1
|
Lešić N, Seifert D, Dragičević D, Pul L, Petrović D, Čelebić A, Pezo H. Bennett Angle, Condylar and Jaw Movements in Asymptomatic Athletes with a History of a Blow to One Side of the Mandibula. Dent J (Basel) 2023; 11:195. [PMID: 37623291 PMCID: PMC10452976 DOI: 10.3390/dj11080195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 08/03/2023] [Accepted: 08/10/2023] [Indexed: 08/26/2023] Open
Abstract
Sports activities may induce long-lasting changes in mandibular trajectories. The aim was to compare condylar and mandibular movements in athletes with orofacial injuries with values measured in non-injured athletes. The group of 132 athletes without mandibular injury included asymptomatic athletes with a history of a blow to the right side (N = 43) and the group included asymptomatic athletes with a history of a blow to the left side (N = 41) of the mandible. The injured athletes suffered from stiffness/pain and/or limitation of jaw movements. The symptoms disappeared shortly after the injury. Athletes with a history of injury have smaller mean values of Bennett angle on the side of impact, and Bennett angle on the opposite side is greater than the mean found in non-injured athletes. Significantly smaller Bennett angle values in athletes with a history of a blow to one side of the mandible are due to the adaptability of the orofacial system. The larger Bennett angle on the opposite side of the injury is also due to the adaptive mechanism of the TMJ. Clinical Relevance: An individualized approach to TMJ values is mandatory in restorative procedures in every patient, especially in patients with a history of trauma to the orofacial system.
Collapse
Affiliation(s)
- Nikolina Lešić
- Department of Dental Medicine, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31 000 Osijek, Croatia; (D.S.); (D.D.); (L.P.); (D.P.); (H.P.)
- Private Dental Practice Seifert d.o.o., Martićeva ulica 43, 10000 Zagreb, Croatia
| | - Davor Seifert
- Department of Dental Medicine, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31 000 Osijek, Croatia; (D.S.); (D.D.); (L.P.); (D.P.); (H.P.)
- Private Dental Practice Seifert d.o.o., Martićeva ulica 43, 10000 Zagreb, Croatia
| | - Dora Dragičević
- Department of Dental Medicine, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31 000 Osijek, Croatia; (D.S.); (D.D.); (L.P.); (D.P.); (H.P.)
| | - Luka Pul
- Department of Dental Medicine, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31 000 Osijek, Croatia; (D.S.); (D.D.); (L.P.); (D.P.); (H.P.)
| | - Dorotea Petrović
- Department of Dental Medicine, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31 000 Osijek, Croatia; (D.S.); (D.D.); (L.P.); (D.P.); (H.P.)
| | - Asja Čelebić
- School of Dental medicine, University of Zagreb, 10000 Zagreb, Croatia;
| | - Hrvoje Pezo
- Department of Dental Medicine, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31 000 Osijek, Croatia; (D.S.); (D.D.); (L.P.); (D.P.); (H.P.)
| |
Collapse
|
2
|
Abstract
ABSTRACT Temporomandibular joint dysfunction is common in both the general population and athletes with a much higher incidence in women than in men. We review current research on temporomandibular joint disorders, discuss relevant risk factors, manifestations of temporomandibular disorders in athletes, and treatment options. Certain sports, particularly contact sports, pose an increased risk for problems with the temporomandibular joint. The stress of athletic performance also may be a contributing factor. Mouthguards should be encouraged for prevention of injury and physical therapy is the most effective treatment.
