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VOLUME 11 , ISSUE 6 ( November-December, 2020 ) > List of Articles

ORIGINAL RESEARCH

Relationship between Temporomandibular Disorder and Risk Factors in Health Science Students: A Cross-sectional Study

Jittima Pumklin, Panada Taechasubamorn, Adison Luehong, Sureerat Pramot, Chanchira Panyasoet, Thanaporn Sowithayasakul

Keywords : Parafunctional habit, Prevalence, Risk factors, Temporomandibular disorder,Health science student

Citation Information : Pumklin J, Taechasubamorn P, Luehong A, Pramot S, Panyasoet C, Sowithayasakul T. Relationship between Temporomandibular Disorder and Risk Factors in Health Science Students: A Cross-sectional Study. World J Dent 2020; 11 (6):494-500.

DOI: 10.5005/jp-journals-10015-1786

License: CC BY-NC 4.0

Published Online: 03-04-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: Temporomandibular disorder (TMD) is a collective term involving masticatory muscles, temporomandibular joint (TMJ), and problems of associated structures. Several studies have demonstrated factors related to TMD signs and symptoms. However, these data are still limited in Thailand. This study aimed to (i) investigate the prevalence of TMD and (ii) to clarify the relationship between TMD and risk factors in Health Science students, Naresuan University, Phitsanulok, Thailand. Materials and methods: Three hundred ninety-four subjects participated in the study. Temporomandibular disorder diagnosis was accomplished by a simplified tool for patient screening using a TMD questionnaire. Demographic data and parafunctional habits were collected by a self-assessed questionnaire. Suanprung Stress Test-20 (SPST-20) was used for stress level detection. The data were analyzed by independent t-test, Chi-square test, or Fisher\'s exact test at p value < 0.05. Results: There were 133 males and 261 females. The mean age was 21.19 ± 1.39 years old. The prevalence of TMD was 32.7%. Trauma history, degree majors, clenching, chewing gum, cheek-biting, lip-biting, unilateral chewing, and stress were significantly correlated with TMD. In contrast, gender, age, academic year, history of orthodontic treatment, and some parafunctional habits indicated no relationship with TMD. Conclusion: One-third of health science students at Naresuan University had TMD symptoms. Clinical significance: The most common symptom was TMJ sound and several types of parafunctional habits were associated with TMD.


