients were examined according to the Research Diagnostic Criteria for Temporomandibular Disorders (axis I and II). Results: Temporomandibular disorders and functional limitations in the orofacial region were rare and did not differ between patients with mild and moderate-severe OI (<italic>P</italic> > 0.050). No significant differences between Graded Chronic Pain Scale grades 0, 1, and 2 were found in mild OI vs. moderate-severe OI (<italic>P</italic> > 0.160). Few patients (16%) had signs of depression, but close to half (48%) had signs of somatization. Patients with moderate-severe OI had a lower mean number of teeth compared to patients with mild OI (<italic>P</italic> < 0.050). In general, malocclusions were prevalent, and mandibular overjet and posterior cross-bite were found more often in moderate-severe OI compared with mild (<italic>P</italic> < 0.050). Conclusions: Patients with moderate-severe OI had more malocclusions than patients with mild OI. The psychosocial status of OI patients was remarkably healthy considering the severity of this disabling systemic disorder. The bodily pain complaints frequently reported in OI patients were not largely reflected in the orofacial area as painful temporomandibular disorders.
- Subjects
CHRONIC pain; MENTAL depression; MALOCCLUSION; MASTICATION; NOSOLOGY; DENTAL occlusion; OSTEOGENESIS imperfecta; SOMATOFORM disorders; TEMPOROMANDIBULAR disorders; PSYCHOSOCIAL factors; PAIN measurement; CROSS-sectional method; SEVERITY of illness index; PATIENTS' attitudes; DISEASE complications
- Publication
BMC Oral Health, 2018, Vol 18, p1
- ISSN
1472-6831
- Publication type
Article
- DOI
10.1186/s12903-018-0497-3