Signs and Symptoms of Temporomandibular Disorders in the COVID-19 Pandemic in Sergipe and the Federal District

Authors

DOI:

https://doi.org/10.33448/rsd-v11i11.33617

Keywords:

Temporomandibular Joint Dysfunction Syndrome; COVID-19; Pandemics; Psychosocial impact.

Abstract

The COVID-19 pandemic and its containment measures directly influenced the psychosocial health of individuals and may lead to the emergence or worsening of signs and symptoms of temporomandibular disorders (TMDs). Thus, the objectives of the present study were to evaluate the impact of the pandemic on the signs and symptoms of TMDs and the influence of the new coronavirus infection on these signs and symptoms. This is a cross-sectional observational research with a quantitative and qualitative approach, carried out in the population of the state of Sergipe and the Federal District. Based on the Diagnostic Criteria for Temporomandibular Disorders DC/TMD, individuals responded via Google forms to the DC/TMD Symptom Questionnaire and the DC/TMD Demographics. A total of 244 individuals participated in the study, 123 from the state of Sergipe and 121 from the Federal District. Of these individuals, 70.8% reported pain in the jaw, temple, ear or in front of the ear and 64.2% reported pain in the temporal region in the last 30 days. Habits or manias, such as clenching or grinding teeth and chewing gum, changed the pain of most respondents (50.8%). No significant association (p≥0.05) was found between the DC/TMD Symptom Questionnaire questions and COVID-19 contamination among respondents. Thus, it is suggested that the pandemic may have impacted the signs and symptoms of TMDs in the population of Sergipe and the Federal District, but the infection with the new coronavirus did not influence these signs and symptoms, and no significant difference was found between the individuals who were infected or not.

References

Almeida-Leite, C. M., Stuginski-Barbosa, J., & Conti, P. C. R. (2020). How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? Journal of Applied Oral Science, 28. https://doi.org/10.1590/1678-7757-2020-0263

Almutairi, A. F., Albesher, N., Aljohani, M., Alsinanni, M., Turkistani, O., & Salam, M. (2021). Association of oral parafunctional habits with anxiety and the Big-Five Personality Traits in the Saudi adult population. The Saudi Dental Journal, 33(2), 90–98. https://doi.org/10.1016/j.sdentj.2020.01.003

Baloch, S., Baloch, M. A., Zheng, T., & Pei, X. (2020). The Coronavirus Disease 2019 (COVID-19) Pandemic. The Tohoku Journal of Experimental Medicine, 250(4), 271–278. https://doi.org/10.1620/tjem.250.271

Blakey, S. M., & Abramowitz, J. S. (2017). Psychological Predictors of Health Anxiety in Response to the Zika Virus. Journal of Clinical Psychology in Medical Settings, 24(3–4), 270–278. https://doi.org/10.1007/s10880-017-9514-y

Bohania, N., Ish, P., Nune, A., & Iyengar, K. P. (2021). Cranial neuropathy in COVID-19: a case series and review of literature. Le Infezioni in Medicina, 29(4), 609–613. https://doi.org/10.53854/liim-2904-15

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. In The Lancet (Vol. 395, Issue 10227, pp. 912–920). Lancet Publishing Group. https://doi.org/10.1016/S0140-6736(20)30460-8

Canales, G. D. L. T., Câmara-Souza, M. B., Lora, V. R. M. M., Guarda-Nardini, L., Conti, P. C. R., Garcia, R. M. R., Cury, A. A. D. B., & Manfredini, D. (2018). Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review. Journal of Oral Rehabilitation, 45(11), 881–889. https://doi.org/10.1111/JOOR.12685

Carrillo‐Diaz, M., Ortega‐Martínez, A. R., Romero‐Maroto, M., & González‐Olmo, M. J. (2022). Lockdown impact on lifestyle and its association with oral parafunctional habits and bruxism in a Spanish adolescent population. International Journal of Paediatric Dentistry, 32(2), 185–193. https://doi.org/10.1111/ipd.12843

Castro-de-Araujo, L. F. S., & Machado, D. B. (2020). Impact of COVID-19 on mental health in a Low and Middle-Income Country. Ciência & Saúde Coletiva, 25(suppl 1), 2457–2460. https://doi.org/10.1590/1413-81232020256.1.10932020

Cerqueira, T. R. do C., Batista, S. G., de Mello, E. B., DosSantos, M. F., & Tuñas, I. T. de C. (2021). Impact of the COVID-19 Pandemic on Stress, Sleep, and Oral Health in University Students. Frontiers in Pain Research , 2. https://doi.org/10.3389/FPAIN.2021.744264/FULL