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  1. Leeuw R, Klasser GD. Orofacial pain: guidelines for assessment, diagnosis, and management. 6th ed., Hanover Park, IL: Quintessence Publishing Co.; 2018.
  2. Kohler AA, Helkimo AN, Magnusson T, et al. Prevalence of symptoms and signs indicative of temporomandibular disorders in children and adolescents. a cross-sectional epidemiological investigation covering two decades. Eur Arch Paediatr Dent 2009;10(Suppl 1):16–25. DOI: 10.1007/BF03262695.
  3. Vanichanon P, Satrasook C, Kuesakul P. Prevalence of signs of temporomandibular disorders in a selected Thai samples. J Dent Assoc Thai 1999;49:10–20.
  4. Charoenlarp P, Asawaworarit N, Nakaparksin J, et al. The prevalence of sings and symptoms of temporomandibular disorders in dental patients at faculty of dentistry. Mahidol University Mahidol Dent J 2001;21:41–51.
  5. Sena MF, Mesquita KS, Santos FR, et al. Prevalence of temporomandibular dysfunction in children and adolescents. Rev Paul Pediatr 2013;31(4):538–545. DOI: 10.1590/S0103-05822013000400018.
  6. Carlsson GE, Ekback G, Johansson A, et al. Is there a trend of decreasing prevalence of TMD-related symptoms with ageing among the elderly? Acta Odontol Scand 2014;72(8):714–720. DOI: 10.3109/00016357.2014.898787.
  7. Loster JE, Osiewicz MA, Groch M, et al. The prevalence of TMD in polish young adults. J Prosthodont 2017;26(4):284–288. DOI: 10.1111/jopr.12414.
  8. Bertoli FMP, Bruzamolin CD, Pizzatto E, et al. Prevalence of diagnosed temporomandibular disorders: a cross-sectional study in Brazilian adolescents. PLoS ONE 2018;13(2):1–11. DOI: 10.1371/journal.pone.0192254.
  9. Lovgren A, Osterlund C, Ilgunas A, et al. A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontol Scand 2018;76(6):387–393. DOI: 10.1080/00016357.2018.1440322.
  10. Zwiri AM, Al-Omiri MK. Prevalence of temporomandibular joint disorder among North Saudi university students. Cranio 2016;34(3):176–181. DOI: 10.1179/2151090315Y.0000000007.
  11. Haggman-Henrikson B, Rezvani M, List T. Prevalence of whiplash trauma in TMD patients: a systematic review. J Oral Rehabil 2014;41(1):59–68. DOI: 10.1111/joor.12123.
  12. Kim HI, Lee JY, Kim YK, et al. Clinical and psychological characteristics of TMD patients with trauma history. Oral Dis 2010;16(2):188–192. DOI: 10.1111/j.1601-0825.2009.01626.x.
  13. Itthikul T, Mitrirattanakul S, Asawaworarit N. Factors related to self-reported temporomandibular disorders in thai dental patients. J Dent Assoc Thai 2006;56(4):270–276.
  14. Reinhardt R, Tremel T, Wehrbein H, et al. The unilateral chewing phenomenon, occlusion, and TMD. Cranio 2006;24(3):166–170. DOI: 10.1179/crn.2006.027.
  15. Motghare V, Kumar J, Kamate S, et al. Association between harmful oral habits and sign and symptoms of temporomandibular joint disorders among adolescents. J Clin Diagn Res 2015;9(8):45–48. DOI: 10.7860/JCDR/2015/12133.6338.
  16. Fernandes G, Franco-Micheloni AL, Siqueira JT, et al. Parafunctional habits are associated cumulatively to painful temporomandibular disorders in adolescents. Braz Oral Res 2016;30(1):1–7. DOI: 10.1590/1807-3107BOR-2016.vol30.0015.
  17. Ohmi H, Kato M, Meadows M. Relationship between type A behavior patterns and risk of temporomandibular disorder in Japanese undergraduate students. J Rural Med 2016;11(2):77–80. DOI: 10.2185/jrm.2910.
  18. Yalcin Yeler D, Yilmaz N, Koraltan M, et al. A survey on the potential relationships between TMD, possible sleep bruxism, unilateral chewing, and occlusal factors in Turkish university students. Cranio 2017;35(5):308–314. DOI: 10.1080/08869634.2016.1239851.
  19. Almăşan OC, Băciuţ M, Almăşan HA, et al. Skeletal pattern in subjects with temporomandibular joint disorders. Arch Med Sci 2013;9(1):118–126. DOI: 10.5114/aoms.2013.33072.
  20. de Paiva Bertoli FM, Bruzamolin CD, de Almeida Kranz GO, et al. Anxiety and malocclusion are associated with temporomandibular disorders in adolescents diagnosed by RDC/TMD. A cross-sectional study. J Oral Rehabil 2018;45(10):747–755. DOI: 10.1111/joor.12684.
  21. Imai T, Okamoto T, Kaneko T, et al. Long-term follow-up of clinical symptoms in TMD patients who underwent occlusal reconstruction by orthodontic treatment. Eur J Orthod 2000;22(1):61–67. DOI: 10.1093/ejo/22.1.61.
  22. Conti A, Freitas M, Conti P, et al. Relationship between signs and symptoms of temporomandibular disorders and orthodontic treatment: a cross-sectional study. Angle Orthod 2003;73(4):411–417.
