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Investigation of the association between orthodontic treatment and temporomandibular joint pain and dysfunction in the South Korean population

  • Sim, Hye-Young (Department of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Kim, Hee-Sun (Department of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Jung, Da-Un (Department of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Lee, Ho (Department of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Han, Yoon-Sic (Department of Dentistry, SMG-SNU Boramae Medical Center) ;
  • Han, Kyungdo (Department of Biostatistics, College of Medicine, The Catholic University of Korea) ;
  • Yun, Kyoung-In (Department of Oral and Maxillofacial Surgery, The Catholic University of Korea, Yeouido St. Mary's Hospital)
  • Received : 2018.11.19
  • Accepted : 2019.01.11
  • Published : 2019.05.25

Abstract

Objective: This study investigated the relationship between orthodontic treatment and temporomandibular disorders (TMD) in South Korean population. Methods: This study obtained data from the 2012 Korean National Health and Nutrition Examination Survey. The final sample size was 5,567 participants who were ${\geq}19$ years of age. Logistic regression analysis was performed to evaluate the relationship between orthodontic treatment and TMD. Results: Participants who underwent orthodontic treatment showed higher educational level, lower body mass index, reduced chewing difficulty, and reduced speaking difficulty. The adjusted odds ratios (ORs) and their 95% confidence intervals (CIs) for orthodontic treatment and TMD were 1.614 (1.189-2.190), 1.573 (1.162-2.129) and 1.612 (1.182-2.196) after adjusting for age, sex and psychosocial factors. Adjusted ORs and their 95% CIs for orthodontic treatment and clicking were 1.778 (1.289-2.454), 1.742 (1.265-2.400) and 1.770 (1.280-2.449) after adjusting for confounding factors. However, temporomandibular joint pain and functional impairment was not associated with orthodontic treatment. Conclusions: Temporomandibular joint pain and dysfunction was not associated with orthodontic treatment.

