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Borges REA, Mendonça LDRA, Roncalli da Costa Oliveira AG, Dos Santos Calderon P. Development and Validation of the Epidemiological Diagnostic Instrument for Temporomandibular Disorders. J Oral Rehabil 2024. [PMID: 39238186 DOI: 10.1111/joor.13853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 08/09/2024] [Accepted: 08/21/2024] [Indexed: 09/07/2024]
Abstract
BACKGROUND Temporomandibular disorders (TMD) are a highly misreported health problem. Its diagnosis is complex and requires the use of valid and reliable instruments. OBJECTIVE To develop and validate the Epidemiological Diagnostic Instrument for TMD (EDI/TMD). METHODS Content validity (CV), response process (RP), construct validity (EFA), reliability (inter and intraobserver consistency), and convergence validity of the EDI/TMD were assessed and compared to the Diagnostic Criteria for TMD (DC/TMD). RESULTS An instrument composed of a 9-question questionnaire and a 12-step clinical protocol was developed. CV analysis reduced the instrument to a 5-question and 7-step clinical protocol (CVI = 0.93). Some instructions were included after the RP. The EFA found three factors: myogenous TMD, arthrogenous TMD, and differential diagnosis. The reliability scores ranged from substantial to excellent. When compared to the DC/TMD, the EDI/TMD total score indicated that this instrument is valid and provides satisfactory diagnostic criteria (Kappa = 0.906; p < 0.001), and can distinguish non-TMD and TMD individuals, with a cut-off point of 4.9 (Sensitivity = 1.0; Specificity = 1.0; AUC = 1.0). For individuals who had both myogenous and arthrogenous TMD, the cut-off point was 14 or higher (Sensitivity = 0.8; Specificity = 1.0; AUC = 0.987). For individuals who had either myogenous TMD (Sensitivity = 1.0; Specificity = 0.88; PPV = 0.89; NPV = 1.0) or arthrogenous TMD (Sensitivity = 0.95; Specificity = 0.87; PPV = 0.83; NPV = 0.96), the cut-off point was between 5 and 13.9, with the highest EFA score being the determinant factor for final diagnosis. CONCLUSION Based on its psychometric properties, the EDI/TMD is a valid and reliable assessment tool that is capable of diagnosing TMD and classifying its subtypes.
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Ângelo DF, Faria-Teixeira MC, Maffia F, Sanz D, Sarkis M, Marques R, Mota B, João RS, Cardoso HJ. Association of Malocclusion with Temporomandibular Disorders: A Cross-Sectional Study. J Clin Med 2024; 13:4909. [PMID: 39201051 PMCID: PMC11355311 DOI: 10.3390/jcm13164909] [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: 07/29/2024] [Revised: 08/12/2024] [Accepted: 08/17/2024] [Indexed: 09/02/2024] Open
Abstract
Background/Objectives: Temporomandibular disorders (TMD) encompass a range of musculoskeletal and neuromuscular conditions affecting the temporomandibular joint (TMJ) and associated structures. This cross-sectional study, conducted in a Portuguese TMD department, aimed to assess the relationship between malocclusion and TMD severity. Methods: Data on demographic variables, TMD clinical symptoms, and malocclusion classes were collected using the EUROTMJ database. The Chi-square test (χ2) identified associations, with their intensity measured by Cramér's V (φc). Results: The study included 1170 patients (932 females and 238 males), with a mean age of 41.73 ± 16.80 years. Most patients exhibited Angle Class I malocclusion (85.5%), followed by Angle Class II (13.5%) and Angle Class III (1.1%). Class II malocclusion was associated with increased TMD severity (p < 0.001), higher myalgia levels (p = 0.002), more frequent disc displacement without reduction (p = 0.002) and lower maximum mouth opening values (Class II: 38.13 ± 7.78 mm, Class I: 39.93 ± 8.67 mm). Significant associations were also found between malocclusion type and arthralgia (p = 0.021), mouth-opening limitation (p = 0.016), and TMJ crepitus (p = 0.017). In cases of malocclusion, the presence of oral signs of bruxism explained the degree of myalgia, disc displacement, and severity (p = 0.003; p = 0.048; p = 0.045). Conclusions: This study highlights that (1) the most common type of dental malocclusion in TMD patients was Class I; (2) Class II malocclusion was associated with increased TMD severity and oral signs of bruxism; and (3) Class III was rarely observed in TMD consultation. The findings suggest that bruxism behavior in cases of malocclusion may be significant in TMD.
