Functional Disorders of the Masticatory System I. Distribution of Symptoms According to Age and Sex as Judged from Investigation by Questionnaire

Agerberg, G; Carlsson, Gunnar

doi:10.3109/00016357209019791

Cited by 246 publications

(114 citation statements)

References 5 publications

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“…Indices of illness or well-being are produced, and the character and dimension of the problem are documented. For example, epidemiologic studies documenting the prevalence of a number of specific signs and symptoms of temporomandibular disorders in the population were carried out in various areas of Scandinavia beginning in the 1970s (e.g., Agerberg and Carlsson, 1972;Helkimo, 1974a). Most of these studies used self-administered questionnaires or interviews to assess symptoms of pain and jaw dysfunction.…”

Section: (I) Temporomandibular Disordersmentioning

confidence: 99%

Epidemiology of Temporomandibular Disorders: Implications for the Investigation of Etiologic Factors

LeResche

1997

Critical Reviews in Oral Biology & Medicine

806

531

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Epidemiology is the study of the distribution, determinants, and natural history of disease in populations. Epidemiology has several uses in addition to its traditional role of documenting the public health significance of a condition. Notably, epidemiologic methods and data can be used to identify and verify causes of disease. This article reviews the epidemiologic data on pain in the temporomandibular region, and on signs and symptoms associated with specific subtypes of temporomandibular disorders, with the aim of identifying possible etiologic factors for these conditions that deserve further study. Despite methodologic and population differences, several consistencies are apparent in the epidemiologic literature.Pain in the temporomandibular region appears to be relatively common, occurring in approximately 10% of the population over age 18; it is primarily a condition of young and middle-aged adults, rather than of children or the elderly, and is approximately twice as common in women as in men. This prevalence pattern suggests that etiologic investigations should be directed at biologic and psychosocial factors that are more common in women than in men, and diminish in older age groups. Most signs and symptoms associated with particular temporomandibular disorders (e.g., joint sounds, pain in the joint) also appear to be more prevalent in women than in men, although age patterns for these signs and symptoms are not as clear as for temporomandibular pain. The available data highlight the need for further research on etiologic factors associated with temporomandibular pain and with specific diagnostic subtypes of temporomandibular disorders.Key words. Temporomandibular disorders, epidemiology, etiologic factors, sex factors, age factors. (I) Temporomandibular DisordersThe term "temporomandibular disorders" (or TMD) is a collective used to describe a group of musculoskeletal conditions occurring in the temporomandibular region (Laskin et al., 1983). These conditions are characterized by pain in the muscles of mastication, the temporomandibular joint, or both. In addition to report of ongoing pain, pain on palpation and/or pain on function may be present. Signs that frequently accompany the pain in clinic populations include joint sounds, such as clicking or crepitation, and limitations or deviation upon mandibular opening. The most common subtypes of temporomandibular disorders in clinic populations appear to be myofascial pain and arthralgia, followed by disc displacements with reduction (Truelove et al., 1992). Although epidemiologic research on specific subtypes of temporomandibular disorders is in its infancy, historically these conditions were considered part of a single disease entity, and were investigated as such. Therefore, of necessity, much of this review will cover epidemiologic research that investigated temporomandibular disorders more generically. Whenever possible, an attempt will be made to "tease apart" the findings of these investigations to provide data relevant to the specific ...

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Section: (I) Temporomandibular Disordersmentioning

confidence: 99%

Epidemiology of Temporomandibular Disorders: Implications for the Investigation of Etiologic Factors

LeResche

1997

Critical Reviews in Oral Biology & Medicine

806

531

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“…In general, degenerative joint disease occurs more frequently in women, is more severe, and is likely to involve multiple joints (Lawrence et al, 1966;Mikkelsen et al, 1970;Peyron and Altman, 1992). Likewise, studies of degenerative joint disease of the temporomandibular joint indicate that women have a higher incidence of both early and late signs of degenerative joint disease, including joint clicking and crepitus (Osterberg and Carlsson, 1979), limited opening, deviation of the mandible during opening, joint tenderness, and muscle tenderness (Agerberg and Carlsson, 1972;Makila, 1979;MacEntee et al, 1987;Agerberg and Inkapool, 1990). However, other investigators have reported that, in spite of differences in pain, there were no statistically significant gender differences in the actual incidence of changes in joint morphology (Helkimo et al, 1972).…”