Collapse
Affiliation(s)
- Carter L Starr
- Department of Emergency Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM
| | - Christopher McGrew
- Department of Orthopedics and Rehabilitation, Department of Family and Community Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM
| |
Collapse
|
3
|
Effects of Contact Sports on Temporomandibular Disorders: An Observational Study. Dent J (Basel) 2022; 10:dj10100180. [PMID: 36285990 PMCID: PMC9600988 DOI: 10.3390/dj10100180] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 09/19/2022] [Accepted: 09/21/2022] [Indexed: 12/02/2022] Open
Abstract
The study investigated the prevalence of temporomandibular disorders in 100 competitive athletes in contact sports, equally grouped by the practiced game: Soccer (SoG), Rugby (RG), American Football (AFG), Boxing (BoG), Basketball (BaG), compared to a randomly control group of 20 non-athletes (CG). Symptoms and signs were examined according to the standardized Diagnostic Criteria for Temporomandibular Disorders through a questionnaire and clinical evaluation. Arthralgia showed significant differences between RG and CG and between AFG and CG (p < 0.05). Study groups reported masticatory muscle pain during function, neck and shoulder pain more frequently than CG, except for BoG. Closing click was significantly more present in study groups than CG, while crepitation was significantly higher only in RG and AFG. The deviation was wider in SoG, RG and AFG compared to CG (p < 0.05). Tukey’s multiple comparisons test showed a statistically significant reduction in right laterotrusion in RG vs. CG (p < 0.05); the comparison showed a decrease in right laterotrusion in RG vs. SoG and BoG (p < 0.05), a decrease in endfeel in RG vs. CG, BaG and AFG (p < 0.05). The data seem to support a relationship between the prevalence of TMD symptoms and signs in competitive athletes in contact sports, especially in RG and AFG compared to CG.
Collapse
|
4
|
Freiwald HC, Schwarzbach NP, Wolowski A. Impact of sports on temporomandibular dysfunction: a comparison of competitive and recreational female athletes as well as female non-athletes. Clin Oral Investig 2022; 26:5313-5323. [PMID: 35484356 PMCID: PMC9381453 DOI: 10.1007/s00784-022-04499-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 04/13/2022] [Indexed: 11/26/2022]
Abstract
Objectives The present study was conducted to investigate the correlation between (competitive) sports and the occurrence of temporomandibular dysfunctions (TMD) by comparing the prevalences in competitive, recreational, and non-athletic women. Materials and methods A total of 138 women between the ages of 18 and 45 were interviewed about symptoms of TMD by means of a questionnaire. Based on their athletic performance level, the participating women were classified as competitive athletes, recreational athletes, or non-athletes (each group n = 46). Results Symptoms of TMD were notably less frequent in competitive female athletes (52.2%) than in recreational female athletes (63.0%) and female non-athletes (60.9%). With increasing training load, the prevalence of TMD decreased in both the competitive and recreational female athlete groups. Conclusions Athletic activity in general seems to have a positive effect on the occurrence of TMD. Competitive female athletes appear less likely to suffer from symptoms of TMD than recreational athletes and non-athletes. One possible explanation for this could be the better supervision by qualified trainers and physiotherapists in competitive sports. Clinical relevance Patients should be motivated to engage in sports as a protective measure against symptoms of TMD. However, it is important to ensure that they are properly instructed by experienced personnel in order to avoid unphysiological strain and negative consequences.
Collapse
Affiliation(s)
- Hannah Charlotte Freiwald
- Poliklinik für Prothetische Zahnmedizin und Biomaterialien, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Campus 1/W30, 48149, Munster, Germany
| | - Nico Peter Schwarzbach
- Poliklinik für Prothetische Zahnmedizin und Biomaterialien, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Campus 1/W30, 48149, Munster, Germany
| | - Anne Wolowski
- Poliklinik für Prothetische Zahnmedizin und Biomaterialien, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Campus 1/W30, 48149, Munster, Germany.