Cipollaro, L., Giordano, L., Padulo, J., Oliva, F., & Maffulli, N. (2020). Musculoskeletal symptoms in SARS-CoV-2 (COVID-19) patients. Journal of Orthopaedic Surgery and Research, 15(178), 1–7. https://doi.org/10.1186/s13018-020-01702-w

Consortium. (2014). Diagnostic Criteria for Temporomandibular Disorders:Assessment Instruments (Brazilian Portuguese). https://buffalo.app.box.com/s/515tc9p4g9gchtpl0x05k5z3sgcrzycy

Davis, H. E., Assaf, G. S., McCorkell, L., Wei, H., Low, R. J., Re’em, Y., Redfield, S., Austin, J. P., & Akrami, A. (2021). Characterizing long COVID in an international cohort: 7 months of symptoms and their impact. EClinicalMedicine, 38, 1–19. https://doi.org/10.1016/j.eclinm.2021.101019

de Caxias, F. P., Athayde, F. R. F. de, Januzzi, M. S., Pinheiro, L. V., & Turcio, K. H. L. (2021). Impact event and orofacial pain amid the COVID-19 pandemic in Brazil: a cross-sectional epidemiological study. Journal of Applied Oral Science, 29, 1–11. https://doi.org/10.1590/1678-7757-2021-0122

Delanerolle, G., Zeng, Y., Shi, J.-Q., Yeng, X., Goodison, W., Shetty, A., Shetty, S., Haque, N., Elliot, K., Ranaweera, S., Ramakrishnan, R., Raymont, V., Rathod, S., & Phiri, P. (2022). Mental health impact of the Middle East respiratory syndrome, SARS, and COVID-19: A comparative systematic review and meta-analysis. World Journal of Psychiatry, 12(5), 739–765. https://doi.org/10.5498/wjp.v12.i5.739

Disser, N. P., de Micheli, A. J., Schonk, M. M., Konnaris, M. A., Piacentini, A. N., Edon, D. L., Toresdahl, B. G., Rodeo, S. A., Casey, E. K., & Mendias, C. L. (2020). Musculoskeletal Consequences of COVID-19. The Journal of Bone and Joint Surgery. American Volume, 102(14), 1197. https://doi.org/10.2106/JBJS.20.00847

Emodi-Perlman, A., Eli, I., Smardz, J., Uziel, N., Wieckiewicz, G., Gilon, E., Grychowska, N., & Wieckiewicz, M. (2020). Temporomandibular Disorders and Bruxism Outbreak as a Possible Factor of Orofacial Pain Worsening during the COVID-19 Pandemic—Concomitant Research in Two Countries. Journal of Clinical Medicine, 9(10), 3250. https://doi.org/10.3390/jcm9103250

Fillingim, R. B., Ohrbach, R., Greenspan, J. D., Knott, C., Diatchenko, L., Dubner, R., Bair, E., Baraian, C., Mack, N., Slade, G. D., & Maixner, W. (2013). Psychological Factors Associated With Development of TMD: The OPPERA Prospective Cohort Study. The Journal of Pain, 14(12), T75–T90. https://doi.org/10.1016/j.jpain.2013.06.009

Fillingim, R. B., Slade, G. D., Greenspan, J. D., Dubner, R., Maixner, W., Bair, E., & Ohrbach, R. (2018). Long-term changes in biopsychosocial characteristics related to temporomandibular disorder: findings from the OPPERA study. Pain, 159(11), 2403–2413. https://doi.org/10.1097/j.pain.0000000000001348

Greene, C. S., & Manfredini, D. (2021). Transitioning to chronic temporomandibular disorder pain: A combination of patient vulnerabilities and iatrogenesis. Journal of Oral Rehabilitation, 48(9), 1077–1088. https://doi.org/10.1111/joor.13180

Gonçalves, D. A., Dal Fabbro, A. L., Campos, J. A., Bigal, M. E., & Speciali, J. G. (2010). Symptoms of temporomandibular disorders in the population: an epidemiological study. Journal of Orofacial Pain, 24(3),270-8.

