Prevalence of orofacial pain in wind instrument players

Leonardi, Giovana Emanuelle; Kieling, Bruna Luiza; Reis, Giselle Emilãine da Silva; Leonardi, Bruno Brandalise; Sydney, Priscila Brenner Hilgenberg; Bonotto, Daniel

doi:10.5935/2595-0118.20200011

Cited by 2 publications

(6 citation statements)

References 17 publications

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“…Of the 13 selected studies, three were conducted in Portugal, 6,19,21 two were carried out in Brazil, 23,27 and the remaining eight were conducted in Spain, 24 Korea, 20 Japan, 22 Poland, 26 Germany, 25 Holland, 28 Nigeria 29 and Chile 30 . Regarding the type of study, only one dissertation 19 and one course conclusion paper 30 were selected; the others were articles published in peer‐reviewed Journals.…”

Section: Resultsmentioning

confidence: 99%

“…The sample size ranged from 31 25 to 1470 28 participants. Four articles 21,27,28,31 used the RDC/TMD diagnostic tool. Four studies using similar or RDC/TMD‐based tools were identified, these tools being the SQ‐TMD 22,26 and the Fonseca Questionnaire 6 .…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the overall risk of bias, two studies 22,24 were classified as high risk of bias, five 20,23,25,29,30 were classified as moderate risk of bias, and six were classified as low risk of bias 6,19,21,26‐28 . The results on risk of bias are described in Figure 2 and Appendix .…”

Section: Resultsmentioning

confidence: 99%

“…With regard to the risk of bias in individual studies, six 6,19,21,26‐28 were classified as low risk, five 20,23,25,29,30 as moderate risk and two 22,24 as high risk of bias. More information is provided in Figure 2 and Appendix .…”

Section: Resultsmentioning

confidence: 99%

“…Six studies have suggested that the type of instrument played may increase the risk of TMD 20‐22,24‐26 . Three studies investigated exclusively string musicians, 6,19,25 five exclusively wind musicians 21,22,26,27,29 and five addressed more than one type of instrument 20,23,24,28,30 . Jang 20 pointed out that musicians who play string, wind and wood instruments are, respectively, 3.2, 2.8 and 3.2 times more susceptible to TMD than musicians who play other instruments.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis

Campos¹,

Pedrosa

Cavalcanti

et al. 2021

J of Oral Rehabilitation

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Objective To determine the prevalence of temporomandibular disorders (TMD) in musicians. Materials and methods Electronic database searches and a manual search were performed. Qualitative and quantitative analysis including risk of bias was performed for studies that met the inclusion criteria. A meta‐analysis of proportions with a random effects model was performed, and heterogeneity was explored according to the moderating variable through subgroup analysis and metaregression. The certainty of the evidence was assessed using the GRADE tool. Results A total of 13 articles were included for the meta‐analysis. Pooled prevalence estimate was 52.8% (CI 95%; 33.4%‐71.7%) for wind instruments, 53.9% (CI 95%; 42.4%‐65.2%) for string instruments and 53.9% (CI 95%; 23.5%‐82.7%) for string and wind instruments. The average time of use of the musical instrument explained 82.38%, the heterogeneity between the sizes of the effects observed in the analysis (R2 = 82.38%; P < .0001). For prevalence of TMD, the GRADE criteria were considered very low. Conclusion The overall combined prevalence of TMD in musicians was approximately 53.9%, and musicians who use their instruments daily and for a long period of time may have a higher prevalence of TMD. Clinical significance Due to the high prevalence of TMD in musicians, health professionals must be careful not to underestimate signs and symptoms and correctly diagnose these cases.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis

Campos¹,

Pedrosa

Cavalcanti

et al. 2021

J of Oral Rehabilitation

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Temporomandibular disorders among wind musical instrument players: an integrative review

Silva¹,

Valério²,

Nascimento³

et al. 2021

Jaw funct. orthop., craniofac. growth

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Dysfunction of the stomatognathic apparatus is a disturbance of the biomechanics of the masticatory system and craniofacial structure, usually generated by tissue damage of its main components (temporomandibular, neuromuscular, and dental-occlusal system, besides in the craniocervical spine) when the morphofunctional adaptability is exceeded. Musical activity is well-known as one of the most complex activities executed by the human musculoskeletal system, as practitioners require to adopt a non-physiological posture. Therefore, by performing an integrative review of the available literature, this study aimed to investigate the potential relationship between temporomandibular disorders and the practice of wind musical instruments. We included peer-reviewed primary studies published in the last ten years, either in English, Portuguese, or Spanish, and with a full-text available. We searched four databases (PubMed, LILACS, Scielo, and Portal Capes), using a specific search strategy using the terms "wind instrument players", "oral parafunction", and "temporomandibular disorders". We excluded articles published before 2011, studies that did not correlate temporomandibular disorders with wind music practice, as well as studies without a full text. Overall, the search retrieved ten primary studies, including 3,206 amateur and professional wind instrument players. Included studies were essentially cross-sectional studies ( 8) and case-control studies ( 2). The most common signs and symptoms of temporomandibular disorder and deleterious oral habits among wind players were crackling and popping sounds of the temporomandibular joint, headache, should and neck pain, mouth opening limitation, and temporomandibular joint pain. Three studies identified factors that were statistically associated with the development of temporomandibular disorders (presence of temporomandibular pain, mouthpiece pressure, and higher distance of mandible protrusion). Although we have observed a high prevalence of temporomandibular diseases among musicians who play wind musical instruments, further research is required to clarify better variables and risk factors associated with developing several systemic and oral-related diseases among these individuals.

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Prevalence of orofacial pain in wind instrument players

Cited by 2 publications

References 17 publications

Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis

Prevalence of temporomandibular disorders in musicians: A systematic review and meta‐analysis

Temporomandibular disorders among wind musical instrument players: an integrative review

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