J Korean Assoc Oral Maxillofac Surg.  2013 Oct;39(5):231-237.

Evaluation of Korean teenagers with temporomandibular joint disorders

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 2Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea. sgckim@chosun.ac.kr

Abstract


OBJECTIVES
This study aims to evaluate the severity and pattern of symptoms exhibited by teenage Korean temporomandibular disorder (TMD) patients.
MATERIALS AND METHODS
Among patients with an association of TMDs, teenage patients (11-19 years) who answered the questionnaire on the research diagnostic criteria for TMD (RDC/TMD) were recruited.
RESULTS
The ratio of patients who visited our clinic with a chief complaint of clicking sound (34.5%) or temporomandibular pain (36.6%) at the initial diagnosis (examination) was the highest. In the evaluation of the depression index, 75.8% of the subjects were normal, 12.9% were moderate, and 11.3% were severe. With regard to non-specific physical symptoms (including pain), 66.5% of the subjects were normal, 17.0% were moderate, and 16.5% were severe. Concerning non-specific physical symptoms (excluding pain), 70.6% of the subjects were normal, 14.4% were moderate, and 15.0% were severe. In terms of the graded chronic pain score, high disability (grade III, IV) was found in 9.3% of the subjects.
CONCLUSION
Among teenage TMD patients, a portion have clinical symptoms and experience severe psychological pressure; hence requiring attention and treatment, as well as understanding the psychological pressure and appropriate treatments for dysfunction.

Keyword

Teenager; Temporomandibular joint disorders

MeSH Terms

Adolescent*
Chronic Pain
Depression
Humans
Surveys and Questionnaires
Temporomandibular Joint Disorders*
Temporomandibular Joint*

Figure

  • Fig. 1 Distribution of patients according to age (percent ratio for gender).

  • Fig. 2 Distribution of patients according to diagnosis. Diagnosis type (1-5): classification was performed according to the guidelines of the Japanese Society for Temporomandibular Joint. The diagnosis group whose number of patients was less than 3 was included in the 'Etc.' group.


Reference

1. Yang HY, Kim ME. Prevalence and treatment pattern of Korean patients with temporomandibular disorders. Korean J Oral Med. 2009; 34:63–79.
2. Kim YK, Kim SG, Im JH, Yun PY. Clinical survey of the patients with temporomandibular joint disorders, using Research Diagnostic Criteria (Axis II) for TMD: preliminary study. J Craniomaxillofac Surg. 2012; 40:366–372. PMID: 21745749.
Article
3. Ko MY, Kim MU. Clinical features of the patients with craniomandibular disorders. J Korean Acad Oral Med. 1993; 18:29–41.
4. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992; 6:301–355. PMID: 1298767.
5. Yoshimura Y. The terminology of Japanese Society for Temporomandibular Joint. 1st ed. Tokyo: The Japanese Society for Temporomandibular Joint;2001.
6. Shiau YY, Chang C. An epidemiological study of temporomandibular disorders in university students of Taiwan. Community Dent Oral Epidemiol. 1992; 20:43–47. PMID: 1547612.
Article
7. Chuang SY. Incidence of temporomandibular disorders (TMDs) in senior dental students in Taiwan. J Oral Rehabil. 2002; 29:1206–1211. PMID: 12472858.
Article
8. Lee DJ, Kim KS. Epidemiologic study on the patients visited to Dept of Oral Medicine: in the area of Choongnam. J Korean Acad Oral Med. 2006; 31:101–111.
9. Okeson JP. American Academy of Orofacial Pain. Orofacial pain: guidelines for assessment, diagnosis, and management. Chicago: Quintessence Pub;1996.
10. Hirsch C, Hoffmann J, Türp JC. Are temporomandibular disorder symptoms and diagnoses associated with pubertal development in adolescents? An epidemiological study. J Orofac Orthop. 2012; 73:6–18. PMID: 22234412.
Article
11. Magnusson T, Egermark I, Carlsson GE. A longitudinal epidemiologic study of signs and symptoms of temporomandibular disorders from 15 to 35 years of age. J Orofac Pain. 2000; 14:310–319. PMID: 11203765.
12. Torii K. Longitudinal course of temporomandibular joint sounds in Japanese children and adolescents. Head Face Med. 2011; 7:17. PMID: 22029896.
Article
13. Krogstad BS, Jokstad A, Dahl BL, Vassend O. The reporting of pain, somatic complaints, and anxiety in a group of patients with TMD before and 2 years after treatment: sex differences. J Orofac Pain. 1996; 10:263–269. PMID: 9161231.
14. Hatch JP, Rugh JD, Sakai S, Saunders MJ. Is use of exogenous estrogen associated with temporomandibular signs and symptoms? J Am Dent Assoc. 2001; 132:319–326. PMID: 11258088.
Article
15. Kang SC, Lee DG, Choi JH, Kim ST, Kim YK, Ahn HJ. Association between estrogen receptor polymorphism and pain susceptibility in female temporomandibular joint osteoarthritis patients. Int J Oral Maxillofac Surg. 2007; 36:391–394. PMID: 17391927.
Article
16. List T, Wahlund K, Wenneberg B, Dworkin SF. TMD in children and adolescents: prevalence of pain, gender differences, and perceived treatment need. J Orofac Pain. 1999; 13:9–20. PMID: 10425964.
17. Kim BS, Kim YK, Yun PY, Lee E, Bae J. The effects of estrogen receptor α polymorphism on the prevalence of symptomatic temporomandibular disorders. J Oral Maxillofac Surg. 2010; 68:2975–2979. PMID: 20656393.
Article
18. Plesh O, Sinisi SE, Crawford PB, Gansky SA. Diagnoses based on the Research Diagnostic Criteria for Temporomandibular Disorders in a biracial population of young women. J Orofac Pain. 2005; 19:65–75. PMID: 15779541.
19. Kim C, Shin ES, Chung JW. Impacts of depression, somatization, and jaw disability on graded chronic pain in TMD patients. J Korean Acad Oral Med. 2005; 30:353–360.
20. Roh HS, Lim HS, Chung SC. Reliability, validity, sensitivity and specificity of the Korean version of research diagnostic criteria for temporomandibular disorders axis II depression scale. J Korean Acad Oral Med. 2004; 29:421–433.
21. Helkimo M. Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state. Sven Tandlak Tidskr. 1974; 67:101–121. PMID: 4524733.
22. Ferrari R, Leonard MS. Whiplash and temporomandibular disorders: a critical review. J Am Dent Assoc. 1998; 129:1739–1745. PMID: 9854925.
Article
23. Yun PY, Kim YK. The role of facial trauma as a possible etiologic factor in temporomandibular joint disorder. J Oral Maxillofac Surg. 2005; 63:1576–1583. PMID: 16243173.
Article
24. Kamisaka M, Yatani H, Kuboki T, Matsuka Y, Minakuchi H. Four-year longitudinal course of TMD symptoms in an adult population and the estimation of risk factors in relation to symptoms. J Orofac Pain. 2000; 14:224–232. PMID: 11203757.
25. Kim J, Kim SC, Yoo SK, Shin AW. Factors influencing stress levels of adolescents: with a focus on the impact of positive self-concept and self-confidence. Korean J Youth Stud. 2011; 18:103–126.
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