Prognostic risk factors for the development of disorders of occlusive relationships in patients with temporomandibular myofascial pain syndrome.

Abstract

Introduction. Psychoemotional stress is currently recognized as one of the significant risk factors affecting human health. Recent studies have highlighted its role in the development of various dental pathologies, in particular disorders of occlusive relationships. The purpose of this study is to determine the frequency and severity of psychoemotional stress in patients with occlusion disorders, as well as to identify key symptoms of psychological stress that affect dental health. Material and methods: The study was conducted at the Department of Dentistry of Volgograd State Medical University and included 120 patients aged 18 to 44 years with various disorders of occlusive relationships. The patients were divided into three groups depending on the degree of tooth abrasion. The PSM-25 questionnaire (Lemyr-Tessier-Fillion), adapted for the Russian-speaking audience, was used to assess the level of psychoemotional stress. The data were subjected to statistical analysis, including correlation analysis, to identify the relationship between stress levels and the severity of occlusive disorders. Results and their discussion: The results of the study showed that all patients included in the study experienced psychoemotional stress. The most common indicators of psychological stress have been identified: bruxism, clenching, physical malaise, fatigue and sleep disorders. Correlation analysis has demonstrated the presence of a direct relationship between the level of psychoemotional stress and the severity of occlusive disorders. Patients with more pronounced clinical manifestations of occlusal imbalance also had higher stress levels. Conclusion: The study confirmed the significant influence of psychoemotional stress on the development and course of disorders of occlusive relationships. The identification of key symptoms of psychological stress in patients with occlusive disorders is important for practical dentistry, as it allows to improve the diagnosis and treatment of these conditions. However, for a more accurate and differentiated approach to diagnosis, it is necessary to take into account many risk factors and hidden relationships, which requires further research.

Keywords

• disorders of occlusive relationships
• psychoemotional stress
• correlation relationship.

Project Number

Russian Science Foundation 12/04/2024 No. 24-25-20098, egional budget (Volgograd region) 31/05/2024 No. 10.

Ethical Statement

№089 15/04/2024 IRB 00005839 IORG0004900 Volgograd State Medical University

Thanks

The study was conducted as part of a scientific project aimed at developing a methodology for neural network analysis and forecasting the risk of occlusal relationship disorders within the framework of implementing the Russian Science Foundation grant No. 24-25-20098 and the Agreement on subsidies from the regional budget (Volgograd region) dated May 31, 2024, No. 10.

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