Emel Dervis Nuriye
İstanbul University-Cerrahpaşa, Vocational School of Health Related Professions, Oral and Dental Health Program, Istanbul, Turkey
Summary
Background/Aim: Temporomandibular dysfunction (TMD) might influence any individual with different signs and symptoms irrespective of gender or age. The aim of this study is to assess the prevalence of TMD in Oral and Dental Health Program students of İstanbul University-Cerrahpaşa. Material and Methods: This study include a sample of 486 students with age ranging from18 to 24 years. The presence and severity of TMD was evaluated using the Fonseca’s Anamnestic Index (FAI) and its questionnaire. The data were analysed using SPSS Version 22. The chisquare test was used to compare the data from different groups and to determine whether the differences were statistically significant. Results: The results showed that a total of 47,53% of students had some degree of TMD and females were generally more affected than males. These degrees were as follows: 33,95 % were classified as mild, 11,52 % moderate and 2,05 % severe signs and symptoms. The women exhibited some degree of TMD (51,8%) at a higher frequency than men (40,33%). No significant differences were observed between gender for a same TMD severity degree (p>0.05). Conclusions: A high prevalence of mild TMD was found in this study population. In addition, tense personalities, headaches, and temporomandibular joint (TMJ) sounds were the most prevalent findings of TMD. The present study suggests that Fonseca’s Anamnestic Index (FAI) has been used in screening for TMD for prevention and management of TMD in a non-patient young population.
Keywords: Fonseca’s Anamnestic Index; temporomandibular dysfunction; university student
Reference
Akhter, R., Morita, M., Esaki, M., Nakamura, K., Kanehira, T. (2011) Development of temporomandibular disorder symptoms: A 3-year cohort study of university students. Journal of Oral Rehabilitation, 39, 395-403
Al, M.M.M., Okshah, A.S., Al-Shahrani, A.A., Alshadidi, A.A.F., Shaabi, F.I., Mobark, A.H., Mattoo, K.A. (2017) Prevalence and severity of temporomandibular disorders among undergraduate medical students in association with Khat chewing. J Contemp Dent Pract, 18, 23-28
Bevilaqua-Grossi, D., Chaves, T.C., de Oliveira, A.S., Monteiro-Pedro, V. (2006) Anamnestic Index severity and signs and symptoms of TMD. Cranio, 24(2), 112-118
Bicaj, T., Shala, K., Krasniqi, T.P., Ahmedi, E., Dula, L., Lila-Krasniqi, Z. (2018) Frequency of symptoms of temporomandibular disorders among Prishtina dental students. Open Access Macedonian Journal of Medical Sciences, 6, 1126-1131
Bonjardim, L.R., Lopes-Filho, R.J., Amado, G., Albuquerque, R.L.C., Goncalves, S.R.J. (2009) Association between symptoms of temporomandibular disorders and gender, morphological occlusion, and psychological factors in a group of university students. Indian Journal of Dental Research, 20(2), 190-194
Calixtre, L.B., Gruninger, B.L.D.S., Chaves, T.C., Oliveira, A.B.D. (2014) Is there an association between anxiety/depression and temporomandibular disorders in college students?. Journal of Applied Oral Science, 22(1), 15-21
Chuang, S.Y. (2002) Incidence of temporomandibular disorders (TMDs) in senior dental students in Taiwan. Journal of Oral Rehabilitation, 29(12), 1206-1211
Ciancaglini, R., Radaelli, G. (2001) The relationship between headache and symptoms of temporomandibular disorder in the general population. Journal of Dentistry, 29(2), 93-98
Conti, P.C., Ferreira, P.M., Pegoraro, L.F., Conti, J.V., Salvador, M.C. (1996) A cross-sectional study of prevalence and etiology of signs and symptoms of temporomandibular disorders in high school and university students. J Orofac Pain, 10, 254-262
de Leeuw, R., Klasser, G.D. (2013) Orofacial pain: Guidelines for assessment, diagnosis, and management. Hanover Park: Quintessence Publishing Co, 5th edn., 129-154
de Oliveira, A.S., Dias, E.M., Contato, R.G., Berzin, F. (2006) Prevalence study of signs and symptoms of temporomandibular disorder in Brazilian college students. Brazilian Oral Research, 20(1), 3-7
Dworkin, S.F., Leresche, L. (1992) Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique. J Carniomandib Disord, 6, 301-355
