Abstract

Objective: his study aimed to investigate the incidence and etiology of temporomandibular disorders (TMD).

Setting and Duration: Study was conducted from January 2014 to September 2014 at Department of Oral and Maxillofacial Surgery Liaquat University of Medical and Health Sciences.

Methods: Specifically designed questionnaire proforma was used to collect information about the symptoms and etiology of TMD. The data was statistically analyzed using SPSS Version 17.0.

Results: The results of present study showed a total number of patients 300 were included in this study. There were 156(52%) females and 144(48%) males. Incidence of TMD was 34%.The most frequently reported TMD symptom was pain in joint(30%) followed by clicking(28%) muscle pain (22%) and the least common was restricted mouth opening (8%). Incidence of TMD was significantly high in female than male. Rate of TMD was high in 21 to 30 and 31to 40 years of age. Pain in joint, clicking and muscle pain was significantly high in females than males. The etiology of TMD is multifactorial.

Conclusion: Taken together the result of this study implies that, the frequency of TMD was widespread in our population. Females were more suffered from TMD than males. The incidence of TMD is high in age of 21-40 years in our population. Pain was the most frequently reported symptom followed by clicking, muscle pain and least common was restricted mouth opening. The etiology of TMD is acceptable that it is multifactorial (e.g. trauma malocclusion, parafunctional habits),still not completely clarified.

