Department of Neurosciences, Reproductive Sciences and Oral Sciences, Division of Orthodontics, University of Naples "Federico II", Naples, Italy.
Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Amsterdam, Amsterdam, The Netherlands.
J Oral Rehabil. 2019 Aug;46(8):691-698. doi: 10.1111/joor.12803. Epub 2019 May 7.
To evaluate the prevalence of temporomandibular disorder pain (TMD-pain), temporomandibular joint (TMJ) noises, oral behaviours in an Italian adult population sample, their possible association with gender, oral behaviours, self-reported facial trauma and orthodontic treatment. Subjects older than 18 years were recruited from general population in public spaces during their daily life. A specific questionnaire was developed to collect data on TMD-pain, TMJ noises, oral behaviours, orthodontic treatment and facial trauma. A total of 4299 subjects were included in the study. The most common symptom in the sample was TMJ clicking (30.7%), followed by TMD-pain (16.3%) and TMJ crepitus (10.3%). Oral behaviours were reported in 29% of the sample; 43.6% of the sample reported a previous or ongoing orthodontic treatment. TMD-pain and TMJ clicking were significantly associated to gender, oral behaviours and a positive history of previous facial trauma. Crepitus was significantly associated to oral behaviours, facial trauma and higher age. Ongoing orthodontic treatment was significantly associated to TMD-pain and TMJ sounds. In a general Italian adult population sample, TMD-pain is associated to female gender and is less prevalent than TMJ clicking. TMDs are associated to trauma and oral behaviours.
为了评估意大利成人人群样本中颞下颌关节紊乱疼痛(TMD 疼痛)、颞下颌关节(TMJ)噪声和口腔行为的流行情况,以及它们与性别、口腔行为、自我报告的面部创伤和正畸治疗的可能关联。研究对象为年龄在 18 岁以上的人群,在日常生活中从公共场所的普通人群中招募。专门设计了一份调查问卷,以收集有关 TMD 疼痛、TMJ 噪声、口腔行为、正畸治疗和面部创伤的数据。共有 4299 名受试者纳入研究。该样本中最常见的症状是 TMJ 弹响(30.7%),其次是 TMD 疼痛(16.3%)和 TMJ 摩擦音(10.3%)。29%的样本报告存在口腔行为;43.6%的样本报告有过去或正在进行的正畸治疗。TMD 疼痛和 TMJ 弹响与性别、口腔行为和既往面部创伤史显著相关。摩擦音与口腔行为、面部创伤和年龄较大显著相关。正在进行的正畸治疗与 TMD 疼痛和 TMJ 声音显著相关。在意大利普通成年人群样本中,TMD 疼痛与女性性别相关,且其患病率低于 TMJ 弹响。TMJ 疾病与创伤和口腔行为有关。