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Revista Información Científica
versión On-line ISSN 1028-9933
Resumen
ESPINOSA DE SANTILLANA, Irene Aurora; ALVAREZ RODRIGUEZ, Jocelyn y ROMERO OGAWA, Teresita. Quality of life of older adults with temporomandibular disorders. Rev. inf. cient. [online]. 2019, vol.98, n.3, pp. 319-331. Epub 23-Jul-2019. ISSN 1028-9933.
Introduction:
temporomandibular disorders (TMD) are a painful skeletal muscle condition that affects the muscles of the mastication, the temporomandibular joint (TMJ) and various anatomical structures of the stomatognathic system.
Objective:
to compare the quality of life; determined with the OHIP instrument 49-Mx, of older adults with temporomandibular disorders (TMD) vs. free of TTM.
Method:
an analytical observational study was conducted in the elderly population in a Gerontological Unit of Puebla, Mexico. The diagnosis of TMD was established in the facilities; with the diagnostic criteria for TTM proposed by Dworkin and improved by Schiffman in 2014 by a previously trained researcher. Additionally, the quality of life (OHIP 49-Mx) was evaluated by the same researcher. The statistical management was performed with Mann-Whitney U (medium contrast) with significant value ≤0.05, in the SPSSv.21 program.
Results:
192 older adults were evaluated; 131 (68.2%) with TTM; 84% women Patients with TMD had higher medians in most dimensions of the OHIP instrument 49 Mx: limitación funcional Md=16 vs. 13, p=0,06; dolor Md=8,0 vs. 4,0 p=0.02; incomodidad psicológica Md=3 vs. 3, p=0,31; inhabilidad física Md=11 vs. 3, p≤0,00; inhabilidad psicológica Md=1 vs. 1; p=0,03; inhabilidad social, Md=0 vs. 0; p=0,90 e incapacidad Md=1 vs. 1, p=0,03.
Md=16 vs. 13, p=0.06; pain Md=8.0 vs. 4.0, p=0.02; psychological discomfort Md=3 vs. 3, p=0.31; physical disability Md=11 vs. 3, p≤0.00; psychological disability Md=1 vs. one, p=0.03; social disability Md=0 vs. 0, p=0.90 and disability Md=1 vs. 1, p=0.03.
Conclusions:
the elderly with TMD, showed a lower quality of life related to oral health; specifically in the dimensions of functional limitation, physical, psychological and pain disability.
Palabras clave : quality of life; temporomandibular disorders; temporomandibular joint; older adults.