Clinical evaluation and classification of patients with temporomandibular disorders using ‘Diagnostic Criteria for Temporomandibular Disorders’

Alpaslan, Cansu; Yaman, Deniz

doi:10.17214/gaziaot.567544

Cited by 6 publications

(6 citation statements)

References 16 publications

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“…Finally, in our study, the effect of age on muscle pain disorders seemed to be non-significant [55]. This study has some important limitations due to the sampling technique that could have introduced important selection bias, as suggested by the highly unbalanced gender ratio and wide range of age observed.…”

Section: Discussioncontrasting

confidence: 52%

Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms?

Saccomanno

Bernabei

Scoppa

et al. 2020

IJERPH

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Temporomandibular disorders are multi-factorial conditions that are caused by both physical and psychological factors. It has been well established that stress triggers or worsens TMDs. This paper looks to present early research, still unfolding, on the relationship between COVID-19 as a major life stressor and TMDs. The main aims of this study were to: investigate the presence of symptoms related to TMDs and the time of onset and the worsening of painful symptoms in relation to the changes in social life imposed by the coronavirus pandemic; and to evaluate the perception of COVID-19 as a major stressful event in subjects who report worsening of painful TMD symptoms. One hundred and eighty-two subjects answered questionnaires—Axis II of the RDC/TMD, the PSS, and specific items about coronavirus as a stressful event—during the lockdown period for COVID-19 in Italy to evaluate the presence of reported symptoms of TMD and the level of depression, somatization, and stress perceived. The results showed that 40.7% of subjects complained about TMD symptoms in the past month. Regarding the time of onset, 60.8% of them reported that facial pain started in the last three months, while 51.4% of these subjects reported that their symptoms worsened in the last month and were related to the aggravation of pain due to the coronavirus lockdown as a major life event and to the stress experienced. The results of this study seem to support the hypothesis that stress during the pandemic lockdown influenced the onset of temporomandibular joint disorders and facial pain, albeit with individual responses.

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Section: Discussioncontrasting

confidence: 52%

Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms?

Saccomanno

Bernabei

Scoppa

et al. 2020

IJERPH

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“…Temporomandibular disorders (TMD) occur because of problems with the temporomandibular joints and the masticatory muscles. 1 The etiology of TMD is multifactorial and numerous risk factors have been reported in the litera ture. Trauma, anatomical differences, genetic predisposi tion, the psychological status, and parafunctional habits are among the TMD risk factors.…”

Section: Introductionmentioning

confidence: 99%

Investigation of the relationship between probable sleep bruxism, awake bruxism and temporomandibular disorders using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)

Karaçay¹,

Şahbaz²

2023

Dent. Med. Probl.

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Background. The causal relationship between bruxism and temporomandibular disorders (TMD) is not clear.Objectives. The present study investigated which TMD are associated with probable sleep bruxism (SB) and awake bruxism (AB) according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). The study further evaluated the association between probable SB and AB and TMD. Material and methods.A total of 143 patients were selected -bruxers (SB and AB) and non-bruxers. A diagnosis of probable bruxism was made after a physical examination and when the symptoms were detected. The patients were evaluated using DC/TMD. From among Axis I assessment instruments, the TMD Pain Screener, the Symptom Questionnaire and the Clinical Examination Form were used. Moreover, the Graded Chronic Pain Scale (GCPS) (v. 2), the Jaw Functional Limitation Scale-8 (JFLS-8), the Patient Health Questionnaire-4 (PHQ-4), and the Oral Behaviors Checklist (OBC) were applied within the scope of Axis II.Results. Diagnoses of muscle disorders and disk displacement with reduction were significantly more frequent in the SB and AB groups than in non-bruxers. A diagnosis of arthralgia was significantly more prevalent in the AB group than in non-bruxers. The JFLS-8 scores and the TMD Pain Screener scores were higher in the AB group than in the SB group and in non-bruxers. Distress levels, and the GCPS and OBC scores were higher in the SB and AB groups as compared to non-bruxers. The results of binary logistic regression analysis showed that only the OBC score was significantly higher in the TMD subgroup (OR (odds ratio) = 1.228; 95% CI (confidence interval): 1.014-1.488). Conclusions.Both SB and AB were associated with pain-related TMD and intra-articular joint disorders. The muscle disorders and disk displacement with reduction subtypes were associated with SB and AB. Unlike SB, AB was also associated with arthralgia. Bruxers (both SB and AB) displayed parafunctional habits. However, AB was associated with greater functional limitation of the jaw as compared to SB.

