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Prevalence of Temporomandibular Joint Dysfunction and Malocclusion in 10 - 12 year Old Children  

Lee, Nam-Ki (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University)
Choi, Dong-Soon (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University)
Lee, Hye-Mi (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University)
Cha, Bong-Kuen (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.24, no.1, 2008 , pp. 29-40 More about this Journal
Abstract
The purpose of this study was to evaluate the prevalence of symptoms and signs of temporomandibular joint dysfunction (TMD) and malocclusion in 10-12 year old children and to determine if a relationship exists between symptoms and signs of TMD and malocclusion. The subjects were composed of 465 school children (233 boys and 232 girls). Each subject was evaluated with simplified questionnaire and clinical examination to measure symptoms and signs of TMD and malocclusion. The results showed an elevated prevalence of headache (34.6%), which were more frequent in girls than boys. The most common cardinal sign of TMD was clicking (32.9%), which increased with age. TMJ lateral tenderness was present in 18.1% of the subjects and had a tendency to increase with age. Masseter muscle tenderness was found to be sensitive in 15.1%of the subjects and had a tendency to increase with age. Restriction of mandibular mobilitywas present in 30.3% of the subjects and had a tendency to increase with age. There was no significant difference in the prevalence of TMD signs between sex. The occlusal status showed Class I malocclusion in 73.3%, Class III in 12.9%,Class II division 1 in 11%, Class II division 2 in 2.8%. There was no significant difference in malocclusion traits between sex. There was statistically significant relationship between TMD signs and symptoms and class II division 1 and Class III malocclusion(p<0.05). The results indicate that the prevalence of TMD symptoms and signs in children is high, and the evaluation of TMD in children seems to be important.
Keywords
Temporomandibular joint dysfunction; Malocclusion; Prevalence; Children;
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1 Grosfeld O, Czarnecka B. Musculo-articular disorders of the stomatognathic system in school children examined according to clinical criteria. J Oral Rehabil 1977;4: 193-200   DOI
2 Yuh KJ, Hahn SH. A Study on temporomandibular disorders of the mixed dentitioned patients. J Korean Acad Pediatric Dent 1993;20:318-330
3 Egermark-Eriksson I, Carlsson GE, Magnusson T, Thilander B. A longitudinal study on malocclusion in relation to signs and symptoms of cranio-mandibular disorders in children and adolescents. Eur J Orthod 1990;12:399-407   DOI   ScienceOn
4 Dibbets JM, van der Weele LT. Signs and symptoms of temporomandibular disorder (TMD) and craniofacial form. Am J Orthod Dentofacial Orthop 1996;110:73-78   DOI   ScienceOn
5 Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6:301-355
6 Mohlin B, Pilley JB, Shaw WC. A survey of craniomandibular disorders in 1000 12-year-olds. Study design and baseline data in a follow-up-study. Eur J Orthod 1991;13:111-123   DOI   ScienceOn
7 Roberts CA, Tallents RH, Katzberg RW, Sanchez-Woodworth RE, Manzione JV, Espeland MA, et al. Clinical and arthrographic evaluation of temporomandibular joint sounds. Oral Surg Oral Med Oral Pathol 1986;62:373-376   DOI   ScienceOn
8 Stockstill JW, Bowley JF, Dunning D, Spalding P, Stafford K, Erickson L. Prevalence of temporo- mandibular disorders (TMD) in children based on physical signs. ASDC J Dent Child1998;65:459-467
9 Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, Truelove E, et al. Epidemiology of signs and symptoms in temporomandibular disorders: clinical signs in cases and controls. J Am Dent Assoc 1990;120:273-281   DOI
10 Nydell A, Helkimo M, Koch G. Craniomandibular disorders in children- a critical review of the literature. Swed Dent J 1994;18:191-205
