Temporomandibular clinical exploration in Italian adolescents

Cranio. 2019 Mar;37(2):77-84. doi: 10.1080/08869634.2017.1391963. Epub 2017 Oct 26.

Abstract

Objective: This study investigated the prevalence of the signs and symptoms of temporomandibular disorders (TMD) among Italian adolescents.

Methods: The data were recorded from 567 subjects (246 males and 321 females; age range 11-19 years), grouped according to age and molar class relationship.

Results: Forty-four point one percent of subjects showed at least one sign or symptom of TMD, which were significantly more frequent in the 16-19 year-old group (52.9%) in respect to the 11-15 year-old group (39.8%) (χ 2 = 8.78; p = 0.003). Signs and/or symptoms were about 1.6 times more frequent in subjects with Class II/1 malocclusion (χ 2 = 13.3, p = 0.0003), mostly for TMJ sounds (χ 2 = 1.444; p = 0.036). Myalgia was more frequent in females than in males (χ 2 = 3.882; p = 0.049).

Conclusion: TMD signs and/or symptoms among Italian adolescents seem diffused (44.1%). Therefore, all adolescents should be screened thorough medical history and clinical examination.

Keywords: Angle classification; Temporomandibular joint disorders; adolescent; clinical sign; malocclusion; subjective symptom.

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Female
  • Humans
  • Italy / epidemiology
  • Male
  • Malocclusion / epidemiology
  • Mass Screening
  • Myalgia / epidemiology
  • Prevalence
  • Sex Factors
  • Temporomandibular Joint Disorders / diagnosis
  • Temporomandibular Joint Disorders / epidemiology*
  • Young Adult