Effect of neuromuscular deprogramming on quality of life and sleep in patients with temporomandibular dysfunction

Authors

Keywords:

chronic pain, stress, temporomandibular joint, quality of life.

Abstract

Introduction: Neuromuscular deprogramming reduces the main symptoms such as pain by 70 to 90% in patients with temporomandibular dysfunction, but little information is available on the effect on quality of life and sleep.

Objective: Determine the effect of neuromuscular deprogramming on quality of life and sleep in patients with temporomandibular dysfunction.

Methods: 55 patients with temporomandibular dysfunction were included who were neuromuscularly deprogrammed (29 women and 26 men), with an average age of 34.9 ± 16.5 years. At the beginning and end of neuromuscular deprogramming, surveys were applied to assess the level of chronic pain, perception of quality of life related to oral health, perceived stress, quantity and quality of life, anxiety and depression.

Results: In 37 patients (68%) pain was identified on examination, and it was confirmed in the chronic pain survey. The quality of life perception score was correlated with low sleep quality (r = 0.39; p = 0.008); pain score (r = 0.48; p = 0.003); anxiety (r = 0.55; p = 0.003) and depression (r = 0.41; p = 0.006). Neuromuscular deprogramming reduced patient-reported pain levels from 9.9 to 2.9 (p = 0.001), the percentage of patients with poor sleep quality from 60% to 29% (p < 0.0001), the quality of life score from 40.7 to 23.8 (p = 0.03), and perceived stress levels from 22.1 to 19.1 (p = 0.002).

Conclusions: In patients with temporomandibular dysfunction, neuromuscular deprogramming reduces the level of pain. It is related to better perception in quality of life, higher quality of sleep and decreases perceived stress. 

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Author Biographies

Juan Manuel Guizar Mendoza, De la Salle Bajío University, Faculty of Dentistry, Master in Orthodontics. Guanajuato, Mexico.

Profesor e investigador

Facultad de odontología

Universidad De la Salle Bajio

Claudia Salinas Escoboza, De la Salle Bajío University, Faculty of Dentistry, Master in Orthodontics. Guanajuato, Mexico.

Maestra en Ortodoncia

Facultad de odontología

Universidad De La Salle Bajio

Yuridia Avalos Equihua, De la Salle Bajío University, Faculty of Dentistry, Master in Orthodontics. Guanajuato, Mexico.

Maestría en ortodoncia

Facultad de odontología

Universidad De La Salle Bajío

Norma Amador Licona, De la Salle Bajío University, Faculty of Dentistry, Master in Orthodontics. Guanajuato, Mexico.

Profesora e investigadora

Dirección de Investigación

Universidad De La Salle Bajio

Francisco Espinosa Albo, De la Salle Bajío University, Faculty of Dentistry, Master in Orthodontics. Guanajuato, Mexico.

Maestro en ortodoncia

Facultad de odontología

Universidad De La Salle Bajio

Salvador Ferrer Tamburini, De la Salle Bajío University, Faculty of Dentistry, Master in Orthodontics. Guanajuato, Mexico.

Maestro en ortodoncia

Coordinador de la maestría en ortodoncia

Universidad De La Salle Bajio

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Published

2022-06-16

How to Cite

1.
Guizar Mendoza JM, Salinas Escoboza C, Avalos Equihua Y, Amador Licona N, Espinosa Albo F, Ferrer Tamburini S. Effect of neuromuscular deprogramming on quality of life and sleep in patients with temporomandibular dysfunction. Rev Cubana Estomatol [Internet]. 2022 Jun. 16 [cited 2025 Mar. 13];59(2):e3800. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/3800

Issue

Vol. 59 No. 2 (2022): APR- JUN

Section

Research Article

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