IJCRR - 8(4), February, 2016
A STUDY OF THE RELATIONSHIP BETWEEN STRESS, ADAPTABILITY AND TEMPOROMANDIBULAR DISORDERSY
Author: Vidhya Kalanjiam, G.V. Murali Gopika Manoharan
Aim: The aim of the study is to explore the influence of stress in patients with temporomandibular disorders
Objectives: Stress affects the physiological, cognitive, emotional, behavioural functioning of human being. Initially our body compensates for stress, but when we cannot cope up with it, disorder arises. One such manifestation of stress in human body is temporomandibular disorders. The objective of the study is to first establish the diagnosis of the patients’ complaints pertaining to temporomandibular joint based on clinical and radiological examinations; then to assess the degree of stress using stress assessment questionnaire and finally to study the relationship between stress and adaptability in temporomandibular disorders. Materials and Methods: 60 patients who reported with pain, tenderness in the temporomandibular joint, clicking or crepitus, tenderness in muscles of mastication, restricted mouth opening, deviation of jaw, restricted jaw movements, and with altered condylar movements were selected for the study. Clinical examination of signs and symptoms were assessed along with a stress assessment questionnaire. Finally, statistical analysis was performed on the responses received from the patients. Results: Significant difference was found in the pain threshold i.e. pain perception between patients with stress and without stress. This leads to the conclusion that stress has a major role in affecting the adaptability of the body, and it is a front runner for various deleterious effects. Conclusion: Stress levels of patients with temporomandibular disorders should be always evaluated and in case the stress levels are high, it must be treated with appropriate stress management therapy.
Keywords: Stress, Pain threshold, Questionnaire, Temporomandibular disorder
Vidhya Kalanjiam, G.V. Murali Gopika Manoharan. A STUDY OF THE RELATIONSHIP BETWEEN STRESS, ADAPTABILITY AND TEMPOROMANDIBULAR DISORDERSY International Journal of Current Research and Review. 8(4), February, 01-05
1. J. Durham Temporomandibular disorder (TMD): An over view .Oral Surgery. May 2008:60-68. DOI: 10.1111/j.1752- 248X.2008.00020.x
2. Jeffery P. Okeson. Management of temporomandibular disorder and occlusion. 7th ed. Elsevier Mosby; 2013.
3. G. Butler Definitions of stress Occas Pap R Coll Gen Pract. 1993; (61): 1–5.
4. Schneiderman N, Ironson G, Siegel SD .Stress and Health: Psychological, Behavioural, and Biological Annu Rev Clin Psychol.2005;1: 607–628. doi:10.1146/annurev. clinpsy.1.102803.144141.
5. Uhac I, Kovac Z, Valentic M, Juretic M . The influence of war stress on the prevalence of signs and symptoms of temporomandibular disorders Journal of Oral Rehabilitation .February 2003: 211–217. DOI: 10.1046/j.1365-2842.2003.01030.x.
6. Sayal D, Dodwad V, Vaish S, Sood R. Effects of Academic Stress on Gingival and Periodontal Health - A Questionnaire Study Journal of Dental Specialities, September 2014:32-38.
7. Ganesh Pradhan, Nishitha Linet Mendinca, Manisha Kar. Evaluation of Examination Stress and Its Effect on Cognitive Function among First Year Medical Students Journal of Clinical and Diagnostic Research. 2014 Aug, Vol-8(8): BC05-BC07 DOI:10.7860/JCDR/2014/9014.4680.
8. Schiffman EL, Fricton JR, Haley D. The relationship of occlusion, parafunctional habits and recent life events to mandibular dysfunction in a non-patient population. J Oral Rehabil 1992; 19:201-223.
9. Markland S, Wänman A.Risk factors associated with incidence and persistence of signs and symptoms of temporomandibular disorders.Acta Odontol Scand. 2010 Sep;68(5):289-99. doi:
10.3109/00016357.2010.494621. 10. Holliday KL, Nicholl BI, Macfarlane GJ, Thomson W, and Davies KA, Macbeth Genetic variation in the hypothalamicpituitary-adrenal stress axis influences susceptibility to musculoskeletal pain: results from the EPIFUND study. Ann Rheum Dis. 2010 Mar; 69(3):556-60. doi: 10.1136/ard.2009.116137.
11. McBeth J, Chiu YH, Silman AJ, Ray D, Morriss R, Dickens C, Gupta A, Macfarlane GJ. Hypothalamic-pituitary-adrenal stress axis function and the relationship with chronic widespread pain and its antecedents. Arthritis Res Ther. 2005; 7(5):R992-R1000. Epub 2005 Jun 17.
12. Manfredino D, Bandethini AB, Cantini E. Mood and anxiety Psychopathology and temporomandibular disorder. J Oral Rehabil. 2009; 4 1 :933–7.
13. Madani A, Mehdizade F. Investigating the prevalence of TMD risk factors in 100 patients referred to dental faculty of Mashhad University. J Shahid Beheshti Univ. 2003; 2: 229–37.
14. Ahmad Mottaghi, S. Mohammad Razavi, Elham Zamani Pozveh, and Milad Jahangirmoghaddam Assessment of the relationship between stress and temporomandibular joint disorder in female students before university entrance exam (Konkour exam). Dent Res J (Isfahan). 2011 Dec; 8 (Suppl1): S76–S79.
15. Leonardo R Bonjardim, Ricardo J Lopes-Filho1, Guilherme Amado, Ricardo LC Albuquerque Jr, Suzane R J Gonçalves. Association between symptoms of temporomandibulardisorders and gender, morphological occlusion, and psychological factors in a group of university students Indian J Dent Res, 2009 AprJun;20 (2):190-4 20(2) . DOI: 10.4103/0970-9290.52901.