Abstract
The prevalence and clinical characteristics of temporomandibular disorders (TMD) in the Mediterranean region of Türkiye have not yet been thoroughly investigated. Objective: This study aimed to determine the prevalence and severity of TMD in a sample of the population in this region and to characterize the clinical findings related to TMD. Methods: Four hundred and one participants were included in this study. “Presence of TMD” in the participants was evaluated using the Fonseca Anamnestic Index. Through clinical examination, the findings in the participants were classified as limited mouth opening, deviation, temporomandibular joint (TMJ) sounds, TMJ pain, and muscle pain. Results: The prevalence of TMD was found to be 66.8%, with “Mild TMD” being the most frequent diagnosis among the participants. Clinical findings related to TMD were detected in 48.6% of the participants, and TMJ sounds were the most common clinical finding. TMD was most commonly found in participants over the age of 52, and clinical findings related to TMD were most common in participants between the ages of 25 and 38. In addition, a relationship was found between “Presence of clinical findings” and the gender and age of the participants (p < 0.001 for both comparisons). Conclusion: The results show that females may be more prone to TMD than males. During clinical examinations, it should be considered that “Presence of clinical findings” may be related to gender and age.
References
1. Trindade D, Cordeiro R, José HC, Ângelo DF, Alves N, Moura C. Biological treatments for temporomandibular joint disc disorders: Strategies in tissue engineering. biomolecules. 2021; 11(7):933.
2. Yadav U, Ahmed J, Ongole R, Shenoy N, Sujir N, Natarajan S. Influence of psychosocial factors and parafunctional habits in temporomandibular disorders: A cross-sectional study. Perm J. 2020;24:19.144.
3. Minervini G, Franco R, Marrapodi MM, Fiorillo L, Cervino G, Cicciù M. Economic inequalities and temporomandibular disorders: A systematic review with meta-analysis. J Oral Rehabil. 2023; 50(8):715-23.
4. Nguyen MS, Jagomägi T, Nguyen T, Saag M, Voog-Oras Ü. Symptoms and signs of temporomandibular disorders among elderly Vietnamese. Proc Singapore Healthc. 2017; 26(4):211-6.
5. Dimitroulis G. A new surgical classification for temporomandibular joint disorders. Int J Oral Maxillofac Surg. 2013; 42(2):218-22.
6. Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013; 57(3):465-79.
7. Borges REA, Mendonça LDRA, Dos Santos Calderon P. Diagnostic and screening inventories for temporomandibular disorders: A systematic review. Cranio. 2021:1-7.
8. Karaman A, Sapan Z. Evaluation of temporomandibular disorders, quality of life, and oral habits among dentistry students. Cranio. 2023; 41(4):316-22.
9. 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. 2019; 37(6):383-8.
10. Augusto VG, Perina KCB, Penha DSG, Dos Santos DCA, Oliveira VAS. Temporomandibular dysfunction, stress and common mental disorder in university students. Acta Ortop Bras. 2016; 24(6):330-3.
11. Fonseca DM, Bonfante G, Valle AL, de Freitas SFT. Diagnosis of the craniomandibular disfunction through anamnesis. Rev Gauch de Odontol. 1994; 4:23-32.
12. Nagata K, Hori S, Mizuhashi R, Yokoe T, Atsumi Y, Nagai W, Goto M. Efficacy of mandibular manipulation technique for temporomandibular disorders patients with mouth opening limitation: A randomized controlled trial for comparison with improved multimodal therapy. J Prosthodont Res. 2019; 63(2):202-9.
13. Kaynak BA, Taş S, Salkın Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio. 2023; 41(1):78-83.
14. Emel DN. Prevalence of temporomandibular disorder in Turkish university students: A questionnaire study. Balk J Dent Med. 2019; 23(2):80-7.
15. Dıraçoǧlu D, Yıldırım NK, Saral İ, Özkan M, Karan A, Özkan S, Aksoy C. Temporomandibular dysfunction and risk factors for anxiety and depression. J Back Musculoskelet Rehabil. 2016; 29(3):487-91.
16. Slade GD, Bair E, Greenspan JD, Dubner R, Fillingim RB, Diatchenko L, Maixner W, Knott C, Ohrbach R. Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: The OPPERA prospective cohort study. J Pain. 2013; 14(12 Suppl):T20-32.e1-3.
17. Qvintus V, Sipilä K, Le Bell Y, Suominen AL. Prevalence of clinical signs and pain symptoms of temporomandibular disorders and associated factors in adult Finns. Acta Odontol Scand. 2020; 78(7):515-21.
18. Rutkiewicz T, Könönen M, Suominen-Taipale L, Nordblad A, Alanen P. Occurrence of clinical signs of temporomandibular disorders in adult Finns. J Orofac Pain. 2006; 20(3):208-17.
19. da Silva CG, Pachêco-Pereira C, Porporatti AL, Savi MG, Peres MA, Flores-Mir C, Canto Gde L. Prevalence of clinical signs of intra-articular temporomandibular disorders in children and adolescents: A systematic review and metaanalysis. J Am Dent Assoc. 2016; 147(1):10-8.e8.
20. Minervini G, D’Amico C, Cicciù M, Fiorillo L. Temporomandibular joint disk displacement: Etiology, diagnosis, imaging, and therapeutic approaches. J Craniofac Surg. 2023; 34(3):1115-21.
21. Jeon KJ, Lee C, Choi YJ, Han SS. Analysis of three-dimensional imaging findings and clinical symptoms in patients with temporomandibular joint disorders. Quant Imaging Med Surg. 2021; 11(5):1921-31.
22. Manfredini D, Lobbezoo F. Relationship between bruxism and temporomandibular disorders: A systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109(6):e26-50.
23. Massaccesi M, Dinapoli N, Fuga V, Rupe C, Panfili M, Calandrelli R, Settimi S, Olivieri M, Beghella Bartoli F, Mazzarella C, Longo S, Lajolo C, Boldrini L, Gambacorta MA, Valentini V, Miccichè F. A predictive nomogram for trismus after radiotherapy for head and neck cancer. Radiother Oncol. 2022; 173:231-9.
24. Demir MG. Investigation of maximum mouth opening in terms of age, weight, height and body mass index in Turkish adult population. Cranio. 2023:1-6.
25. Phuong NTT, Ngoc VTN, Linh LM, Duc NM, Tra NT, Anh LQ. Bruxism, related factors and oral health-related quality of life among Vietnamese medical students. Int J Environ Res Public Health. 2020; 17(20):7408.
26. Ryan J, Akhter R, Hassan N, Hilton G, Wickham J, Ibaragi S. Epidemiology of temporomandibular disorder in the general population: A systematic review. Adv Dent Oral Health. 2019; 10(3):555787.
27. Guarda-Nardini L, Piccotti F, Mogno G, Favero L, Manfredini D. Age-related differences in temporomandibular disorder diagnoses. Cranio. 2012; 30(2):103-9.
28. AlZarea BK. Prevalence of temporomandibular dysfunction in edentulous patients of Saudi Arabia. J Int Oral Health. 2017; 9(1):1-5.
Recommended Citation
Yavuz, E., Yardimci, S., & Tercanli, H. Prevalence and Clinical Characteristics of Temporomandibular Disorders in Adults: An Epidemiological Study in the Mediterranean Region of Türkiye. J Dent Indones. 2023;30(3): 219-225
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