Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210052
Brazilian Journal of Pain
Original Article

Temporomandibular disorder in adults: retrospective study

Disfunção temporomandibular em adultos: estudo retrospectivo

Guilherme Brião Camacho; Renato de Andrade Waldemarin; Eduardo Luiz Barbin

http://dx.doi.org/10.5935/2595-0118.20210052 BrJP, vol.4, n4, p.310-315, 2021
PDF English
PDF Português
SciELO
Downloads: 1
Views: 545

Abstract

BACKGROUND AND OBJECTIVES: The temporomandibular disorder (TMD) comprises clinical signs and symptoms involving masticatory muscles, the temporomandibular joint (TMJ) and associated structures, does not affect all people equally, and all individuals are not equally susceptible to it. The aim of this study was to investigate signs and symptoms present in individuals with TMD.

METHODS: Cross-sectional study with 471 individuals with TMD, 394 women and 77 men, based on data from clinical records, diagnostic exams and treatment of patients seen at the Federal University of Pelotas, Brazil, from 2000 to 2017.

RESULTS: Data showed that 84% of the individuals were women. The most prevalent age group was 20-39 years old (45%, p<0.01). The most reported main complaints were TMJ pain (29.9%, p<0.01) for both genders, and facial pain (18%, p<0.01). The most common signs and symptoms were muscle pain, TMJ pain, facial pain and clicks in women and parafunctional habits in men, followed by limited mouth opening and tension headache. Dentate patients were the majority in the study (58%, p<0.01), followed by partial edentates (30%, p<0.01).

CONCLUSION: The data found showed a high prevalence of TMD and the importance of its prevention in order to improve the health and well-being of the population.

Keywords

Facial pain, Temporomandibular joint, Temporomandibular joint disorder syndrome

Resumo

JUSTIFICATIVA E OBJETIVOS: A disfunção temporomandibular (DTM) apresenta sinais clínicos e sintomas envolvendo músculos mastigadores, articulação temporomandibular (ATM) e estruturas associadas, não incide igualitariamente em todas as pessoas e todos os indivíduos não são igualmente suscetíveis a mesma. O objetivo deste estudo foi investigar sinais e sintomas presentes em indivíduos com DTM.

MÉTODOS: Estudo transversal retrospectivo em 471 indivíduos portadores de DTM, 394 mulheres e 77 homens, a partir de dados obtidos de fichas clínicas, exames de diagnóstico e tratamento de pacientes atendidos na Universidade Federal de Pelotas, no período de 2000 a 2017.

RESULTADOS: Dados mostraram que 84% dos indivíduos foram mulheres. A faixa etária mais prevalente foi dos 20-39 anos (45%, p<0,01). As queixas principais relatadas foram dor na ATM (29,9%, p<0,01) para ambos os sexos e dor facial (18%, p<0,01). Os sinais e sintomas mais presentes foram dor muscular, dor na ATM, dor facial e estalidos em mulheres e hábitos parafuncionais em homens, seguidos por limitação de abertura bucal e cefaleia tensional. A maioria dos pacientes eram dentados (58%, p<0,01), seguidos pelos edentados parciais (30%, p<0,01).

CONCLUSÃO: Os dados encontrados evidenciaram elevada prevalência da DTM e a importância da sua prevenção com o objetivo de melhorar a saúde e o bem-estar da população.

Palavras-chave

Articulação temporomandibular, Dor facial, Síndrome da disfunção da articulação temporomandibular

References

Donnarumma M, Muzilli CA, Ferreira C, Nemr K. Disfunções temporomandibulares: sinais, sintomas e abordagem multidisciplinar. Rev CEFAC. 2010;12(5):788-94.

Machado IM, Pialarissi PR, Minici TD, Rotondi J, Ferreira LP. Relation of the otological symptoms in the temporomandibular dysfunctions. Arq Int Otorrinolaringol. 2010;14(3):274-9.

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP. 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(1):6-27.

Costa MD, Froes Junior GRT, Santos CN. Evaluation of occlusal factors in patients with temporomandibular joint disorder. Dent Press J Orthod. 2012;17(6):61-8.

Sipilä K, Näpänkangas R, Könönen M, Alanen P, Suominen AL. The role of dental loss and denture status on clinical signs of temporomandibular disorders. J Oral Rehabil. 2013;40(1):15-23.

