Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Effects of COVID-19 on Oral Health-Related Quality of Life, Temporomandibular Joint Dysfunction and Depression: A Cross-Sectional Study
COVID-19'un Oral Sağlığa Bağlı Yaşam Kalitesi,Temporomandibular Eklem Disfonksiyonu ve Depresyon Üzerine Etkileri: Kesitsel Çalışma
Esra AYDEMİR KADANa, Fatma ÇAĞLAYANa, Nuray DEMİRb, Ümit KADANc
aDepartment of Oral Dental and Maxillofacial Radiology, Atatürk University Faculty of Dentistry, Erzurum, Türkiye
bDepartment of Agricultural Economics, Atatürk University Faculty of Agriculture, Erzurum, Türkiye
cDepartment of Orthodontics, Atatürk University Faculty of Dentistry, Erzurum, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(3):535-43
doi: 10.5336/dentalsci.2021-86304
Article Language: EN
Full Text
ABSTRACT
 Objective: The purpose of the present study is to evaluate the outcomes of coronavirus and outbreak-induced pandemics in terms of temporomandibular dysfunction (TMD), depression and oral health-related quality of life. We also aimed to determine any associations between the coronavirus disease-2019 (COVID-19) positive group, the COVID- 19 contact group and the control group and each patient's depression, TMD and their oral health-related quality of life. Material and Methods: One thousand-twenty participants in the 13-75 age range answered questions consisting of the Oral Health Impact Profile Questionnaire (OHIP- 14), the Fonseca Questionnaire and the Patient Health Questionnaire-9 (PHQ-9). The present study was done online in Turkey. Participants who agreed to participate in the survey continued to answer the survey questions by stating their status regarding COVID-19. Participants were divided into 3 groups according to their COVID-19-related status: COVID-19 positive, COVID-19 contact and control group. Results: According to the results of present study, a statistically significant difference was found between the OHIP-14, Fonseca and PHQ-9 survey results and the groups (p<0.001, p<0.05, p<0.001 respectively). Of COVID-19 positives, 17.3% had poor oral health-related quality of life, 91.4% had any level of depression between mild and severe depression, and 66.4% had any level of TMD. Conclusion: According to the results of the present study in COVID- 19 positives, the oral health-related quality of life was lowest, moderate TMD and severe TMD were higher, and symptoms of severe depression were more. Furthermore the coronavirus and pandemic increase depression and TMD, and reduce the quality of life related to oral health.

Keywords: COVID-19; temporomandibular joint dysfunction syndrome; depression; oral health
ÖZET
 Amaç: Bu çalışmanın amacı, koronavirüs ve salgın kaynaklı pandemilerin sonuçlarını temporomandibular disfonksiyon (TMD), depresyon ve ağız sağlığı ile ilişkili yaşam kalitesi açısından değerlendirmektir. Ayrıca koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID- 19)] pozitif grup, COVID-19 temas grubu ve kontrol grubu ile her hastanın depresyon, TMD ve ağız sağlığı ile ilgili yaşam kalitesi arasındaki ilişkileri belirlemeyi amaçladık. Gereç ve Yöntemler: 13-75 yaş aralığındaki 1.020 katılımcı, Ağız Sağlığı Etki Profili Anketi [Oral Health Impact Profile Questionnaire (OHIP-14)], Fonseca Anketi ve Hasta Sağlığı Anketi-9'dan [Patient Health Questionnaire-9 (PHQ-9)] oluşan soruları yanıtladı. Bu çalışma, Türkiye genelinde çevrim içi olarak yapıldı. Ankete katılmayı kabul eden katılımcılar, COVID-19 ile ilgili durumlarını belirterek anket sorularını cevaplamaya devam etti. Katılımcılar, COVID- 19 ile ilgili durumlarına göre 3 gruba ayrıldı: COVID-19 pozitif, COVID- 19 temaslı ve kontrol grubu. Bulgular: Bu çalışmanın sonuçlarına göre OHIP-14, Fonseca ve PHQ-9 anket sonuçları ile gruplar arasında istatistiksel olarak anlamlı fark bulundu (sırasıyla p<0,001, p<0,05, p<0,001). COVID-19 pozitiflerin %17,3'ünün ağız sağlığıyla ilgili yaşam kalitesi kötüydü, %91,4'ünün hafif depresyon ile şiddetli depresyon arasında herhangi bir düzeyde depresyonu vardı ve %66,4'ü herhangi bir düzeyde TMD'ye sahipti. Sonuç: Mevcut çalışma sonuçlarına göre COVID-19 pozitiflerinde ağız sağlığı ile ilgili yaşam kalitesi en düşük, orta TMD ve şiddetli TMD daha yüksek ve şiddetli depresyon belirtileri daha fazlaydı. Ayrıca koronavirüs ve pandemi, depresyonu ve TMD'yi artırmakta, ağız sağlığı ile ilişkili yaşam kalitesini düşürmektedir.

Anahtar Kelimeler: COVID-19; temporomandibular eklem disfonksiyon sendromu; depresyon; oral sağlık
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