×
Home Current Archive Editorial board
News Contact
Research paper

The impact of COVID-19 on the incidence of temporomandibular disorders

By
Mirjana Bošković Orcid logo ,
Mirjana Bošković

University of Nis , Niš , Serbia

Konstansa Lazarević Orcid logo ,
Konstansa Lazarević

State University of Novi Pazar , Novi Pazar , Serbia

Nikola Milošević
Nikola Milošević

University of Nis , Niš , Serbia

Abstract

Introduction/Aim. Various psychological factors that arose during the COVID-19 pandemic could contribute to the development of chronic emotional stress which is the biggest contributor to the development of temporomandibular disorders (TMDs). This research aimed to evaluate the corellation between TMD and COVID-19 pandemic among students. Methods. The authors conducted the study at the Faculty of Medicine in Niš, using an anonymous online survey, during two different periods, in 2022 at the peak of the pandemic and in 2023 after the WHO declared the end of the pandemic. The questionnaire consisted of questions that evaluate the influence of COVID-19 on patients' life as well as the questions from the Fonseca questionnaire. Results. The sample consisted of 363 (2022) and 212 (2023) examinees. Statistical significance was determined using the ch2 test. Students with TMDs were more prevalent in 2023 than in 2022 (83% vs 76%). TMDs were significantly more present among the female examinees (p < 0.001). Significance was not determined among examinees based on the study group, vaccination status, or based on whether they or their loved ones were affected by COVID-19. Conclusion. Evidence of significantlly high number of TMDs was found among students. It could be linked to COVID-19 pandemic due to a large number of stresogenic factors that affect the students.

