Abstract:OBJECTIVE: The objective of this epidemiological study was to assess the prevalence and severity of temporomandibular disorders (TMD) in undergraduate students at CMH Lahore Medical College (CMH-LMC) and Institute of Dentistry (IOD) using Fonseca’s questionnaire. METHODOLOGY: A cross-sectional survey study was conducted. A questionnaire was distributed among 644 undergraduate students attending CMH Lahore Medical College (CMH-LMC) and Institute of Dentistry (IOD). The questionnaire had some general questions r… Show more
“…The temporomandibular joint is a bilateral, synovial, hinge joint between the mandible and skull that helps in complex movements of the jaw while mastication, speech, and drinking. 1 It works as a functional unit in coordination with the muscle of mastication, some ligaments as well as teeth. 2 Any alterations in this functional unit beyond its adaptive capacity can have an impact on the adequate functioning of the joint, resulting in temporomandibular disorders.…”
Section: Introductionmentioning
confidence: 99%
“…2 Any alterations in this functional unit beyond its adaptive capacity can have an impact on the adequate functioning of the joint, resulting in temporomandibular disorders. 1 Temporomandibular disorders, which have multifactorial aetiology, according to the American Academy of orofacial pain (AAOP) are defined as a collection of dysfunctional, painful conditions in the temporomandibular joint and associated structures. 1,3 The cause of these disorders can be attributed to psychological stress, tooth loss or malalignment, bruxism, clenching, parafunctional habits, poor posture for long durations, destructive changes within or around the joints, injuries, genetic factors or tumorous growths.…”
Section: Introductionmentioning
confidence: 99%
“…1 Temporomandibular disorders, which have multifactorial aetiology, according to the American Academy of orofacial pain (AAOP) are defined as a collection of dysfunctional, painful conditions in the temporomandibular joint and associated structures. 1,3 The cause of these disorders can be attributed to psychological stress, tooth loss or malalignment, bruxism, clenching, parafunctional habits, poor posture for long durations, destructive changes within or around the joints, injuries, genetic factors or tumorous growths. 1,3,4 The signs and symptoms can vary depending upon the severity of the condition and can present as pain, noise, the issue with adequate mouth opening, headache, tooth wear or jaw getting stuck.…”
Section: Introductionmentioning
confidence: 99%
“…1,3 The cause of these disorders can be attributed to psychological stress, tooth loss or malalignment, bruxism, clenching, parafunctional habits, poor posture for long durations, destructive changes within or around the joints, injuries, genetic factors or tumorous growths. 1,3,4 The signs and symptoms can vary depending upon the severity of the condition and can present as pain, noise, the issue with adequate mouth opening, headache, tooth wear or jaw getting stuck. 1,3 Oral parafunctional habits, which present as abnormal or excessive use of teeth or masticatory muscles, are among the main causes leading to temporomandibular disorders.…”
Section: Introductionmentioning
confidence: 99%
“…1,3,4 The signs and symptoms can vary depending upon the severity of the condition and can present as pain, noise, the issue with adequate mouth opening, headache, tooth wear or jaw getting stuck. 1,3 Oral parafunctional habits, which present as abnormal or excessive use of teeth or masticatory muscles, are among the main causes leading to temporomandibular disorders. 5,6 These habits include clenching, bruxism, nail-biting, lip or cheek biting, and gum chewing, keeping pencil or anything in mouth habitually.…”
Objective: This study aims to identify the prevalence of parafunctional habits and common symptoms of temporomandibular disorders in young individuals reporting to the Watim Dental College
Materials and methods: This cross-sectional study was carried out by a survey and clinical examination over a period of six months from September 2021 to February 2022. Data from 103 patients, who fulfilled the inclusion criteria, were collected using a structured questionnaire and clinical examination regarding their parafunctional habits and temporomandibular joint symptoms. Informed consent was filled out by all the participants. Data were analyzed using SPSS version 23. A descriptive analysis was calculated for both quantitative and qualitative variables.
