Department of Dental Prosthetics, University Hospital Regensburg, Regensburg, Germany.
Department of Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany.
J Oral Rehabil. 2023 Jul;50(7):531-536. doi: 10.1111/joor.13450. Epub 2023 Mar 27.
Information on the prevalence of temporomandibular disorders (TMD) or possible/probable bruxism in seniors is heterogeneous and sparse.
To elucidate the prevalence of TMD and possible/probable bruxism in German adults aged 60 years and older.
Participants of the Interdisciplinary Longitudinal Study of Adult Development and Aging (ILSE) born between 1950-1952 (C1) and 1930-1932 (C2) were examined in 2014-2016 (fourth wave). The participants were surveyed and clinically examined by one calibrated examiner. Two questions of the Patient Health Questionnaire (PHQ) were utilised to evaluate self-reported bruxism. The clinical examination included signs of probable bruxism and the RDC/TMD examination protocol.
Data from 191 participants were available. No RDC/TMD diagnosis was made in 83.2%. Of the participants, 15.2% received a single diagnosis and 1.6% multiple diagnoses that included disc displacements (9.4%) and degenerative joint diseases (8.9%). A total of 24.7% reported bruxism that included self-reported awake bruxism in 11.9% and sleep bruxism in 16.2%. Wear was clinically identified in 27.2% of the participants. No sex-related differences were observed. Significant differences were detected for probable bruxism between C1 (14.1%) and C2 (54.3%).
In the German population aged 60 years and older, the prevalence of TMD is 16.8%. TMD is characterised by temporomandibular joint disorders, including disc displacements and degenerative joint disorders. Bruxism was observed in a quarter of the old population.
关于老年人颞下颌关节紊乱（TMD）或可能/确定磨牙症的患病率信息存在差异且稀少。
阐明德国 60 岁及以上成年人的 TMD 和可能/确定磨牙症的患病率。
参加跨学科成人发展与老龄化纵向研究（ILSE）的参与者出生于 1950-1952 年（C1）和 1930-1932 年（C2），于 2014-2016 年（第四波）接受检查。参与者由一名经过校准的检查者进行问卷调查和临床检查。利用患者健康问卷（PHQ）中的两个问题评估自我报告的磨牙症。临床检查包括可能磨牙症的迹象和 RDC/TMD 检查方案。
共有 191 名参与者的数据可用。83.2%的参与者未被诊断出 RDC/TMD。其中，15.2%的参与者接受了单一诊断，1.6%的参与者接受了包括关节盘移位（9.4%）和退行性关节疾病（8.9%）在内的多种诊断。共有 24.7%的参与者报告磨牙症，包括 11.9%的清醒磨牙症和 16.2%的睡眠磨牙症。27.2%的参与者有临床可识别的磨损。未观察到性别相关差异。C1（14.1%）和 C2（54.3%）之间的可能磨牙症存在显著差异。
在德国 60 岁及以上人群中，TMD 的患病率为 16.8%。TMD 的特征是颞下颌关节疾病，包括关节盘移位和退行性关节疾病。四分之一的老年人口有磨牙症。
