American journal of dentistry · 2021
Increased occurrence of temporomandibular joint disorders in COVID-19 confirmed patients.
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Tirrell Megan, Katz Joseph
Аннотация
PURPOSE: To examine the prevalence of temporomandibular joint disorders (TMJD) in COVID-19 confirmed patients before and after adjustments for risk factors such as fibromyalgia, nocturnal bruxism, and anxiety disorders.
METHODS: The i2b2 database was used to query searches of patient records at University of Florida Health Centers. Queries were submitted for the number of total hospital patients, TMJD cases, COVID-19 cases, and TMJD with COVID-19 cases from December 2019 to July 2021. Additional searches excluded fibromyalgia, nocturnal bruxism, and anxiety to examine their prevalence as risk factors.
RESULTS: Out of the 548,646 total hospital patients, 86 had a diagnosis of both COVID-19 and TMJD, 14,836 had only COVID-19, and 1,856 had only TMJD. The odds ratio (OR) for having TMJD with COVID-19 was 1.7, with around 80% of TMJD occurring in young adult females. Excluding fibromyalgia and nocturnal bruxism did not change the OR. Anxiety was present in 37% of COVID-19 with TMJD cases and exclusion of this population significantly diminished the odds ratio to 1.08. These results demonstrate a correlation between COVID-19 and TMJD that dissolves when adjusting for stress. Thus, anxiety is a significant factor in the prevalence of TMJD in COVID-19 patients.
CLINICAL SIGNIFICANCE: COVID-19 positive patients demonstrate an increased risk of developing TMJD, with a correlation to stress and anxiety that should be addressed during treatment.
METHODS: The i2b2 database was used to query searches of patient records at University of Florida Health Centers. Queries were submitted for the number of total hospital patients, TMJD cases, COVID-19 cases, and TMJD with COVID-19 cases from December 2019 to July 2021. Additional searches excluded fibromyalgia, nocturnal bruxism, and anxiety to examine their prevalence as risk factors.
RESULTS: Out of the 548,646 total hospital patients, 86 had a diagnosis of both COVID-19 and TMJD, 14,836 had only COVID-19, and 1,856 had only TMJD. The odds ratio (OR) for having TMJD with COVID-19 was 1.7, with around 80% of TMJD occurring in young adult females. Excluding fibromyalgia and nocturnal bruxism did not change the OR. Anxiety was present in 37% of COVID-19 with TMJD cases and exclusion of this population significantly diminished the odds ratio to 1.08. These results demonstrate a correlation between COVID-19 and TMJD that dissolves when adjusting for stress. Thus, anxiety is a significant factor in the prevalence of TMJD in COVID-19 patients.
CLINICAL SIGNIFICANCE: COVID-19 positive patients demonstrate an increased risk of developing TMJD, with a correlation to stress and anxiety that should be addressed during treatment.