ABSTRACT:The aim of this study was to evaluate the prevalence and severity of temporomandibular disorders (TMD) in Brazilian college students. A questionnaire was administered to 2,396 students. Seventy-three percent of women (mean age 21.94 ± 5 years) and 27% of men (mean age 22.41 ± 4.8 years) answered the questionnaire. The anamnestic index was used to classify the volunteers according to TMD severity degree. The results showed a higher percentage of men without TMD (43.74%) (p < 0.05, Chi-square test). The women exhibited some degree of severity (73.03%) at a higher frequency than men (56.26%). No significant differences were observed between sexes for a same TMD severity degree (p > 0.05). The results indicated TMD prevalence in Brazilian college students similar to that presented in other studies found in the literature reviewed. Longitudinal studies are recommended to follow the prevalence and health care needs in this population. DESCRIPTORS: Temporomandibular joint disorders; Epidemiology; Questionnaires; Prevalence.
RESUMO:O objetivo deste estudo foi avaliar a prevalência e a severidade da disfunção temporomandibular (DTM) em universitários brasileiros. Participaram do estudo 2.396 estudantes. Responderam ao questionário 73% de mulheres (21,94 ± 5 anos) e 27% de homens (22,41 ± 4,8 anos). O índice anamnésico foi utilizado para classificar os voluntários por nível de severidade da DTM. Os resultados mostraram uma maior porcentagem de homens sem DTM (43,74%) (p < 0,05 teste Qui-quadrado). As mulheres mostraram algum nível de severidade (73,03%) com maior freqüência que os homens (56,26%). Não foram evidenciadas diferenças de freqüência entre os sexos classificados com DTM de mesma severidade. Os resultados indicam que a prevalência de DTM em universitários brasileiros é semelhante à de outros trabalhos presentes na literatura. Estudos longitudinais são necessários para acompanhar a prevalência e a necessidade de tratamento nessa população. DESCRITORES: Transtornos da articulação temporomandibular; Epidemiologia; Questionários; Prevalência.
INTRODUCTIONThe expression Temporomandibular disorders (TMD) is a generic designation for a subgroup of orofacial pain disorders. This classification comprises the pain complaints in the temporomandibular joint (TMJ) region, muscle fatigue, especially of the masticatory muscles, impaired jaw movement, and articular sounds. The multifactorial TMD etiology is related to emotional tension, occlusal interferences, teeth loss, postural deviation, masticatory muscular dysfunction, internal and external changes in TMJ structure, and the various associations of these factors 6,17 .TMD prevalence studies have demonstrated a large amount of people with signs and symptoms in clinical and subclinical degrees. Thus, we have found a high TMD prevalence in non-patients, i.e., among those who do not seek for health care attention 22 . A non-patient prevalence study indicates closely 75% of subjects with just one TMD sign, and 33% with at least one symptom 7 . Another estimate related ...