Prevalence of diagnosed temporomandibular disorders among Saudi Arabian children and adolescents.
Prevalence of diagnosed temporomandibular disorders among Saudi Arabian children and adolescents.
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DOI：
10.1186/s10194-016-0642-9
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Christidis N
中科院分区：
文献类型：
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作者：
Al-Khotani A;Naimi-Akbar A;Albadawi E;Ernberg M;Hedenberg-Magnusson B;Christidis N
研究表明，颞下颌紊乱（TMD）的症状和体征在儿童早期很少见，但在青少年和成年期更为普遍。据我们所知，还没有研究调查过一般人群中儿童tmd诊断的患病率。因此，目的是使用TMD研究诊断标准（RDC/TMD）调查一般人群中儿童和青少年TMD诊断的患病率。目前的横断面研究包括456名年龄在10至18岁之间的儿童和青少年，他们随机从吉达的10所男校和10所女校招收。参与者首先回答了两个关于TMD疼痛的验证问题，然后根据RDC/TMD进行临床检查。124名参与者（27.2%）被诊断出至少一种tmd诊断。肌筋膜疼痛是最常见的诊断（15%），其次是椎间盘移位伴复位、关节痛、肌筋膜疼痛伴开口受限和骨关节病。诊断为肌筋膜疼痛的儿童比未诊断为肌筋膜疼痛的儿童更常报告口腔面部疼痛、头痛和咬牙（p < 0.05），而关节痛的儿童比未诊断为tmd的儿童更常报告口腔面部疼痛和牙齿磨牙（p < 0.05）。在TMD组中，只有18%的人因为疼痛找过牙医或内科医生。TMD在沙特阿拉伯的儿童和青少年中很常见。自我报告的口面部疼痛、头痛以及磨牙与tmd疼痛诊断和椎间盘移位有关。儿童和青少年寻求牙医或内科医生治疗疼痛的比例低得惊人。
Studies have indicated that the prevalence of symptoms and signs of temporomandibular disorders (TMD) are rare early in childhood, but become more prevalent in adolescents and adulthood. To our knowledge, no study has investigated the prevalence of TMD-diagnoses in children in the general population. The aim was thus to investigate the prevalence of TMD-diagnoses among children and adolescents in the general population using the Research Diagnostic Criteria for TMD (RDC/TMD). The current cross-sectional study consisted of 456 children and adolescents, aged between 10 and 18, randomly enrolled from 10 boy’s- and 10 girl’s- schools in Jeddah. The participants first answered two validated questions about TMD-pain, followed by a clinical examination according to RDC/TMD. One hundred twenty-four participants (27.2 %) were diagnosed with at least one TMD-diagnosis. Myofascial pain was the most common diagnosis (15 %) followed by disc displacement with reduction, arthralgia, myofascial pain with limited mouth opening and osteoarthrosis. Children diagnosed with myofascial pain more often reported orofacial pain, headache and tooth clenching (p < 0.05), whereas children with arthralgia more often reported orofacial pain and tooth grinding than those without a TMD-diagnosis (p < 0.05). Only 18 % of the subjects in the TMD group had sought a dentist or physician for their pain. TMD was common among children and adolescents in Saudi Arabia. Self-reported orofacial pain and headache as well as bruxism were associated with a TMD-pain diagnosis and disc displacement. A surprisingly low percentage of children and adolescents sought treatment by a dentist or physician for their pains.