Temporomandibular Disorder Related Characteristics and Treatment Outcomes in Oromandibular Dystonia Patients in Two Different Clinical Settings: A Cross-Sectional Study
2020-04
Loading...
View/Download File
Persistent link to this item
Statistics
View StatisticsJournal Title
Journal ISSN
Volume Title
Title
Temporomandibular Disorder Related Characteristics and Treatment Outcomes in Oromandibular Dystonia Patients in Two Different Clinical Settings: A Cross-Sectional Study
Authors
Published Date
2020-04
Publisher
Type
Thesis or Dissertation
Abstract
Introduction: Clinical presentation of oromandibular dystonia is variable and it can be further complicated with presence of TMD symptoms. We sought to evaluate variations in clinical presentation of OMD patients, particularly TMD related characteristics, in two clinic settings. Methods: In a cross-sectional study design, a web-based data collection survey was provided to eligible patients with OMD from Movement Disorder and Orofacial Pain clinics. Patients with OMD were identified using ICD-9 and ICD-10 diagnostic codes from their electronic health record system. We excluded patients <18 years old, pregnant women, prisoners, non-English speakers, patients with dementia, OMD diagnosis secondary to Parkinson’s disease and Tardive dyskinesia patients. The survey questionnaire was designed to collect information on demographic characteristics, clinical presentation particularly related to TMD, quality of life and treatment outcomes. Validated questionnaires were used when available such as TMD Screener, EQ-5D-5L, jaw functional limitation scale, and global rating of change scale. Results: Of 53 eligible patients; 31 responded to the survey for a 59% response rate. 48% patients in MD clinic and 60% patients in OFP clinic reported experiencing jaw pain along with involuntary movements. Of those, 90% from MD group and 83% from OFP group screened positive with TMD pain screener. TMD screener remained positive in about 40% patients in both clinics in the last 30 days of questionnaire response. Global score of JFLS was higher in both groups. None of the study comparisons between two groups were statistically significant. Conclusion: Patients with OMD have features of TMD, irrespective of the clinical setting they seek and receive care from. OMD patients from both clinics were similar in terms of clinical presentation, quality of life and treatment outcomes.
Description
University of Minnesota M.S. thesis. 2020. Major: Dentistry. Advisor: Donald Nixdorf. 1 computer file (PDF); 40 pages.
Related to
Replaces
License
Series/Report Number
Funding information
Isbn identifier
Doi identifier
Previously Published Citation
Suggested citation
Sude, Asha. (2020). Temporomandibular Disorder Related Characteristics and Treatment Outcomes in Oromandibular Dystonia Patients in Two Different Clinical Settings: A Cross-Sectional Study. Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/243061.
Content distributed via the University Digital Conservancy may be subject to additional license and use restrictions applied by the depositor. By using these files, users agree to the Terms of Use. Materials in the UDC may contain content that is disturbing and/or harmful. For more information, please see our statement on harmful content in digital repositories.