Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire study

Abstract Background Occupational factors and the type of instrument played may influence physical and psychological health, affecting oral health-related quality of life (OHRQoL). This study assessed the prevalence of orofacial pain, sleep bruxism, stress, and OHRQoL among woodwind musicians (oboe,...

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Main Authors: Felix Marschner, Armin Sokolowski, Alwin Sokolowski, Jana Biermann, Annette Wiegand
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Journal of Occupational Medicine and Toxicology
Subjects:
Online Access:https://doi.org/10.1186/s12995-025-00467-4
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author Felix Marschner
Armin Sokolowski
Alwin Sokolowski
Jana Biermann
Annette Wiegand
author_facet Felix Marschner
Armin Sokolowski
Alwin Sokolowski
Jana Biermann
Annette Wiegand
author_sort Felix Marschner
collection DOAJ
description Abstract Background Occupational factors and the type of instrument played may influence physical and psychological health, affecting oral health-related quality of life (OHRQoL). This study assessed the prevalence of orofacial pain, sleep bruxism, stress, and OHRQoL among woodwind musicians (oboe, flute, clarinet, bassoon) in German professional orchestras, compared to cellists. Methods A standard online questionnaire was sent to all 129 German professional orchestras. Orofacial pain, stress, and sleep-related issues in the past 30 days were evaluated. The German version of the Oral Health Impact Profile-14 (OHIP-14) assessed OHRQoL. Logistic and linear regression analyses were performed (statistical significance p < 0.05). Results A total of 243 musicians were included. Orofacial pain was reported by 35.8%, sleep bruxism by 63.0%, and stress by 88.9% of the participant. Orofacial pain was significantly associated with female gender (p = 0.027; odds ratio [OR] = 2.09, 95% confidence interval [CI]: 1.09–4.02), frequent sleep bruxism (p = 0.013; OR = 2.65, 95%-CI: 1.23–5.69), frequent stress (p = 0.002; OR = 3.19, 95%-CI: 1.53–6.63), and difficulties initiating sleep after evening shifts (p = 0.003; OR = 2.90, 95%-CI: 1.45–5.80), but not with the instrument played. OHIP-14 scores did not differ significantly between instrument groups (p = 0.629), but correlated with orofacial pain (p < 0.001), sleep bruxism (p < 0.001), stress (p = 0.002), and sleep difficulties (p = 0.040). Conclusions Orofacial pain and sleep bruxism are common among professional musicians, with stress-related factors playing a more significant role than the instrument played. Trial registration ClinicalTrials.gov, NCT06618898, 27.09.2024.
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spelling doaj-art-5d701b2d0c4c4c5eb898ff2aa68b0d7c2025-08-20T02:05:42ZengBMCJournal of Occupational Medicine and Toxicology1745-66732025-06-012011910.1186/s12995-025-00467-4Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire studyFelix Marschner0Armin Sokolowski1Alwin Sokolowski2Jana Biermann3Annette Wiegand4Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center GöttingenDivison of Restorative Dentistry, Periodontology and Prosthodontics, Department of Dental Medicine and Oral Health, Medical University of GrazDivison of Restorative Dentistry, Periodontology and Prosthodontics, Department of Dental Medicine and Oral Health, Medical University of GrazDepartment of Preventive Dentistry, Periodontology and Cariology, University Medical Center GöttingenDepartment of Preventive Dentistry, Periodontology and Cariology, University Medical Center GöttingenAbstract Background Occupational factors and the type of instrument played may influence physical and psychological health, affecting oral health-related quality of life (OHRQoL). This study assessed the prevalence of orofacial pain, sleep bruxism, stress, and OHRQoL among woodwind musicians (oboe, flute, clarinet, bassoon) in German professional orchestras, compared to cellists. Methods A standard online questionnaire was sent to all 129 German professional orchestras. Orofacial pain, stress, and sleep-related issues in the past 30 days were evaluated. The German version of the Oral Health Impact Profile-14 (OHIP-14) assessed OHRQoL. Logistic and linear regression analyses were performed (statistical significance p < 0.05). Results A total of 243 musicians were included. Orofacial pain was reported by 35.8%, sleep bruxism by 63.0%, and stress by 88.9% of the participant. Orofacial pain was significantly associated with female gender (p = 0.027; odds ratio [OR] = 2.09, 95% confidence interval [CI]: 1.09–4.02), frequent sleep bruxism (p = 0.013; OR = 2.65, 95%-CI: 1.23–5.69), frequent stress (p = 0.002; OR = 3.19, 95%-CI: 1.53–6.63), and difficulties initiating sleep after evening shifts (p = 0.003; OR = 2.90, 95%-CI: 1.45–5.80), but not with the instrument played. OHIP-14 scores did not differ significantly between instrument groups (p = 0.629), but correlated with orofacial pain (p < 0.001), sleep bruxism (p < 0.001), stress (p = 0.002), and sleep difficulties (p = 0.040). Conclusions Orofacial pain and sleep bruxism are common among professional musicians, with stress-related factors playing a more significant role than the instrument played. Trial registration ClinicalTrials.gov, NCT06618898, 27.09.2024.https://doi.org/10.1186/s12995-025-00467-4MusicianOrchestraOrofacial painQuality of lifeStressSleep disorder
spellingShingle Felix Marschner
Armin Sokolowski
Alwin Sokolowski
Jana Biermann
Annette Wiegand
Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire study
Journal of Occupational Medicine and Toxicology
Musician
Orchestra
Orofacial pain
Quality of life
Stress
Sleep disorder
title Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire study
title_full Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire study
title_fullStr Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire study
title_full_unstemmed Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire study
title_short Orofacial pain and oral health-related quality of life in woodwind and cello musicians in German orchestras: an online based questionnaire study
title_sort orofacial pain and oral health related quality of life in woodwind and cello musicians in german orchestras an online based questionnaire study
topic Musician
Orchestra
Orofacial pain
Quality of life
Stress
Sleep disorder
url https://doi.org/10.1186/s12995-025-00467-4
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