Degenerative temporomandibular joint diseases and their relation with sleep and emotional disturbance

ABSTRACT

Objective

The relation of degenerative temporomandibular joint (TMJ) diseases (DJDs) with sleep and emotional disturbance were investigated.

Methods

CBCT examination of patients (n = 358) with DC/TMD-defined intra-articular temporomandibular disorders was performed and stratified into NN: no DJD and no arthralgia; NA: no DJD with arthralgia; TO: osteoarthrosis; and TR: osteoarthritis. Sleep and emotional disturbance were assessed with the Pittsburgh Sleep Quality Index (PSQI) and Depression Anxiety Stress Scale-21 (DASS-21). Data were evaluated using non-parametric and multivariate logistic regression analyses (α = 0.05).

Results

Distributions of NN, NA, TO, and TR groups were 23.2%, 27.1%,19.0%, and 30.7%, respectively. No significant differences in total-PSQI/DASS scores were detected among the four groups. The presence of pain and stress predicted poor quality sleep with odds ratios of 10.75 and 1.07, accordingly.

Conclusion

Sleep quality was affected more by arthralgia and stress than the presence of TMJ DJDs.

KEYWORDS:

• Temporomandibular disorders
• temporomandibular joint
• pain
• sleep quality
• emotional disturbance

Mandatory note

The manuscript is not derived from any theses

The manuscript will not be deposited on a preprints server.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by the Capital Health Research and Development of Special Fund Program under Grant (number 2020-4-4106) from the Beijing Municipal Health Commission and National Key Clinical Specialty Construction Project (PKUSSNKP-202103).