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Nazarifar A, Ebadian B, Abbasi M. Frequency distribution of temporomandibular disorders according to occlusal factors: A cross-sectional study. Dent Res J (Isfahan) 2020. [DOI: 10.4103/1735-3327.284731] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Alahmary AW. Association of Temporomandibular Disorder Symptoms with Anxiety and Depression in Saudi Dental Students. Open Access Maced J Med Sci 2019; 7:4116-4119. [PMID: 32165962 PMCID: PMC7061371 DOI: 10.3889/oamjms.2019.746] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2019] [Revised: 11/20/2019] [Accepted: 11/21/2019] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Temporomandibular dysfunction (TMD) is a term that encompasses a set of chronic painful conditions, and dysfunction in the orofacial region involving the muscles of mastication, the temporomandibular joints (TMJ) and related structures. It can affect individuals of any age. AIM We investigated the prevalence of temporomandibular disorder (TMD) and its association with anxiety and depression. METHODS Cross sectional study that conducted among 105 dental students (age 20-35 years). The assessment instruments were the Fonseca Anamnestic Questionnaire and the Hospital Anxiety and Depression Scale. RESULTS TMD was present in 52 (49.5%) students, and anxiety or depression was present in 53 (50.5%) students. The results of the HAD scale showed that 92 (83.4%) students had some level of anxiety or depression, 38 (36.2%) were border line for anxiety or depression, and 80 (76.2%) were diagnosed with anxiety or depression while regarding to the association of TMD with gender, 9 of 48 (17.3%) were males and 39 (82.7%) were females (P-value = 0.001). CONCLUSION Our study revealed a high prevalence of TMD. The women had a higher prevalence of TMD. Also, we reported the higher prevalence of anxiety and depression among TMD students.
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Affiliation(s)
- Ahmed Wallan Alahmary
- Department of Maxillofacial & Oral Surgery Sciences, Al-Farabi Colleges for Dentistry and Nursing, Riyadh, Kingdom of Saudi Arabia
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Adeyemi TE, Otuyemi OD. The effects of playing wind musical instruments on the occlusal characteristics in a Northern Nigerian Population. Niger Postgrad Med J 2019; 26:152-157. [PMID: 31441452 DOI: 10.4103/npmj.npmj_71_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Introduction Dentists are often questioned on whether playing a wind musical instrument can adversely affect dental occlusion. This study compared the occlusal characteristics in wind instrument players (WIPs) and non-WIPs. Materials and Methods This was a cross-sectional comparative study comprising a group of fifty males aged 18-45 years that had been playing wind instruments for a minimum of 2 years, whereas the control group were non-WIPs in the same environment. All the participants had full complement of dentition. The occlusal characteristics of overjet, overbite, anterior open bite and Little's irregularity were assessed for both groups. Excellent intra-examiner reliability was observed (Cronbach's alpha - 0.997). The Statistical Package for Social Sciences (SPSS Inc., Chicago, IL, USA) version 17 was used for data analysis, and statistical significance level was set at P < 0.05. Results The number of years of playing wind musical instrument ranged from 2 to 25 years. The mean overjet was 3.46 ± 1.49 mm and 3.18 ± 1.27 mm in the WIP and non-WIP groups, respectively (P > 0.05). The maxillary anterior segment showed statistically significantly higher Little's Irregularity Index score in the WIP group (3.18 ± 3.73 mm) than that in the non-WIP group (1.87 ± 2.21 mm) (P < 0.05). The maxillary Little's Irregularity Index score in trumpet and trombone players (3.55 ± 3.93 mm) was significantly higher than that in saxophone and clarinet players (1.69 ± 2.39 mm). Both the maxillary and mandibular anterior-segment alignments were neither influenced by the number of years nor the frequency of play. Conclusions Playing wind musical instruments significantly affects the maxillary anterior-segment alignment.