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Affiliation(s)
- David Faustino Ângelo
- Instituto Português da Face, 1500-493 Lisbon, Portugal; (F.M.); (B.M.)
- Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028 Marinha Grande, Portugal
- Faculty of Medicine, Lisboa University, 1649-028 Lisbon, Portugal
- Serviço de Estomatologia Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental, 1349-019 Lisbon, Portugal
- Centro Hospitalar Universitário Lisboa Norte (CHUNL), Clinica Universitária de Estomatologia, 1648-028 Lisbon, Portugal
| | | | - Francesco Maffia
- Instituto Português da Face, 1500-493 Lisbon, Portugal; (F.M.); (B.M.)
- Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Via Sergio Pansini 5, 80131 Naples, Italy
| | - David Sanz
- Instituto Português da Face, 1500-493 Lisbon, Portugal; (F.M.); (B.M.)
| | - Marcella Sarkis
- Instituto Português da Face, 1500-493 Lisbon, Portugal; (F.M.); (B.M.)
| | - Rute Marques
- Instituto Português da Face, 1500-493 Lisbon, Portugal; (F.M.); (B.M.)
| | - Beatriz Mota
- Instituto Português da Face, 1500-493 Lisbon, Portugal; (F.M.); (B.M.)
- Centro Hospitalar Universitário Lisboa Norte (CHUNL), Clinica Universitária de Estomatologia, 1648-028 Lisbon, Portugal
| | - Ricardo São João
- Department of Computer Science and Quantitative Methods, School of Management and Technology, Polytechnic Institute of Santarém, 2001-904 Santarém, Portugal
- CEAUL—Centro de Estatística e Aplicações, Faculdade de Ciências, Universidade de Lisboa, 1749-016 Lisbon, Portugal
- Center for Global Studies (CEG-UAb), Aberta University, 1250-100 Lisbon, Portugal
- Nursing Research, Innovation and Development Center of Lisbon (CIDNUR), 1600-190 Lisbon, Portugal
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Yap AU, Marpaung C, Gunardi I. Psychometric properties of the Indonesian Fonseca anamnestic index and the presence/severity of temporomandibular disorders among Indonesian young adults. Cranio 2024; 42:379-386. [PMID: 34719331 DOI: 10.1080/08869634.2021.1999615] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The psychometric properties of the Indonesian FAI (FAI-I) and presence/severity of temporomandibular disorders (TMDs) among Indonesian young adults were explored. METHODS The FAI-I was developed following the INfORM guidelines and used to determine the presence/severity of TMDs. Internal consistency/test-retest reliability were examined with Cronbach's alpha/intra-class correlation (ICC) coefficients. Construct/criteria validity were established by correlating (Spearman) the FAI-I to the five major TMD symptoms (5 Ts) and OHIP-14 (p < 0.05). RESULTS Five hundred-one participants (mean age 19.73 ± 1.27 years; 75.2% women) were recruited from a local University. Of these, 40.7% had no TMD, while 49.9%, 8.8%, and 0.6% had mild, moderate, and severe TMD. While Cronbach's α = 0.57 and ICC = 0.72, correlation coefficients to total 5 Ts and OHIP-14 were 0.53 and 0.47, respectively. CONCLUSION The FAI-I had low internal consistency, good test-retest reliability, and good validity. Moderate-to-severe TMD was experienced by 9.4% of the young adults examined.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore, Singapore
- National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-, Singapore Health Services, Singapore, Singapore
- Department of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia
| | - Carolina Marpaung
- Department of Prosthodontics, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia
| | - Indrayadi Gunardi
- Department of Oral Medicine, Faculty of Dentistry, Universitas Trisakti, Jakarta, Indonesia
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Bahar AD, How QY, Tan XP. Temporomandibular disorder symptoms and their association with quality of life of dental patients in Malaysia. Cranio 2024; 42:253-258. [PMID: 38573060 DOI: 10.1080/08869634.2021.1950420] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To assess the prevalence of temporomandibular disorders (TMD) and their effects on quality of life (QoL) of dental patients. METHODS A survey consisting of two validated questionnaires was distributed to dental patients registered at the University of Malaya Faculty of Dentistry. The Fonseca Anamnestic Index (FAI) evaluates the prevalence and severity of TMD, while the Oral Health Impact Profile - Temporomandibular Disorder (OHIP-TMD) appraises the effects of TMD on oral health-related QoL. RESULTS Out of 342 patients (aged 16 to 50 years, 45% male and 55% female) enrolled in the survey, 50.9% had varying degrees of TMD. All 7 domains of OHIP-TMD showed a statistically significant correlation with TMD severity. CONCLUSION TMD seems to be prevalent among Malaysian dental patients. Not only does TMD affect the QoL of an individual, but the more severe the degree of reported symptoms, the poorer their perceived oral health QoL.