  23. Leite RA, Rodrigues JF, Sakima MT, et al. Relationship between temporomandibular disorders and orthodontic treatment: a literature review. Dental Press J Orthod 2013;18(1):150–157. DOI: 10.1590/S2176-94512013000100027.
  24. Staniszewski K, Lygre H, Bifulco E, et al. Temporomandibular disorders related to stress and HPA-axis regulation. Pain Res Manag 2018;1:1–7. DOI: 10.1155/2018/7020751.
  25. Araujo Oliveira Ferreira DM, Costa YM, de Quevedo HM, et al. Experimental psychological stress on quantitative sensory testing response in patients with temporomandibular disorders. J Oral Facial Pain Headache 2018;32(4):428–435.
  26. Yamane T. Statistics: an introductory analysis. 2nd ed., New York: A Harper International Ed.; 1970.
  27. Hanmongkhonsin N, Tohnak S, Pumklin J, et al., A simplified tool for screening the patients with temporomandibular disorders: a pilot study. Paper presented at: The 20th National Graduate Research Conference 2019; March 15, 2019; Khon Kaen University, Thailand. https://app.gs.kku.ac.th/gs/th/publicationfile/item/20th-ngrc-2019/MMO16/MMO16.pdf Accessed September 3, 2020.
  28. Shiau YY, Chang C. An epidemiological study of temporomandibular disorders in university students of Taiwan. Community Dent Oral Epidemiol 1992;20(1):43–47. DOI: 10.1111/j.1600-0528.1992.tb00672.x.
  29. Paulino MR, Moreira VG, Lemos GA, et al. Prevalence of signs and symptoms of temporomandibular disorders in college preparatory students: associations with emotional factors, parafunctional habits, and impact on quality of life. Cien Saude Colet 2018;23(1):173–186. DOI: 10.1590/1413-81232018231.18952015.
  30. Lung J, Bell L, Heslop M, et al. Prevalence of temporomandibular disorders among a cohort of university undergraduates in Australia. J Investig Clin Dent 2018;9(3):1–5. DOI: 10.1111/jicd.12341.
  31. Landi N, Lombardi I, Manfredini D, et al. Sexual hormone serum levels and temporomandibular disorders. A preliminary study. Gynecol Endocrinol 2005;20(2):99–103. DOI: 10.1080/09513590400021136.
  32. Graf C, Schierz O, Steinke H, et al. Sex hormones in association with general joint laxity and hypermobility in the temporomandibular joint in adolescents-results of the epidemiologic LIFE child study. J Oral Rehabil 2019;46(11):1023–1030. DOI: 10.1111/joor.12834.
  33. Jang JY, Kwon JS, Lee DH, et al. Clinical signs and subjective symptoms of temporomandibular disorders in instrumentalists. Yonsei Med J 2016;57(6):1500–1507. DOI: 10.3349/ymj.2016.57.6.1500.
  34. Mohlin B, Axelsson S, Paulin G, et al. TMD in relation to malocclusion and orthodontic treatment. Angle Orthod 2007;77(3):542–548. DOI: 10.2319/0003-3219(2007)077[0542:TIRTMA]2.0.CO;2.
  35. Haggman-Henrikson B, Lampa E, Marklund S, et al. Pain and disability in the jaw and neck region following whiplash trauma. J Dent Res 2016;95(10):1155–1160. DOI: 10.1177/0022034516653598.
  36. Emodi-Perlman A, Eli I, Friedman-Rubin P, et al. Bruxism, oral parafunctions, anamnestic and clinical findings of temporomandibular disorders in children. J Oral Rehabil 2012;39(2):126–135. DOI: 10.1111/j.1365-2842.2011.02254.x.
  37. Karibe H, Shimazu K, Okamoto A, et al. Prevalence and association of self-reported anxiety, pain, and oral parafunctional habits with temporomandibular disorders in Japanese children and adolescents: a cross-sectional survey. BMC Oral Health 2015;15(8):1–7. DOI: 10.1186/1472-6831-15-8.
  38. Gameiro GH, da Silva Andrade A, Nouer DF, et al. How may stressful experiences contribute to the development of temporomandibular disorders? Clin Oral Investig 2006;10(4):261–268. DOI: 10.1007/s00784-006-0064-1.
  39. Gaab J, Jiménez J, Voneschen L, et al. Psychosocial stress-induced analgesia: an examination of effects on heat pain threshold and tolerance and of neuroendocrine mediation. Neuropsychobiology 2016;74(2):87–95. DOI: 10.1159/000454986.
  40. Hernandez S, Cruz ML, Seguinot II, et al. Impact of psychological stress on pain perception in an animal model of endometriosis. Reprod Sci 2017;24(10):1371–1381. DOI: 10.1177/1933719116687655.
  41. Geva N, Defrin R. Opposite effects of stress on pain modulation depend on the magnitude of individual stress response. J Pain 2018;19(4):360–371. DOI: 10.1016/j.jpain.2017.11.011.
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