Section: (2) Gender and Degenerative Temporomandibular Joint Diseasementioning

confidence: 99%

Pathogenesis of Degenerative Joint Disease in the Human Temporomandibular Joint

Haskin

Milam²,

Cameron

1995

Critical Reviews in Oral Biology & Medicine

136

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ABSTRACT:The wide range of disease prevalences reported in epidemiological studies of temporomandibular degenerative joint disease reflects the fact that diagnoses are frequently guided by the presence or absence of non-specific signs and symptoms. Treatment is aimed at alleviating the disease symptoms rather than being guided by an understanding of the underlying disease processes. Much of our current understanding of disease processes in the temporomandibular joint is based on the study of other articular joints. Although it is likely that the molecular basis of pathogenesis is similar to that of other joints, additional study of the temporomandibular joint is required due to its unique structure and function. This review summarizes the unique structural and molecular features of the temporomandibular joint and the epidemiology of degenerative temporomandibular joint disease. As is discussed in this review, recent research has provided a better understanding of the molecular basis of degenerative joint disease processes, including insights into: the regulation of cytokine expression and activation, arachidonic acid metabolism, neural contributions to inflammation, mechanisms of extracellular matrix degradation, modulation of cell adhesion in inflammatory states, and the roles of free radicals and heat shock proteins in degenerative joint disease. Finally, the multiple cellular and molecular mechanisms involved in disease initiation and progression, along with factors that may modify the adaptive capacity of the joint, are presented as the basis for the rational design of new and more effective therapy.

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“…Outros sintomas incluem dores de ouvido, cefaleia e dores na face. Quanto aos sinais clínicos, apresentam ruídos na articulação e limitações durante os movimentos mandibulares 5,[7][8][9][10][11][12] .…”

Section: Introductionunclassified

“…Ainda como fatores de risco, têm-se os hábitos parafuncionais e o bruxismo, bem como os aspectos psicológicos. Os fatores genéticos e o tratamento ortodôntico não têm sido evidenciados como causa de DTM 7,13,14 . Até o presente momento, não foi estabelecida uma clara relação entre alterações oclusais e DTM, tendo sido apenas observado que a desarmonia entre a relação cêntrica e a máxima intercuspidação, a mordida cruzada unilateral e a ausência de estabilidade oclusal causada pela perda de dentes posteriores, parecem ter evidenciado certo potencial preditivo 15 .…”

Section: Introductionunclassified

Análise da associação entre oclusão e disfunção temporomandibular: estudo clínico

Bitencourt¹,

Cunha²,

Silva³

et al. 2018

Arch Health Invest

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Com o objetivo de verificar a associação entre a oclusão e a disfunção temporomandibular (DTM), o presente estudo se propôs a avaliar a oclusão com relação às Seis Chaves de Oclusão de Andrews, os guias de desoclusão e os contatos dentais, em pacientes com a presença associada ou não de DTM, seguindo o Research Diagnostic Criteria(RDC). Foram incluídos 18 pacientes, de ambos os sexos, com faixa etária entre 21 e 61 anos, os quais participaram da fase clínica (análise do RDC) e da fase laboratorial (análise da oclusão). Na análise de todos os pacientes, os considerados com boa oclusão e com DTM foram 17% e sem DTM 6%, com distúrbios oclusais e com DTM foram 33% e sem DTM 44%. Com base na metodologia aplicada, nos resultados obtidos nesta análise pode-se concluir que não houve relação entre pacientes que apresentaram distúrbios oclusais e obrigatoriamente DTM.Descritores: Oclusão Dentária; Transtornos da Articulação Temporomandibular; Má Oclusão.

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Functional Disorders of the Masticatory System I. Distribution of Symptoms According to Age and Sex as Judged from Investigation by Questionnaire

Cited by 246 publications

References 5 publications

Epidemiology of Temporomandibular Disorders: Implications for the Investigation of Etiologic Factors

Epidemiology of Temporomandibular Disorders: Implications for the Investigation of Etiologic Factors

Pathogenesis of Degenerative Joint Disease in the Human Temporomandibular Joint

Análise da associação entre oclusão e disfunção temporomandibular: estudo clínico

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