Manfredini D, Lombardo L, Siciliani G. Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era?. J Oral Rehabil. 2017;44(11):908-23.

Casanova-Rosado JF, Medina-Solís CE, Vallejos-Sánchez AA, Casanova-Rosado AJ, Hernández-Prado B, Ávila-Burgos L. Prevalence and associated factors for temporomandibular disorders in a group of Mexican adolescents and youth adults. Clin Oral Investig. 2006;10(1):42-9.

Ryalat S, Baqain ZH, Amin WM, Sawair F, Samara O, Badran DH. Prevalence of temporomandibular joint disorders among students of the University of Jordan. J Clin Med Res. 2009;1(3):158-64.

Silva CB, Henn CG, Bonacina C, Bavaresco CS. Frequency of temporomandibular disorders (TMD) and their relationship with anxiety and depression among dental patients of a health care. Unit Rev APS. 2017;17(4):516-22.

Staniszewski K, Lygre H, Bifulco E, Kvinnsland S, Willassen L, Helgeland E. Temporomandibular Disorders Related to Stress and HPA-Axis Regulation. Pain Res Manag. 2018;2018:1-7.

Ton LAB, Mota LG, Paula JS, Martins APVB. Prevalence of temporomandibular disorder and its association with stress and anxiety among university students. Braz Dent Sci. 2020;23(1):1-9.

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(1):19.

Warren MP, Fried JL. Temporomandibular disorders and hormones in women. Cells Tissues Organs. 2001;169(3):187-92.

Machado LP, Nery Cde G, Leles C R, Nery MB, Okeson JP. The prevalence of clinical diagnostic groups in patients with temporomandibular disorders. Cranio. 2009;27(3):194-9.

Mobilio N, Casetta I, Cesnik E, Catapano S. Prevalence of self-reported symptoms related to temporomandibular disorders in an Italian population. J Oral Rehabil. 2011;38(12):884-90.

Troeltzsch M, Troeltzsch M, Cronin RJ, Brodine AH, Frankenberger R, Messlinger K. Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences. J Prosthet Dent. 2011;105(6):410-7.

Gesch D, Bernhardt O, Alte D, Schwahn C, Kocher T, John U, Hensel E. Prevalence of signs and symptoms of temporomandibular disorders in an urban and rural German population: results of a population-based Study of Health in Pomerania. Quintessence Int. 2004;35(2):143-50.

Da Silva LS, Barra LHT, Pachioni CAS, Ferreira DMA, Pereira JDAS. Preventive evaluation of temporomandibular disorders. Colloquium Vitae. 2011;3(1):6.

Köhler AA, Hugoson A, Magnusson T. Clinical signs indicative of temporomandibular disorders in adults: time trends and associated factors. Swed Dent J. 2013;37(1):1-11.

Gonçalves MC, Florencio LL, Chaves TC, Speciali JG, Bigal ME, Bevilaqua-Grossi D. Do women with migraine have higher prevalence of temporomandibular disorders?. Braz J Phys Ther. 2013;17(1):64-8.

Schmid-Schwap M, Bristela M, Kundi M, Piehslinger E. Sex-specific differences in patients with temporomandibular disorders. J Orofac Pain. 2013;27(1):42-50.

Slade GD, Sanders AE, Bair E, Brownstein N, Dampier D, Knott C. Preclinical episodes of orofacial pain symptoms and their association with health care behaviors in the OPPERA prospective cohort study. Pain. 2013;154(5):750-60.

Marklund S, Wänman A. Incidence and prevalence of temporomandibular joint pain and dysfunction. A one-year prospective study of university students. Acta Odontol Scand. 2007;65(2):119-27.

Oliveira AS, Bermudez CC, Souza RA, Souza CM, Dias EM, Castro C E. Pain impact on life of patients with temporomandibular disorder. J Appl Oral Sci. 2003;11(2):138-43.

Levitt SR, McKinney MW. Validating the TMJ scale in a national sample of 10,000 patients: demographic and epidemiologic characteristics. J Orofac Pain. 1994;8(1):25-35.

List T, Jensen RH. Temporomandibular disorders: old ideas and new concepts. Cephalalgia. 2017;37(7):692-704.

Fonseca DM, Bonfante G, Valle AL, Freitas SFT. Diagnostico pela anamnese da disfunção craniomandibular. Rev Gaucha Odontol. 1994;42(1):23-8.