Results: The prevalence of oral parafunctional habits among the study sample was quantified on a binary scale (yes/no) where nail-biting was observed to be highly prevalent (38%), followed by mouth breathing (27%). The most frequently reported temporomandibular joint symptom was noise (clicking or crepitation) which was 66%. Difficulty in mouth opening was the least common (20%) of all the symptoms noted.
Conclusion: It may be concluded from our study that amongst parafunctional habits nail biting is the most common habit amongst young individuals and amongst the temporomandibular joint disorder clicking and crepitation is the most common symptom persistent with the condition.
Keywords: clicking, nail-biting, parafunctional habits, temporomandibular joint symptoms
“…The temporomandibular joint is a bilateral, synovial, hinge joint between the mandible and skull that helps in complex movements of the jaw while mastication, speech, and drinking. 1 It works as a functional unit in coordination with the muscle of mastication, some ligaments as well as teeth. 2 Any alterations in this functional unit beyond its adaptive capacity can have an impact on the adequate functioning of the joint, resulting in temporomandibular disorders.…”
Section: Introductionmentioning
confidence: 99%
“…2 Any alterations in this functional unit beyond its adaptive capacity can have an impact on the adequate functioning of the joint, resulting in temporomandibular disorders. 1 Temporomandibular disorders, which have multifactorial aetiology, according to the American Academy of orofacial pain (AAOP) are defined as a collection of dysfunctional, painful conditions in the temporomandibular joint and associated structures. 1,3 The cause of these disorders can be attributed to psychological stress, tooth loss or malalignment, bruxism, clenching, parafunctional habits, poor posture for long durations, destructive changes within or around the joints, injuries, genetic factors or tumorous growths.…”
Section: Introductionmentioning
confidence: 99%
“…1 Temporomandibular disorders, which have multifactorial aetiology, according to the American Academy of orofacial pain (AAOP) are defined as a collection of dysfunctional, painful conditions in the temporomandibular joint and associated structures. 1,3 The cause of these disorders can be attributed to psychological stress, tooth loss or malalignment, bruxism, clenching, parafunctional habits, poor posture for long durations, destructive changes within or around the joints, injuries, genetic factors or tumorous growths. 1,3,4 The signs and symptoms can vary depending upon the severity of the condition and can present as pain, noise, the issue with adequate mouth opening, headache, tooth wear or jaw getting stuck.…”
Section: Introductionmentioning
confidence: 99%
“…1,3 The cause of these disorders can be attributed to psychological stress, tooth loss or malalignment, bruxism, clenching, parafunctional habits, poor posture for long durations, destructive changes within or around the joints, injuries, genetic factors or tumorous growths. 1,3,4 The signs and symptoms can vary depending upon the severity of the condition and can present as pain, noise, the issue with adequate mouth opening, headache, tooth wear or jaw getting stuck. 1,3 Oral parafunctional habits, which present as abnormal or excessive use of teeth or masticatory muscles, are among the main causes leading to temporomandibular disorders.…”
Section: Introductionmentioning
confidence: 99%
“…1,3,4 The signs and symptoms can vary depending upon the severity of the condition and can present as pain, noise, the issue with adequate mouth opening, headache, tooth wear or jaw getting stuck. 1,3 Oral parafunctional habits, which present as abnormal or excessive use of teeth or masticatory muscles, are among the main causes leading to temporomandibular disorders. 5,6 These habits include clenching, bruxism, nail-biting, lip or cheek biting, and gum chewing, keeping pencil or anything in mouth habitually.…”
Objective: This study aims to identify the prevalence of parafunctional habits and common symptoms of temporomandibular disorders in young individuals reporting to the Watim Dental College
Materials and methods: This cross-sectional study was carried out by a survey and clinical examination over a period of six months from September 2021 to February 2022. Data from 103 patients, who fulfilled the inclusion criteria, were collected using a structured questionnaire and clinical examination regarding their parafunctional habits and temporomandibular joint symptoms. Informed consent was filled out by all the participants. Data were analyzed using SPSS version 23. A descriptive analysis was calculated for both quantitative and qualitative variables.
