Retrospective study of a series of 850 patients with temporomandibular dysfunction (TMD). Clinical and radiological findings

Poveda-Roda, Rafael; Bagán, José; Jiménez-Soriano, Yolanda; Fons-Font, Antonio

doi:10.4317/medoral.14.e628

Cited by 35 publications

(37 citation statements)

References 13 publications

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“…These figures differ from those recorded by our group in an earlier study (9) involving a series of 850 patients different from those of the present study but pertaining to the same geographical and social setting (DDWR 44.8% and MFP 35.2%). On the other hand, the present study registered a considerable increase in the proportion of patients diagnosed with osteoarthritis/osteoarthrosis (from 13.4% in the previous study to 27.2% in the present series).…”

Section: Discussioncontrasting

confidence: 99%

Temporomandibular disorders. A case-control study

Poveda-Roda

Bagán²,

Sanchis³

et al. 2012

Med Oral

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Objective: To compare the risk factors and clinical manifestations of patients with temporomandibular disorders (TMDs) diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (axis I) versus an age and gender matched control group. Study Design: A total of 162 patients explored according to the RDC/TMD (mean age 40.6±18.8 years, range 7-90; 11.1% males and 88.9% females) were compared with 119 controls, measuring differences in TMD risk factors (sleep disturbances, stress, psychoactive medication, parafunctions, loss of posterior support, ligament hyperlaxity) and clinical variables (joint sounds, painful muscle and joint palpation, maximum aperture). Results: Myofascial pain (MFP) (single or multiple diagnoses) was the most frequent diagnosis (42%). The most common diagnostic combination was MFP plus arthralgia (16.0%). Statistically significant differences were observed in clenching (OR 2.3; 95%CI: 1.4-3.8) and in maximum active aperture (MAA) on comparing the two groups both globally (TMD vs. controls) (patients 36.7±8.6 mm, controls 43.1±5.8 mm; F=45.41, p = 0.000) and on comparing according to diagnostic categories. MFP explained most of the observed differences in the risk factors: stress perception (OR=1.98;I.C.:1.01-3.89), psychoactive medication (OR=2.21; I.C.:1.12-4.37), parafunctions (OR=2.14;I.C.:1.12-4.11), and ligament laxity (OR=2.6;I.C.:1.01-6.68). Joint sounds were more frequent in patients with MFP (39.7% vs. 24.0%; χ2=4.66; p=0.03), and painful joint palpation was more common in patients with disc displacement with reduction (DDWR)(15.9% vs. 5.0%; χ2 = 5.2; p = 0.02) and osteoarthrosis (20.8% vs. 5.0%; χ2 = 7.0; p = 0.008). Conclusions: There is a high prevalence of signs and symptoms of TMDs in the general population. Significant differences are observed in clenching and MAA between patients and controls considered both globally and for each diagnostic category individually. The analyzed risk factors (except loss of posterior support) show a statistically significant OR for the diagnosis of MFP. Key words:Disorder, dysfunction, temporomandibular, myofascial, osteoarthrosis, TMJ, disc displacement.

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Section: Discussioncontrasting

confidence: 99%

Temporomandibular disorders. A case-control study

Poveda-Roda

Bagán²,

Sanchis³

et al. 2012

Med Oral

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“…In their second study, the authors found that 31.4% and 18.1% of the control group presented disc displacement with reduction (DDWR) and myofascial pain (MFP), respectively (2), compared to 44.8% and 35.2% of patients in the first study (3). Due to its high preva-lence, it is important that TMD be assessed in specific primary care units using a standardized clinical examination and diagnostic protocol.…”

Section: Introductionmentioning

confidence: 96%

Application of an oral health-related quality of life questionnaire in primary care patients with orofacial pain and temporomandibular disorders

Blanco-Aguilera¹,

Blanco-Hungría²,

Velázquez³

et al. 2014

Med Oral

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Objectives: To examine whether patients who report orofacial pain (OP) and temporomandibular disorders (TMD) have a poorer perception of their oral health-related quality of life and, if so, to what extent, and to analyze the association between oral health perception, sociodemographic variables and reported pain duration. Study Design: 407 patients treated at the OP and TMD units in the Healthcare District of Cordoba, Spain, diagnosed following the standard criteria accepted by the scientific community – the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) – were administered the Spanish version of the Oral Health Impact Profile questionnaire (OHIP-14). Bivariate and logistic regression analyses were performed to determine the degree of association between the patients’ OHIP-14 score and pain duration, pain intensity, and various sociodemographic variables. Results: The observed distribution was 89.4% women and 10.6% men. The mean OHIP-14 score was 20.57 ± 10.73 (mean ± standard deviation). A significant association (p<0.05) was found for gender, age, marital status, chronic pain grade, self-perceived oral health status and pain duration. Conclusions: The analysis of self-perceived oral health status in patients with OP and TMD, as measured by the OHIP-14, showed that oral health is perceived more negatively by women. Moreover, a one-point increase in the Chronic Pain Grade indicator increases the OHIP-14 indicator by 4.6 points, while chronic pain, defined as pain suffered by patients for one year or more, increases the OHIP-14 indicator by 3.2 points. Key words:Orofacial pain, temporomandibular disorders, Oral Health Impact Profile, sociodemographic variables, primary care, Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD).

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“…A number of studies have shown that stress plays an important role in inducing deficits in the temporomandibular joint (Fermor et al, 2001;Lindroth et al, 2002;Poveda-Roda et al, 2009). Also chronic intestinal irritation, interstitial cystitis and fibromyalgia are known to be frequently associated with dysfunction of the temporomandibular joint (Papadopoulos et al, 1998).…”

Section: Discussionmentioning

confidence: 97%

“…These dysfunctions of the temporomandibular joint are more frequent among women than among men with a ratio of 1:1.75 (Lindroth et al, 2002). Arthrosis accounts for approximately 13% of all dysfunctions of the temporomandibular joint (Poveda-Roda et al, 2009).…”

Section: Introductionmentioning

confidence: 99%