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Affiliation(s)
- Aufa Dahlia Bahar
- Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Qi Yan How
- Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Xin Ping Tan
- Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
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Borges REA, Mendonça LDRA, Dos Santos Calderon P. Diagnostic and screening inventories for temporomandibular disorders: A systematic review. Cranio 2024; 42:341-347. [PMID: 34275426 DOI: 10.1080/08869634.2021.1954376] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Objective: To evaluate reliable and validated temporomandibular disorder (TMD) diagnostic instruments for use as diagnostic tools in epidemiological surveys.Methods: Two independent reviewers performed searches in the Medline/PubMed, Cochrane Library, and Web of Science databases to identify validation studies of diagnostic and screening instruments for TMD published up to March 2021.Results: Sixteen studies were included for the systematic review. Different TMD instruments were evaluated, such as FAI, RDC/TMD, DC/TMD, Helkimo Index, and AAOP Questionnaire. The instruments differed according to the number of items. Some questionnaires appear to be effective for the initial screening of TMD patients and can be incorporated in clinical practice and epidemiological studies since they are easy and fast to apply.Conclusion: To provide an accurate TMD diagnosis, it is important to use instruments that involve a clinical examination. Authors suggest the development of a new validated diagnostic tool for use in epidemiological surveys.
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Affiliation(s)
- Raul Elton Araújo Borges
- Department of Dentistry, Federal University of Rio Grande Do Norte UFRN, Center of Health Science. Natal, RN, Brazil
| | - Luana da Rocha Alves Mendonça
- Department of Dentistry, Federal University of Rio Grande Do Norte UFRN, Center of Health Science. Natal, RN, Brazil
| | - Patrícia Dos Santos Calderon
- Department of Dentistry, Federal University of Rio Grande Do Norte UFRN, Center of Health Science. Natal, RN, Brazil
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Arikan H, Citaker S, Ucok C. Psychometric properties of the Fonseca Anamnestic Index (FAI) for temporomandibular disorders: Turkish version, responsiveness, reliability, and validity study. Disabil Rehabil 2024; 46:1408-1415. [PMID: 37066863 DOI: 10.1080/09638288.2023.2199221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Accepted: 03/31/2023] [Indexed: 04/18/2023]
Abstract
PURPOSE Many assessment tools have been proposed for use in clinical practice and research on individuals with temporomandibular disorders (TMD). It aimed to translate the Fonseca Anamnestic Index into Turkish (FAI/T) and examine the responsiveness, reliability and validity of the FAI/T in this study. MATERIALS AND METHODS Two hundred forty-nine individuals (207 female/42 male) with TMD were included in this study according to the RDC/TMD (muscle disorders, disc displacement, arthralgia and mixed disorders (muscle disorders and disc displacement)). Reliability was evaluated with test-retest reliability, internal consistency, and reproducibility. Validity was assessed with structural validity, construct validity, content validity, and face validity. In addition, responsiveness and floor and ceiling effects were also examined. RESULTS The ICC value (0.906) and Cronbach's α (0.951) of the (FAI/T) were excellent. Following Explarotary Factor Analysis, two factors were extracted, accounting for 51.859% of the total variation. Structural validity, construct validity, content validity, and face validity analyses proved the validity of the FAI/T. The responsiveness analysis showed that the Turkish FAI and its subscales were able to detect change over time. CONCLUSIONS The FAI/T has shown excellent reliability and good validity. The FAI/T can assess the symptoms of Turkish-speaking persons with TMD.Clinical Trials registration number: NCT04274985.