11 Solberg WK. Seligman DA. Temporomandibular orthopedics: a new vista in orthodontics. In: Johnston LE (eds). New Vistas in orthodontics. Philadelphia: Lea & Febiger1985:148-183
12 Luther F. Orthodontics and the temporomandibular joint: where are we now? Part 2. Functional occlusion, malocclusion, and TMD. Angle Orthod 1998;68: 305-318
13 Riolo ML, Brandt D, TenHave TR. Associations between occlusal characteristics and signs and symptoms of TMJ dysfunction in children and young adults. Am J Orthod Dentofacial Orthop 1987;92: 467-477   DOI   ScienceOn
14 Sonnesen L, Bakke M, Solow B. Malocclusion traits and symptoms and signs of temporomandibular disorders in children with severe malocclusion. Eur J Orthod 1998;20:543-559   DOI   ScienceOn
15 Thilander B, Rubio G, Pena L, de Mayorga C. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. Angle Orthod 2002;72:146-154
16 Okeson JP. Temporomandibular disorders in children. Pediatr Dent 1989;11:325-329
17 Solberg WK, Woo MW, Houston JB. Prevalence of mandibular dysfunction in young adults. J Am Dent Assoc 1979;98:25-34   DOI
18 Nilner M, Lassing S. Prevalence of functional disturbances and diseases of the stomatognathic system in 7-14 year olds. Swed Dent J 1981;5:173-187
19 Morinushi T, Ohno H, Ohno K, Oku T, Ogura T. Two year longitudinal study of clinical signs of TMJ dysfunction in Japanese adolescents. J Clin Pediatr Dent 1991;15:232-240
20 Westesson PL, Eriksson L, Kurita K. Reliability of a negative clinical temporomandibular joint examination: prevalence of disk displacement in asymptomatic temporomandibular joints. Oral Surg Oral Med Oral Pathol 1989;68:551-554   DOI   ScienceOn
21 Ribeiro RF, Tallents RH, Katzberg RW, Murphy WC, Moss ME, Magalhaes AC et al. The prevalence of disc displacement in symptomatic and asymptomatic volunteers aged 6 to 25 years. J Orofac Pain 1997;11: 37-47
22 Niler M. Relationships between oral parafunction and functional disturbances and diseases of the stomatognathic system among children aged 7-14 years. Acta Odontol Scand 1983;41:167-172   DOI   ScienceOn
23 Cha SL, Kim KW, Yoon YJ. The prevalence of temporomandibular disorders in 16-18 aged subjects at Yongin, Kyungkido, Korea. Korean J Orthod 2000;30: 223-231
24 Okeson JP. Management of temporomandibular disorders and occlusion. 4th ed. St Louis: Mosby 1998. p.248-259
25 The American Academy of Orofacial pain. Temporomandibular disorders: guidelines for classification, assessment, and management. Carol Stream: Quintessence publishing co; 1993
26 Lieberman MA, Gazit E, Fuchs C, Lilos P. Mandibular dysfunction in 10 to 18 year old school children as related to morphological malocclusion. J Oral Rehabil 1985;12:209-214   DOI
27 Egermark-Eriksson I, Ingervall B, Carlsson GE. Prevalence of mandibular dysfunction and orofacial parafunction in 7-, 11-, and 15-year-old Swedish children. Eur J Orthod 1981;3:163-172   DOI   ScienceOn
28 Egermark I, Magnusson T, Carlsson GE. A 20-year follow-up of signs and symptoms of Temporo- mandibular disorders and malocclusions in subjects with and without orthodontic treatment in childhood. Angle Orthod2003;73:109-115
29 Henrikson T, Ekberg EC, Nilner M. Symptoms and signs of temporomandibular disorders in girls with normal occlusion and Class II malocclusion. Acta Odontol Scand 1997;55:229-235   DOI
30 Nilner M. Prevalence of functional disturbances and diseases of the stomatognathic system in 15-18 year olds. Swed Dent J 1981;5:189-197
31 Steigman S, Kawar M, Zilberman Y. Prevalence and severity of malocclusion in Israeli Arab urban children 13 to 15 years of age. Am J Orthod 1983;84:337-343   DOI   ScienceOn
32 Alamoudi N, Farsi N, Salako NO, Feteih R. Temporomandibular disorders among school children. J Clin Pediatr Dent 1998;22:323-328
33 Gazit E, Liebermann M, Eini R, Hirsch N, Serfaty V, Fuchs C, et al. Prevalence of mandibular dysfunction inyear old Israeli schoolchildren. J Oral Rehabil 1984;11:307-317   DOI
34 Corruccini RS, Whitley LD. Occlusal variation in a rural Kentucky community. Am J Orthod 1981;79: 250-262   DOI   ScienceOn