Does Emotional State Improve Following Temporomandibular Joint Total Joint Replacement?


Journal

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
ISSN: 1531-5053
Titre abrégé: J Oral Maxillofac Surg
Pays: United States
ID NLM: 8206428

Informations de publication

Date de publication:
10 2023
Historique:
received: 17 03 2023
revised: 23 06 2023
accepted: 26 06 2023
medline: 5 10 2023
pubmed: 26 7 2023
entrez: 25 7 2023
Statut: ppublish

Résumé

Temporomandibular joint total joint replacement (TMJTJR) offers patients the opportunity for improved function and reduced pain. TMJTJR also has the potential to affect a patient's emotions in a positive or negative manner. The purpose of this study was to evaluate changes in emotional state for subjects undergoing TMJTJR. The authors implemented a retrospective cohort study. Subjects who received TMJTJR were identified from the TMJ Inter Network, which is a study group comprising more than 130 temporomandibular joint surgeons. Subjects between the ages of 18 and 65 years with complete medical records and pre/post TMJTJR video/audio recordings were enrolled in the study. The predictor variable was time (preoperative and postoperative). The primary outcome variable is change in the emotional state. All subjects had preoperative (T0) recorded interview as well as a postoperative (T1) interview at 3 to 6 months. The eight-category emotional state was classified as neutral, happy, sad, angry, fearful, disgusted, surprised, and bored. The three-category emotional state was classified as neutral, positive, and negative. The emotional state was measured using artificial intelligence at T0 and T1. The secondary outcome variable was pain score and maximal interincisal opening. The covariates are gender, age, diagnosis, prosthetic side, TMJTJR design, and TMJTJR type. The relationship between emotional state change and covariates was examined using both the χ Thirty-three subjects were included in the study. The mean age was 30.09 ± 8.69 with 15 males (45%) and 18 females (55%). The percentage of subjects with preoperative neutral, happy, sad, angry, and fearful emotional states was 24, 15, 24, 9, and 27%, respectively. The percentage of subjects with postoperative neutral, happy, sad, angry, and fearful emotional states was 21, 39, 21, 12, and 6%, respectively. The change in emotional state was statistically significant (P = .037). There was no statistically significant relationship between covariates and emotional state changes (P > .05). According to the assessment of artificial intelligence, TMJTJR improves the emotional state of patients.

Sections du résumé

BACKGROUND
Temporomandibular joint total joint replacement (TMJTJR) offers patients the opportunity for improved function and reduced pain. TMJTJR also has the potential to affect a patient's emotions in a positive or negative manner.
PURPOSE
The purpose of this study was to evaluate changes in emotional state for subjects undergoing TMJTJR.
STUDY DESIGN, SETTING, SAMPLE
The authors implemented a retrospective cohort study. Subjects who received TMJTJR were identified from the TMJ Inter Network, which is a study group comprising more than 130 temporomandibular joint surgeons. Subjects between the ages of 18 and 65 years with complete medical records and pre/post TMJTJR video/audio recordings were enrolled in the study.
PREDICTOR VARIABLE
The predictor variable was time (preoperative and postoperative).
MAIN OUTCOME VARIABLES
The primary outcome variable is change in the emotional state. All subjects had preoperative (T0) recorded interview as well as a postoperative (T1) interview at 3 to 6 months. The eight-category emotional state was classified as neutral, happy, sad, angry, fearful, disgusted, surprised, and bored. The three-category emotional state was classified as neutral, positive, and negative. The emotional state was measured using artificial intelligence at T0 and T1. The secondary outcome variable was pain score and maximal interincisal opening.
COVARIATES
The covariates are gender, age, diagnosis, prosthetic side, TMJTJR design, and TMJTJR type.
ANALYSES
The relationship between emotional state change and covariates was examined using both the χ
RESULTS
Thirty-three subjects were included in the study. The mean age was 30.09 ± 8.69 with 15 males (45%) and 18 females (55%). The percentage of subjects with preoperative neutral, happy, sad, angry, and fearful emotional states was 24, 15, 24, 9, and 27%, respectively. The percentage of subjects with postoperative neutral, happy, sad, angry, and fearful emotional states was 21, 39, 21, 12, and 6%, respectively. The change in emotional state was statistically significant (P = .037). There was no statistically significant relationship between covariates and emotional state changes (P > .05).
CONCLUSION
According to the assessment of artificial intelligence, TMJTJR improves the emotional state of patients.

Identifiants

pubmed: 37490998
pii: S0278-2391(23)00560-8
doi: 10.1016/j.joms.2023.06.030
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1196-1203

Informations de copyright

Copyright © 2023 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Yunus Balel (Y)

Consultant, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokat Gaziosmanpaşa University, Tokat, Turkey; Consultant, Department of Oral and Maxillofacial Surgery, TR Ministry of Health, Oral and Dental Health Hospital, Sivas, Turkey. Electronic address: yunusbalel@hotmail.com.

Louis G Mercuri (LG)

Visiting Professor, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.

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