Quality of life assessment in temporomandibular joint ankylosis patients after interpositional arthroplasty: a prospective study |
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| Institution: | 1. Unit of Oral and Maxillofacial Surgery, Oral Health Sciences Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India;2. Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh;1. Department of Oral and Maxillofacial Surgery, Dokkyo Medical University School of Medicine, Mibu, Shimo-Tsuga, Tochigi, Japan;2. Section of Dentistry, Oral and Maxillofacial Surgery, Kamitsuga General Hospital, Kanuma, Tochigi, Japan;3. Department of Dermatology, Dokkyo Medical University School of Medicine, Mibu, Shimo-Tsuga, Tochigi, Japan;1. Graduate Programme in Clinical Dentistry, Positivo University, Curitiba, Paraná, Brazil;2. Department of Stomatology, School of Dentistry, Federal University of Paraná, UFPR, Paraná, Brazil;1. Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia;2. Private Practice, Rome, Italy;1. Research Scientist, Division of Oral and Maxillofacial Surgery, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India;2. Professor and Head, Division of Oral and Maxillofacial Surgery, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India;3. Professor, Division of Oral and Maxillofacial Surgery, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India;4. Professor, Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India;5. Professor and Head, Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India;1. Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran;2. Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran;3. Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran;4. Dental Materials Research Center, Institute of Health, Babol University of Medical Sciences, Babol, Iran |
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| Abstract: | Temporomandibular joint (TMJ) ankylosis significantly impacts both physical and psychosocial patient wellbeing. A complete evaluation of treatment outcomes necessitates knowing the extent to which a patient’s quality of life (QoL) is impacted. This study was performed to evaluate the impact of TMJ ankylosis on QoL in 25 TMJ ankylosis patients treated by interpositional arthroplasty. The patients completed OHIP-14 and UWQoL questionnaires once before and then at 3 months after the surgery. There was a significant improvement in mean cumulative scores for both questionnaires. With the exception of functional limitation, all OHIP domains showed significant improvement. Preoperatively, the worst scores were found in the psychological distress domain, followed by the social handicap, physical pain and physical disability domains. More than half of the subjects (56%) reported having suicidal thoughts. Amongst the individual UWQoL domains, appearance, chewing, anxiety (P < 0.01), recreation and mood (P < 0.05) showed improved scores. Appearance and chewing were the top ranked priority domains before and after surgery. No significant change was found in speech, taste, sleep, or breathing. Psychosocial factors were found to play a much bigger role than previously thought. The physical, psychological, and social factors were intricately related and dynamically interacted with each other. Surgical treatment produced a definitive QoL improvement in the patients. |
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| Keywords: | quality of life QoL temporomandibular joint ankylosis TMJ |
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