| |
Collapse
|
5
|
Effects of competitive sports on temporomandibular dysfunction: a literature review. Clin Oral Investig 2020; 25:55-65. [PMID: 33367991 PMCID: PMC7785544 DOI: 10.1007/s00784-020-03742-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 12/11/2020] [Indexed: 10/29/2022]
Abstract
OBJECTIVES The German Society of Craniomandibular Function and Disorders recommends that patients suffering from temporomandibular dysfunctions should practice sports in order to compensate for everyday stress. This raises the question as to what extent competitive athletes develop temporomandibular dysfunctions or whether their athletic activities protect them. With the present literature review, the authors intend to give an overview of the currently available publications on this topic. MATERIALS AND METHODS A literature research in the PubMed and Google Scholar databases was performed to filter out the currently available publications on the topic 'sports, and temporomandibular dysfunction. RESULTS Out of 114 available articles, seven met the inclusion criteria. Two other relevant articles were found in the list of references, so that in total, nine publications were picked for the review. In case numbers ranging from eight to 347 subjects, a temporomandibular dysfunction was detected with a prevalence between 11.7% and 100% for athletes and between 11.11% and 14.3% for non-athletes. Different kinds of sports were evaluated, all of them contact sports: basketball, handball, wrestling, boxing, karate, mixed martial arts, field hockey, water polo, and soccer. One study compared athletes with and without consumption of anabolic steroids, regardless of the type of sport. The level of athletic performance varied across the different studies. CONCLUSIONS Currently, studies dealing with the effect of competitive sports on temporomandibular dysfunction are scarce. Inconsistent methodological procedures permit only limited comparability. CLINICAL RELEVANCE A general trend, however, can already be discerned: professional athletes suffer from temporomandibular dysfunctions more frequently than non-athletes.
Collapse
|
6
|
Rauch A, Schierz O, Körner A, Kiess W, Hirsch C. Prevalence of anamnestic symptoms and clinical signs of temporomandibular disorders in adolescents-Results of the epidemiologic LIFE Child Study. J Oral Rehabil 2019; 47:425-431. [PMID: 31841219 DOI: 10.1111/joor.12926] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 10/16/2019] [Accepted: 12/11/2019] [Indexed: 02/06/2023]
Abstract
BACKGROUND Prevalence values for symptoms and signs of temporomandibular disorders (TMD) in adolescents vary within the literature due to differences in set-ups of examination protocols. OBJECTIVES The objective was to present prevalence values for symptoms and signs of TMD in German adolescents that were observed within a standardised examination. Prevalence values comparing gender or pubertal status should be investigated. METHODS A cross-sectional sample of the LIFE Child Study aged 10 to 18 was examined. A questionnaire gathering anamnestic symptoms of TMD was completed, and an examination according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) was performed by trained dentists. Pubertal status according to Tanner stages was documented. Descriptive statistics, Mann-Whitney U and Wilcoxon signed-rank tests were performed. RESULTS A total of 1.116 participants (mean age 12.9 years, 51.4% female) were consecutively recruited. Most prevalent anamnestic symptoms were headaches (55.7%) and temporomandibular joint (TMJ) sounds (17.6%). The major clinical sign was TMJ sounds (31.9%). Both the examination of muscles or TMJs showed that pain to palpation was statistically significantly higher than familiar pain (P < .001). Gender comparisons revealed higher prevalence values and an increase in TMD symptoms and signs during pubertal development in females. CONCLUSION The prevalence of self-reported headaches, as well as anamnestic and clinical TMJ sounds, was high in German adolescents. Prevalence values for pain to palpation and familiar pain obtained relevant differences. Considering the DC/TMD, females are more affected by TMD signs and symptoms that increase during pubertal development, than male adolescents.
