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CC BY 4.0 · Eur J Dent 2023; 17(03): 771-776
DOI: 10.1055/s-0042-1755192
Original Article

Changes in COVID-19 Perception and in TMD Prevalence after 1 Year of Pandemic in Italy

Giuseppe Scelza 
1   Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana,” University of Salerno, Baronissi (SA), Italy
,
Alessandra Amato 
1   Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana,” University of Salerno, Baronissi (SA), Italy
,
Roberto Rongo
2   Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Naples, Italy
,
Ludovica Nucci
3   Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
,
Francesco D'Ambrosio
1   Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana,” University of Salerno, Baronissi (SA), Italy
,
Stefano Martina 
1   Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana,” University of Salerno, Baronissi (SA), Italy
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Abstract

Objectives The study aims to report the perception of dental practices and assess the individual's psychological stress level and related temporomandibular disorders (TMD) symptoms by evaluating the changes that occurred during the year following the first lockdown (May 2020).

Materials and Methods An online questionnaire was submitted to the Italian population between 20 March and 20 April 2021. It was sent via online platforms and included 14 questions.

Statistical analysis The data were analyzed using a chi-squared test and a comparison of the current data with the May 2020 survey data was performed using independent samples t-tests. The level of significance was set at p < 0.05.

Results Forty-three percent of subjects (872) considered the dental practice to be a place with a high risk of infection. Temporomandibular pain and joint sounds were reported by 35.7% (724) of the population; of these more frequently were women (71.8%, 520/724, p < 0.001). About 31% of the participants had moderate/severe psychological distress and, among them, it was found that 46.4% (294/634) reported TMD pain (p < 0.001) and 34.9% (221/634) complained of temporomandibular joint sounds (p < 0.001).

Conclusions Most participants did not consider dental practices as a place with a higher risk of coronavirus disease 2019 transmission and, in contrast to the data from a previous study, people were less afraid to go to dental practices. After the first year of the pandemic, the level of stress and depression increased and the prevalence of TMD pain and joint sounds increased, in association with gender, age, and level of distress.

Keywords

COVID-19 pandemic - psychological stress - dental practice - survey - temporomandibular disorders - TMD pain