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Affiliation(s)
- Tope Emmanuel Adeyemi
- Department of Child Dental Health, Aminu Kano Teaching Hospital and Bayero University, Kano, Nigeria
| | - Olayinka Donald Otuyemi
- Department of Child Dental Health, Faculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Nigeria
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Simangwa LD, Åstrøm AN, Johansson A, Minja IK, Johansson AK. Oral diseases and oral health related behaviors in adolescents living in Maasai population areas of Tanzania: a cross-sectional study. BMC Pediatr 2019; 19:275. [PMID: 31391064 PMCID: PMC6685221 DOI: 10.1186/s12887-019-1655-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Accepted: 07/31/2019] [Indexed: 11/05/2022] Open
Abstract
Background Oral diseases, such as dental caries, tooth wear, dental erosion and periodontal diseases are major health problems in many societies. The study aim was to explore the association between oral health related behaviors and the presence of oral diseases in adolescents living in Maasai population areas in the northern part of Tanzania. Methods A cross sectional study was conducted in 2016 using one stage cluster sample design. A total of 989 adolescents were invited and 906 (91.6%; (Maasais n = 721, non Maasais n = 185) accepted the invitation and completed an interview and clinical oral examination in a school setting (mean age 13.4 years, SD 1.2, range 12–17 years). Chi-square test, bivariate analysis and logistic regression were performed to analyze data. Results Logistic regression revealed that: adolescents with low frequency of tooth cleaning (OR = 10.0, CI 4.3–20.0) was associated with poor oral hygiene and that more regular tooth cleaning (OR = 0.1, CI 0.04–0.14) and the use of plastic type of tooth brush (OR = 0.7, CI 0.53–0.99) were associated with less gingival bleeding. High consumption of biscuits (OR = 2.5, CI 1.7–3.8) was associated with presence of dental caries and the use of magadi (OR = 24.2, CI 11.6–50.6) as a food additive was the covariate for more severe dental fluorosis (TF grade 5–9). Regular intake of carbonated soft drinks (OR = 1.6, CI 1.1–2.5) and regular tooth cleaning (OR = 1.7, CI 1.1–2.6) were independently associated with dental erosion. Using teeth as a tool for: biting nails (OR = 1.9, CI 1.4–2.4), opening soda (OR = 1.8, CI 1.4–2.4) and holding needles (OR = 1.6, CI 1.3–2.1) were covariates for tooth wear. Adolescents who reported to clench/grind their teeth (OR = 2.3, CI 1.5–3.7) was the only covariate for TMD. In several of the investigated factors, there were significant differences between the Maasai and non Maasai ethnic groups. Conclusion Oral health related behaviors have a significant impact on oral diseases/conditions among adolescents attending primary schools in Maasai population areas with obvious differences in behavior between the Maasai and non Maasai ethnic groups. There is a need for addressing oral health and to encourage behaviors that promote good oral health and dental care service utilization in this society.
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Affiliation(s)
- Lutango D Simangwa
- Department of Clinical Dentistry - Cariology, Faculty of Medicine, University of Bergen, Bergen, Norway.
| | - Anne N Åstrøm
- Department of Clinical Dentistry - Community Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Anders Johansson
- Department of Clinical Dentistry - Prosthodontics, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Irene K Minja
- Department of Restorative Dentistry, School of Dentistry, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania
| | - Ann-Katrin Johansson
- Department of Clinical Dentistry - Cariology, Faculty of Medicine, University of Bergen, Bergen, Norway
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Simangwa LD, Åstrøm AN, Johansson A, Minja IK, Johansson AK. Oral diseases and socio-demographic factors in adolescents living in Maasai population areas of Tanzania: a cross-sectional study. BMC Oral Health 2018; 18:200. [PMID: 30514291 PMCID: PMC6278057 DOI: 10.1186/s12903-018-0664-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2018] [Accepted: 11/13/2018] [Indexed: 01/10/2023] Open
Abstract