Collapse
Affiliation(s)
- Angelika Rauch
- Department of Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany
| | - Oliver Schierz
- Department of Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany
| | - Antje Körner
- LIFE -Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany.,Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), University of Leipzig, Leipzig, Germany
| | - Wieland Kiess
- LIFE -Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany.,Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), University of Leipzig, Leipzig, Germany.,Integrated Research and Treatment Center Adiposity Diseases, University of Leipzig, Leipzig, Germany
| | - Christian Hirsch
- Clinic of Pediatric Dentistry, University of Leipzig, Leipzig, Germany
| |
Collapse
|
7
|
Jordani PC, Campi LB, Braido GVV, Fernandes G, Visscher CM, Gonçalves DAG. Obesity, sedentarism and TMD-pain in adolescents. J Oral Rehabil 2019; 46:460-467. [PMID: 30674069 DOI: 10.1111/joor.12771] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 01/13/2019] [Accepted: 01/20/2019] [Indexed: 01/01/2023]
Abstract
BACKGROUND Obesity is a chronic and prevalent disorder, affecting individuals of all age. Previous evidence suggests that it is associated with some types of chronic pain, especially musculoskeletal pain. In addition, sedentarism is also associated with an increase of the inflammatory factors and chronic pain. So, we conducted a cross-sectional study to evaluate the association between obesity, sedentarism and the presence of TMD-pain in adolescents. METHODS Temporomandibular Disorders were classified according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Obesity was assessed by the body mass index (BMI), bioimpedance (BIA), skinfold (triceps and subscapular) and circumferences (arm and abdominal). The level of physical activity was rated according to the instrument adopted by the Brazilian National School Health Survey. Descriptive statistics, univariate logistic regression and odds ratios (OR) with 95% confidence intervals (CI) were used to study the associations of interest. RESULTS The sample consisted of 690 individuals with a mean age of 12.7 (±0.76) years of whom 389 (56.4%) were girls. Of the total, 112 (16.2%) had TMD-pain, 110 (15.9%) were obese according to BMI, 74 (10.8%) according to BIA, and 127 (18.4%) following the skinfolds and circumferences assessments. There was no significant association between TMD-pain and obesity according to BMI (P = 0.95), BIA (P = 0.16), skinfold and circumference (P = 0.22), and neither with sedentarism (P = 0.94). CONCLUSION Obesity and sedentarism were not associated with the presence of TMD-pain in adolescents.
Collapse
Affiliation(s)
- Paula C Jordani
- Department of Dental Materials and Prosthodontics/Araraquara School of Dentistry, Univ Estadual Paulista - UNESP, Araraquara, Brazil
| | - Letícia B Campi
- Department of Dental Materials and Prosthodontics/Araraquara School of Dentistry, Univ Estadual Paulista - UNESP, Araraquara, Brazil
| | - Guilherme V V Braido
- Department of Dental Materials and Prosthodontics/Araraquara School of Dentistry, Univ Estadual Paulista - UNESP, Araraquara, Brazil
| | - Giovana Fernandes
- Department of Dental Materials and Prosthodontics/Araraquara School of Dentistry, Univ Estadual Paulista - UNESP, Araraquara, Brazil
| | - Corine M Visscher
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands
| | - Daniela A G Gonçalves
- Department of Dental Materials and Prosthodontics/Araraquara School of Dentistry, Univ Estadual Paulista - UNESP, Araraquara, Brazil
| |
Collapse
|
8
|
Song YL, Yap AU, Türp JC. Association between temporomandibular disorders and pubertal development: A systematic review. J Oral Rehabil 2018; 45:1007-1015. [DOI: 10.1111/joor.12704] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Revised: 07/24/2018] [Accepted: 08/15/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Yi Lin Song
- Department of Orthodontics; National Dental Centre Singapore; Singapore Singapore
| | - Adrian U. Yap
- Department of Dentistry; Ng Teng Fong General Hospital; Singapore Singapore