Publication History

Article published online:
20 September 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Melo Neto CLM, Bannwart LC, de Melo Moreno AL, Goiato MC. SARS-CoV-2 and dentistry-review. Eur J Dent 2020; 14 (S 01): S130-S139
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Amato A, Iandolo A, Scelza G, Spirito F, Martina S. COVID-19: the patients' perceived impact on dental care. Eur J Dent 2022; 16 (02) 333-338
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Farook FF, Mohamed Nuzaim MN, Taha Ababneh K, Alshammari A, Alkadi L. COVID-19 pandemic: oral health challenges and recommendations. Eur J Dent 2020; 14 (S 01): S165-S170
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Amato A, Ciacci C, Martina S, Caggiano M, Amato M. COVID-19: the dentists' perceived impact on the dental practice. Eur J Dent 2021; 15 (03) 469-474
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Martina S, Amato A, Faccioni P, Iandolo A, Amato M, Rongo R. The perception of COVID-19 among Italian dental patients: an orthodontic point of view. Prog Orthod 2021; 22 (01) 11
    CrossrefPubMedGoogle Scholar
  • 6 Costantino A, Topa M, Roncoroni L. et al. COVID-19 vaccine: a survey of hesitancy in patients with celiac disease. Vaccines (Basel) 2021; 9 (05) 511
    CrossrefPubMedGoogle Scholar
  • 7 Deng J, Zhou F, Hou W. et al. The prevalence of depression, anxiety, and sleep disturbances in COVID-19 patients: a meta-analysis. Ann N Y Acad Sci 2021; 1486 (01) 90-111
    CrossrefPubMedGoogle Scholar
  • 8 Kharma MY, Koussa B, Aldwaik A. et al. Assessment of anxiety and stress among dental students to return to training in dental college in COVID-19 era. Eur J Dent 2020; 14 (S 01): S86-S90
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet 2021;398(10312):1700–1712 S0140–6736(21)02143–7
    Google Scholar
  • 10 Schiffman E, Ohrbach R, Truelove E. et al; International RDC/TMD Consortium Network, International association for Dental Research, Orofacial Pain Special Interest Group, International Association for the Study of Pain. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 2014; 28 (01) 6-27
    CrossrefPubMedGoogle Scholar
  • 11 Paduano S, Bucci R, Rongo R, Silva R, Michelotti A. Prevalence of temporomandibular disorders and oral parafunctions in adolescents from public schools in Southern Italy. Cranio 2020; 38 (06) 370-375
    CrossrefPubMedGoogle Scholar
  • 12 Iodice G, Cimino R, Vollaro S, Lobbezoo F, Michelotti A. Prevalence of temporomandibular disorder pain, jaw noises and oral behaviours in an adult Italian population sample. J Oral Rehabil 2019; 46 (08) 691-698
    CrossrefPubMedGoogle Scholar
  • 13 Donnarumma V, Ohrbach R, Simeon V, Lobbezoo F, Piscicelli N, Michelotti A. Association between waking-state oral behaviours, according to the oral behaviors checklist, and TMD subgroups. J Oral Rehabil 2021; 48 (09) 996-1003
    CrossrefPubMedGoogle Scholar
  • 14 Stanton R, To QG, Khalesi S. et al. Depression, anxiety and stress during COVID-19: associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. Int J Environ Res Public Health 2020; 17 (11) 4065
    CrossrefPubMedGoogle Scholar
  • 15 Nwachukwu I, Nkire N, Shalaby R. et al. COVID-19 pandemic: age-related differences in measures of stress, anxiety and depression in Canada. Int J Environ Res Public Health 2020; 17 (17) 6366
    CrossrefPubMedGoogle Scholar
  • 16 Colonna A, Guarda-Nardini L, Ferrari M, Manfredini D. COVID-19 pandemic and the psyche, bruxism, temporomandibular disorders triangle. Cranio 2021; 1-6
    CrossrefPubMedGoogle Scholar
  • 17 Kroenke K, Spitzer RL, Williams JB, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics 2009; 50 (06) 613-621
    PubMedGoogle Scholar
  • 18 Martina S, Amato A, Rongo R, Caggiano M, Amato M. The perception of COVID-19 among Italian dentists: an orthodontic point of view. Int J Environ Res Public Health 2020; 17 (12) 4384
    CrossrefPubMedGoogle Scholar
  • 19 Shahid Z, Kalayanamitra R, McClafferty B. et al. COVID-19 and older adults: what we know. J Am Geriatr Soc 2020; 68 (05) 926-929
    CrossrefPubMedGoogle Scholar
  • 20 Amato A, Caggiano M, Amato M, Moccia G, Capunzo M, De Caro F. Infection control in dental practice during the COVID-19 pandemic. Int J Environ Res Public Health 2020; 17 (13) 4769
    CrossrefPubMedGoogle Scholar
  • 21 Perrotta S, Bucci R, Simeon V, Martina S, Michelotti A, Valletta R. Prevalence of malocclusion, oral parafunctions and temporomandibular disorder-pain in Italian schoolchildren: an epidemiological study. J Oral Rehabil 2019; 46 (07) 611-616
    CrossrefPubMedGoogle Scholar
  • 22 Saccomanno S, Bernabei M, Scoppa F, Pirino A, Mastrapasqua R, Visco MA. Coronavirus lockdown as a major life stressor: does it affect TMD symptoms?. Int J Environ Res Public Health 2020; 17 (23) 8907
    CrossrefPubMedGoogle Scholar
  • 23 Emodi-Perlman A, Eli I, Smardz J. et al. Temporomandibular disorders and bruxism outbreak as a possible factor of orofacial pain worsening during the COVID-19 pandemic-concomitant research in two countries. J Clin Med 2020; 9 (10) 3250
    CrossrefPubMedGoogle Scholar
  • 24 Lai YC, Yap AU, Türp JC. Prevalence of temporomandibular disorders in patients seeking orthodontic treatment: a systematic review. J Oral Rehabil 2020; 47 (02) 270-280
    CrossrefPubMedGoogle Scholar
  • 25 Kmeid E, Nacouzi M, Hallit S, Rohayem Z. Prevalence of temporomandibular joint disorder in the Lebanese population, and its association with depression, anxiety, and stress. Head Face Med 2020; 16 (01) 19
    CrossrefPubMedGoogle Scholar
  • 26 Löwe B, Wahl I, Rose M. et al. A 4-item measure of depression and anxiety: validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. J Affect Disord 2010; 122 (1-2): 86-95
    CrossrefPubMedGoogle Scholar
  • 27 Salari N, Hosseinian-Far A, Jalali R. et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health 2020; 16 (01) 57
    CrossrefPubMedGoogle Scholar
  • 28 Fountoulakis KN, Apostolidou MK, Atsiova MB. et al. Self-reported changes in anxiety, depression and suicidality during the COVID-19 lockdown in Greece. J Affect Disord 2021; 279: 624-629 . [published correction appears in J Affect Disord. 2020 Dec 1]
    CrossrefPubMedGoogle Scholar
  • 29 Lal A, Sanaullah A, M Saleem M, Ahmed N, Maqsood A, Ahmed N. Psychological distress among adults in home confinement in the midst of COVID-19 outbreak. Eur J Dent 2020; 14 (S 01): S27-S33
    Article in Thieme ConnectPubMedGoogle Scholar
  • 30 Beutel ME, Hettich N, Ernst M, Schmutzer G, Tibubos AN, Braehler E. Mental health and loneliness in the German general population during the COVID-19 pandemic compared to a representative pre-pandemic assessment. Sci Rep 2021; 11 (01) 14946
    CrossrefPubMedGoogle Scholar
  • 31 Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian J Psychiatr 2020; 51: 102076
    CrossrefPubMedGoogle Scholar
  • 32 Lakhan R, Agrawal A, Sharma M. Prevalence of depression, anxiety, and stress during COVID-19 pandemic. J Neurosci Rural Pract 2020; 11 (04) 519-525
    Article in Thieme ConnectPubMedGoogle Scholar
  • 33 Chuinsiri N, Jitprasertwong P. Prevalence of self-reported pain-related temporomandibular disorders and association with psychological distress in a dental clinic setting. J Int Med Res 2020; 48 (09) 300060520951744
    Google Scholar
  • 34 Caroppo E, Mazza M, Sannella A. et al. Will nothing be the same again?: changes in lifestyle during COVID-19 pandemic and consequences on mental health. Int J Environ Res Public Health 2021; 18 (16) 8433
    CrossrefPubMedGoogle Scholar
  • 35 Yeung E, Abou-Foul A, Matcham F, Poate T, Fan K. Integration of mental health screening in the management of patients with temporomandibular disorders. Br J Oral Maxillofac Surg 2017; 55 (06) 594-599
    CrossrefPubMedGoogle Scholar
  • 36 Simoen L, Van den Berghe L, Jacquet W, Marks L. Depression and anxiety levels in patients with temporomandibular disorders: comparison with the general population. Clin Oral Investig 2020; 24 (11) 3939-3945
    CrossrefPubMedGoogle Scholar