Association between waking-state oral behaviours, according to the oral behaviors checklist, and TMD subgroups

V. Donnarumma; R. Ohrbach; V. Simeon; F. Lobbezoo; N. Piscicelli; A. Michelotti

doi:10.1111/joor.13221

Association between waking-state oral behaviours, according to the oral behaviors checklist, and TMD subgroups

V. Donnarumma, R. Ohrbach, V. Simeon, F. Lobbezoo, N. Piscicelli, A. Michelotti

Orofacial Pain and Dysfunction

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

© 2021 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.Objectives: To assess the association between waking-state oral behaviours and temporomandibular disorder (TMD) subgroups and to develop new scoring methods for the Oral Behavior Checklist (OBC). Methods: Patients with any TMD diagnosis, according to the diagnostic criteria for TMD (DC/TMD), were divided into subgroups: ‘Dysfunctional-TMD’ (n = 70), only mechanical dysfunction; ‘Painful-TMD’ (n = 204), only myalgia, arthralgia or both; and ‘Painful-Dysfunctional TMD’ (n = 95), combined pain and dysfunction. A group of individuals without TMD, ‘Non-TMD’ (n = 374), was used for testing associations. Participants completed the OBC. An exploratory factor analysis, followed by a confirmatory factor analysis of the OBC responses, identified 2 major factors, named non-functional activities (NFA) and functional activities (FA). Component total scores were computed. Differences among subgroups for OBC-MS (mean score) and NFA and FA factor scores were estimated using one-way ANOVA and Tukey post hoc tests. Significance was set at p <.05. Results: The OBC-MS in Non-TMD, Painful-TMD and Painful-Dysfunctional TMD subgroups was higher than in the Dysfunctional-TMD subgroup (p ≤.001). NFA in Painful-TMD and Painful-Dysfunctional TMD subgroups were higher than in the Non-TMD group (p <.05); NFA in the Dysfunctional-TMD subgroup were lower than in the Painful-TMD subgroup (p =.034). In contrast, FA in Painful-TMD, Dysfunctional-TMD and Painful-Dysfunctional TMD subgroups were lower than in the Non-TMD group (p <.0001). Conclusions: A new scoring method for the OBC results in item reduction and creation of meaningful subscales for functional and non-functional behaviours, which are differentially associated with painful and dysfunctional TMDs. This may help clinicians to better tailor treatment for the management of subtypes of TMD patients.

Original language	English
Pages (from-to)	996-1003
Journal	Journal of Oral Rehabilitation
Volume	48
Issue number	9
DOIs	https://doi.org/10.1111/joor.13221
Publication status	Published - 1 Sept 2021

Funding

The authors thank Dr Iacopo Cioffi, Dr Roberto Rongo, Dr Sonia Sharma and Dr Maurits K A van Selms for their suggestions. This research was supported by the Division of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II. The statistician Dr Vittorio Simeon was supported by the Programma VALERE, University of Campania ‘Luigi Vanvitelli’.

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University of Campania

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title = "Association between waking-state oral behaviours, according to the oral behaviors checklist, and TMD subgroups",

abstract = "{\textcopyright} 2021 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.Objectives: To assess the association between waking-state oral behaviours and temporomandibular disorder (TMD) subgroups and to develop new scoring methods for the Oral Behavior Checklist (OBC). Methods: Patients with any TMD diagnosis, according to the diagnostic criteria for TMD (DC/TMD), were divided into subgroups: {\textquoteleft}Dysfunctional-TMD{\textquoteright} (n = 70), only mechanical dysfunction; {\textquoteleft}Painful-TMD{\textquoteright} (n = 204), only myalgia, arthralgia or both; and {\textquoteleft}Painful-Dysfunctional TMD{\textquoteright} (n = 95), combined pain and dysfunction. A group of individuals without TMD, {\textquoteleft}Non-TMD{\textquoteright} (n = 374), was used for testing associations. Participants completed the OBC. An exploratory factor analysis, followed by a confirmatory factor analysis of the OBC responses, identified 2 major factors, named non-functional activities (NFA) and functional activities (FA). Component total scores were computed. Differences among subgroups for OBC-MS (mean score) and NFA and FA factor scores were estimated using one-way ANOVA and Tukey post hoc tests. Significance was set at p <.05. Results: The OBC-MS in Non-TMD, Painful-TMD and Painful-Dysfunctional TMD subgroups was higher than in the Dysfunctional-TMD subgroup (p ≤.001). NFA in Painful-TMD and Painful-Dysfunctional TMD subgroups were higher than in the Non-TMD group (p <.05); NFA in the Dysfunctional-TMD subgroup were lower than in the Painful-TMD subgroup (p =.034). In contrast, FA in Painful-TMD, Dysfunctional-TMD and Painful-Dysfunctional TMD subgroups were lower than in the Non-TMD group (p <.0001). Conclusions: A new scoring method for the OBC results in item reduction and creation of meaningful subscales for functional and non-functional behaviours, which are differentially associated with painful and dysfunctional TMDs. This may help clinicians to better tailor treatment for the management of subtypes of TMD patients.",

author = "V. Donnarumma and R. Ohrbach and V. Simeon and F. Lobbezoo and N. Piscicelli and A. Michelotti",

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T1 - Association between waking-state oral behaviours, according to the oral behaviors checklist, and TMD subgroups

AU - Donnarumma, V.