References

1.
Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID‐19 lockdown in Italy. Journal of Sleep Research. 2020;29(4).
2.
Speculand B, Hughes AO, Goss AN. Role of recent stressful life events experience in the onset of TMJ dysfunction pain. Community Dentistry and Oral Epidemiology. 1984;12(3):197–202.
3.
Brown FF, Robinson ME, Riley JL, Gremillion HA. Pain Severity, Negative Affect, and Microstressers as Predictors of Life Interference in TMD Patients. CRANIO®. 1996;14(1):63–70.
4.
SCHIFFMAN EL, FRICTON JR, HALEY D. The relationship of occlusion, parafunctional habits and recent life events to mandibular dysfunction in a non‐patient population. Journal of Oral Rehabilitation. 1992;19(3):201–23.
5.
Abu-Raisi S, Ibrahim S, Ajina M, Ibrahim E, Almulhim A, Aljalal M, et al. Temporomandibular disorder among women who experienced posttraumatic stress disorder after a miscarriage. Journal of International Society of Preventive and Community Dentistry. 2019;9(5):445.
6.
Nomura K, Vitti M, Oliveira AS de, Chaves TC, Semprini M, Siéssere S, et al. Use of the Fonseca’s questionnaire to assess the prevalence and severity of temporomandibular disorders in brazilian dental undergraduates. Brazilian Dental Journal. 2007;18(2):163–7.
7.
Oliveira AS de, Dias EM, Contato RG, Berzin F. Prevalence study of signs and symptoms of temporomandibular disorder in Brazilian college students. Brazilian Oral Research. 2006;20(1):3–7.
8.
Wallan Alahmary A. Association of Temporomandibular Disorder Symptoms with Anxiety and Depression in Saudi Dental Students. Open Access Macedonian Journal of Medical Sciences. 7(23):4116–9.
9.
Augusto VG, Perina KCB, Penha DSG, Santos DCA dos, Oliveira VAS. TEMPOROMANDIBULAR DYSFUNCTION, STRESS AND COMMON MENTAL DISORDER IN UNIVERSITY STUDENTS. Acta Ortopédica Brasileira. 2016;24(6):330–3.
10.
Gaş S, Ekşi Özsoy H, Cesur Aydın K. The association between sleep quality, depression, anxiety and stress levels, and temporomandibular joint disorders among Turkish dental students during the COVID-19 pandemic. CRANIO®. 2023;41(6):550–5.
11.
Asquini G, Bianchi AE, Borromeo G, Locatelli M, Falla D. The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders. PLOS ONE. 16(2):e0245999.
12.
Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusébio E, et al. Sleep quality in times of Covid-19 pandemic. Sleep Medicine. 2020;74:81–5.
13.
Westersund CD, Scholten J, Turner RJ. Relationship between craniocervical orientation and center of force of occlusion in adults. CRANIO®. 2017;35(5):283–9.
14.
Berni KC dos S, Dibai-Filho AV, Rodrigues-Bigaton D. Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. Journal of Bodywork and Movement Therapies. 2015;19(3):404–9.
15.
Lei J, Fu J, Yap AUJ, Fu KY. Temporomandibular disorders symptoms in Asian adolescents and their association with sleep quality and psychological distress. CRANIO®. 2016;34(4):242–9.
16.
Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, et al. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. International Journal of Environmental Research and Public Health. 17(11):4065.
17.
Xiao H, Zhang Y, Kong D, Li S, Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Medical Science Monitor. 26.
18.
Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, et al. Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT‐I Academy. Journal of Sleep Research. 2020;29(4).
19.
Campbell JH, Courey MS, Bourne P, Odziemiec C. Estrogen receptor analysis of human temporomandibular disc. Journal of Oral and Maxillofacial Surgery. 1993;51(10):1101–5.
20.
Koidis PT, Zarifi A, Grigoriadou E, Garefis P. Effect of age and sex on craniomandibular disorders. The Journal of Prosthetic Dentistry. 1993;69(1):93–101.
21.
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. International Journal of Environmental Research and Public Health. 17(5):1729.
22.
Checherita LE, Stamatin O, Liana A, Luca DE. Parafunctions in dysfunctional syndrome of the stomatognathic system-Literature review. Rom J Med Dent Educ. 2020;9:53–61.
23.
De La Torre Canales G, Câmara‐Souza MB, Muñoz Lora VRM, Guarda‐Nardini L, Conti PCR, Rodrigues Garcia RM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review. Journal of Oral Rehabilitation. 2018;45(11):881–9.
24.
Osiewicz M, Lobbezoo F, Ciapała B, Pytko-Polończyk J, Manfredini D. Pain Predictors in a Population of Temporomandibular Disorders Patients. Journal of Clinical Medicine. 9(2):452.
25.
Kindler S, Samietz S, Houshmand M, Grabe HJ, Bernhardt O, Biffar R, et al. Depressive and Anxiety Symptoms as Risk Factors for Temporomandibular Joint Pain: A Prospective Cohort Study in the General Population. The Journal of Pain. 2012;13(12):1188–97.
26.
Boscato N, Almeida RC, Koller CD, Presta AA, Goettems ML. Influence of anxiety on temporomandibular disorders – an epidemiological survey with elders and adults in <scp>S</scp>outhern <scp>B</scp>razil. Journal of Oral Rehabilitation. 2013;40(9):643–9.
27.
Ziegler MG. Psychological Stress and the Autonomic Nervous System. Primer on the Autonomic Nervous System. 2004. p. 189–90.
28.
Marker RJ, Campeau S, Maluf KS. Psychosocial stress alters the strength of reticulospinal input to the human upper trapezius. Journal of Neurophysiology. 2017;117(1):457–66.
29.
Mayer EA, Naliboff BD, Craig ADB. Neuroimaging of the Brain-Gut Axis: From Basic Understanding to Treatment of Functional GI Disorders. Gastroenterology. 2006;131(6):1925–42.
30.
Herbert C, El Bolock A, Abdennadher S. How do you feel during the COVID-19 pandemic? A survey using psychological and linguistic self-report measures, and machine learning to investigate mental health, subjective experience, personality, and behaviour during the COVID-19 pandemic among university students. BMC Psychology. 2021;9(1).
31.
Alomar X, Medrano J, Cabratosa J, Clavero JA, Lorente M, Serra I, et al. Anatomy of the Temporomandibular Joint. Seminars in Ultrasound, CT and MRI. 2007;28(3):170–83.
32.
Ohrbach R, Fillingim RB, Mulkey F, Gonzalez Y, Gordon S, Gremillion H, et al. Clinical Findings and Pain Symptoms as Potential Risk Factors for Chronic TMD: Descriptive Data and Empirically Identified Domains from the OPPERA Case-Control Study. The Journal of Pain. 2011;12(11):T27–45.
33.
Generaal E, Vogelzangs N, Macfarlane GJ, Geenen R, Smit JH, de Geus EJCN, et al. Biological stress systems, adverse life events and the onset of chronic multisite musculoskeletal pain: a 6-year cohort study. Annals of the Rheumatic Diseases. 2016;75(5):847–54.
34.
ALMEIDA-LEITE CM, STUGINSKI-BARBOSA J, CONTI PCR. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? Journal of Applied Oral Science. 28.
35.
Clauw DJ, Häuser W, Cohen SP, Fitzcharles MA. Considering the potential for an increase in chronic pain after the COVID-19 pandemic. Pain. 2020;161(8):1694–7.
36.
Afari N, Wen Y, Buchwald D. Are posttraumatic stress disorder symptoms and temporomandibular pain associated? Findings from a community-based twin registry. J Orofac Pain. 2008;22:41–9.
37.
Staniszewski K, Lygre H, Bifulco E, Kvinnsland S, Willassen L, Helgeland E, et al. Temporomandibular Disorders Related to Stress and HPA-Axis Regulation. Pain Research and Management. 2018;2018:1–7.
38.
Ferreira D, Costa Y, de Quevedo H, Bonjardim L, Conti P. Experimental Psychological Stress on Quantitative Sensory Testing Response in Patients with Temporomandibular Disorders. Journal of Oral &amp; Facial Pain and Headache. 2018;32(4):428–35.
39.
Ohrbach R, Michelotti A. The Role of Stress in the Etiology of Oral Parafunction and Myofascial Pain. Oral and Maxillofacial Surgery Clinics of North America. 2018;30(3):369–79.
40.
Kindler S, Schwahn C, Bernhardt O, Söhnel A, Mksoud M, Biffar R, et al. Association Between Symptoms of Posttraumatic Stress Disorder and Signs of Temporomandibular Disorders in the General Population. Journal of Oral &amp; Facial Pain and Headache. 2019;33(1):67–76.

Citation

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.