Background Oral diseases may cause serious health problems, especially in socially disadvantaged populations and in low-income countries. In populations living in the rural areas of Tanzania there is paucity of reports on oral health. The study aim was to estimate the prevalence, severity and socio-demographic distribution of oral diseases/conditions in adolescents living in Maasai population areas of Tanzania and to compare oral diseases/conditions between Maasai and non-Maasai ethnic groups. Methods A total of 23 schools were randomly selected from 66 rural public primary schools in Monduli and Longido districts, Tanzania. All pupils in the selected classes, 6th grade, were invited to participate in the study. A total of 989 were invited and 906 (91.6%) accepted the invitation and completed an interview and a clinical oral examination. Results Out of 906 study participants (age range 12–17 years), 721(79.6%) were from Maasai and 185 (20.4%) from non-Maasai ethnic groups. Prevalence of poor oral hygiene, gingival bleeding, dental caries experience (DMFT> 0), dental fluorosis TF grade 5–9, dental erosion (into dentin), tooth wear (into dentin) and TMD was 65.6, 40.9, 8.8, 48.6, 1.9, 16.5 and 11.8%, respectively. Multiple variable logistic regression analysis revealed that, girls (OR = 2.0) and participants from Longido (OR = 2.6) were more likely to present with good oral hygiene (p < 0.05). Adolescents from Monduli (OR = 1.7), males (OR = 2.1), being born within Arusha region (OR = 1.9) and Maasai (OR = 1.7) were more likely to present with gingival bleeding (p < 0.05). DMFT> 0 increased by age (OR = 2.0) and was associated with non-Maasai ethnic group (OR = 2.2), (p < 0.05). Adolescents from Monduli district (OR = 10.0) and those born in Arusha region (OR = 3.2) were more likely to present with dental fluorosis (p < 0.05). Dental erosion was more common among non-Maasais (OR = 2.0) as well as having mother with high education (OR = 2.3), (p < 0.05). Conclusions Oral diseases like dental caries and dental erosion were less common, but gingival bleeding, dental fluorosis, tooth wear and TMD were common findings in adolescents attending primary schools in the Maasai population areas of Tanzania. Notable differences between Maasai and non-Maasai ethnic groups and certain correlations to sociodemographic factors were detected. Our findings can be utilized by policy makers in the planning of oral health programs in public primary schools of Maasai population areas of Tanzania.
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Affiliation(s)
- Lutango D Simangwa
- Department of Clinical Dentistry Cariology, Faculty of Medicine, University of Bergen, Bergen, Norway.
| | - Anne N Åstrøm
- Department of Clinical Dentistry Community Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Anders Johansson
- Department of Clinical Dentistry Prosthodontics, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Irene K Minja
- Department of Restorative Dentistry, School of Dentistry, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania
| | - Ann-Katrin Johansson
- Department of Clinical Dentistry Cariology, Faculty of Medicine, University of Bergen, Bergen, Norway
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Nokar S, Sadighpour L, Shirzad H, Shahrokhi Rad A, Keshvad A. Evaluation of signs, symptoms, and occlusal factors among patients with temporomandibular disorders according to Helkimo index. Cranio 2018; 37:383-388. [PMID: 29602287 DOI: 10.1080/08869634.2018.1449781] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Objective: This study sought to assess the clinical signs and subjective symptoms of TMD, including the occlusal condition. Methods: Recruited individuals included 123 patients (58 men, 65 women) aged 15 to 65 years (mean 38.6 years) who had been referred to the TMD department. Helkimo dysfunction, occlusal, and anamnestic indices were used to assess signs of TMD, occlusal condition, and symptoms, respectively. Relationships of occlusal factors with signs and symptoms of TMD were evaluated by Spearman's correlation test. Associations of TMD with sex and age distributions were assessed by Mann-Whitney and Spearman's test, respectively. Results: The prevalence of signs and symptoms was as high as 75%. Occlusal factors had significant associations with signs and symptoms of TMD. Conclusion: Prevalence of TMD in the study population was high, without preference for age or sex. Occlusal factors may play a role in the etiology of TMD.