AU - Ohrbach, R.

AU - Simeon, V.

AU - Lobbezoo, F.

AU - Piscicelli, N.

AU - Michelotti, A.

PY - 2021/9/1

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N2 - © 2021 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.Objectives: To assess the association between waking-state oral behaviours and temporomandibular disorder (TMD) subgroups and to develop new scoring methods for the Oral Behavior Checklist (OBC). Methods: Patients with any TMD diagnosis, according to the diagnostic criteria for TMD (DC/TMD), were divided into subgroups: ‘Dysfunctional-TMD’ (n = 70), only mechanical dysfunction; ‘Painful-TMD’ (n = 204), only myalgia, arthralgia or both; and ‘Painful-Dysfunctional TMD’ (n = 95), combined pain and dysfunction. A group of individuals without TMD, ‘Non-TMD’ (n = 374), was used for testing associations. Participants completed the OBC. An exploratory factor analysis, followed by a confirmatory factor analysis of the OBC responses, identified 2 major factors, named non-functional activities (NFA) and functional activities (FA). Component total scores were computed. Differences among subgroups for OBC-MS (mean score) and NFA and FA factor scores were estimated using one-way ANOVA and Tukey post hoc tests. Significance was set at p <.05. Results: The OBC-MS in Non-TMD, Painful-TMD and Painful-Dysfunctional TMD subgroups was higher than in the Dysfunctional-TMD subgroup (p ≤.001). NFA in Painful-TMD and Painful-Dysfunctional TMD subgroups were higher than in the Non-TMD group (p <.05); NFA in the Dysfunctional-TMD subgroup were lower than in the Painful-TMD subgroup (p =.034). In contrast, FA in Painful-TMD, Dysfunctional-TMD and Painful-Dysfunctional TMD subgroups were lower than in the Non-TMD group (p <.0001). Conclusions: A new scoring method for the OBC results in item reduction and creation of meaningful subscales for functional and non-functional behaviours, which are differentially associated with painful and dysfunctional TMDs. This may help clinicians to better tailor treatment for the management of subtypes of TMD patients.

AB - © 2021 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.Objectives: To assess the association between waking-state oral behaviours and temporomandibular disorder (TMD) subgroups and to develop new scoring methods for the Oral Behavior Checklist (OBC). Methods: Patients with any TMD diagnosis, according to the diagnostic criteria for TMD (DC/TMD), were divided into subgroups: ‘Dysfunctional-TMD’ (n = 70), only mechanical dysfunction; ‘Painful-TMD’ (n = 204), only myalgia, arthralgia or both; and ‘Painful-Dysfunctional TMD’ (n = 95), combined pain and dysfunction. A group of individuals without TMD, ‘Non-TMD’ (n = 374), was used for testing associations. Participants completed the OBC. An exploratory factor analysis, followed by a confirmatory factor analysis of the OBC responses, identified 2 major factors, named non-functional activities (NFA) and functional activities (FA). Component total scores were computed. Differences among subgroups for OBC-MS (mean score) and NFA and FA factor scores were estimated using one-way ANOVA and Tukey post hoc tests. Significance was set at p <.05. Results: The OBC-MS in Non-TMD, Painful-TMD and Painful-Dysfunctional TMD subgroups was higher than in the Dysfunctional-TMD subgroup (p ≤.001). NFA in Painful-TMD and Painful-Dysfunctional TMD subgroups were higher than in the Non-TMD group (p <.05); NFA in the Dysfunctional-TMD subgroup were lower than in the Painful-TMD subgroup (p =.034). In contrast, FA in Painful-TMD, Dysfunctional-TMD and Painful-Dysfunctional TMD subgroups were lower than in the Non-TMD group (p <.0001). Conclusions: A new scoring method for the OBC results in item reduction and creation of meaningful subscales for functional and non-functional behaviours, which are differentially associated with painful and dysfunctional TMDs. This may help clinicians to better tailor treatment for the management of subtypes of TMD patients.

U2 - 10.1111/joor.13221

DO - 10.1111/joor.13221

M3 - Article

SN - 0305-182X

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SP - 996

EP - 1003

JO - Journal of Oral Rehabilitation

JF - Journal of Oral Rehabilitation

IS - 9

ER -

Association between waking-state oral behaviours, according to the oral behaviors checklist, and TMD subgroups

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