- Faculty of Dentistry; National University of Singapore; Singapore Singapore
- Faculty of Dentistry; University of Malaya; Kuala Lumpur Malaysia
- Faculty of Dentistry; Universitas Indonesia; Jakarta Indonesia
- Faculty of Dentistry; Peking University School of Stomatology; Beijing China. Faculty of Dentistry; University of Hong Kong; Hong Kong SAR China
| | - Jens C. Türp
- Division of Temporomandibular Disorders and Orofacial Pain; Department of Oral Health & Medicine; School of Dental Medicine; University Center of Dental Medicine; Basel Switzerland
| |
Collapse
|
9
|
Relationship between growth, maturation and musculoskeletal conditions in adolescents: a systematic review. Br J Sports Med 2018; 52:1246-1252. [DOI: 10.1136/bjsports-2017-098418] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2018] [Indexed: 12/16/2022]
Abstract
ObjectiveTo determine whether there is a relationship between physical growth and development, as determined by markers of biological maturation, and musculoskeletal conditions in adolescents.DesignSystematic review.Data sourcesElectronic databases (PubMed, EMBASE and the Cumulative Index to Nursing and Allied Health Literature) were searched up to 6 September 2017.Eligibility criteria for selecting studiesStudies that evaluated the association between biological maturation or growth and musculoskeletal conditions in adolescents (chronological age 10–19 years).ResultsFrom 20 361 titles identified by the searches, 511 full-text articles were retrieved and assessed for eligibility; 56 studies, all at high risk of bias, evaluating the relationship between maturation and/or growth and musculoskeletal conditions were included. A total of 208 estimates of association were identified across the included studies, which generally indicated no association or an unclear association between maturation, growth and musculoskeletal conditions.Summary/ConclusionsWhile the relationship between maturation, growth and musculoskeletal conditions remains plausible, the available evidence is not supportive. The current body of knowledge is at high risk of bias, which impedes our ability to establish whether biological maturity and growth are independent risk factors for musculoskeletal conditions.
Collapse
|
10
|
Bertoli FMDP, Bruzamolin CD, Pizzatto E, Losso EM, Brancher JA, de Souza JF. Prevalence of diagnosed temporomandibular disorders: A cross-sectional study in Brazilian adolescents. PLoS One 2018; 13:e0192254. [PMID: 29420573 PMCID: PMC5805263 DOI: 10.1371/journal.pone.0192254] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 01/18/2018] [Indexed: 11/19/2022] Open
Abstract
Background The prevalence of signs and symptoms of temporomandibular disorders (TMD) increases during adolescence and adulthood. Few studies have examined TMD prevalence in Brazilian adolescents. Aim To investigate the prevalence of TMD in Brazilian adolescents. Methods A representative population-based sample of 934 adolescents (10–14-years-old) was examined. TMD screening was performed using a questionnaire by the American Academy of Orofacial Pain. TMD diagnoses used research diagnostic criteria for temporomandibular disorders (RDC/TMD—Axis-I). Examinations were performed by a single calibrated examiner (kappa > 0.80). Results The prevalence of TMD symptoms was 34.9%; the most frequently reported symptoms were headache and neck ache (20.9%), followed by joint sounds (18.5%). Myofascial pain was the most prevalent type (10.3%), followed by disc displacement with reduction (8.0%) and arthralgia (3.5%). There was a significant association between sex and TMD symptoms; prevalence was significantly higher in girls (RP = 1.37; 95% CI = 1.14–1.65; p = 0.001). Myofascial pain of TMD and displacement with reduction were more prevalent in girls (RP = 1.76; p = 0.007 and RP = 2.06; p = 0.004, respectively). Conclusion TMD symptoms were present in 34.9% of adolescents, with myofascial pain being the most prevalent type (10.3%). TMD was significantly more common in girls. Routine pediatric dental care should include a TMD screening.
