Signs and symptoms of temporomandibular disorders in adolescents

Signs and symptoms of temporomandibular disorders in adolescents
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DOI:
10.1590/s1806-83242005000200004
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发表时间:
2005-06-01
影响因子:
2.5
通讯作者:
Garcia, Renata Cunha Matheus Rodrigues
Garcia, Renata Cunha Matheus Rodrigues
中科院分区:
医学4区
文献类型:
--
作者:
Bonjardim, Leonardo Rigoldi;Gavião, Maria Beatriz Duarte;Garcia, Renata Cunha Matheus Rodrigues

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本研究的目的是验证青少年颞下颌关节紊乱病(TMD)的症状和体征的患病率及其与性别的关系。样本包括217名受试者,年龄在12至18岁之间。TMD的主观症状和临床体征进行了评估,分别使用自我报告问卷和颅下颌指数,其中有2个分量表;功能障碍指数和触诊指数。肌肉嫩度测定结果变异性较大(0.9-32.25%)。与颞下颌关节相关的是,上级、背侧和外侧髁区域的触痛分别占样本的10.6%、10.6%和7.83%。在开放过程中的联合声音存在于19.8%的样品和在关闭过程中的14.7%。最常见的症状是关节音(26.72%)和头痛(21.65%)。性别间差异无统计学意义(p > 0.05),但翼外肌压痛在女孩中更常见。总之,TMD的临床体征和症状可以发生在青少年,但是,性别的影响并没有被察觉。
The aim of this study was to verify the prevalence of signs and symptoms of temporomandibular disorders (TMD) in adolescents and its relationship to gender. The sample comprised 217 subjects, aged 12 to 18. The subjective symptoms and clinical signs of TMD were evaluated, using, respectively, a self-report questionnaire and the Craniomandibular Index, which has 2 subscales; the Dysfunction Index and the Palpation Index. The results of muscle tenderness showed great variability (0.9-32.25%). In relation to the temporomandibular joint, tenderness of the superior, dorsal and lateral condyle regions occurred in 10.6%, 10.6% and 7.83%, respectively, of the sample. Joint sound during opening was present in 19.8% of the sample and during closing in 14.7%. The most prevalent symptoms were joint sounds (26.72%) and headache (21.65%). There was no statistical difference between genders (p > 0.05), except for the tenderness of the lateral pterygoid muscles, which presented more prevalence in girls. In conclusion, clinical signs and symptoms of TMD can occur in adolescents; however, gender influence was not perceived.