Izmir Katip Celebi University, Faculty of Dentistry, Department of Prosthodontics, Izmir, Turkey.
Int J Med Sci. 2012;9(7):539-44. doi: 10.7150/ijms.4474. Epub 2012 Aug 30.
This study evaluated the prevalence of the signs and symptoms of temporomandibular joint disorder (TMD) among patients with TMD symptoms.
Between September 2011 and December 2011, 243 consecutive patients (171 females, 72 males, mean age 41 years) who were referred to the Department of Prosthodontics, Faculty of Dentistry, Karadeniz Technical University, Trabzon were examined physically and completed a questionnaire regarding age, gender, social status, general health, antidepressant drug usage, dental status, limited mouth opening, temporomandibular joint (TMJ) sounds, and parafunctions (bruxism, clenching). The data were analyzed using the chi-square test and binary logistic regression model (alpha = 0.05).
With a frequency of 92%, pain in the temporal muscle was the most common symptom, followed by pain during mouth opening (89%) in both genders. TMJ pain at rest, pain in the masseter muscle, clicking, grinding, and anti-depressant use were significantly more frequent in females than males. Age (p=0.006; odds ratio 0.954; 95% CI 0.922-0.987) and missing teeth (p=0.003; odds ratio 3.753; 95% CI 1.589-8.863) had significant effects on the prevalence of TMD.
Females had TMD signs and symptoms more frequently than males in the study population. The most common problem in both genders was pain.
本研究评估了患有颞下颌关节紊乱（TMD）症状的患者中 TMD 体征和症状的流行情况。
2011 年 9 月至 12 月期间，共有 243 名连续就诊于卡地尔扎德技术大学牙科学院修复科的 TMD 患者（171 名女性，72 名男性，平均年龄 41 岁）接受了体格检查，并完成了一份关于年龄、性别、社会地位、一般健康状况、抗抑郁药物使用情况、牙齿状况、张口受限、颞下颌关节（TMJ）声音和功能紊乱（磨牙症、紧咬牙）的问卷。使用卡方检验和二元逻辑回归模型（alpha = 0.05）对数据进行分析。
以频率 92%计，颞肌疼痛是最常见的症状，其次是男女均出现的张口时疼痛（89%）。TMJ 休息时疼痛、咬肌疼痛、弹响、研磨和抗抑郁药物使用在女性中明显比男性更常见。年龄（p=0.006；优势比 0.954；95%置信区间 0.922-0.987）和缺牙（p=0.003；优势比 3.753；95%置信区间 1.589-8.863）对 TMD 的流行有显著影响。
在本研究人群中，女性比男性更频繁地出现 TMD 体征和症状。在两性中最常见的问题是疼痛。