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Affiliation(s)
- Saeid Nokar
- Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences , Tehran , Iran
| | - Leyla Sadighpour
- Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences , Tehran , Iran
| | | | - Afsaneh Shahrokhi Rad
- Department of Restorative and Biomaterials, Harvard School of Dental Medicine , Cambridge , MA , USA
| | - Alireza Keshvad
- Department of Prosthodontics, School of Dentistry, Shahed University , Tehran , Iran
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Tecco S, Nota A, Caruso S, Primozic J, Marzo G, Baldini A, Gherlone EF. Temporomandibular clinical exploration in Italian adolescents. Cranio 2017; 37:77-84. [PMID: 29072541 DOI: 10.1080/08869634.2017.1391963] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE This study investigated the prevalence of the signs and symptoms of temporomandibular disorders (TMD) among Italian adolescents. METHODS The data were recorded from 567 subjects (246 males and 321 females; age range 11-19 years), grouped according to age and molar class relationship. RESULTS Forty-four point one percent of subjects showed at least one sign or symptom of TMD, which were significantly more frequent in the 16-19 year-old group (52.9%) in respect to the 11-15 year-old group (39.8%) (χ 2 = 8.78; p = 0.003). Signs and/or symptoms were about 1.6 times more frequent in subjects with Class II/1 malocclusion (χ 2 = 13.3, p = 0.0003), mostly for TMJ sounds (χ 2 = 1.444; p = 0.036). Myalgia was more frequent in females than in males (χ 2 = 3.882; p = 0.049). CONCLUSION TMD signs and/or symptoms among Italian adolescents seem diffused (44.1%). Therefore, all adolescents should be screened thorough medical history and clinical examination.
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Affiliation(s)
- Simona Tecco
- a Dental School , Vita-Salute San Raffaele University , Milan , Italy
| | - Alessandro Nota
- a Dental School , Vita-Salute San Raffaele University , Milan , Italy.,b Department of Health, Life and Environmental Science , University of L'Aquila , L'Aquila , Italy
| | - Silvia Caruso
- b Department of Health, Life and Environmental Science , University of L'Aquila , L'Aquila , Italy
| | - Jasmina Primozic
- c Department of Orthodontics , University of Ljubljana , Ljubljana , Slovenia
| | - Giuseppe Marzo
- b Department of Health, Life and Environmental Science , University of L'Aquila , L'Aquila , Italy
| | - Alberto Baldini
- a Dental School , Vita-Salute San Raffaele University , Milan , Italy
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Bicaj T, Shala K, Krasniqi TP, Ahmedi E, Dula L, Lila-Krasniqi Z. Frequency of Symptoms of Temporomandibular Disorders among Prishtina Dental Students. Open Access Maced J Med Sci 2017; 5:781-784. [PMID: 29104690 PMCID: PMC5661719 DOI: 10.3889/oamjms.2017.165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 07/20/2017] [Accepted: 07/21/2017] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Early diagnosis of temporomandibular disorders (TMD) is important for prevention of greater damages of the parts of the oro-facial system. There are early symptoms that can be used as predictors of TMD. AIM The study aimed to assess the frequency of the symptoms of TMD among dental students. METHODS Total number of 166 respondents, all undergraduate dental students, (84 female, 82 male), mean age 22, participated in this study. For the study, the questionnaire of Fonseca was used. There were ten questions to answer with: no, sometimes and yes. Fonseca-Clinical index classification is: 0-15 points, no TMD; 20-40 points, mild TMD; 45-65 points, moderate TMD and 70-100 points, severe TMD. RESULTS Forty-six point four percentages of the students, had no symptoms of TMD, 44.6 % had mild TMD, 7.8% moderate TMD and only 1.2 % had severe TMD. By conventional criteria, there is not any statistical difference of the TMD between male and female (χ2 = 1.133, p = 0.769). CONCLUSION Fonseca questionnaire has its importance in the early diagnosis of TMD that can occur in the young population.