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Affiliation(s)
- Halime Arikan
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Tokat Gaziosmanpasa University, Tokat, Turkey
| | - Seyit Citaker
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Cahit Ucok
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ankara University, Ankara, Turkey
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Yap AU, Marpaung C. Severity and form of temporomandibular disorder symptoms: Functional, physical, and psychosocial impacts. Cranio 2024; 42:142-149. [PMID: 34236942 DOI: 10.1080/08869634.2021.1950336] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE The associations between the presence of differing severity/form of temporomandibular disorder (TMD) symptoms and oral health-related quality of life (OHRQoL) were explored. METHODS The severity and form of TMDs in young adults were categorized based on the Fonseca Anamnestic Index (FAI) and Diagnostic Criteria for TMDs (DC/TMD), and OHRQoL was assessed with the Oral Health Impact Profile-14 (OHIP-14). Data were analyzed using non-parametric statistics (α = 0.05). RESULTS The study cohort consisted of 501 young adults (mean age 19.7 ± 1.3 years; 75.2% women). Participants with severe/moderate TMDs had significantly higher OHIP severity scores than those with mild/no TMDs. Moreover, participants with combined/pain-related symptoms exhibited significantly higher severity scores compared to those without symptoms. The physical pain and psychological discomfort domains were typically more impaired regardless of severity/form of TMD symptoms. CONCLUSION More severe and painful symptoms were related to greater impairments in OHRQoL, especially in the physical and psychological domains.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore, Singapore
- National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-NUS Medical School, Singapore Health Services, Singapore, Singapore
- Department of Prosthodontics, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
| | - Carolina Marpaung
- Department of Prosthodontics, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
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Ângelo DF, Sanz D, Cardoso HJ. Bilateral arthroscopy of the temporomandibular joint: clinical outcomes and the role of a second intervention-a prospective study. Clin Oral Investig 2023; 27:6167-6176. [PMID: 37632580 DOI: 10.1007/s00784-023-05233-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 08/21/2023] [Indexed: 08/28/2023]
Abstract
OBJECTIVE Evaluate the efficacy of bilateral temporomandibular joint (TMJ) arthroscopy in patients with different categories of severity based on Dimitroulis classification (categories 2-4) and the role of a second TMJ intervention in primary failure. METHODS A 3-year prospective study was designed, including patients submitted to bilateral TMJ arthroscopy. The primary outcome was TMJ pain (VAS, 0-10) and the secondary outcomes were the maximum mouth opening (MMO) and masticatory myalgia degree (0-3). In cases of symptomatic relapse, a second TMJ intervention was performed (TMJ arthrocentesis or TMJ open surgery). RESULTS Eighty patients (93.4% women) were enrolled, with a mean age of 32.40 ± 11.41 years. With an average follow-up of 523.7 days (34-1606), a statistically significant improvement in TMJ pain, MMO, and myalgia degree was observed (P < 0.0001). The overall successful outcome of one-single bilateral arthroscopy was ~ 69%. Twenty-two patients relapsed: (1) arthralgia (n = 15, 68.18%); (2) arthralgia + myalgia (n = 4, 18.18%); (3) dislocated disc without reduction (DDwoR) (n = 2, 9.09%); (4) DDwoR + osteoarthrosis (OA) (n = 1, 4.55%). Arthralgia was re-managed with TMJ arthrocentesis with local anesthesia (n = 19, 86.36%). New DDwoR with or without OA was re-treated with TMJ open surgery (n = 3, 13.64%). After the second intervention, the success rate increased to 85%. CONCLUSIONS Bilateral TMJ arthroscopy presented overall benefit in all parameters evaluated. CLINICAL RELEVANCE This study highlights the importance of TMJ arthroscopy as the first line of treatment for moderate-severe temporomandibular disorders cases contributing to the reduction of TMJ open surgeries. In cases of arthroscopy unsuccess, TMJ arthrocentesis under local anesthesia was an effective and safe intervention for patients with recurrent TMJ arthralgia.
