Background: Temporomandibular joint dysfunction (TMJD) is widespread. About 60-70% of the general population is aware of symptoms. Aim of the study is to investigate the main risk factors involved in TMJD. Methods: 68 consecutive patients admitted for surgical procedures were enrolled. Before surgical procedure, they were clinically evaluated for TMJD, according to accepted criteria. A logistic regression model step-wise was used to evaluate the correlation between single risk factors and TMJD. Results: 47 out of 68 patient (69.12%) presented at least one sign or symptom of TMJD. Among all evaluated risk factors, only the presence of dental caries was significantly associated with TMJD (OR=6.13; p<0.05). Conclusions: Dental caries, inappropriate caries obturations and/or caries mistreated by reconstructive materials may lead to occlusal disorder, one of the most common factors involved in the pathogenesis of TMJD. Clinical Implications: Our data suggest a major role of the dentist in the prevention and treatment of TMJD.
Temporomandibular Joint Dysfunction: From Risk Factors To Prevention
Casale M;
2003-01-01
Abstract
Background: Temporomandibular joint dysfunction (TMJD) is widespread. About 60-70% of the general population is aware of symptoms. Aim of the study is to investigate the main risk factors involved in TMJD. Methods: 68 consecutive patients admitted for surgical procedures were enrolled. Before surgical procedure, they were clinically evaluated for TMJD, according to accepted criteria. A logistic regression model step-wise was used to evaluate the correlation between single risk factors and TMJD. Results: 47 out of 68 patient (69.12%) presented at least one sign or symptom of TMJD. Among all evaluated risk factors, only the presence of dental caries was significantly associated with TMJD (OR=6.13; p<0.05). Conclusions: Dental caries, inappropriate caries obturations and/or caries mistreated by reconstructive materials may lead to occlusal disorder, one of the most common factors involved in the pathogenesis of TMJD. Clinical Implications: Our data suggest a major role of the dentist in the prevention and treatment of TMJD.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
