Psychological factors and the incidence of temporomandibular disorders in early adolescence

Pereira, Luciano José; Pereira‐Cenci, Tatiana; Pereira, Stela Márcia; Cury, Altair Antoninha Del Bel; Ambrosano, Gláucia María Bovi; Pereira, Antônio Carlos; Gavião, Maria Beatriz Duarte

doi:10.1590/s1806-83242009000200011

Cited by 59 publications

(65 citation statements)

References 15 publications

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“…19,20,21 Regarding the menarche status, our results are in agreement with a previous Brazilian study reporting that the female gender was significantly associated with TMD, whereas the presence of menarche was not. 21 Since the age of our sample was limited (12-14 years old), it could be said that we assessed girls at a similar pubertal stage, independently of their menarche status. The presence of reproductive hormones seems to increase the risk of developing pain during the time that girls go through puberty.…”

Section: Discussionsupporting

confidence: 91%

Parafunctional habits are associated cumulatively to painful temporomandibular disorders in adolescents

et al. 2016

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This cross-sectional study was designed to evaluate the effect of sleep bruxism, awake bruxism and parafunctional habits, both separately and cumulatively, on the likelihood of adolescents to present painful TMD. The study was conducted on a sample of 1,094 adolescents (aged 12-14). The presence of painful TMD was assessed using the Research Diagnostic Criteria for Temporomandibular Disorders, Axis I. Data on sleep bruxism, awake bruxism and parafunctional habits (nail/pen/pencil/lip/cheek biting, resting one's head on one's hand, and gum chewing) were researched by self-report. After adjusting for potential demographic confounders using logistic regression, each of the predictor variables (sleep bruxism, awake bruxism and parafunctional habits) was significantly associated with painful TMD. In addition, the odds for painful TMD were higher in the concomitant presence of two (OR=4.6, [95%CI=2.06, 10.37]) or three predictor (OR=13.7, [95%CI=5.72, 32.96]) variables. These findings indicate that the presence of concomitant muscle activities during sleep and awake bruxism and parafunctional habits increases the likelihood almost linearly of adolescents to present painful TMD.

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Section: Discussionsupporting

confidence: 91%

Parafunctional habits are associated cumulatively to painful temporomandibular disorders in adolescents

et al. 2016

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“…The sample size was calculated by Epi info version 6.0.1 software. A standard error of 2%, a 95% confidence interval level and a 5.73% prevalence of TMD [25] were used for the calculation. The minimum sample size to satisfy the requirements was estimated at 513 subjects.…”

Section: Methodsmentioning

confidence: 99%

Evaluating oral health-related quality of life measure for children and preadolescents with temporomandibular disorder

Barbosa

Leme

Castelo

et al. 2011

Health Qual Life Outcomes

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BackgroundOral health-related quality of life (OHRQoL) in children and adolescents with signs and symptoms of temporomandibular disorder (TMD) has not yet been measured. This study aimed to evaluate the validity and reliability of OHRQoL measure for use in children and preadolescents with signs and symptoms of TMD.MethodsFive hundred and forty-seven students aged 8-14 years were recruited from public schools in Piracicaba, Brazil. Self-perceptions of QoL were measured using the Brazilian Portuguese versions of Child Perceptions Questionnaires (CPQ)8-10 (n = 247) and CPQ11-14 (n = 300). A single examiner, trained and calibrated for diagnosis according to the Axis I of the Research Diagnostic Criteria for TMD (RDC/TMD), examined the participants. A self-report questionnaire assessed subjective symptoms of TMD. Intraexaminer reliability was assessed for the RDC/TMD clinical examinations using Cohen's Kappa (κ) and intraclass correlation coefficient (ICC). Criterion validity was calculated using the Spearman's correlation, construct validity using the Spearman's correlation and the Mann-Whitney test, and the magnitude of the difference between groups using effect size (ES). Reliability was determined using Cronbach's alpha, alpha if the item was deleted and corrected item-total correlation.ResultsIntraexaminer reliability values ranged from regular (κ = 0.30) to excellent (κ = 0.96) for the categorical variables and from moderate (ICC = 0.49) to substantial (ICC = 0.74) for the continuous variables. Criterion validity was supported by significant associations between both CPQ scores and pain-related questions for the TMD groups. Mean CPQ8-10 scores were slightly higher for TMD children than control children (ES = 0.43). Preadolescents with TMD had moderately higher scores than the control ones (ES = 0.62; p < 0.0001). Significant correlation between the CPQ scores and global oral health, as well as overall well-being ratings (p < 0.001) occurred, supporting the construct validity. The Cronbach's alphas were 0.93 for CPQ8-10 and 0.94 for CPQ11-14. For the overall CPQ8-10 and CPQ11-14 scales, the corrected item-total correlation coefficients ranged from 0.39-0.76 and from 0.28-0.73, respectively. The alpha coefficients did not increase when any of the items were deleted in either CPQ samples.ConclusionsThe questionnaires are valid and reliable for use in children and preadolescents with signs and symptoms of temporomandibular disorder.

