Study of the prevalence of Temporomandibular Disorders (tmd) and quality of life in an institutionalized elderly population

Daniela Disconzi Seitenfus Rehm, Patricia Saram Progiante, Denise Munaretto Ficht, Betina Carapeto, Marcio Lima Grossi, Patricia Krieger Grossi

Abstract


Purpose: This multidisciplinary prevalence study had the objective of identifying the prevalence
of TMD, chronic pain and quality of life in institutionalized elderly patients in Southern Brazil,
including depression and somatization levels. Methods: Forty subjects (55% women, mean
age=75 years±S.D., 80% Caucasian) in need of dental treatment were selected from two
long-term elderly institutions in the city of Porto Alegre. The World Health Organization Quality
of Life (WHOQOL) questionnaire was used for assessing quality of life, the Research Diagnostic
Criteria for Temporomandibular Disorders (RDC/TMD) for TMD signs and symptoms as well as
depression and somatization levels, and the North York Dental Health Survey (NYDHS ) for the
oral health status. Result s: Approximately 60% completed elementary school. It was also a low
income population (85%, $75 to $500 American dollars per month). Most (56.4%) were born
in the countryside. Ten percent had high intensity pain, with 2.5% accompanied by moderate
limitation. These severe signs and symptoms of TMD were associated with significant disability
in daily functions and had a negative impact in the level of psychological stress and quality
of life in institutionalized patients. In addition, almost 97.5% of the elderly has shown some
degree of depression, and 57.5% had moderate to strong somatization levels. Conclusions:
The proportion of elderly with severe TMD signs and symptoms was low; however, the great
frequency of depression and somatization, with a good number of them in actual treatment
need, highlights the importance of evaluating the elderly in all aspects.
Keywords: temporomandibular disorder; orofacial pain; depression; somatization; quality of life; elderly.


References


World Health Organization (WHO). [cited 2016 Apr 25];

Available from: http://www.who.int/ageing/primary_health_

care/en/

World Health Organization (WHO). Envelhecimento

Ativo: Uma Política de Saúde / World Health Organization.

Tradução Suzana Gontijo. Brasília: Organização Pan-

Americana; 2005.

Committee on Advancing Pain Research, Care, and

Education, Institute of Medicine. Relieving Pain in America:

A Blueprint for Transforming Prevention, Care, Education,

and Research. Washington, DC: The National Academies

Press; 2011.

Dellaroza MSG, Pimenta CAM, Matsuo T. Prevalência

e caracterização da dor crônica em idosos não institucionalizados.

Cad Saúde Pública. 2007;23(5):1151-60.

Siqueira SR, Vilela TT, Florindo AA. Prevalence of headache

and orofacial pain in adults and elders in a Brazilian

community: an epidemiological study. Gerodontology. 2015

June;32(2):123-31.

Aggarwal VR, Macfarlane GJ, Farragher TM, McBeth J. Risk

Factors for Onset of Chronic Oro-Facial Pain – Results of

the North Cheshire Oro-Facial Pain Prospective Population

Study. Pain. 2010 May;149(2):354-9.

Canterji MB, Amenábar JM, Lima LKD, Padilha DMP,

Sousa ACAD. Frequência de Sinais Clínicos e Sintomas

de Disfunções Temporomandibulares em Pacientes Idosos

Institucionalizados. Rev. Fac. Odontol. Porto Alegre. 2004;

(1):48-51.

Dworkin SF, LeResche L. Research Diagnostic Criteria for

Temporomandibular Disorders. J Craniomandib Disord. 1992

Fall;6(4):301-55.

Payne BJ, Locker D. Preventive oral health behaviors in

a multi-cultural population: the North York Oral Health

Promotion Survey. J Can Dent Assoc. 1994 Feb;60(2):

-30, 133-9.

Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G,

Santos L, Pinzon V. Application of the Portuguese version

of the instrument for the assessment of quality of life of the

World Health Organization (WHOQOL-100). Rev Saude

Publica. 1999 Apr;33(2):198-205

Lwanga SK, Lemeshow S. Sample size determination

in health studies. A practical manual. World Health

Organization; 1991.

Locker D, Slade G. Association of symptoms and signs of

TM disorders in an adult population. Community Dent Oral

Epidemiol. 1989 June;17(3):150-3.

Abud MC, dos Santos JF, da Cunha V de P, Marchini L.

TMD and GOHAI indices of Brazilian institutionalised

and community-dwelling elderly. Gerodontology. 2009

Mar;26(1):34-9.

Runcan PL. Elderly institutionalization and depression.

Procedia – Social and Behavioral Sciences. 2012;33:

-13.

Osterberg T, Carlsson GE, Wedel A, Johansson U. A

cross-sectional and longitudinal study of craniomandibular

dysfunction in an elderly population. J Craniomandib Disord.

Fall;6(4):237-45.

Guarda-Nardini L, Piccotti F, Mogno G, Favero L, Manfredini

D. Age-Related Differences In Temporomandibular Disorder

Diagnoses. Cranio. 2012 Apr;30(2):103-9.

