Prevalence of diagnosed temporomandibular disorders: A cross-sectional study in Brazilian adolescents.

Prevalence of diagnosed temporomandibular disorders: A cross-sectional study in Brazilian adolescents.
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DOI:
10.1371/journal.pone.0192254
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发表时间:
2018
期刊:
影响因子:
3.7
通讯作者:
de Souza JF
de Souza JF
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bertoli FMP;Bruzamolin CD;Pizzatto E;Losso EM;Brancher JA;de Souza JF

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在青春期和成年期,颞下颌关节紊乱病(TMD)的症状和体征的患病率增加。很少有研究调查巴西青少年中TMD的患病率。调查巴西青少年中TMD的患病率。对934名青少年(10-14岁)的代表性人群样本进行了调查。TMD筛查是使用美国口腔面部疼痛学会的问卷进行的。TMD诊断采用研究诊断标准(RDC/TMD-Axis-I)。检查由一名经过校准的检查员(kappa>0.80)进行。TMD症状的发生率为34.9%,最常见的症状是头痛和颈部疼痛(20.9%),其次是关节音(18.5%)。最常见的类型是肌筋膜痛(10.3%),其次是关节盘移位和关节痛,分别为8.0%和3.5%。性别与TMD症状显著相关,女童患病率明显高于女性(RP=1.3795%CI=1.14~1.65;P=0.001)。TMD的肌筋膜痛和移位合并移位在女孩中的发生率较高(分别为rp=1.76,p=0.007和rp=2.06,p=0.004)。34.9%的青少年出现TMD症状,其中肌筋膜痛是最常见的类型(10.3%)。TMD在女孩中明显更常见。常规的儿科牙科护理应包括TMD筛查。
The prevalence of signs and symptoms of temporomandibular disorders (TMD) increases during adolescence and adulthood. Few studies have examined TMD prevalence in Brazilian adolescents. To investigate the prevalence of TMD in Brazilian adolescents. A representative population-based sample of 934 adolescents (10–14-years-old) was examined. TMD screening was performed using a questionnaire by the American Academy of Orofacial Pain. TMD diagnoses used research diagnostic criteria for temporomandibular disorders (RDC/TMD—Axis-I). Examinations were performed by a single calibrated examiner (kappa > 0.80). The prevalence of TMD symptoms was 34.9%; the most frequently reported symptoms were headache and neck ache (20.9%), followed by joint sounds (18.5%). Myofascial pain was the most prevalent type (10.3%), followed by disc displacement with reduction (8.0%) and arthralgia (3.5%). There was a significant association between sex and TMD symptoms; prevalence was significantly higher in girls (RP = 1.37; 95% CI = 1.14–1.65; p = 0.001). Myofascial pain of TMD and displacement with reduction were more prevalent in girls (RP = 1.76; p = 0.007 and RP = 2.06; p = 0.004, respectively). TMD symptoms were present in 34.9% of adolescents, with myofascial pain being the most prevalent type (10.3%). TMD was significantly more common in girls. Routine pediatric dental care should include a TMD screening.
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