2009
DOI: 10.1177/0022034509344387
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Missing Posterior Teeth and Risk of Temporomandibular Disorders

Abstract: There is disagreement about the association between missing posterior teeth and the presence of temporomandibular disorders (TMD). Here, the purpose was to investigate whether the number of missing posterior teeth, their distribution, age, and gender are associated with TMD. Seven hundred and forty-one individuals, aged 21-60 years, with missing posterior teeth, 386 with and 355 without TMD, were included. Four variables-gender, age, the number of missing posterior teeth, and the number of dental quadrants wit… Show more

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Cited by 99 publications
(79 citation statements)
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“…Hence, this altered mandibular position and the prolongation of the clusion time was seen in our study and similar findings were observed by Cheng et al [20] However, contradictory findings of increased prevalence of TMD among patients with fewer missing posterior teeth in more than one quadrant were noted by Wang et al using T-Scan III. [21] The present study demonstrated the incidence of prolonged disclusion time which was high and statistically significant (P<0.001) in TMD group and was in accordance to Haralur SB et al The prolonged disclusion time can lead to higher masticatory muscle activity and abnormal distribution of stresses in the disc resulltng in TMD symptoms. The compression of the mechanoreceptors of molar and premolar periodontal ligaments by prolonged excursive tooth contact, activate excess muscle contractions in the masticatory muscles.…”
Section: Resultssupporting
confidence: 89%
“…Hence, this altered mandibular position and the prolongation of the clusion time was seen in our study and similar findings were observed by Cheng et al [20] However, contradictory findings of increased prevalence of TMD among patients with fewer missing posterior teeth in more than one quadrant were noted by Wang et al using T-Scan III. [21] The present study demonstrated the incidence of prolonged disclusion time which was high and statistically significant (P<0.001) in TMD group and was in accordance to Haralur SB et al The prolonged disclusion time can lead to higher masticatory muscle activity and abnormal distribution of stresses in the disc resulltng in TMD symptoms. The compression of the mechanoreceptors of molar and premolar periodontal ligaments by prolonged excursive tooth contact, activate excess muscle contractions in the masticatory muscles.…”
Section: Resultssupporting
confidence: 89%
“…Moreover psychological characteristics have been reported to be a potential cause of TMD. Psychological factors associated with pain sensitivity influence the risk of the first onset of temporomandibular joint disorders [4].…”
Section: Discussionmentioning
confidence: 99%
“…Loss of occlusal contact results in an occlusion imbalance that will disturb the stability of the dental arch and this condition causes the temporomandibular joint structure to receive a larger load [4,5]. The etiology of temporomandibular joint disorder is multifactorial that many risk factors are often associated with signs and symptoms of temporomandibular joint disorders [3,4,6].…”
Section: Introductionmentioning
confidence: 99%
“…This device has been since then considered to be a reference for TMJ anchor use in the case of both recurrent dislocation and disk repositioning. On considering the connection between TMJ disorders and tooth absence, 3,4 TMJ surgical treatment of edentulous patients needs to be complemented by satisfactory prosthetic rehabilitation. This should establish proper maxillomandibular relations, especially the occlusal vertical dimension and centric relation (CR).…”
Section: 5005/jp-journals-10024-2042mentioning
confidence: 99%