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Affiliation(s)
- Teuta Bicaj
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
| | - Kujtim Shala
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
| | - Teuta Pustina Krasniqi
- Rectorate of the University of Prishtina, Vice Rector for Quality Assurance and Development; Medical Faculty, University of Prishtina, Prosthetic Dentistry, Dental Branch, Prishtina, Kosovo
| | - Enis Ahmedi
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
| | - Linda Dula
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
| | - Zana Lila-Krasniqi
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
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Minghelli B, Morgado M, Caro T. Association of temporomandibular disorder symptoms with anxiety and depression in Portuguese college students. J Oral Sci 2016; 56:127-33. [PMID: 24930749 DOI: 10.2334/josnusd.56.127] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
We investigated the prevalence of temporomandibular disorder (TMD) and its association with anxiety and depression among 1,493 Portuguese college students (age 17-69 years) at Piaget Institute. The assessment instruments were the Fonseca Anamnestic Questionnaire and the Hospital Anxiety and Depression Scale. TMD was present in 633 (42.4%) students, and anxiety or depression was present in 456 (30.5%) students. Regarding the association of TMD with anxiety and depression, 280 of the 633 students (61.4%) with TMD symptoms also had signs of anxiety or depression (P < 0.001). As compared with men, women had an odds ratio of 1.9 (95% confidence interval: 1.53-2.46; P < 0.001) for TMD. As compared with students without signs of anxiety or depression, students with such signs had an odds ratio of 3.1 (95% confidence interval: 2.42-3.84; P < 0.001) for TMD. College students from various fields of study and regions of Portugal had a high prevalence of TMD, which was significantly associated with anxiety and depression.
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Tecco S, Crincoli V, Di Bisceglie B, Saccucci M, Macrí M, Polimeni A, Festa F. Signs and Symptoms of Temporomandibular Joint Disorders in Caucasian Children and Adolescents. Cranio 2014; 29:71-9. [DOI: 10.1179/crn.2011.010] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Vojdani M, Bahrani F, Ghadiri P. The study of relationship between reported temporomandibular symptoms and clinical dysfunction index among university students in Shiraz. Dent Res J (Isfahan) 2012; 9:221-5. [PMID: 22623942 PMCID: PMC3353702 DOI: 10.4103/1735-3327.95240] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Background: This study was designed to evaluate the correlation between subjective data obtained from a questionnaire and clinical examination among students in Shiraz university of medical sciences. Materials and Methods: In this cross-sectional prospective study, the samples consisted of 200 subjects, with equal distribution between males and females. Subjects’ ages ranged from 18 to 30 years (24.07±2.93). A functional evaluation was performed using the Helkimo clinical dysfunction (Di) and anamnestic (Ai) indices. Data were evaluated by the Chi-square test between gender and clinical dysfunction index (Di) and correlation coefficient between Di and Ai (the level of significance was set at P<0.05). Results: Among the total study population, 30% reported mild symptoms (Ai I) while 2% had severe (Ai II). In the clinical examination, 71% showed some degree of dysfunction. These degrees were as follows: 50% were classified as mild (Di I), 13% moderate (Di II) and 8% severe signs and symptoms (Di III). With respect to gender, women (80%) were more affected than men (62%). A significant relationship was found between gender and the occurrence of temporomandibular disorder (TMD) (P<0.05). The correlation coefficient (r) between the reported symptoms (Ai) and recorded signs (Di) was 0.53. There were positive correlation coefficient between Di and Ai. They were statistically significant (P<0.001). Conclusions: A high prevalence of signs and symptoms of TMD among students in Shiraz University of Medical Sciences was seen, which was greater in women. Despite suffering from TMD, students were not aware of their disorders.
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Affiliation(s)
- Mahroo Vojdani
- Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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de Lucena IM, Rodrigues LLFR, Teixeira ML, Pozza DH, Guimaraes AS. Prospective study of a group of pre-university students evaluating anxiety and depression relationships with temporomandibular disorders. J Clin Exp Dent 2012; 4:e102-6. [PMID: 24558533 PMCID: PMC3908792 DOI: 10.4317/jced.50745] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2011] [Accepted: 12/27/2011] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES The aim of this prospective longitudinal study was to evaluate the relationships between anxiety, depression, and temporomandibular disorders (TMD) in a sample of pre-university students submitted to a stressful event. STUDY DESIGN 153 students from a pre-university course (82 females and 71 males between 16 and 31 years old) were given a survey about TMD symptoms and a survey about anxiety and depression scale at the beginning and the end of the preparatory course (August 2009-T1, and November 2009-T2). RESULTS Results were analyzed using a chi-square test and Odds Ratio (OR), significance level of α = 0.05. Statistical significance were found to depression rates in students with TMD (16% on T1 and 26% on T2, p = 0.001) as well as in general sample (12% on T1 and 22% on T2, p = 0.009), anxiety and TMD symptoms presented constant rates in both periods. Increased risk of having TMD were found in participants with anxiety (OR 2.6 in T2 and 5.6 in T1) and depression (2.0 in T2 and 3.3 in T1), but only anxiety reach statistical significance in both periods. CONCLUSIONS TMD symptoms were a fluctuating variable that exchange between some individuals of this study. Independently of the TMD, depression rates significant increased in the evaluated period. Finally, anxiety was the psychological symptom related to the increased risk of having TMD. Key words:Temporomandibular disorders, anxiety, depression, orofacial pain, hospital anxiety and depression scale.
