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Signs and symptoms of temporomandibular joint dysfunction in children with primary dentition

  • Leonardo Rigoldi Bonjardim1
  • Maria Beatriz Duarte Gaviao2,*,
  • Fabiola Grammatico Carmagnani3
  • Luciano Jose Pereira1
  • Paula Midori Castelo1

1Department of Physiological Sciences, Piracicaba Dental School, State University of Campinas (FOP/UNICAMP), Piracicaba, SP, Brazil

2Department of Pediatric Dentistry, Piracicaba Dental School, State University of Campinas (FOP/UNICAMP), Piracicaba, SP, Brazil

3Orthodontist, Sao Paulo, SP, Brazil.

DOI: 10.17796/jcpd.28.1.0772w75g91963670 Vol.28,Issue 1,January 2004 pp.53-58

Published: 01 January 2004

*Corresponding Author(s): Maria Beatriz Duarte Gaviao E-mail: mbgaviao@fop.unicamp.br

Abstract

The presence of signs and symptoms of TMD in 99 children with primary dentition was evaluated through clinical exam and a questionnaire. The results showed that 34.34% presented signs and/or symptoms of TMD. Among the children with symptoms, 50% presented at least one sign or more, differing significantly from the ones without symptoms, and from those 21.6% presented sign (p=0.0l85). The most prevalent symptom was frequent headache (7.07%) followed by jaw pain (4.04%), earache (3.03%) and difficulty in swallowing (3.03%). The most prevalent sign was jaw deviation (18.18%) followed by occlusal interferences (7.07%), asymmetric condylar movement (5.05%) and TMJ sounds (3.03%). We concluded that signs and symptoms of TMD are present in early ages, even though in a small number of children.

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Leonardo Rigoldi Bonjardim,Maria Beatriz Duarte Gaviao,Fabiola Grammatico Carmagnani,Luciano Jose Pereira,Paula Midori Castelo. Signs and symptoms of temporomandibular joint dysfunction in children with primary dentition. Journal of Clinical Pediatric Dentistry. 2004. 28(1);53-58.

References

1. Abdel-Hakim AM, Alsalem A, Khan N. Stomatognathic dysfunctional symptoms in Saudi Arabian adolescents. J Oral Rehabil 23: 655-661, 1996.

2. Agerberg G, Sändstrom R. Frequency of occlusal interferences: a clinical study in teenagers and young adults. J Prosthet Dent 59: 212-217, 1988.

3. Akeel R, Al Jasser N. Temporomandibular disorders in Saudi females seeking orthodontic treatment. J Oral Rehabil 26: 757-762, 1999.

4. Alamoudi N. The correlation between occlusal characteristics and temoromandibular dysfunction in Saudi Arabian children. J Clin Pediatr Dent 24: 229-236, 2000.

5. Alamoudi N, Farsi N, Salako N, Fatieh R. Temporomandibular disorders among school children. J Clin Pediat Dent 22: 323-329, 1998.

6. Ash CM, Pinto OF. The TMJ and the middle ear: structural and functional correlates for aural symptoms associated with temporomandibular joint dysfunction. Int J Prosthodont 4: 51-57, 1991.

7. Barone A, Sbordone L, Ramaglia L. Craniomandibular disorders and orthodontic treatment need in children. J Oral Rehabil 24: 2-7, 1997.

8. Behrents RG, White RA. TMJ research: responsibility and risk. Am J Orthod Dentofacial Orthop 101: 1-3, 1992.

9. Bernal MT, Tsamtsouris A. Signs and symptoms of temporomandibular dysfunction in 3 to 5 year old children. J Pedod 10: 127-140, 1986.

10. Bodin C, Lodetti G, Marinone MG. Temporo-mandibular joint kinetics and chewing cycles in children. A 3-year follow-up. Int J Paediatr Dent 12: 33-38, 2002.

11. Bodner L, Miller VJ. Temporomandibular joint dysfunction in children: evaluation of treatment. Int J Ped Otorhinolaryngol 44: 133-137, 1998.

12. Carlsson G, De Boever J. Epidemiology. In: Carlsson G and Zarb G. Temporomandibular joint and masticatory muscle disorders. 2nd ed. Missouri, Mosby Co, pp. 159-160, 1995.