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Affiliation(s)
- David Faustino Ângelo
- Instituto Português da Face, Rua Tomás Ribeiro, nº71, 5º andar, 1150-227, Lisboa, Portugal.
- Centre for Rapid and Sustainable Product Development, Polytechnic Institute of Leiria, 2430-028, Marinha Grande, Portugal.
- Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisboa, Portugal.
| | - David Sanz
- Instituto Português da Face, Rua Tomás Ribeiro, nº71, 5º andar, 1150-227, Lisboa, Portugal
| | - Henrique José Cardoso
- Instituto Português da Face, Rua Tomás Ribeiro, nº71, 5º andar, 1150-227, Lisboa, Portugal
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Nazir MA, Izhar F, Hassan S, Tanvir M, Nemat F, Ashraf MW, Alamri A. Temporomandibular Disorders among Dental Students in Pakistan: Assessment of Prevalence, Severity, and Associated Factors Based on Questionnaire. SCIENTIFICA 2023; 2023:8895544. [PMID: 37497127 PMCID: PMC10368500 DOI: 10.1155/2023/8895544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/30/2023] [Accepted: 07/08/2023] [Indexed: 07/28/2023]
Abstract
Objective To evaluate the prevalence, severity, and associated factors of temporomandibular disorder (TMD) among dental students. Methods This cross-sectional study was performed on undergraduate dental students from four dental colleges in Punjab, Pakistan. Fonseca's questionnaire was used to measure the prevalence and severity of the TMD among the study participants. Bivariate and multiple logistic regression analyses were performed. Results Of 364 dental students, 323 returned the completed questionnaires and the response rate of the study was 88.7%. The study included 52.6% males and 47.4% females. The prevalence of TMD was 66.9% with mild TMD in 40.90%, moderate TMD in 14.6%, and severe TMD in 11.50% of the participants. Psychological stress (29.6%), malocclusion (20%), and hypersensitivity (19.5%) were common among participants. The mean TMD score of the sample was 31.54 ± 24.86 which was significantly higher among participants with no/school-educated mothers (P=0.021) and fathers (P=0.002). The participants with arthritis (72.81 ± 32.19) and malocclusion (59.46 ± 31.09) and those who received orthodontic treatment (53.21 ± 34.21) demonstrated higher TMD. After controlling for other study variables, the participants with arthritis were 4.71 times more likely to have moderate/severe TMD (P=0.042) than those without arthritis. Similarly, the participants with malocclusion had significantly higher odds (OR = 3.57, P=0.029) of having moderate/severe TMD than those without malocclusion. Conclusion This sample of dental students demonstrated a high prevalence and severity of TMD. The participants with arthritis and malocclusion demonstrated higher TMD. The study findings underscore the importance of prevention, early diagnosis, and management of TMD among the dental students.