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Affiliation(s)
- Ieda M de Lucena
- Master's Degree in Temporomandibular disorders, Dental Research Institute Sao Leopoldo Mandic
| | - Luciane L F R Rodrigues
- PhD in Dentistry, Area of Concentration - Oral Physiology, UNICAMP University Professor, Dental Research Institute Sao Leopoldo Mandic
| | - Marcelo L Teixeira
- PhD in Prosthodontics, University of São Paulo Professor, Dental Research Institute Sao Leopoldo Mandic
| | - Daniel H Pozza
- PhD in Dentistry, Federal University of Bahia Professor, Department of Experimental Biology at the Medical School and IBMC, University of Porto
| | - Antonio S Guimaraes
- PhD in Health Science, Professor, Dental Research Institute Sao Leopoldo Mandic
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Bahrani F, Ghadiri P, Vojdani M. Comparison of temporomandibular disorders in Iranian dental and nondental students. J Contemp Dent Pract 2012; 13:173-7. [PMID: 22665743 DOI: 10.5005/jp-journals-10024-1116] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
AIM The aim of this study was to define the prevalence and severity of temporomandibular disorders (TMD) among Iranian dental and nondental students who attended Shiraz University of Medical Sciences. MATERIALS AND METHODS The samples consisted of 200 subjects, 100 dental and 100 nondental students (equal distribution between males and females). Subjects ages ranged from 18 to 30 years (24.07 ± 2.93). A functional evaluation was performed using the Helkimo dysfunction index (Di). Data were evaluated by the Chi-square test. RESULTS Among the total study population, 71% showed some degree of dysfunction. Prevalence ratio in dental students was 80%, while in nondental students was 62% (p > 0.05, odds ratio = 0.679). With respect to gender, women (80%) were more affected than men (62%). A significant relationship was found between gender and the occurrence of TMD (p > 0.05). CONCLUSION A high prevalence of signs of TMD in Iranian university students was seen which was greater in dental students and women. CLINICAL SIGNIFICANCE The results of this study showed that the prevalence of TMD among dental students and women was significantly higher than nondental students and men. These findings might be due to poor postural style or emotional stress during dental practice.
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Affiliation(s)
- Farideh Bahrani
- Department of Prosthodontics, Shiraz University of Medical Sciences, Shiraz, Iran
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Ebrahimi M, Dashti H, Mehrabkhani M, Arghavani M, Daneshvar-Mozafari A. Temporomandibular Disorders and Related Factors in a Group of Iranian Adolescents: A Cross-sectional Survey. J Dent Res Dent Clin Dent Prospects 2011; 5:123-7. [PMID: 22991620 PMCID: PMC3442434 DOI: 10.5681/joddd.2011.028] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2011] [Accepted: 07/25/2011] [Indexed: 11/22/2022] Open
Abstract
Background and aims
Temporomandibular disorders (TMDs) are the most common condition affecting the tem-poromandibular joint and associated structures. The aim of this study was the epidemiologic evaluation of TMDs and re-lated factors in a group of Iranian adolescents.
Materials and methods
This descriptive cross-sectional survey included a sample of800 high school students (400 girls and 400 boys) aged 14 to18 years, in Mashhad, Iran, selected using cluster sampling. Examiners completed question-naires and performed the clinical examinations. Data were analyzed with the Chi-square and Fisher exact tests.