13. Conti PC, Ferreira PM, Pegoraro LF, Conti JV, Salvador MC. 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, 1996.

14. De Boever JA, Carlsson GE, Klineberg, IJ. Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part I. Occlusal interferences and occlusal adjustement. J Oral Rehabil 27: 367-379, 2000.

15. Egermark-Eriksson I. Mandibular dysfunction in children and in patients with dual bite. Tandlakartidningen 74: 118-121, 1982.

16. Egermark-Eriksson I, Carlsson GE, Ingervall B. Prevalence of mandibular dysfunction and orofacial parafunction in 7-, 11- and 15-year-old Swedish children. EurJ Orthod 3: 163-172, 1981.

17. Egermark-Eriksson I, Carlsson GE, Magnusson T. A long term epidemiologic study of the relationship between occlusal factors and mandibular dysfunction in children and adolescents. J Dent Res 66: 67-71, 1987.

18. Egermark-Eriksson I, Carlsson GE, Magnusson T,Thilander BA. Longitudinal study on malocclusion in relation to signs and symptoms of craniomandibular disorders in children and adolescents. Eur J Orthod 12: 339-347, 1990.

19. Egermark I, Carlsson GE, Magnusson T. A 20-year longitudinal study of subjective symptoms of temporomandibular disorders from childhood to adulthood. Acta Odontol Scand 59: 40-48, 2001.

20. Egermark I, Thilander B. Craniomandibular disorders with special reference to orthodontic treatment: an evaluation from childhood to adulthood. Am J Orthod Dentofacial Orthop 101: 28-34, 1992.

21. Goldstein LB, Last FC, Salerno VM. Prevalence of hyperactive digastric muscles during swallowing as measured by electromyography in patients with myofascial pain dysfunction syndrome. Funct Orthod 14: 18-22, 1997.

22. Hardison JD, Okeson JP. Comparison of three clinical techniques for evaluating joint sounds. Cranio 8: 307-311, 1990.

23. Hordijk GJ. Temporomandibular disorders. The role of the otolaryngologist. Ned Tijdschr Tandheelkd 103: 273-274, 1996.

24. Ingervall B, Mohlin B, Thilander B. Prevalence of symptoms of functional disturbances of the masticatory system in Swedish. J Oral Rehabil 7: 185-197, 1980.

25. Keeling SD, McGorray 5, Wheeler TT, King GJ. Risk factors associated with temporomandibular joint sounds in children 6 to 12 years of age. Am J Orthod Dentofacial Orthop 105: 279-287, 1994.

26. Keith DA. Development of the human temporomandibular joint. Br J Oral Surg 20: 217-24, 1982.

27. Könönen M, Nystrom M, Kleemola-Kujala E, Kataja M, Evalahti M, Lame P, Peck L. Signs and symptoms of craniomandibular disorders in a series of Finnish children. Acta Finn Dent Scand 45: 109-1 14, 1987.

28. Kopp S. Constancy of clinical signs in patients with mandibular dysftmction. Community Dent Oral Epidemiol 5: 94-98, 1977.

29. Kritsineli M, Shim YS. Malocclusion, body posture, and temporomandibular disorder in children with primary and mixed dentition. J Clin Pediatr Dent 16: 86-93, 1992.

30. LeResche L. Epidemiology of temporomandibular disorders: Implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 8: 291-305, 1997.

31. List T, Wahiund K, Wenneberg B, Dworkin SF. TMD in children and adolescents: Prevalence of pain, gender differences, and perceived treatment need. J Orofac Pain 13: 9-20, 1999.

32. Locker D, Slade G. Association of symptoms and signs of TM disorders in an adult population. Community Dent Oral Epidemiol 17: 150-153, 1989.

33. Magnusson T, Carlsson GE, Egermark-Eriksson I. Changes in clinical signs of craniomandibular disorders from the age of 15 to 25 years. J Orofac Pain 8: 207-215, 1994.

