sdj-10032

Temporomandibular joint disorders among a group of patients attending the Oral Diagnosis Clinic of the School of Dentistry at University of Sulaimani, Iraq

Shokhan Ahmad Hussein, Arass Jalal Noori & Faiq Muhammad Amen

College of Dentistry, University of Sulaimani

DOI: https://doi.org/10.17656/sdj.10032

Abstract

Objectives: The objectives of the present study was to find the number of subjects and distribution, etiology and some associated factors of TMJ problems of patients attending the Oral Diagnosis Clinic at the School of Dentistry/ University of Sulaimani.

Materials and Methods: A retrospective study consists of available case-sheet records for patients attended the clinic of Oral Diagnosis of the School of Dentistry at the University of Sulaimani within one academic year (2013-2014) and consisted of 1325 patients aged from 10-79 years; 650 males (49.05%) and 675 females (50.94%).

Results: Out of 53 (0.04%) patients who complained of TMJ problems, 30 patients were males (56.6%) and 23 patients were females (43.4%). The highest numbers of patients seen were from the younger age groups (20-30 years; n= 37, 69.8%). The pain was the most prevalent reported symptom followed by clicking in the joints and more than half of patients reported emotional stress as a causative factor. About one-third of the patients reported that their TMJ problems have affected their functional activities, and also only one-third of the patients reported ear symptoms.

Conclusions: TMD patients require a special kind of attention due the multifactorial nature of the condition and the wide range of clinical manifestations that may be associated with the condition. Furthermore, the impact of the condition on the general health and the quality of life are clearly evident and should not be overlooked by any clinician who encounters such patients.

Keywords: TMD, TMJ dysfunction, TMJ pain.

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References:

1.       Sari S, Sonmez H. Investigation of the relationship between oral parafunctions and temporomandibular joint dysfunction in Turkish children with mixed and permanent dentition. J Oral Rehabil. 2002;29:108–12. 

2.       Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders. N Engl J Med. 2008;359:2693–705. 

3.       Lim PF, Smith S, Bhalang K, Slade GD, Maixner W. Development of temporomandibular disorders is associated with greater bodily pain experience. Clin J Pain. 2010;26:116–20. 

4.       Schmitter M, Rammelsberg P, Hassel A. The prevalence of signs and symptoms of temporomandibular disorders in very old subjects. J Oral Rehabil. 2005;32:467–73.

5.       Nilner M. Prevalence of functional disturbances and diseases of the stomatognathic system in 15-18 year olds. Swed Dent J. 1981;5:189–97. 

6.       Nassif NJ, Hilsen KL. Screening for temporomandibular disorders: history and clinical examination. American Dental Association. J Prosthodont. 1992;1:42–6.

7.       Cooper BC, Kleinberg I. Examination of a large patient population for the presence of symptoms and signs of temporomandibular disorders. Cranio. 2007;25:114–

26. 

8.       Okeson JP, de Kanter RJ. Temporomandibular disorders in the medical practice. J Fam Pract. 1996 ;43:347–56. 

9.       Chuang S-Y. Incidence of temporomandibular disorders (TMDs) in senior dental students in Taiwan. J Oral Rehabil. 2002;29:1206–11. 

10.     Godoy F, Rosenblatt A, Godoy-Bezerra J. Temporomandibular disorders and associated factors in Brazilian teenagers: a cross-sectional study. Int J Prosthodont. 2007;20:599–604.

11.     Manfredini D, Landi N, Bandettini Di Poggio A, Dell’Osso L, Bosco M. A critical review on the importance of psychological factors in temporomandibular disorders. Minerva Stomatol. 2003;52:321–6, 327–30. 

12.     Johansson A, Unell L, Carlsson GE, Söderfeldt B, Halling A. Gender difference in symptoms related to temporomandibular disorders in a population of 50year-old subjects. J Orofac Pain. 2003;17:29–35.

13.     Gaphor SM, Abdullah MJ. Retrospective studu of a series of 203 patients with temporomandibular joint disorders presenting at shool of dentistry, university of Sulaimani.ESJ. 2014;10(9):216–25.

14.     Poveda Roda R, Bagan J V, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal. 2007;12:292–8.

15.     Mohlin B, Axelsson S, Paulin G, Pietilä T, Bondemark L, Brattström V, et al. TMD in relation to malocclusion and orthodontic treatment. Angle Orthod. 2007;77: 542-8.

16.     Ryalat S, Baqain ZH, Amin WM, Sawair F, Samara O, Badran DH. Prevalence of temporomandibular joint disorders among students of the university of jordan. J Clin Med Res. 2009;1:158–64.

17.     Pedroni CR, De Oliveira AS, Guaratini MI. Prevalence study of signs and symptoms of temporomandibular disorders in university students. J Oral Rehabil. 2003;30:283–9.

18.     List T, Stenström B, Lundström I, Dworkin SF. TMD in patients with primary Sjögren syndrome: a comparison with temporomandibular clinic cases and controls. J Orofac Pain. 1999;13:21–8.

19.     Jagger RG, Wood C. Signs and symptoms of temporomandibular joint dysfunction in a Saudi Arabian population. J Oral Rehabil. 1992;19:353–9.

20.     Shiau YY, Chang C. An epidemiological study of temporomandibular disorders in university students of Taiwan. Community Dent Oral Epidemiol. 1992;20:43–

7.

21.     Abou-Atme YS, Zawawi KH, Melis M. Prevalence, intensity, and correlation of different TMJ symptoms in Lebanese and Italian subpopulations. J Contemp Dent Pract. 2006;7:71–8.

22.     Auerbach SM, Laskin DM, Frantsve LM, Orr T.

Depression, pain, exposure to stressful life events, and long-term outcomes in temporomandibular disorder patients. J Oral Maxillofac Surg. 2001;59:628–33.

23.     Pike JL, Smith TL, Hauger RL, Nicassio PM, Patterson TL, McClintick J, et al. Chronic life stress alters sympathetic, neuroendocrine, and immune responsivity to an acute psychological stressor in humans. Psychosom Med. 1997;59(4):447–57.

24.     Jerolimov V. Temporomandibular injuries and disorders in sport. Med Sci. 2010;34:149–65.

25.     Sailors ME. Evaluation of sports-related temporomandibular dysfunctions. J Athl Train. 1996;31:346–50.

26.     Yildirim D, Dergin G, Tamam C, Moroglu S, Gurses B. Indirect measurement of the temporomandibular joint disc elasticity with magnetic resonance imaging. Dentomaxillofac Radiol. 2011;40:422–8.

27.     Abdel-Hakim AM. Stomatognathic dysfunction in the western desert of Egypt: an epidemiological survey. J Oral Rehabil. 1983;10:461–8.

28.     Barros V de M, Seraidarian PI, Côrtes MI de S, de Paula LV. The impact of orofacial pain on the quality of life of patients with temporomandibular disorder. J Orofac Pain. 2009;23:28–37.

29.     Segù M, Lobbia S, Canale C, Collesano V. Quality of life in patients with temporomandibular disorders. Minerva Stomatol. 2003;52:279–87.

30.     Park MW, Jo JH, Park JW. Quality and content of internet-based information on temporomandibular disorders. J Orofac Pain. 2012;26:296–306.

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