Fonseca, D.M., Bonfante, G., Valle, A.L., de Freitas, S.F. (1994) Diagnóstico pela anamnese da disfunção craniomandibular. Rev Gaúcha Odontol, 42, 23-28
Gameiro, G.H., da Silva, A.A., Nouer, D.F., Ferraz, D.A.V.M.C. (2006) How may stressful experiences contribute to the development of temporomandibular disorders?. Clinical Oral Investigations, 10(4), 261-268
Gonçalves, D.A.G., Bigal, M.E., Jales, L.C.F., Camparis, C.M., Speciali, J.G. (2010) Headache and symptoms of temporomandibular disorder: An epidemiological study: Research submission. Headache: The Journal of Head and Face Pain, 50(2), 231-241
Habib, S.R., Al, R.M.Q., Awan, K.H., Alsaif, A.H., Alshalan, A., Altokais, Y. (2015) Prevalence and severity of temporomandibular disorders among university students in Riyadh. Saudi Dental Journal, 27(3), 125-130
Helkimo, M. (1974) Studies on function and dysfunction of the masticatory system II: Index for anamnestic and clinical dysfunction and occlusal state. Swed Dent J, 67, 101-121
Jerolimov, V. (2009) Temporomandibular disorders and orofacial pain. Medical Sciences, 33, 53-77
Jivnani, H.M., Tripathi, S., Shanker, R., Singh, B.P., Agrawal, K.K., Singhal, R. (2019) A study to determine the prevalence of temporomandibular disorders in a young adult population and its association with psychological and functional occlusal parameters. Journal of Prosthodontics, 28(1), e445-e449
Karthik, R., Hafila, M.I., Saravanan, C., Vivek, N., Priyadarsini, P., Ashwath, B. (2017) Assessing prevalence of temporomandibular disorders among university students: A questionnaire study. J Int Soc Prevent Communit Dent, 7, 24-29
Kataoka, K., Ekuni, D., Mizutani, S., Tomofuji, T., Azuma, T., Yamane, M., Kawabata, Y., Iwasaki, Y., Morita, M. (2015) Association between self-reported Bruxism and malocclusion in university students: A cross-sectional study. Journal of Epidemiology, 25(6), 423-430
Lavigne, G.J., Khoury, S., Abe, S., Yamaguchi, T., Raphael, K. (2008) Bruxism physiology and pathology: An overview for clinicians. Journal of Oral Rehabilitation, 35(7), 476-494
Lavigne, G.J., Montplaisir, J.Y. (1994) Restless legs syndrome and sleep bruxism: Prevalence and association among canadians. Sleep, 17, 739-743
Leresche, L., Drangsholt, M. (2008) Epidemiology of orofacial pain: prevalence, incidence, and risk factor. u: Sessle B.J., Lavigne G.J., Lund J.P., Dubner R. [ur.] Orofacial pain. From basic science to clinical management, Chicago: Quintessence Publishing, 2nd ed, 13-8
Lin, S.L., Wu, S.L., Huang, H.T., Lung, F.W., Chi, T.C., Yang, J. (2017) Can a 10-minute questionnaire identify significant psychological issues in patients with temporomandibular joint disease?. Journal of Oral and Maxillofacial Surgery, 75(9), 1856-1865
Lobbezoo, F., Naeije, M. (2001) Bruxism is mainly regulated centrally, not peripherally. Journal of Oral Rehabilitation, 28(12), 1085-1091
Lövgren, A., Österlund, C., Ilgunas, A., Lampa, E., Hellström, F. (2018) A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontologica Scandinavica, 76(6), 387-393
Lung, J., Bell, L., Heslop, M., Cuming, S., Ariyawardana, A. (2018) Prevalence of temporomandibular disorders among a cohort of university undergraduates in Australia. Journal of Investigative and Clinical Dentistry, 9(3), e12341-e12341
Majumder, K., Sharma, S., Rao, D.J.K., Siwach, V., Arya, V., Gulia, S. (2015) Prevalence and sex distribution of temporomandibular disorders and their association with anxiety and depression in Indian medical university students. International Journal of Clinical Medicine, 06(08), 570-578
Manfredini, D., Bandettini, D.P.A., Cantini, E., Dell’osso, L., Bosco, M. (2004) Mood and anxiety psychopathology and temporomandibular disorder: A spectrum approach. Journal of Oral Rehabilitation, 31(10), 933-940
Manfredini, D., Lobbezoo, F. (2009) Role of psychosocial factors in the etiology of bruxism. J Orofac Pain, 23, 153-166
McMillan, A.S., Wong, M.C.M., Lee, L.T.K., Yeung, R.W.K. (2009) Depression and diffuse physical symptoms in southern Chinese with temporomandibular disorders. Journal of Oral Rehabilitation, 36(6), 403-407
Modi, P., Shaikh, S.S., Munde, A. (2012) A cross sectional study of prevalence of temporomandibular disorders in university students. Int J Sci Res Publ, 2, 1-3