Results: The prevalence of oral parafunctional habits among the study sample was quantified on a binary scale (yes/no) where nail-biting was observed to be highly prevalent (38%), followed by mouth breathing (27%). The most frequently reported temporomandibular joint symptom was noise (clicking or crepitation) which was 66%. Difficulty in mouth opening was the least common (20%) of all the symptoms noted.
Conclusion: It may be concluded from our study that amongst parafunctional habits nail biting is the most common habit amongst young individuals and amongst the temporomandibular joint disorder clicking and crepitation is the most common symptom persistent with the condition.
Keywords: clicking, nail-biting, parafunctional habits, temporomandibular joint symptoms
Objective. To evaluate the prevalence, severity, and associated factors of temporomandibular disorder (TMD) among dental students. Methods. This cross-sectional study was performed on undergraduate dental students from four dental colleges in Punjab, Pakistan. Fonseca’s questionnaire was used to measure the prevalence and severity of the TMD among the study participants. Bivariate and multiple logistic regression analyses were performed. Results. Of 364 dental students, 323 returned the completed questionnaires and the response rate of the study was 88.7%. The study included 52.6% males and 47.4% females. The prevalence of TMD was 66.9% with mild TMD in 40.90%, moderate TMD in 14.6%, and severe TMD in 11.50% of the participants. Psychological stress (29.6%), malocclusion (20%), and hypersensitivity (19.5%) were common among participants. The mean TMD score of the sample was 31.54 ± 24.86 which was significantly higher among participants with no/school-educated mothers (
P
=
0.021
) and fathers (
P
=
0.002
). The participants with arthritis (72.81 ± 32.19) and malocclusion (59.46 ± 31.09) and those who received orthodontic treatment (53.21 ± 34.21) demonstrated higher TMD. After controlling for other study variables, the participants with arthritis were 4.71 times more likely to have moderate/severe TMD (
P
=
0.042
) than those without arthritis. Similarly, the participants with malocclusion had significantly higher odds (OR = 3.57,
P
=
0.029
) of having moderate/severe TMD than those without malocclusion. Conclusion. This sample of dental students demonstrated a high prevalence and severity of TMD. The participants with arthritis and malocclusion demonstrated higher TMD. The study findings underscore the importance of prevention, early diagnosis, and management of TMD among the dental students.
Background
Temporomandibular joint disorders (TMDs) are a variety of conditions that affect different parts of the temporomandibular joints (TMJ) and can cause orofacial pain and functional impairment. This study aims to investigate dental practitioners’ knowledge and management of Temporomandibular Joint Disorders (TMDs), particularly their knowledge of the role physical therapy plays in TMD treatment.
Methods
A mixed-methods approach was adopted to provide a comprehensive view of current knowledge, management practices, and attitudes toward collaboration among dental practitioners in treating TMD. Data were collected from a convenience sample of 335 dentists in Karachi using a detailed questionnaire to assess their knowledge of the role of physical therapy in the treatment of TMD. Twenty dentists were chosen for face-to-face, in-depth interviews to explore their experiences and challenges in managing TMDs based on their responses to the administered questionnaire.
Results
The cumulative quantitative and qualitative findings of the study revealed a landscape marked by individualized approaches to referral practices and significant gaps in interdisciplinary collaboration. Most practitioners holding a bachelor’s degree predominantly used medication (65.2%) and cause-specific treatment (65.3%) for TMD treatment. Thematic analysis of clinical efficacy and practitioner challenges in managing TMD revealed significant issues faced by dental professionals.
Conclusions
The study successfully validated a questionnaire to understand dental practitioners’ knowledge regarding physical therapy in TMD treatment. The study identified significant gaps in knowledge and a lack of collaboration between dentists and physiotherapists. The limited referral practices highlighted in the study, along with insights from dentist interviews, emphasize the need for improved interdisciplinary approaches to managing TMDs within dental practice.
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