Results
The prevalence of TMDs in the studied sample was 34.7%. The most common signs of TMDs were clicking, muscle tenderness and TMJ tenderness. The most prevalent predisposing factors of TMDs were clenching, premature con-tact in protrusive movement and bruxism. A clear predominance was seen in girls (40.5%) compared with boys (29%) (P = 0.001).
Conclusion Signs and symptoms of TMDs were prevalent in Iranian adolescents with a clear female predominance.
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Affiliation(s)
- Masoumeh Ebrahimi
- Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran ; Assistant Professor, Department of Pediatric Dentistry, Dental School, Mashhad University of Medical Sciences, Mashhad, Iran
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Condylar Changes and Its Association with Age, TMD, and Dentition Status: A Cross-Sectional Study. Int J Dent 2011; 2011:413639. [PMID: 22114595 PMCID: PMC3206333 DOI: 10.1155/2011/413639] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2011] [Accepted: 08/22/2011] [Indexed: 12/04/2022] Open
Abstract
The present study was undertaken to evaluate the prevalence of radiographic changes in the condylar morphology and its association with age, clinical signs and symptoms of temporomandibular dysfunction and dentition status and also to evaluate the intra examiner and inter examiner reliability in assessing condylar changes using panoramic radiographs. A total of 75 subjects were recruited for the study. They were divided into 3 age groups. 20–40 yrs (Group A), 41–60 yrs (Group B) and 61 yrs and above (Group C). In each age group 25 subjects were evaluated both clinically and radiographically. The prevalence of radiographic changes in condylar morphology and symptoms of temporomandibular dysfunction was 81.3% and 18.6%, respectively. Radiographic abnormalities in the mandibular condylar morphology increased with age. They were seen more frequently in patients with clinical signs and symptoms of temporomandibular dysfunction and in patients with loss of teeth. Intra examiner and inter examiner reliability was high indicating a good reliability in assessing the condylar changes using panoramic radiograph.
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Associação entre os sintomas da disfunção temporo-mandibular com factores psicológicos e alterações na coluna cervical em alunos da Escola Superior de Saúde Jean Piaget do Algarve. ACTA ACUST UNITED AC 2011. [DOI: 10.1016/s0870-9025(11)70018-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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17
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Uysal S, Avcu N. Effect of turban use on temporomandibular joint problems. J Oral Rehabil 2008; 35:898-902. [PMID: 18976273 DOI: 10.1111/j.1365-2842.2008.01892.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The aim of this study was to evaluate the effects of daily turban wear on temporomandibular joint (TMJ) problems. This cross-sectional study was carried out on 249 female patients. Of these, 119 patients were using turban daily, while 130 patients did not use. Patients were asked questions to ascertain the signs of TMJ problems. Thereafter, the TMJ region was examined clinically. Cross-tabulations and Chi-square statistics were computed in accordance with Bonferroni correction for multiple comparisons. To investigate the association between continuous turban wear and temporomandibular disorder symptoms, logistic regression analysis was performed. Limited mouth opening, deviation, pain on TMJ palpation and mouth opening were not affected with turban usage. However, turban users more frequently demonstrated pain during palpation of the masticatory muscles than non-users (P = 0.001). Duration of the turban usage did not affect clinical examination findings except pain on masticatory muscles during palpation (P = 0.001). Complaint of pain on masticatory muscles are more frequently seen among the turban users.
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Affiliation(s)
- S Uysal
- Department of Oral Diagnosis & Radiology, Faculty of Dentistry, University of Hacettepe, Ankara, Turkey.
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Fabian FM, Mumghamba EGS. Risk factors for signs and symptoms of TMD in a rural adult southeast Tanzanian population. Cranio 2008; 26:44-9. [PMID: 18290524 DOI: 10.1179/crn.2008.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The aim of this study was to determine some risk factors for signs and symptoms of temporomandibular disorders (TMD) in a rural adult population of Southeast Tanzania. Two hundred and eighteen adults aged 40+ years participated in the study. Joint clicking was significantly higher (p < 0.024) in the adults aged 60+ years than in the younger age group. Limited jaw opening was higher in females than males (chi2 = 46.4 on 2 df; p < 0.001), and there was a significant association between the type of toothbrush and limitation in jaw opening (chi2 = 156.6 on 4 df; p < 0.001). The results suggest that the use of miswaki (chewing sticks) and advanced age are risk factors for the high prevalence of signs and symptoms of TMD in this rural population. Further studies are recommended to control for other confounding factors such as socio-economic status.