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“…Estos hallazgos concuerdan con la evidencia científica, ya que se ha establecido una asociación previa entre el BS como un signo o causa de TTM tanto en la población pediátrica (Pereira et al, 2010) como en la población adulta (Fernandes et al), sobretodo en el papel que tiene el BS sobre el componente musculo esquelético, con dolor (mialgia) o fatiga muscular (Fernandes et al; Carra et al), estos resultados contribuyen en la hipótesis de que el BS podría participar en la predisposición, iniciación y perpetuación de los TTM (Fernandes et al).…”

Section: Discussionunclassified

Prevalencia de Bruxismo del Sueño en Niños y su Relación con los Signos de Trastornos Temporo-mandibulares y las Parafunciones Diurnas

Ulloa¹,

Vélez²

2016

Int. J. Odontostomat.

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RESUMEN:El bruxismo del sueño (BS), es el acto de apretar y rechinar los dientes mientras se duerme, lo cual puede producir serias consecuencias en los niños, como el desgaste dentario y dolor muscular. El objetivo de esta investigación fue determinar la prevalencia del BS en niños, además de relacionarlo con la presencia de signos de trastornos temporomandibular (TTM) y de las parafunciones diurnas (PFD). La muestra está conformada por 369 estudiantes de 6 a 14 años. El diagnóstico de BS se basa en los criterios de inclusión de la Academia Americana de Medicina del Sueño, con reporte de los padres indicando la historia nocturna de apriete/rechinamiento dentario, presencia de PFD y antecedentes médicos. La información se complementó con examen clínico de signos de TTM y desgaste dentario. Para análisis estadístico se utilizaron las pruebas Chi-Cuadrado y Odds Ratio, con un intervalo de confianza de 95 %. La prevalencia de BS fue de 32 %. Los niños de 6 años presentan la mayor prevalencia (38 %), y los de 14 años la menor (27 %). De los individuos con BS, el 77 % presentaban signos de TTM (p<0,0001; OR: 5,4) y el 87 % presentaba PFD (p=0,0003; OR= 2,9). La prevalencia de BS, su distribución por edad y sexo, se corresponde con la evidencia científica internacional. El BS es un factor de riesgo para los TTM, aumentando las probabilidades de que las personas puedan sufrir mialgias o artralgias. En las parafunciones, el hábito de morder durante el día es común en los pacientes con BS. El tratamiento llevado a cabo durante la infancia con un diagnóstico temprano, podría ser capaz de prevenir el daño a la salud de un individuo como futuro adulto.PALABRAS CLAVE: prevalencia, bruxismo del sueño, niños, trastornos de la articulación temporomandibular, parafunciones. INTRODUCCIÓNA la fecha, el Bruxismo del Sueño (BS) ha sido definido por la Academia Americana de Medicina del Sueño (AASM) como "una actividad muscular mandibular caracterizada por apretar o rechinar de los dientes y/o por refuerzos o empuje de la mandíbula durante el sueño". Los pacientes pueden experimentar dolor muscular o de cabeza por la mañana, pudiendo desgastar el esmalte de los dientes (American Academy of Sleep Medicine, 2014). Si bien se puede presentar a cualquier edad, la prevalencia en niños fluctúa entre un 3,5 % hasta un 40,6 %, no tiene predilección por sexo y va disminuyendo con la edad Varalakshmi Reddy et al., 2014).El BS puede ocasionar serias consecuencias en los niños no sólo relacionadas con el desgaste dentario, fatiga o dolor, sino que también afecta la calidad del sueño, durmiendo menos horas de las recomendadas para su edad y altera el descanso (Simões-Zenari & Bitar, 2010), provocando una disminución en su rendimiento académico (Lam et al., 2011).El BS presenta una etiología multifactorial, involucrando procesos fisiológicos multisistémicos muy complejos (Klasser et al., 2015). Debido a esto, se ha dividido en dos grandes clasificaciones: BS primario o idiopático del sueño, cuando no hay causas claras identificables, y BS Secundari...

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Psychological factors and the incidence of temporomandibular disorders in early adolescence

Cited by 59 publications

References 15 publications

Parafunctional habits are associated cumulatively to painful temporomandibular disorders in adolescents

Parafunctional habits are associated cumulatively to painful temporomandibular disorders in adolescents

Evaluating oral health-related quality of life measure for children and preadolescents with temporomandibular disorder

Prevalencia de Bruxismo del Sueño en Niños y su Relación con los Signos de Trastornos Temporo-mandibulares y las Parafunciones Diurnas

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