Hasöksüz, M., Kiliç, S., & Saraç, F. (2020). Coronaviruses and SARS-COV-2. Turkish Journal of Medical Sciences, 50, 549–556. https://doi.org/10.3906/sag-2004-127

Henriques, C. M. P., & Vasconcelos, W. (2020). Crises dentro da crise: respostas, incertezas e desencontros no combate à pandemia da Covid-19 no Brasil. Estudos Avançados, 34(99), 25–44. https://doi.org/10.1590/s0103-4014.2020.3499.003

Karaarslan, F., Güneri, F. D., & Kardeş, S. (2022). Long COVID: rheumatologic/musculoskeletal symptoms in hospitalized COVID-19 survivors at 3 and 6 months. Clinical Rheumatology, 41(1), 289–296. https://doi.org/10.1007/S10067-021-05942-X/TABLES/6

Kindler, S., Samietz, S., Houshmand, M., Grabe, H. J., Bernhardt, O., Biffar, R., Kocher, T., Meyer, G., Völzke, H., Metelmann, H.-R., & Schwahn, C. (2012). Depressive and Anxiety Symptoms as Risk Factors for Temporomandibular Joint Pain: A Prospective Cohort Study in the General Population. The Journal of Pain, 13(12), 1188–1197. https://doi.org/10.1016/j.jpain.2012.09.004

Köche, J. C. (2011). Fundamentos de Metodologia Científica: Teoria da ciência e iniciação à pesquisa. Editora Vorazes.

Lopez-Leon, S., Wegman-Ostrosky, T., Perelman, C., Sepulveda, R., Rebolledo, P. A., Cuapio, A., & Villapol, S. (2021). More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Scientific Reports, 11(1), 16144. https://doi.org/10.1038/s41598-021-95565-8

Machoň, V., Levorová, J., Beňo, M., & Foltán, R. (2022). The Manifestations of Covid-19 Infection. Manifestations in Patients with Temporomandibular Joint Disorders. Prague Medical Report, 123(2), 95–100. https://doi.org/10.14712/23362936.2022.10

Manfredini, D., Marini, M., Pavan, C., Pavan, L., & Guarda-Nardini, L. (2009). Psychosocial profiles of painful TMD patients. Journal of Oral Rehabilitation, 36(3), 193–198. https://doi.org/10.1111/j.1365-2842.2008.01926.x

McKeown, B., Poerio, G. L., Strawson, W. H., Martinon, L. M., Riby, L. M., Jefferies, E., McCall, C., & Smallwood, J. (2021). The impact of social isolation and changes in work patterns on ongoing thought during the first COVID-19 lockdown in the United Kingdom. Proceedings of the National Academy of Sciences of the United States of America, 118(40). https://doi.org/10.1073/PNAS.2102565118/-/DCSUPPLEMENTAL

Medeiros, R. A. de, Vieira, D. L., Silva, E. V. F. da, Rezende, L. V. M. D. L., Santos, R. W. dos, & Tabata, L. F. (2020). Prevalence of symptoms of temporomandibular disorders, oral behaviors, anxiety, and depression in Dentistry students during the period of social isolation due to COVID-19. Journal of Applied Oral Science, 28, 1–8. https://doi.org/10.1590/1678-7757-2020-0445

Mirhashemi, A., Khami, M. R., Kharazifard, M., & Bahrami, R. (2022). The Evaluation of the Relationship Between Oral Habits Prevalence and COVID-19 Pandemic in Adults and Adolescents: A Systematic Review. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.860185

Molina‐Gil, J., González‐Fernández, L., & García‐Cabo, C. (2021). Trigeminal neuralgia as the sole neurological manifestation of COVID‐19: A case report. Headache: The Journal of Head and Face Pain, 61(3), 560–562. https://doi.org/10.1111/head.14075

Moura, A. A. M. de, Bassoli, I. R., Silveira, B. V. da, Diehl, A., Santos, M. A. dos, Santos, R. A. dos, Wagstaff, C., & Pillon, S. C. (2022). Is social isolation during the COVID-19 pandemic a risk factor for depression? Revista Brasileira de Enfermagem, 75(1). https://doi.org/10.1590/0034-7167-2021-0594

National Institute of Dental and Craniofacial Research (2018). Facial Pain. https://www.nidcr.nih.gov/research/data-statistics/facial-pain

Ohrbach, R., & Dworkin, S. F. (2019). AAPT Diagnostic Criteria for Chronic Painful Temporomandibular Disorders. The Journal of Pain, 20(11), 1276–1292. https://doi.org/10.1016/j.jpain.2019.04.003

O’Sullivan, R., Burns, A., Leavey, G., Leroi, I., Burholt, V., Lubben, J., Holt-Lunstad, J., Victor, C., Lawlor, B., Vilar-Compte, M., Perissinotto, C. M., Tully, M. A., Sullivan, M. P., Rosato, M., Power, J. M., Tiilikainen, E., & Prohaska, T. R. (2021). Impact of the COVID-19 Pandemic on Loneliness and Social Isolation: A Multi-Country Study. International Journal of Environmental Research and Public Health, 18(19), 9982. https://doi.org/10.3390/ijerph18199982

Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, M., & Idoiaga-Mondragon, N. (2020). Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cadernos de Saude Publica, 36(4), 1–9. https://doi.org/10.1590/0102-311X00054020

Paliwal, V. K., Garg, R. K., Gupta, A., & Tejan, N. (2020). Neuromuscular presentations in patients with COVID-19. Neurological Sciences, 41(11), 3039–3056. https://doi.org/10.1007/s10072-020-04708-8

Pow, E. H., Leung, K. C., & McMillan, A. S. (2001). Prevalence of symptoms associated with temporomandibular disorders in Hong Kong Chinese. Journal of Orofacial Pain,15(3), 228-34.

Rajkumar, R. P. (2020). COVID-19 and mental health: A review of the existing literature. Asian Journal of Psychiatry, 52, 102066. https://doi.org/10.1016/j.ajp.2020.102066

Saccomanno, S., Bernabei, M., Scoppa, F., Pirino, A., Mastrapasqua, R., & Visco, M. A. (2020). Coronavirus lockdown as a major life stressor: Does it affect tmd symptoms? International Journal of Environmental Research and Public Health, 17(23), 1–13. https://doi.org/10.3390/ijerph17238907

Saczuk, K., Lapinska, B., Wawrzynkiewicz, A., Witkowska, A., Arbildo-Vega, H. I., Domarecka, M., & Lukomska-Szymanska, M. (2022). Temporomandibular Disorders, Bruxism, Perceived Stress, and Coping Strategies among Medical University Students in Times of Social Isolation during Outbreak of COVID-19 Pandemic. Healthcare, 10(4), 740. https://doi.org/10.3390/healthcare10040740

Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J.-P., List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti, A., Brooks, S. L., Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, L. J., Haythornthwaite, J. A., Hollender, L., … Dworkin, S. F. (2014). Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. Journal of Oral & Facial Pain and Headache, 28(1), 6–27. https://doi.org/10.11607/jop.1151

Tran, Q. D., Vu, T. Q. C., & Phan, N. Q. (2022). Depression prevalence in Vietnam during the Covid-19 pandemic: A systematic review and meta-analysis. Ethics, Medicine and Public Health, 23, 100806. https://doi.org/10.1016/j.jemep.2022.100806

Vaishya, R., Jain, V. K., & Iyengar, K. P. (2021). Musculoskeletal manifestations of COVID-19. Journal of Clinical Orthopaedics and Trauma, 17, 280–281. https://doi.org/10.1016/j.jcot.2021.03.002

van Mulukom, V., Muzzulini, B., Rutjens, B. T., van Lissa, C. J., & Farias, M. (2021). The psychological impact of threat and lockdowns during the COVID-19 pandemic: exacerbating factors and mitigating actions. Translational Behavioral Medicine, 11(7), 1318–1329. https://doi.org/10.1093/tbm/ibab072

Winocur-Arias, O., Winocur, E., Shalev-Antsel, T., Reiter, S., Levratovsky, S., Emodi-Perlman, A., & Friedman-Rubin, P. (2022). Painful Temporomandibular Disorders, Bruxism and Oral Parafunctions before and during the COVID-19 Pandemic Era: A Sex Comparison among Dental Patients. Journal of Clinical Medicine, 11(3), 589. https://doi.org/10.3390/jcm11030589

Yap, A. U., Marpaung, C., & Rahmadini, E. D. (2021). Psychological well-being and distress: Their associations with temporomandibular disorder symptoms and interrelationships. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 132(2), 163–171. https://doi.org/10.1016/j.oooo.2021.02.012

Yap, A. U., Zhang, M., Cao, Y., Lei, J., & Fu, K. (2022). Comparison of psychological states and oral health–related quality of life of patients with differing severity of temporomandibular disorders. Journal of Oral Rehabilitation, 49(2), 177–185. https://doi.org/10.1111/joor.13216

Published

25/08/2022

How to Cite

ANDRADE, M. M.; FARIAS, G. de A. .; SANTANA, L. N.; CRUZ, J. W. A. .; MACIEL, L. Y. dos S. .; PICINATO-PIROLA, M.; COSTA, M. R. de C. D. . Signs and Symptoms of Temporomandibular Disorders in the COVID-19 Pandemic in Sergipe and the Federal District . Research, Society and Development, [S. l.], v. 11, n. 11, p. e370111133617, 2022. DOI: 10.33448/rsd-v11i11.33617. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33617. Acesso em: 6 oct. 2022.

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Section

Health Sciences