34. Miller VJ, Bodner L. Temporomandibular joint dysfunction in children. Int J Ped Otorhinolaryngol 38: 215-225, 1997.

35. Mintz, SS. Craniomandibular dysfunction in children and adolescents: a review. J Craniomand 11: 224-23 1, 1993.

36. Mohlin B, Pilley JR, Shaw WC. A survey of craniomandibular disorders in 1000 12-year-olds. Study design and baseline data in a follow-up study. Eur J Orthod 13: 111-123, 1991.

37. Morinushi T, Ohno H, Ohno K, Oku I, Ogura T. Two year longitudinal study of the fluctuation of clinical signs of TMJ dysfunction in Japanese adolescents. J Clin Pediat Dent 15: 232-240, 1991.

38. Nilner M. Functional disturbances and diseases of the stomatognathic system. A cross-sectional study. J Pedod 10: 211-238, 1986.

39. Nilner M, Lassing S. Prevalence of functional disturbances and diseases of stomatognathic system in 7-14 years old. Swed Dent J 5: 173-87, 1978.

40. Okeson JP. Temporomandibular disorders in children. Pediatr Dent 11: 325-329, 1989.

41. Padamsee M, Ahlin JH, Ko CM, Tsamtsouris A. Functional disorders of the stomatognathic system: part II. A review. J Pedod 10: 1-21, 1985.

42. Pahkala RH, Laine-Alava MT. Changes in TMD signs and in mandibular movements from 10 to 15 years of age in relation to articulatory speech disorders. Acta Odontol Scand 58: 272-278, 2000.

43. Riolo ML, Brandt D, Tenhave TR. Association between occlusal characteristics and signs and symptoms of TMJ dysfunction in children and young adults. Am J Orthod Dentofacial Orthop 92: 467-477, 1987.

44. Shiau YY, Chang C. An epidemiological study of temporomandibular disorders in university students of Taiwan. Community Dent Oral Epidemiol 20: 43-47, 1992.

45. Smith, BH, Penny KI, Purves AM, Munro C,Wilson B, Grimshaw J, Chambers WA, Smith WC. The chronic pain questionnaire: Validation and reability in postal research. Pain 71: 141-147, 1997.

46. Sonmez H, Sari 5, Oksak Oray G, Camdeviren H. Prevalence of temporomandibular dysfunction in Turkish children with mixed and permanent dentition. J Oral Rehabil 28: 280-285, 2001.

47. Thilander B, Rubio G, Pena L, De Mayorga C. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. Angle Orthod 72: 146-154, 2002.

48. Vanderas AP. Mandibular movements and their relationship to age and body height in children with or without clinical signs of craniomandibular dysfunction: Part IV. A comparative study. J Dent Child 5 1: 338-341, 1992.

49. Vanderas AP. Relationship between oral parafunctions and cranio-mandibular dysfunction in children and adolescents: a review. J Dent Child 61: 378-381, 1994.

50. Verdonck A, Jorissen E, Carels C, Van Thillo J. The interaction between soft tissues and the sagittal development of the dentition and the face.Am J Orthod Dentofacial Orthop 104: 342-349, 1993.

51. Wahlund K, List T, Dworkin SF.Temporomandibular disorders in children and adolescents: reliability of a questionnaire, clinical examination, and diagnosis. J Orofac Pain 12: 42-5 1, 1998.

52. Wanman A, Agerberg G. Mandibular dysfunction in adolescents: prevalence of signs. Acta Odontol Scand 44: 56-61, 1986.

53. Widmaim SE, Christiansen RL, Gunn SM. Crepitation and clicking as signs of TMD in preschool children. Cranio 17: 58-63, 1999.

54. Widmalm SE, Christiansen RL, Gunn SM, Hawley LM. Prevalence of signs and symptoms of craniomandibular disorders and orofacial parafunction in 4-6-year-old African-American and Caucasian children. J Oral Rehabil 22: 87-93, 1995.

55. Winocur E, Gavish A, Finkelshtein T, Flalachmi M, Gazit E. Oral habits among adolescent girls and their association with symptoms of temporomandibular disorders. J Oral Rehabil 28: 624-629, 2001.

56. Yatani H, Minakuchi H, Matsuka Y, Fujisawa T, Yamashita A. The long-term effect of occiusal therapy on self-administered outcomes of TMD. J Orofac Pain 12: 75- 88, 1998.

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