Østensjø Vegard, Moen Ketil, Storesund Trond, Rosén Annika
Division of Oral and Maxillofacial Surgery, Department of Clinical Dentistry, University of Bergen, Bergen, Norway.
Specialist Oral Health Centre for Western Norway, Stavanger, Norway.
Pain Res Manag. 2017;2017:2164825. doi: 10.1155/2017/2164825. Epub 2017 May 30.
To estimate the prevalence of painful temporomandibular disorders (TMD-P) among adolescents and to investigate correlations with health, environment, and lifestyle factors.
For this cross-sectional case-control study, 562 patients were consecutively recruited at their yearly revision control from four dental clinics in Rogaland County, Norway. Patients completed a questionnaire on general health, socioeconomics, demographics, and lifestyle factors. Responses to two screening questions identified patients with TMD-P, who then underwent clinical examination to verify the TMD diagnosis. Pain intensity was assessed on a visual analogue scale. Patients without TMD-P constituted the control group and were not clinically examined.
7% experienced TMD-P. The female-to-male ratio is 3:1; median age is 17 years. Patients at urban clinics had higher prevalence compared with those at rural clinics. TMD-P patients had headache and severe menstrual pain compared to controls. They were more likely to live with divorced/single parents and less likely to have regular physical activity. Myalgia was present in 21 patients with TMD-P, arthralgia in nine, and myalgia and arthralgia in nine. Females had higher pain intensity than males.
A low prevalence of TMD-P was shown but was comparable to other studies. Sex, health, lifestyle, and environment factors were associated with TMD-P.
评估青少年中疼痛性颞下颌关节紊乱病（TMD-P）的患病率，并调查其与健康、环境和生活方式因素之间的相关性。
在这项横断面病例对照研究中，从挪威罗加兰郡的四家牙科诊所连续招募了562名患者，这些患者在年度复查时接受检查。患者完成了一份关于总体健康、社会经济状况、人口统计学和生活方式因素的问卷。对两个筛查问题的回答确定了患有TMD-P的患者，然后对其进行临床检查以核实TMD诊断。疼痛强度采用视觉模拟量表进行评估。无TMD-P的患者组成对照组，不进行临床检查。
7%的患者患有TMD-P。男女比例为3:1；中位年龄为17岁。城市诊所的患者患病率高于农村诊所。与对照组相比，TMD-P患者有头痛和严重痛经。他们更有可能与离异/单亲父母生活在一起，进行定期体育活动的可能性较小。21例TMD-P患者有肌痛，9例有关节痛，9例既有肌痛又有关节痛。女性的疼痛强度高于男性。
研究显示TMD-P的患病率较低，但与其他研究结果相当。性别、健康、生活方式和环境因素与TMD-P有关。