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“…Higher levels of pain intensity, global scores and PHQ-9 scores observed in the DC/TMD Axis II assessment provide insights into the psychosocial aspects of TMD, as well as the associated pain-related impairment and chronic pain dysfunction. 35 It is observed that these symptoms are higher in clear aligner patients using intermaxillary elastics compared to clear aligner patients who do not use intermaxillary elastics. Although the experimental group showed a higher depression level than the control group, anxiety and parafunction levels were higher in the control group.…”

Section: Discussionmentioning

confidence: 95%

“…Also, numerous studies have repeatedly demonstrated that individuals with chronic TMD have elevated scores on psychiatric assessments, specifically on Axis II. [35][36][37] Furthermore, previous research has indicated that psychological factors are predictive of an increased risk for TMD. 36,38,39 Additionally, employing Axis II evaluation, specifically through the DC/TMD, for the purpose of psychosocial assessment might be beneficial in informing clinical TA B L E 5 Evaluation of groups in terms of calculated scores according to worksheet.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have provided evidence supporting a correlation between myofascial pain and Axis II characteristics. Also, numerous studies have repeatedly demonstrated that individuals with chronic TMD have elevated scores on psychiatric assessments, specifically on Axis II 35–37 . Furthermore, previous research has indicated that psychological factors are predictive of an increased risk for TMD 36,38,39 .…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of temporomandibular disorders in clear aligner patients using orthodontic intermaxillary elastics assessed with diagnostic criteria for temporomandibular disorders (DC/TMD) axis II evaluation: A cross‐sectional study

Uzunçıbuk,

Marrapodi,

Meto

et al. 2023

J of Oral Rehabilitation

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BackgroundThe objective of this investigation is to assess the relationship between the utilisation of orthodontic intermaxillary elastics and temporomandibular disorder (TMD) symptoms in clear aligner patients and to examine the correlation between the elastic usage time with the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)—Axis II Evaluation Forms.MethodsThis study was carried out on a total of 40 clear aligner patients using intermaxillary elastics in the experimental group and 30 clear aligner patients who did not use any intermaxillary elastics in the control group. The data were evaluated using the Mann–Whitney U, chi‐square, Fisher's exact chi‐square, and Fisher Freeman Halton exact chi‐square tests.ResultsThe characteristic pain intensity, mastication, mobility, communication, global and PHQ‐9 scores of the experimental group were significantly higher than those of the control group (p < .05). The characteristic pain intensity score, interference score and chronic pain grade score of patients using Class III elastics were statistically significantly higher than those of patients using Class II elastics (p < .05). Patients who used elastics for less than 6 months had statistically significantly higher PHQ‐9 scores than those who used elastics for more than 6 months (p < .05).ConclusionsOrthodontic treatment may affect occlusion, bite force and jaw movement, which may cause or worsen TMD symptoms, and the DC/TMD questionnaires can determine if orthodontic patients acquire TMD by assessing their psychosocial state and pain‐related problems.

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Clinical evaluation and classification of patients with temporomandibular disorders using ‘Diagnostic Criteria for Temporomandibular Disorders’

Cited by 6 publications

References 16 publications

Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms?

Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms?

Investigation of the relationship between probable sleep bruxism, awake bruxism and temporomandibular disorders using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)

Prevalence of temporomandibular disorders in clear aligner patients using orthodontic intermaxillary elastics assessed with diagnostic criteria for temporomandibular disorders (DC/TMD) axis II evaluation: A cross‐sectional study

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