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Affiliation(s)
- Flora M Fabian
- Department of Anatomy and Histology, School of Medicine, Muhimbili University College of Health Sciences, P. O. Box 65482, Dares Salaam, Tanzania.
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Luther F. TMD and occlusion part I. Damned if we do? Occlusion: the interface of dentistry and orthodontics. Br Dent J 2007; 202:E2; discussion 38-9. [PMID: 17220827 DOI: 10.1038/bdj.2006.122] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2006] [Indexed: 11/09/2022]
Abstract
OBJECTIVES To review how occlusion, facial growth, TM disc position and malocclusion may relate to TMD; to review clinical studies investigating TMD pre- and post-orthodontic treatment as well as other studies linking occlusal features with TMD highlighting their limitations; and to make suggestions for improved study designs in the future in order to provide an evidence-base for clinical practice. DESIGN Review article. METHODS Electronic databases (MEDLINE and the Cochrane Database of Systematic Reviews) were used to select relevant and frequently cited studies (mean: 28 citations). Citation rate was confirmed using the Web of Science. Study designs are reviewed and weaknesses discussed. RESULTS Evidence is lacking to suggest static occlusal factors cause TMD. CONCLUSIONS Poor study designs have led to much of the controversy over whether occlusal factors (including orthodontics) 'cause' TMD. In order to provide an evidence-base for future clinical practice, suggestions to improve study designs are made.
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Affiliation(s)
- F Luther
- Department of Orthodontics, Child Dental Health, Leeds Dental Institute, Clarendon Way, Leeds, UK.
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Manfredini D, Chiappe G, Bosco M. Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) axis I diagnoses in an Italian patient population. J Oral Rehabil 2006; 33:551-8. [PMID: 16856952 DOI: 10.1111/j.1365-2842.2006.01600.x] [Citation(s) in RCA: 96] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The aim of this work was twofold: to evaluate the prevalence of different Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) diagnosis in an Italian population of subjects seeking TMD treatment in a tertiary clinic; and to compare data with those from similar studies in the literature. Participants in this study were 433 consecutive patients seeking TMD treatment at the Section of Prosthetic Dentistry, Department of Neuroscience, University of Pisa, Italy; mean age of patients was 38.8 years, with a female:male ratio of 2.6:1 (276 females, 73.2%; 101 males, 26.8%). RDC/TMD guidelines for examination were adopted to assign axis I diagnosis. The prevalence of RDC/TMD diagnoses was 38.2% (144/377) for group I disorders (muscle disorders), 52.3% (197/377) for group II disorders (disc displacements), and 52.6% (198/377) for group III disorders (arthralgia, osteoarthritis, osteoarthrosis). The present investigation provided findings that, compared and integrated with literature data, can be useful to create a world-wide database, in accordance with the nature of the RDC/TMD classification system.
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Affiliation(s)
- D Manfredini
- Section of Prosthetic Dentistry, Department of Neuroscience, University of Pisa, Pisa, Italy.
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Dodić S. [Prevalence of craniomandibular dysfunction signs and symptoms in students of the school of stomatology in Belgrade]. SRP ARK CELOK LEK 2005; 132:294-301. [PMID: 15794049 DOI: 10.2298/sarh0410294d] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Numerous epidemiological studies suggest that CMD problem is rather present in most countries all over the world, particularly in the Scandinavian and East European countries. There have not still been epidemiological studies on incidence of CMD in our surroundings, either organized or academic treatment programs of these diseases. The results of this study showed that most common CMD signs and symptoms were: impaired mandibular movements, deviation (deflection) in opening and closing the jaws, and TMJ sounds during mandible movements. Pain as a primary symptom was seen only in 5.2% of the analyzed subjects. Such fact indicates that this analyzed population group manifested the initial stage signs and symptoms of CMD. Recording of signs and symptoms mentioned above in young subjects should lead the therapist to perform more detailed analysis and apply adequate therapy modalities.
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