Keywords

References

  1. Yun KI, Chae CH, Lee CW. Effect of estrogen on the expression of cytokines of the temporomandibular joint cartilage cells of the mouse. J Oral Maxillofac Surg 2008;66:882-7. https://doi.org/10.1016/j.joms.2008.01.034
  2. Tanaka MMY, Joias RM, Joias RP, Josgrilberg EB, de Mello Rode S. Evaluation of TMD signals and symptoms in individuals undergoing orthodontic treatment. Braz Dent Sci 2016;19:70-5. https://doi.org/10.14295/bds.2016.v19i1.1236
  3. Egermark I, Magnusson T, Carlsson GE. A 20-year follow-up of signs and symptoms of temporomandibular disorders and malocclusions in subjects with and without orthodontic treatment in childhood. Angle Orthod 2003;73:109-15.
  4. McNamara JA Jr, Seligman DA, Okeson JP. Occlusion, orthodontic treatment, and temporomandibular disorders: a review. J Orofac Pain 1995;9:73-90.
  5. Hwang SH, Park SG. Experience of orthodontic treatment and symptoms of temporomandibular joint in South Korean adults. Iran J Public Health 2018;47:13-7.
  6. Fernandez-Gonzalez FJ, Canigral A, Lopez-Caballo JL, Brizuela A, Moreno-Hay I, Del Rio-Highsmith J, et al. Influence of orthodontic treatment on temporomandibular disorders. A systematic review. J Clin Exp Dent 2015;7:e320-7.
  7. Steenks MH, Turp JC, de Wijer A. Reliability and validity of the Diagnostic Criteria for Temporomandibular Disorders Axis I in clinical and research settings: a critical appraisal. J Oral Facial Pain Headache 2018;32:7-18. https://doi.org/10.11607/ofph.1704
  8. Schiffman E, Ohrbach R. Executive summary of the Diagnostic Criteria for Temporomandibular Disorders for clinical and research applications. J Am Dent Assoc 2016;147:438-45. https://doi.org/10.1016/j.adaj.2016.01.007
  9. Magnusson T, Egermark I, Carlsson GE. A longitudinal epidemiologic study of signs and symptoms of temporomandibular disorders from 15 to 35 years of age. J Orofac Pain 2000;14:310-9.
  10. Carlsson GE, Egermark I, Magnusson T. Predictors of signs and symptoms of temporomandibular disorders: a 20-year follow-up study from childhood to adulthood. Acta Odontol Scand 2002;60:180-5. https://doi.org/10.1080/000163502753740214
  11. Runge ME, Sadowsky C, Sakols EI, BeGole EA. The relationship between temporomandibular joint sounds and malocclusion. Am J Orthod Dentofacial Orthop 1989;96:36-42. https://doi.org/10.1016/0889-5406(89)90226-6
  12. Kim TW, Byun ES, Baek SH, Chang YI, Nahm DS, Yang WS. MRI study of temporomandibular joint disorder in orthodontic patients. Korean J Orthod 2000;30:235-43.
  13. Henrikson T, Nilner M, Kurol J. Signs of temporomandibular disorders in girls receiving orthodontic treatment. A prospective and longitudinal comparison with untreated Class II malocclusions and normal occlusion subjects. Eur J Orthod 2000;22:271-81. https://doi.org/10.1093/ejo/22.3.271
  14. Sadowsky C, Polson AM. Temporomandibular disorders and functional occlusion after orthodontic treatment: results of two long-term studies. Am J Orthod 1984;86:386-90. https://doi.org/10.1016/S0002-9416(84)90030-7
  15. Rendell JK, Norton LA, Gay T. Orthodontic treatment and temporomandibular joint disorders. Am J Orthod Dentofacial Orthop 1992;101:84-7. https://doi.org/10.1016/0889-5406(92)70086-P
  16. Sato S, Kawamura H, Nagasaka H, Motegi K. The natural course of anterior disc displacement without reduction in the temporomandibular joint: followup at 6, 12, and 18 months. J Oral Maxillofac Surg 1997;55:234-8; discussion 238-9. https://doi.org/10.1016/S0278-2391(97)90531-0
  17. Kurita K, Westesson PL, Yuasa H, Toyama M, Machida J, Ogi N. Natural course of untreated symptomatic temporomandibular joint disc displacement without reduction. J Dent Res 1998;77:361-5. https://doi.org/10.1177/00220345980770020401
  18. Egermark I, Carlsson GE, Magnusson T. A 20-year longitudinal study of subjective symptoms of temporomandibular disorders from childhood to adulthood. Acta Odontol Scand 2001;59:40-8. https://doi.org/10.1080/000163501300035788
  19. Magnusson T, Carlsson GE, Egermark I. Changes in subjective symptoms of craniomandibular disorders in children and adolescents during a 10-year period. J Orofac Pain 1993;7:76-82.
  20. Kononen M, Waltimo A, Nystrom M. Does clicking in adolescence lead to painful temporomandibular joint locking? Lancet 1996;347:1080-1. https://doi.org/10.1016/S0140-6736(96)90280-9
  21. Kamisaka M, Yatani H, Kuboki T, Matsuka Y, Minakuchi H. Four-year longitudinal course of TMD symptoms in an adult population and the estimation of risk factors in relation to symptoms. J Orofac Pain 2000;14:224-32.
  22. Randow K, Carlsson K, Edlund J, Oberg T. The effect of an occlusal interference on the masticatory system. An experimental investigation. Odontol Revy 1975;27:245-56.
  23. Egermark-Eriksson I, Carlsson GE, Magnusson T. A long-term epidemiologic study of the relationship between occlusal factors and mandibular dysfunction in children and adolescents. J Dent Res 1987;66:67-71. https://doi.org/10.1177/00220345870660011501
  24. Riise C, Sheikholeslam A. The influence of experimental interfering occlusal contacts on the postural activity of the anterior temporal and masseter muscles in young adults. J Oral Rehabil 1982;9:419-25. https://doi.org/10.1111/j.1365-2842.1982.tb01031.x
  25. Le Bell Y, Jamsa T, Korri S, Niemi PM, Alanen P. Effect of artificial occlusal interferences depends on previous experience of temporomandibular disorders. Acta Odontol Scand 2002;60:219-22. https://doi.org/10.1080/000163502760147981
  26. Michelotti A, Farella M, Gallo LM, Veltri A, Palla S, Martina R. Effect of occlusal interference on habitual activity of human masseter. J Dent Res 2005;84:644-8. https://doi.org/10.1177/154405910508400712
  27. Le Bell Y, Niemi PM, Jamsa T, Kylmala M, Alanen P. Subjective reactions to intervention with artificial interferences in subjects with and without a history of temporomandibular disorders. Acta Odontol Scand 2006;64:59-63. https://doi.org/10.1080/00016350500419867
  28. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest $Group^{\dagger}$. J Oral Facial Pain Headache 2014;28:6-27. https://doi.org/10.11607/jop.1151
  29. Egermark I, Carlsson GE, Magnusson T. A prospective long-term study of signs and symptoms of temporomandibular disorders in patients who received orthodontic treatment in childhood. Angle Orthod 2005;75:645-50.
  30. Bourzgui F, Sebbar M, Nadour A, Hamza M. Prevalence of temporomandibular dysfunction in orthodontic treatment. Int Orthod 2010;8:386-98.

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