Collapse
Affiliation(s)
| | | | - Eduardo Pizzatto
- Graduate Program in Dentistry, Positivo University, Curitiba, Paraná, Brazil
| | - Estela Maris Losso
- Graduate Program in Dentistry, Positivo University, Curitiba, Paraná, Brazil
| | - João Armando Brancher
- Graduate Program in Dentistry, Positivo University, Curitiba, Paraná, Brazil
- * E-mail:
| | - Juliana Feltrin de Souza
- Department of Stomatology, School of Dentistry, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| |
Collapse
|
11
|
da Silva CG, Pachêco-Pereira C, Porporatti AL, Savi MG, Peres MA, Flores-Mir C, Canto GDL. Prevalence of clinical signs of intra-articular temporomandibular disorders in children and adolescents. J Am Dent Assoc 2016; 147:10-18.e8. [DOI: 10.1016/j.adaj.2015.07.017] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 06/13/2015] [Accepted: 07/19/2015] [Indexed: 10/22/2022]
|
12
|
Bonotto D, Namba EL, Veiga DM, Wandembruck F, Mussi F, Afonso Cunali P, Ribeiro Rosa EA, Azevedo-Alanis LR. Professional karate-do and mixed martial arts fighters present with a high prevalence of temporomandibular disorders. Dent Traumatol 2015; 32:281-5. [PMID: 26511663 DOI: 10.1111/edt.12238] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Facial trauma in sports has been associated with temporomandibular disorders. Because of the intensity and duration of training needed for elite-level competitions, high-performance athletes can have two to five times more traumatic injuries than recreational athletes. This study aimed to investigate the prevalence of temporomandibular disorders in high-performance martial arts fighters and compare it with the prevalence in recreational athletes and non-athletes. MATERIAL AND METHODS The Research Diagnostic Criteria for Temporomandibular Disorders was used to diagnose and classify professional karate-do practitioners (group I; n = 24), amateur karate-do practitioners (group II; n = 17), high-performance mixed martial arts fighters (group III; n = 13), and non-athletes (n = 28). The groups were compared with the chi-square test and tested for the difference between two proportions using a significance level of 5% (P < 0.05). RESULTS The prevalence of temporomandibular disorders in groups I (54.2%; P = 0.003) and III (61.5%; P = 0.002) was significantly higher than in group IV (14.3%). The prevalence in group II was similar to that in group IV (P > 0.05). A diagnosis of arthralgia from disk displacement was made more frequently in groups I (45.8%; P = 0.013) and III (38.5%; P = 0.012) than in group IV (7.1%). The chronic pain associated with TMD was low intensity and low disability. CONCLUSIONS While there was a high prevalence of temporomandibular disorders in the professional athletes in our study, the prevalence of the condition in recreational athletes was similar to that in individuals who did not practice martial arts.
Collapse
Affiliation(s)
| | | | | | | | - Felipe Mussi
- Federal University of Paraná, Curitiba, Pr, Brazil
| | | | | | | |
Collapse
|
13
|
Risk of headache, temporomandibular dysfunction, and local sensitization in male professional boxers: a case-control study. Arch Phys Med Rehabil 2014; 95:1977-83. [PMID: 24996064 DOI: 10.1016/j.apmr.2014.06.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2014] [Revised: 06/04/2014] [Accepted: 06/13/2014] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To evaluate differences in the incidence of headache, trigeminal nerve mechanosensitivity, and temporomandibular functionality in professional male boxers (exposed to repetitive craniofacial trauma) who were actively training and without severe previous injuries compared with handball players. DESIGN Case-control study. SETTING University-based physical therapy research clinic. PARTICIPANTS Eighteen boxers (mean age, 23±4.61y) as the cases group, and 20 handball players as the comparison group (mean age, ±2y, and sex matched), were included. All participants (N=38) completed the assessment protocol. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Measurements were taken of the headache impact (Headache Impact Test-6) and the pressure pain threshold over the trigeminal nerve sensory branches, the masseter muscle, and the tibialis anterior muscle. The secondary outcome measure included the temporomandibular function (Helkimo Clinic Index). RESULTS The boxers showed slight mandibular function impairment, local muscular and neural sensitization, and a higher impact from headaches than did the handball players. The between-group comparison found significant differences in all outcome measures (P<.05), except in the tibialis anterior muscle pressure pain threshold on the dominant (P=.958) and the nondominant (P=.453) sides. CONCLUSIONS Professional male boxers seem to suffer a greater headache impact and local sensitization of the craniomandibular region than do professional handball players. It cannot be determined whether these findings are short-lasting, as a result of the training activity, or long-lasting.
