Alkhubaizi Qoot, Khalaf Mai E, Faridoun Afnan
Department of General Dental Practice, Faculty of Dentistry, Health Sciences Center, Kuwait University, Kuwait City, Kuwait.
Int J Dent. 2022 Sep 5;2022:3186069. doi: 10.1155/2022/3186069. eCollection 2022.
Temporomandibular disorders (TMD) are a constellation of painful conditions that affect the craniofacial complex. The etiology and risk factors of these conditions have been extensively studied; however, the data available describing the epidemiology of TMD in the Middle East are scarce. We aimed to estimate the prevalence and risk factors of TMD-related pain in a sample population of dental school clinic patients.
This observational cross-sectional study used a translated and culturally adapted temporomandibular disorders pain screener, a part of the Diagnostic Criteria/Temporomandibular Disorders (DC/TMD) criteria instrument, and questions related to demographic characteristics and risk factors for TMD. Data were analyzed through chi-square and Mann-Whitney tests using SPSS.
The sample population included 199 participants (66% female and 34% male). The prevalence of TMD-related pain was 26.8% ( = 42); men and women did not differ statistically in their TMD-related pain. TMD-related pain cases differed significantly on the Center for Epidemiologic Studies Depression Scale (CES-D) and body pain scores compared with noncases.
The prevalence of TMD-related pain in the clinical sample population was high. Hence, the onus is on dental health services to screen and educate patients on TMD conditions regularly.
颞下颌关节紊乱病（TMD）是一组影响颅面复合体的疼痛性疾病。这些疾病的病因和危险因素已得到广泛研究；然而，关于中东地区TMD流行病学的现有数据却很稀少。我们旨在估计牙科学校诊所患者样本群体中与TMD相关疼痛的患病率和危险因素。
这项观察性横断面研究使用了经过翻译和文化调适的颞下颌关节紊乱病疼痛筛查工具，这是诊断标准/颞下颌关节紊乱病（DC/TMD）标准工具的一部分，以及与人口统计学特征和TMD危险因素相关的问题。使用SPSS通过卡方检验和曼-惠特尼检验对数据进行分析。
样本群体包括199名参与者（66%为女性，34%为男性）。与TMD相关疼痛的患病率为26.8%（n = 42）；男性和女性在与TMD相关的疼痛方面无统计学差异。与非病例相比，与TMD相关疼痛的病例在流行病学研究中心抑郁量表（CES-D）和身体疼痛评分上有显著差异。
临床样本群体中与TMD相关疼痛的患病率很高。因此，牙科保健服务机构有责任定期对患者进行TMD疾病的筛查和教育。