Wan KY, McMillan AS, Wong MC. Orofacial Pain Symptoms

and Associated Disability and Psychosocial Impact in

Community-Dwelling and Institutionalized Elderly in Hong

Kong. Community Dent Health. 2012 Mar;29(1):110-6.

Almagro Céspedes I, Castro Sánchez AM, Matarán Peñarocha

GA, Quesada Rubio JM, Guisado Barrilao R, Moreno Lorenzo

C. Temporomandibular Joint Dysfunction, Disability and

Oral Health in a Community-Dwelling Elderly Population.

Nutr Hosp. 2011 Sept-Oct;26(5):1045-51.

Meeks TW, Dunn LB, Kim DS, Golshan S, Sewell DD,

Atkinson JH, Lebowitz BD. Chronic pain and depression

among geriatric psychiatry inpatients. Int J Geriatr Psychiatry.

June;23(6):637-42.

Von Korff M, Dworkin SF, Le Resche L, Kruger A. An

epidemiologic comparison of pain complaints. Pain. 1988

Feb;32(2):173-83.

Grossi ML, Goldberg MB, Locker D, Tenenbaum HC.

Irritable Bowel Syndrome Patients Versus Responding and

Nonresponding Temporomandibular Disorder Patients:

A Neuropsychologic Profile Comparative Study. Int J

Prosthodont. 2008 May-June;21(3):201-9.

Calabrese SK, Lyness JM, Sörensen S, Duberstein PR.

Personality and the association of pain and depression. Am

J Geriatr Psychiatry. 2006 June;14(6):546-9.

Baernholdt M, Hinton I, Yan G, Rose K, Mattos M. Factors

associated with quality of life in older adults in the United

States. Qual Life Res. 2012 Apr;21(3):527-34.

Bielderman A, Greef MH, Krijnen WP, van der Schans CP.

Relationship between socioeconomic status and quality

of life in older adults: a path analysis. Qual Life Res. 2015

July;24(7):1697-705.

Power JD, Perruccio AV, Badley EM. Pain as a mediator of

sleep problems in arthritis and other chronic conditions.

Arthritis Rheum. 2005 Dec 15;53(6):911-9.

IBGE. [Cited 2016 Apr 25]. Available from: www.ibge.gov.br

Böckerman P, Johansson E, Saarni S. Institutionalisation and

quality of life for elderly people in Finland; 2011.

Ohrbach R, Turner JA, Sherman JJ, Mancl LA, Truelove

EL, Schiffman EL, Dworkin SF. The research diagnostic

criteria for temporomandibular disorders. IV: evaluation of

psychometric properties of the axis II measures. J Orofac

Pain. 2010 Winter;24(1):48-62.

Silveira AM, Feltrin PP, Zanetti RV, Mautoni MC. Prevalence

of patients harboring temporomandibular disorders in an

otorhinolaryngology departament. Braz J Otorhinolaryngol.

July-Aug;73(4):528-32.

Progiante PS, Ficht DM, Lemos MS, Grossi PK, Grossi ML.

Prevalence of temporomandibular disorders and orofacial

pain in battered women in Brazilian shelters. Rev Odonto

Ciênc. 2011;26(3):227-31.

Sasa S, Ljiljana K, Dragan M, Slobodan V, Mirjana B.

Prevalence of Temporomandibular dysfunctions symptoms

in children and in adults. Healthmed. 2012;6(5):1779-85.

Osterberg T, Carlsson GE. Relationship between symptoms

of temporomandibular disorders and dental status, general

health and psychosomatic factors in two cohorts of 70-yearold

subjects. Gerodontology. 2007 Sept;24(3):129-35.

Unell L, Johansson A, Ekbäck G, Ordell S, Carlsson

GE. Prevalence of troublesome symptoms related to

temporomandibular disorders and awareness of bruxism

in 65- and 75-year-old subjects. Gerodontology. 2012

June;29(2):e772-9.

Vilalta VC, dos Santos MBF, da Cunha VPP, Marchini L.

Depression and TMD among elderly: A pilot study. Braz

Dent Sci. 2012 Apr-June;15(2):71-5.

Saintrain MV, Bizerril DO, Vieira APG. Oral Health of

Institutionalized and Non-institutionalized Elders. Sci-Afric

J. Sci. Issues. Res. Essays. 2014 Apr;2(4):160-65.




DOI: http://dx.doi.org/10.15448/2357-9641.2017.1.26442

e-ISSN: 2357-9641

 

 This journal is a member of, and subscribes to the principles of, the Committee on Publication Ethics (COPE) http://www.publicationethics.org

Licença Creative Commons

Except where otherwise noted, content of this journal is licensed under a Creative Commons Attribution 4.0 International license.

 

Editorial Policies of Brazilian Scientific Journals. Deposit availability: Blue .

 

Copyright: © 2006-2017 EDIPUCRS