Collapse
|
14
|
Arsenina OI, Popova AV, Gus LA. [The role of occlusal disorders in development of temporomandibular joint dysfunction]. STOMATOLOGII︠A︡ 2014; 93:64-67. [PMID: 25786268 DOI: 10.17116/stomat201493664-67] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Currently Temporomandibular joint (TMJ) dysfunction is a very highly discussed topic by both researchers and clinicians. the incidence of the of TMJ is dysfunctions still not very well established because of heterogeneity of the diagnostic criteria used by different authors. This article is dedicated to the analysis of basic theories of the etiology of the aforementioned pathology, including overview of main pathophysiological mechanisms of the TMJ, dysfunctions occlusive disorders in particular. The main problem being analyzed is the use and efficacy of the electronic axiography in successful diagnostic and therapy of the TMJ dysfunction.
Collapse
Affiliation(s)
- O I Arsenina
- Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii Minzdrava RF, Moskva
| | - A V Popova
- Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii Minzdrava RF, Moskva
| | - L A Gus
- Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii Minzdrava RF, Moskva
| |
Collapse
|
15
|
Weiler RME, Santos FM, Kulic MA, De Souza Lima MPC, Pardini SR, Mori M, de Souza Vitalle MS. Prevalence of signs and symptoms of temporomandibular dysfunction in female adolescent athletes and non-athletes. Int J Pediatr Otorhinolaryngol 2013; 77:519-24. [PMID: 23312530 DOI: 10.1016/j.ijporl.2012.12.024] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2012] [Revised: 12/15/2012] [Accepted: 12/18/2012] [Indexed: 10/27/2022]
Abstract
OBJECTIVES To compare the prevalence of signs and symptoms of temporomandibular dysfunction (TMD) in female adolescent athletes and non-athletes and to examine the association between signs and symptoms of TMD in female adolescents in different Tanner stages. METHODS The subjects were 89 female basketball and handball players ages 10-18 years and 72 female non-athlete adolescents ages 10-19 years selected from the Department of Pediatrics (School of Medicine, Federal University of São Paulo) as a control group. A survey was used to assess the signs and symptoms of TMD. According to the answers on the survey the adolescents were classified in two categories: no signs or symptoms present (score A-absent), at least one sign or symptom present (score P-present). The ones who got score "P" were submitted to a standardized functional examination of the masticatory system by four previously calibrated examiners. Pubertal status was assessed based on physical examination by physicians from our Division. The adolescents were classified according to Tanner stages into three subgroups: subgroup 1 (before the growth spurt), subgroup 2 (growth spurt period), subgroup 3 (end of growth spurt). Significant differences between athletes and non-athletes were assessed for categorical variables (Chi-square and Fisher's exact test) and for continuous variables (Mann-Whitney test). The level of significance used was 5%. There was significant agreement between raters, kappa-values (0.621-1.000) and ICC values (0.757-0.899). RESULTS There was no significant difference between the athletes and non-athletes in exhibiting at least one sign or symptom of TMD (p=0.301). When comparing the adolescents who presented at least one symptom of TMD to the different subgroups of Tanner stages no statistically significant differences were found (p=0.124). CONCLUSION The lack of significant differences among female adolescent athletes and non-athletes and among the subgroups of Tanner stages may suggests that although contact sports increase the risk of temporomandibular joint lesions and estrogen levels are risk factor for onset of TMD, they do not impact significantly on the onset of this disorder, when considered alone.
Collapse
Affiliation(s)
- Rosa Maria Eid Weiler
- Adolescent Sector, Department of Pediatrics, School of Medicine, Federal University of S Paulo, Rua Botucatu 715, CEP 04023-062, São Paulo, Brazil.
| | | | | | | | | | | | | |
Collapse
|