title: Patient-centered quality of life measures after alloplastic temporomandibular joint replacement surgery.
abstract: The purpose of this study was to evaluate patient-reported outcome measures of quality of life (QoL) for patients with end-stage temporomandibular joint (TMJ) disease who have undergone TMJ prosthetic replacement. The records of 36 patients who had undergone alloplastic total joint replacement procedures were analyzed. Patients were treated using either TMJ Concepts or Biomet/Lorenz prosthetics. Patients were asked to complete a 12-item TMJ-S-QoL survey, which encompassed questions pertaining to pain, speech, chewing function, and various aspects of social life and mental health. The questions were answered on a 5-point scale. Data were analyzed using the Wilcoxon signed-rank test. Among the 36 patients (six male and 30 female), 18 responded to the survey. Markers of QoL after surgery were compared to the preoperative period. Significant improvements were reported for pain (94.4% of patients), chewing (83.3% of patients), speech (55.6% of patients), anxiety (72.2% of patients), activity (66.7% of patients), recreation (61.1% of patients), and mood (66.7% of patients) (all P<0.05). TMJ prosthetic replacement significantly enhanced QoL among patients suffering from chronic pain, limited range of motion, anxiety, impaired speech, and chewing due to end-stage TMJ disease in this sample of surgical patients.
authors.affiliation: Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: X
authors.initials: X
authors.lastname: Alakailly
authors.affiliation: Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: D
authors.initials: D
authors.lastname: Schwartz
authors.affiliation: Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: N
authors.initials: N
authors.lastname: Alwanni
authors.affiliation: Department of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: C
authors.initials: C
authors.lastname: Demko
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Akdeniz University, Antalya, Turkey.
authors.forename: M A
authors.initials: MA
authors.lastname: Altay
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Kilinc
authors.affiliation: Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA. Electronic address: dale.baur@case.edu.
authors.forename: D A
authors.initials: DA
authors.lastname: Baur
authors.affiliation: Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: F
authors.initials: F
authors.lastname: Quereshy
mesh_terms: D000328:Adult; D000368:Aged; D019643:Arthroplasty, Replacement / Q000379:methods*; D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011788:Quality of Life; D011795:Surveys and Questionnaires; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D016896:Treatment Outcome
keywords: alloplastic; quality of life; replacement; temporomandibular joint; total joint prosthesis