Department of Prosthodontics, Institute of Dentistry, Collegium Medicum, Jagiellonian University, Kraków, Poland.
Department of Integrated Dentistry, Institute of Dentistry, Collegium Medicum, Jagiellonian University, Kraków, Poland.
J Prosthodont. 2017 Jun;26(4):284-288. doi: 10.1111/jopr.12414. Epub 2015 Dec 8.
The prevalence of temporomandibular disorders (TMD) in the general Polish population has not yet been thoroughly investigated. The aim of this study was to determine how frequently Polish young adults demonstrated the signs and symptoms of TMD, and how often they were aware of these.
The study involved 260 volunteers of approximately 18 years of age (and with an F:M ratio of 2.8), who had completed the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire in its internationally accepted Polish version. The volunteers were students from three randomly selected high schools in Kraków, Poland. Following the clinical examinations, all participants received none or one or more of the RDC/TMD axis I diagnoses on one or both sides: muscle disorders (group I), disk displacements (group II), arthralgia, osteoarthritis, and osteoarthrosis (group III). Classification on RDC/TMD axis II involved pain-related impairment (Graded Chronic Pain Severity, from 0: no TMD pain in the prior 6 months, to IV: high disability-severely limiting), depression, and somatization levels (normal, moderate, severe).
On the RDC/TMD axis I, 69 (26.5%) of the participants received one or more of the possible diagnoses. Awareness of TMD was present in 20 (7.7%) people from that group, in the form of self-complaints. The difference between females and males was statistically significant (p = 0.0013). On the RDC/TMD axis II assessment, a diagnosis of pain, depression, or somatization was given in 38 (14.6%) cases from that group.
Muscle disorders were most frequently diagnosed in the group of Polish young adults, and the prevalence of the disease did not differ across similar groups of young people.
颞下颌关节紊乱病(TMD)在波兰普通人群中的患病率尚未得到充分研究。本研究旨在确定波兰年轻成年人出现 TMD 体征和症状的频率,以及他们对这些症状的知晓程度。
研究纳入了 260 名年龄约为 18 岁的志愿者(男女比例为 2.8),他们完成了国际公认的波兰版研究诊断标准 for Temporomandibular Disorders(RDC/TMD)问卷。志愿者均来自波兰克拉科夫的三所随机选定的高中。在临床检查后,所有参与者根据 RDC/TMD 轴 I 诊断标准,在一侧或两侧被诊断为肌肉疾病(I 组)、关节盘移位(II 组)、关节炎、骨关节炎和骨关节炎(III 组),或一项或多项诊断。RDC/TMD 轴 II 的分类包括疼痛相关障碍(慢性疼痛严重程度分级,从 0:过去 6 个月无 TMD 疼痛,到 IV:高残疾-严重受限)、抑郁和躯体化程度(正常、中度、严重)。
在 RDC/TMD 轴 I 上,69 名(26.5%)参与者收到了一个或多个可能的诊断。在该组中有 20 人(7.7%)出现了 TMD 自我抱怨,有自我意识。女性和男性之间的差异具有统计学意义(p=0.0013)。在 RDC/TMD 轴 II 评估中,该组中有 38 人(14.6%)被诊断为疼痛、抑郁或躯体化。
在波兰年轻成年人中,最常诊断出的是肌肉疾病,而且该疾病在类似的年轻人群体中没有差异。