Keywords: Temporomandibular Disorders; Patients; Incidence; Etiology

References

1. Rinchuse DJ and Greene CS. “Scoping review of systematic review abstracts about temporomandibular disorders: Comparison of search years 2004 and 2017”. American Journal of Orthodontics and Dentofacial Orthopedics 154 (2018): 35-46.
2. Da Silva CG., et al. “Prevalence of clinical signs of intra-articular temporomandibular disorders in children and adolescents: a systematic review and meta-analysis”. Journal of the American Dental Association 147 (2016): 10-18.
3. Manfredini D., et al. “Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology 112 (2011): 453-462.
4. Horswell BB and Sheikh J. “Evaluation of Pain Syndromes, Headache, and Temporomandibular Joint Disorders in Children”. Oral and Maxillofacial Surgery Clinics of North America 30 (2018): 11-24.
5. Nilsson IM., et al. “Headache and comorbid pains associated with TMD in adolescents”. Journal of Dental Research 92.9 (2013): 802-807.
6. Clinical Affairs Committee – Temporomandibular Joint Problems in Children Subcommittee. “American Academy of Pediatric Dentistry. Guideline on acquired temporomandibular disorders in infants, children, and adolescents”. Pediatric Dentistry 37.5 (2015):78-84.
7. Bannwart Antunes Ortega AC., et al. “Relationship between orthodontics and temporomandibular disorders: a prospective study”. The Journal of Oral and Facial Pain and Headache 30 (2016): 134-137.
8. Porporatti AL., et al. “Primary headaches interfere with the efficacy of temporomandibular disorders management”. Journal of Applied Oral Science 23 (2015): 129-113.
9. Grondin F., et al. “Upper cervical range of motion is impaired in patients with temporomandibular disorders”. Cranio 33 (2015): 91-99.
10. Nguyen TT., et al. “Pain duration and intensity are related to coexisting pain and co morbidities present in TMD pain patients”. The Journal of Oral and Facial Pain and Headache (2018). 
11. Wieckiewicz., et al. “Reported concepts for the treatment modalities and pain management of temporomandibular disorders”. The Journal of Headache and Pain 16 (2015): 106-118.
12. Slade GD., et al. “Painful temporomandibular disorder: a decade of discovery from OPPERA studies”. Journal of Dental Research 95 (2016): 1084-1092.
13. Manfredini D., et al. “Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era?” Journal of Oral Rehabilitation 44 (2017): 908-923.
14. Safaee M., et al. “Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: a case series and systematic review”. Head Neck 37 (2015): 1213-1224.
15. Al-Moraissi EA. “Arthroscopy versus arthrocentesis in the management of internal derangement of the temporomandibular joint: a systematic review and meta-analysis”. International Journal of Oral and Maxillofacial Surgery 44 (2015): 104-112.
16. Winocur E., et al. The prevalence of symptoms related to TMD and their relationship to psychological status 2 (2010).
17. Bonjardim LR., et al. “Sign and symptoms of TMJ dysfunction in children with primary dentition”. Journal of Clinical Pediatric Dentistry 28 (2003): 53-58.
18. Pedroni CR., et al. “Prevalence study of sign and symptoms of temporomandibular disorders in university students”. Journal of Oral Rehabilitation 30.3 (2003): 283-289.
19. Bush FM., et al. “Analysis of gender effects on pain perception and symptom presentation of temporomandibular pain”. Pain 53 (1993): 73-80.
20. Le Resche L. Epidemiology of temporomandibular disorders implications for the investigation of etiologic factors 8 (1997): 291-305.
21. Johansson A., et al. “Gender difference in symptoms related to temporomandibular disorders in a population of 50 years old subjects”. The Journal of Oral and Facial Pain and Headache (2003): 29-35.
22. Nackley AG., et al. “Catecholo-O-methyltransferase inhibition increase pain sensitivity through activation of both beta-2 and beta-3 adrengenicreceptors”. Pain 128 (2007): 199-208.
23. M von Korff., et al. “An epidemiologic comparison of pain complains”. Pain 32 (1988): 173-183.
24. Dworkin S.F., et al. “Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls”. Journal of the American Dental Association 120 (1990): 273-281.
25. A Kalamir and H Pollard. “TMD and problem of Bruxism. A review”. Journal of Bodywork and Movement Therapies 11.3 (2007): 183-193.
26. Abou-atme YS and Zawawi KH. “Prevalence, intensity, and correlation of different TMJ symptoms Lebanese and Italian subpopulations”. The Journal of Contemporary Dental Practice 7.4 (2006) 1-7.
27. Schmitter M and Rammelsberg P. “The prevalence of sign and symptoms of temporomandibular disorders in very old subjects”. Journal of Oral Rehabilitation 32 (2005): 467-473.
28. Hashimoto K and Kawashima S. “Comprasion of image validity between cone beam computed tomography for dental use and multidetector row helical computed tomography”. Dentomaxillofacial Radiology 36 (2007): 465-471.
29. Truelove E and Huggins KH. “The efficacy of traditional, low- cost and nonsplint therapies for temporomandibular disorder: a randomized controlled trial”. Journal of the American Dental Association 137 (2006): 1099-1107.
30. Huber NU and Hall EH. “A comparison of the signs of temporomandibular joint dysfunction and occlusal discrepancies in a symptom-free population of men and women”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology 70 (1990): 295-303.
31. Feteih RM. Signs and symptoms of temporomandibular disorders and oral parafunctions in urban Saudi Arabian adolescents: a research report (2006).
32. Pullinger AG and Seligman DA. “Quantifcation and validation of predictive values of occlusal variables in temporomandibular disorders using a multifactorial analysis”. Journal of Prosthetic Dentistry 83 (2000): 66-75.
33. De Boever JA and Carlsson GE. “Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part I. Occlusal interferences and occlusal adjustment”. Journal of Oral Rehabilitation 27 (2000): 367-379. 
34. Sonnesen L and Bakke M. “Malocclusion traits and symptoms and signs of temporomandibular disorders in children with severe malocclusion”. European Journal of Orthodontics 20 (1998): 543-559.
35. Saheeb BDO. “Prevalence of oral and parafunctional habits in Nigerian patients suffering temporomandibular joint pain and dysfunction”. Journal of Biomedical Science (2005): 59-64. 

Citation

Citation: Salman Shams., et al. “Incidence and Etiology of Temporomandibular Disorders (A Clinical Study)".Acta Scientific Dental Sciences 4.1 (2020): 117-123.

Copyright

Copyright: © 2020 Salman Shams., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.