Temporomandibular joint disorders and Gender differences among habitants of Karachi
DOI:
https://doi.org/10.51985/JBUMDC2018042Keywords:
Temporomandibular Joint, Temporomandibular Joint DisordersAbstract
Methodology: It was a cross sectional study conducted from Sep 2017 to Nov 2017. Three hundred patients were selected through cluster sample technique from the public/private dental institutes and private dental clinics of Karachi. The data was collected with the help of questionnaire and intraoral examination was performed by the PI. All those patients with complain of TMDs and between 20-75 years were included in this study. The frequency and association between gender and TMDs were assessed through the application of Chi square.
Results: There were more males (n=162, 54%) and (n=138, 46%) females in this study. Majority of participants fall under the age group of 20-30 years of age. Most common TMDs symptom among male was pain during mastication (n=104, 64%) and most common symptoms among female was pain on neck/cervical area which was (n=92, 66%). Headache and earache was the least common symptom among both genders and p-value was 0.003 and 0.024 respectively. Clicking was the most common TMJ sound found among both genders, in male it was (n=58, 35.8%) and in female it was (n=48, 34.7%) followed by crepitation.
Conclusion: It was inferred from this study that greater prevalence of TMDs was mostly found in female gender. The statistically significant difference was found among stress as an aggravating factor of TMDs and gender. Clicking was the most prevalent TMJ sound and clenching was the most frequently observed parafunctional habit among both gender, followed by tooth grinding and statistically significant difference found among both gender.
References
Ali KF, Fatima A, Ilyas BF. Impact of Anxiety and Depression on Temporomandibular Joint Disorders among Sample of Dental Undergraduates of Karachi. JPDA. 2016; 25(04): 144.
Alves RD, Silva PF, Veiga PH, Daher CR. The effectiveness of the physiotherapeutic resources in the gain of the amplitude of bucal opening in patients with craniomandibular dysfunctions. Revista de Odontologia da UNESP. 2010; 39(1): 55-61.
Minghelli B, Morgado M, Caro T. Association of temporomandibular disorder symptoms with anxiety and depression in Portuguese college students. Journal of oral science. 2014; 56(2): 127-33.
Durham J, Wassell RW. Recent advancements in temporomandibular disorders (TMDs). Reviews in pain. 2011; 5(1): 18-25.
Dao TT, LeResche L. Gender differences in pain. Journal of orofacial pain. 2000; 1; 14(3).
Farsi NM. Symptoms and signs of temporomandibular disorders and oral parafunctions among Saudi children. Journal of oral rehabilitation. 2003; 30(12): 1200-8.
Schmitter M, Rammelsberg P, Hassel A. The prevalence of signs and symptoms of temporomandibular disorders in very old subjects. Journal of oral rehabilitation. 2005; 32(7): 467- 73.
Tanaka E, Detamore MS, Mercuri LG. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. Journal of dental research. 2008; 87(4): 296-307.
Ahmed LI, Abuaffan AH. Prevalence of temporomandibular joint disorders among Sudanese University students. Journal of Oral Hygiene & Health. 2016; 4(2); 1-5.
Sugisaki M, Takano N, Kino K, Hayashi K, Saito T, et al. (2008) Prevalence of temporomandibular disorders among working population of Tokyo. J Jpn Soc TMJ. 2008 :( 20): 127-33.
Michelotti A, Iodice G, Piergentili M, Farella M, Martina R. Incidence of temporomandibular joint clicking in adolescents with and without unilateral posterior cross-bite: a 10-year follow-up study. Journal of oral rehabilitation. 2016; 43(1): 16-22.
Agerberg G, Bergenholtz A. Craniomandibular disorders in adult populations of West Bothnia, Sweden. Acta Odontologica Scandinavica. 1989; 47(3): 129-40.
Tuerlings V, Limme M. The prevalence of temporomandibular joint dysfunction in the mixed dentition. The European Journal of Orthodontics. 2004; 26(3): 311-20.