Okeson JP, de Leeuw R. Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dent Clin North Am. 2011;55(1):105-20.

Pedroni CR, De Oliveira AS, Guaratini MI. Prevalence study of signs and symptoms of temporomandibular disorders in university students. J Oral Rehabil. 2003;30(3):283-9.

Nomura K, Vitti M, Oliveira A S, Chave T C, Semprini M, Siessere S. Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in Brazilian dental undergraduates. Braz Dent J. 2007;18(2):163-7.

Ozan F, Polat S, Kara I, Kücük D, Polat HB. Prevalence study of signs and symptoms of temporomandibular disorders in a Turkish population. J Contemp Dent Pract. 2007;8(4):35-42.

Bagis B, Ayaz EA, Turgut S, Durkan R, Özcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J Med Sci. 2012;9(7):539-44.

Nilsson IM, List T, Drangsholt M. Prevalence of temporomandibular pain and subsequent dental treatment in Swedish adolescents. J Orofac Pain. 2005;19(2):144-50.

Banafa A, Suominen L, Sipila K. Factors associated with signs of temporomandibular pain: an 11-year-follow-up study on Finnish adults. Acta Odontol Scand. 2020;78(1):57-63.

Lima FA, Toscano CF, Silva Filho JM. Epidemiological profile of subjects with temporomandibular dysfunction in a Faculdade de Odontologia de Caruaru - Pernambuco. Fisioter Mov. 2007;20(4):101-9.

Rauhala K, Oikarinen KS, Järvelin MR, Raustia AM. Facial pain and temporomandibular disorders: an epidemiological study of the Northern Finland 1966 Birth Cohort. Cranio. 2000;18(1):40-6.

Nagamatsu-Sakaguchi C, Minakuchi H, Clark GT, Kuboki T. Relationship between the frequency of sleep bruxism and the prevalence of signs and symptoms of temporomandibular disorders in an adolescent population. Int J Prosthodont. 2008;21(4):292-8.

Yadav S. A study on prevalence of dental attrition and its relation to factors of age, gender and to the signs of TMJ dysfunction. J Indian Prosthodont Soc. 2011;11(2):98-105.

Egermark I, Carlsson GE, Magnusson T. A 20-year longitudinal study of subjective symptoms of temporomandibular disorders from childhood to adulthood. Acta Odontol Scand. 2001;59(1):40-8.

Johansson A, Unell L, Carlsson GE, Soderfeldt B, Halling A. Gender difference in symptoms related to temporomandibular disorders in a population of 50-year-old subjects. J Orofac Pain. 2003;17(1):29-35.

van Selms MK, Visscher CM, Naeije M, Lobbezoo F. Bruxism and associated factors among Dutch adolescents. Community Dent Oral Epidemiol. 2013;41(4):353-63.

Pergamalian A, Rudy TE, Zak HS, Greco CM. The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent. 2003;90(2):194-200.

Nekora-Azak A, Evlioglu G, Ordulu M, Issever H. Prevalence of symptoms associated with temporomandibular disorders in a Turkish population. J Oral Rehabil. 2006;33(2):81-4.

Alajbeg IZ, Zuvela A, Tarle Z. Risk factors for bruxism among Croatian navy employees. J Oral Rehabil. 2012;39(9):668-76.

Choi YS, Choung PH, Moon HS, Kim SG. Temporomandibular disorders in 19-year-old Korean men. J Oral Maxillofac Surg. 2002;60(7):797-803.

Chuang SY. Incidence of temporomandibular disorders (TMDs) in senior dental students in Taiwan. J Oral Rehabil. 2002;29(12):1206-11.

Ciancaglini R, Testa M, Radaelli G. Association of neck pain with symptoms of temporomandibular dysfunction in the general adult population. Scand J Rehabil Med. 1999;31(1):17-22.

Al-Zarea BK. Tooth surface loss and associated risk factors in Northern Saudi Arabia. ISRN Dent. 2012;2012(2):161565.

Submitted date:
12/07/2020

Accepted date:
08/16/2021

61e6e52fa9539546c354ae43 brjp Articles
2595-3192 (Electronic) 2595-0118 (Printed)
BrJP ©2024 All rights reserved.

BrJP

Share this page
Page Sections