Temporomandibular dysfunction association with psychological factors: a literature review





Temporomandibular dysfunction; Anxiety; Depression.


Therefore, this study aimed to review the literature focusing on the relationship between TMD and psychological factors. This is a literature review with a qualitative approach. The databases were PubMed and Bireme, from 2008 to 2018. As inclusion criteria: articles published in the English language, with the descriptors "temporomandibular Joint disorder", "anxiety", "depression", "stress’‘ and ''psychological”. Articles of literature review and articles where the psychological component was only cited and not evaluated were excluded. Eight articles were characterized, of which the results pointed out the significant correlation between psychosocial, somatic and behaviour comorbidities. Psychological factors such as somatization, depression, anxiety and distress, mainly related to the female gender, have a significant impact on the prevalence of TMD. It is noted that there is a relation to the cites factors. In this regard, it requires the interdisciplinary assistance due to the physical-psychological nature, in other words, participation of psychology to intensify the dental treatment.


Adriana, S. P., Dorlivete, M. S., Fabio, J. P., & Ricardo, S. (2018). Metodologia da pesquisa científica. UFSM. .https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Al-Khotani, A., Naimi-Akbar, A., Gjelset, M., Albadawi, E., Bello, L., Hedenberg-Magnusson, B., & Christidis, N. (2016). The associations between psychosocial aspects and TMD-pain related aspects in children and adolescents. J Headache Pain, 17(1), 30.

Conti, P. C. R., Pinto-Fiamengui, L. M. S., Cunha, C. O., & Conti, A. C. C. F. (2012). Dor orofacial e disfunção temporomandibular: o impacto na saúde bucal e na qualidade de vida. Brazilian Oral Research, 26 (spe1), 120-123.

Drysdale, A. T., Grosenick, L., Downar, J., Dunlop, K., Mansouri, F., Meng, Y., et al. (2017). Resting-state connectivity biomarkers define neurophysiological subtypes of depression. Nature medicine, 23(1), 28-38.

Ferreira, C. L. P., Silva, M. A. M. R., & Felício, C. M. (2016). Signs and symptoms of temporomandibular disorders in women and men. CoDAS, 28(1), 17-21.

Ferreira, K. D. M., Guimarães, J. P. Batista, C. H. T., et al. (2009). Fatores psicológicos relacionados à sintomatologia crônica das desordens temporomandibulares - revisão de literatura. RFO UPF, 14(3), 262-7.

Kindler, S., Samietz, S., Houshmand, M., Grabe, H. J., Bernhardt, O., Biffar, R., Kindler, S., Samietz, S., Houshmand, M., Grabe, H. J., Bernhardt, O., Biffar, R., et al. (2012). Depressive and anxiety symptoms as risk factors for temporomandibular joint pain: a prospective cohort study in the population. J Pain, 13(12), 1188-97.

Lajnert, V., Francisković, T., Grzic, R., Pavicić, D. K., Bakarbić, D., Buković, D., Celebić, A., Braut, V., & Fugosić, V. (2010). Depression, somatization and anxiety in female patients with temporomandibular disorders (TMD). Coll Antropol, 4(4), 1415–9.

Lei, J., Fu, J., Yap, A. U., & Fu, K. Y. (2016). Temporomandibular disorders symptoms in Asian adolescents and their association with sleep quality and psychological distress. Cranio, 34(4), 242-9.

Lei, J., Liu, M. Q., Yap, A. U., & Fu, K. Y. (2015). Sleep disturbance and psychologic distress: prevalence and risk indicators for temporomandibular disorders in a Chinese population. J Oral Facial Pain Headache, 29(1), 24–30.

Licini, F., Nojelli, A., Segù, M., & Collesano, V. (2009). Role of psychosocial factors in the etiology of temporomandibular disorders: relevance of a biaxial diagnosis 2020. Minerva Stomatologica, 58(11-12), 557-66.

Maydana, A. V., Tesch, R. de S., Denardin, O. V. P., Ursi, W. J. S., & Dworkin, S. F. (2010). Possíveis fatores etiológicos para desordens temporomandibulares de origem articular com implicações para diagnóstico e tratamento. Dental Press Journal of Orthodontics, 15(3), 78-86. https://doi.org/10.1590/S2176-94512010000300010

Melo, G., Dutra, K. L., Rodrigues, F. R., Ortega, A. O. L., Porporatti, A. L., et al. (2018). Association between psychotropic medications and presence of sleep bruxism: a systematic review. J Oral Rehabil, 45, 545-554.

Pesqueira, A. A., Zuim, P. R. J., Monteiro, D. R., & Garcia, A. R. (2010). Relationship between psychological factors and symptoms of TMD in university undergraduate students. Acta odontológica latino-americana. AOL, 23(3), 182-187.

Pinto, S. G. R., Leite, A. M. W., Sampaio, S. L., & Sanchez, O. M. (2017). Associação entre sinais e sintomas de disfunção temporomandibular com depressão em universitários: estudo descritivo. Revista Dor, 18(3).

Rener-Sitar, K., John, M. T., Pusalavidyasagar, S. S., Bandyopadhyay, D., & Schiffman, E. L. (2016). Sleep quality in temporomandibular disorder cases. Sleep medicine, 25, 105–112.

Selaimen, C. M., Jeronymo, J. C., Brilhante, D. P., & Grossi, M. L. (2006). Sleep and depression as risk indicators for temporomandibular disorders in a cross-cultural perspective: a case-control study. Int J Prosthodont, 19(2), 154-61.

Smith, M. T., Wickwire, E. M., Grace, E. G., Edwards, R. R., Buenaver, L. F., Peterson, S., Klick, B., & Haythornthwaite, J. A. (2009). Sleep disorders and their association with laboratory pain sensitivity in temporomandibular joint disorder. Sleep, 32(6), 779-90.

Su, N, Lobbezoo, F., van Wijk, A., van der Heijden, G. J., & Visscher, C. M. (2017). Associations of pain intensity and pain related disability with psychological and sociodemographic factors in patients with temporomandibular disorders: cross-sectional study at a specialised dental clinic. J Oral Rehabil, 44(3), 187-96.

Zavanelli, A. C., Rezende, M. C. R. A., Santos, O. M., & Neto, R. S. (2017). Integration of Psychology and Dentistry in TMD: a systematized review. Arch Health Invest, 6(11), 530-534.



How to Cite

MAIA , I. H. T.; RIFANE, T. O. .; OLIVEIRA, A. S. de .; SILVESTRE, F. A. .; FREITAS, B. de F. B. de .; LEITÃO, A. K. A. .; FEITOSA, V. P. .; FERNANDES, E. G. .; DE-PAULA, D. M. . Temporomandibular dysfunction association with psychological factors: a literature review. Research, Society and Development, [S. l.], v. 10, n. 3, p. e15210313123, 2021. DOI: 10.33448/rsd-v10i3.13123. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/13123. Acesso em: 12 apr. 2021.



Health Sciences