Monteiro, D.R., Zuim, P.R.J., Pesqueira, A.A., Ribeiro, P.D.P., Garcia, A.R. (2011) Relationship between anxiety and chronic orofacial pain of temporomandibular disorder in a group of university students. Journal of Prosthodontic Research, 55(3), 154-158
Natu, V.P., Yap, N.J., Su, M.H., Irfan, A.N.M., Ansari, A.M. (2018) Temporomandibular disorder symptoms and their association with quality of life, emotional states and sleep quality in South-East Asian youths. Journal of Oral Rehabilitation, 45(10), 756-763
Nomura, K., Vitti, M., de Oliveira, A.S., Chaves, T.C., Semprini, M., Siéssere, S., Hallak, J.E.C., Regalo, S.C.H. (2007) Use of the Fonseca’s questionnaire to assess the prevalence and severity of temporomandibular disorders in Brazilian dental undergraduates. Brazilian Dental Journal, 18(2), 163-167
Okeson, J.P. (2003) Treatment of temporomandibular joint disorders. u: Management of Temporomandibular Disorders and Occlusion, St. Louis: Mosby, 5th edn., 413-435
Pedroni, C.R., de Oliveira, A.S., Guaratini, M.I. (2003) Prevalence study of signs and symptoms of temporomandibular disorders in university students. Journal of Oral Rehabilitation, 30(3), 283-289
Poveda, R.R., Bagan, J.V., Díaz, F.J.M., Hernández, B.S., Jiménez, S.Y. (2007) Review of temporomandibular joint pathology, part I: Classification, epidemiology and risk factors. Medicina oral, patología oral y cirugía bucal, 12(4), E292-298
Roda, P.R., Fernández, D.J.M., Bazán, H.S., Soriano, J.Y., Margaix, M., Sarrión, G. (2008) A review of temporomandibular joint disease (TMJD), part II: Clinical and radiological semiology morbidity processes. Med Oral Patol Oral Cir Bucal, 13, 102-109
Rokaya, D., Suttagul, K., Joshi, S., Bhattarai, B.P., Shah, P.K., Dixit, S. (2018) An epidemiological study on the prevalence of temporomandibular disorder and associated history and problems in Nepalese subjects. Journal of Dental Anesthesia and Pain Medicine, 18(1), 27-33
Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J.P., List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti, A., Brooks, S.L., Ceusters, W., Drangsholt, M., Ettlin, D. (2014) Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the international RDC/TMD consortium network and orofacial pain special interest group. Journal of Oral & Facial Pain and Headache, 28(1), 6-27
Smriti, J.B., Patni, V.M., Mukta, M., Gangotri, S. (2014) Association between symptoms of temporomandibular disorders and gender, morphological occlusion, and psychological factor in dental student’s. IJSS, 2, 55-58
Soares, L.G., Costa, I.R., Brum, J.J.D.S., Cerqueira, W.S.B., de Oliveira, E.S., de Oliveira, D.W.D., Gonçalves, P.F., Glória, J.C.R. (2017) Prevalence of bruxism in undergraduate students. Cranio, 35(5), 298-303
Speciali, J.G., Dach, F. (2015) Temporomandibular dysfunction and headache disorder. Headache: The Journal of Head and Face Pain, 55, 72-83
Strausz, T., Ahlberg, J., Lobbezoo, F., Restrepo, C.C., Hublin, C., Ahlberg, K. (2010) Self-reported bruxism from adolescence to young adulthood: A nine-year follow-up. J Oral Rehabil, 37, 497-500
van Selms, M.K.A., Visscher, C.M., Naeije, M., Lobbezoo, F. (2013) Bruxism and associated factors among Dutch adolescents. Community Dentistry and Oral Epidemiology, 41(4), 353-363
Vivaldi, D., di Giosia, M., Tchivileva, I.E., Jay, G.W., Slade, G.D., Lim, P.F. (2018) Headache attributed to TMD is associated with the presence of comorbid bodily pain: A case-control study. Headache: The Journal of Head and Face Pain, 58(10), 1593-1600
Wieckiewicz, M., Grychowska, N., Wojciechowski, K., Pelc, A., Augustyniak, M., Sleboda, A., Zietek, M. (2014) Prevalence and correlation between TMD based on RDC/TMD diagnoses, oral parafunctions and psychoemotional stress in Polish university students. BioMed Research International, 2014, 472346
Wiendels, N.J., Knuistingh, N.A., Rosendaal, F.R., Spinhoven, P., Zitman, F.G., Assendelft, W.J., Ferrari, M.D. (2006) Chronic frequent headache in the general population: Prevalence and associated factors. Cephalalgia, 26(12), 1434-1442
Zwiri, A.M.A., Al-Omiri, M.K. (2016) Prevalence of temporomandibular joint disorder among North Saudi University students. Cranio, 34(3), 176-181
Balkan Journal of Dental Medicine, 2019, vol. 23, br. 2, str. 80-87