Johansson A, Unell L, Carlsson GE, Söderfeldt B, Halling A. Gender difference in symptoms related to temporomandibular disorders in a population of 50-year-old subjects. Journal of orofacial pain. 2003; 17(1); 29-35.
Fariha Shah, Hassan SN, Rana FM.Awareness of Dentists Regarding Role of Physiotherapy in Managing Temporo- mandibular Joint Dysfunction. Journal of Riphah College of Rehabilitation Sciences. 2014; 2(1): 35-39
Khan M, Khan A, Hussain U. Prevalence of temporo- mandibular dysfunction (TMD) among university students. Pakistan Oral & Dental Journal. 2015; 35(3).
https://en.wikipedia.org/wiki/Towns_in_Karachi
Manfredini D, Chiappe G, Bosco M. Research diagnostic
criteria for temporomandibular disorders (RDC/TMD) axis I diagnoses in an Italian patient population. Journal of oral rehabilitation. 2006; 33(8): 551-8.
Bagis B, Ayaz EA, Turgut S, Durkan R, Özcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. International journal of medical sciences. 2012; 9(7): 539.
Lee LT, Yeung RW, Wong MC, McMillan AS. Diagnostic sub-types, psychological distress and psychosocial dysfunction in southern Chinese people with temporomandibular disorders. Journal of oral rehabilitation. 2008; 35(3): 184-90.
Hagag G, Yoshida K, Miura H. Occlusion, prosthodontic treatment, and temporomandibular disorders: a review. Journal of medical and dental sciences. 2000; 47(1): 61-6.
Mohlin B, Axelsson S, Paulin G, Pietilä T, Bondemark L, Brattström V, Hansen K, Holm AK. TMD in relation to malocclusion and orthodontic treatment: a systematic review. The Angle Orthodontist. 2007; 77(3): 542-8.
Michelotti A, Cioffi I, Festa P, Scala G, Farella M. Oral parafunctions as risk factors for diagnostic TMD subgroups. Journal of oral rehabilitation. 2010 Mar 1; 37(3): 157-62.
Manfredini D, Guarda-Nardini L, Winocur E, Piccotti F, Ahlberg J, Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics. 2011; 112(4): 453-62.
Velly AM, Gornitsky M, Philippe P. Contributing factors to chronic myofascial pain: a case–control study. Pain. 2003; 104(3): 491-9.
Cooper BC, Kleinberg I. Examination of a large patient population for the presence of symptoms and signs of temporomandibular disorders. CRANIO®. 2007; 25(2): 114- 26
Tröltzsch M, Cronin RJ, Brodine AH, Frankenberger R, Messlinger K. Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences. The Journal of prosthetic dentistry. 2011; 105(6): 410-7.
Özkan NC, Özkan F. The relationship of temporomandibular disorders with headaches: a retrospective analysis. Agri. 2011; 23(1): 13-7.
Okeson JP. Long-term treatment of disk-interference disorders of the temporomandibular joint with anterior repositioning occlusal splints. The Journal of prosthetic dentistry. 1988; 60(5):611-6.
Akhter R, Morita M, Esaki M, Nakamura K, Kanehira T. Development of temporomandibular disorder symptoms: a 3-year cohort study of university students. Journal of oral rehabilitation. 2011; 38(6): 395-403.
Pullinger AG, Seligman DA. Quantification and validation of predictive values of occlusal variables in temporomandibular disorders using a multifactorial analysis. The Journal of prosthetic dentistry. 2000; 83(1):66-75.
Gesch D, Bernhardt O, Kirbschus A. Association of malocclusion and functional occlusion with temporomandibular disorders (TMD) in adults: A systematic review of population- based studies. Quintessence international. 2004; 35(3); 211- 21
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2018 Kiran Fatima Mehboob Ali Bana, Umair Aslam, Arsalan Khalid, Wahab Buksh Kadri
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0 