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Affiliation(s)
- Muhammad Ashraf Nazir
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P O Box 1982, Dammam 31441, Saudi Arabia
| | - Faisal Izhar
- Department of Community & Preventive Dentistry, FMH College of Medicine & Dentistry, Lahore, Pakistan
| | - Shafia Hassan
- Department of Community & Preventive Dentistry, FMH College of Medicine & Dentistry, Lahore, Pakistan
| | - Maha Tanvir
- Department of Community & Preventive Dentistry, FMH College of Medicine & Dentistry, Lahore, Pakistan
| | - Faris Nemat
- University of Toronto, Faculty of Dentistry, 124 Edward Street, Toronto, Ontario M5G 1G6, Canada
| | - Muhammad Waleed Ashraf
- University of Western Ontario, Faculty of Health Science, 1151 Richmond St, London, Ontario N6A 5B9, Canada
| | - Abdulaziz Alamri
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P O Box 1982, Dammam 31441, Saudi Arabia
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Yap AU, Apipi M, Ismail SM, Yusof ZYM, Kadir K. Psychometric properties of the Malay Fonseca Anamnestic Index for temporomandibular disorders. Cranio 2022:1-8. [PMID: 35384792 DOI: 10.1080/08869634.2022.2059130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE This study translated/cross-culturally adapted the Fonseca Anamnestic Index (FAI) for temporomandibular disorders (TMDs) into Malay and psychometrically tested the Malay-FAI (FAI-M). METHODS The FAI-M was created according to international guidelines. Internal consistency/test-retest reliability were assessed with Cronbach's alpha/intra-class correlation (ICC) coefficients. Construct and convergent validity were appraised by relating the FAI-M to the Global Oral Health (GOH) questionnaire and Short-form Oral Health Impact Profile (S-OHIP) using Kruskal-Wallis and Spearman's rho correlation (α = 0.05). RESULTS Of the 243 participants enrolled, 54.7% (n = 133) had no TMDs, while TMDs were present in 45.3% (n = 110). The FAI-M presented very good internal consistency (α = 0.90) and test-retest reliability (ICC = 0.99). Theoretically predicted FAI-M score patterns matched the GOH categories, and strong correlations were discerned between FAI-M and S-OHIP (rs = 0.71). CONCLUSION The FAI-M exhibited good psychometric properties and can be applied in Malay-speaking populations.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore; National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-NUS Medical School, Singapore Health Services, Singapore
| | - Muzaffar Apipi
- Department of Oral and Maxillofacial Surgery, Slim River Hospital, Perak, Malaysia
| | - Siti Mazlipah Ismail
- Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Zamros Yuzadi Mohd Yusof
- Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Kathreena Kadir
- Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
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Zagalaz-Anula N, Sánchez-Torrelo CM, Acebal-Blanco F, Alonso-Royo R, Ibáñez-Vera AJ, Obrero-Gaitán E, Rodríguez-Almagro D, Lomas-Vega R. The Short Form of the Fonseca Anamnestic Index for the Screening of Temporomandibular Disorders: Validity and Reliability in a Spanish-Speaking Population. J Clin Med 2021; 10:jcm10245858. [PMID: 34945153 PMCID: PMC8709097 DOI: 10.3390/jcm10245858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 12/10/2021] [Accepted: 12/13/2021] [Indexed: 11/24/2022] Open
Abstract
The Short Form of the Fonseca Anamnestic Index (SFAI) is a simple and quick questionnaire used for screening temporomandibular disorders (TMDs). The present study aimed to validate the Spanish version of the SFAI in patients with TMDs. The study sample comprised 112 subjects (50 TMDs and 52 controls). Test–retest reliability, factorial validity, internal consistency, concurrent validity, and the SFAI’s ability to discriminate between TMDs subjects and healthy controls were analyzed using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD protocol) as the reference. Factor analysis showed a single factor that explained 63% of the total variance. Cronbach’s alpha was 0.849. The reliability of the items measured with the Kappa index showed values from 0.767 to 0.888. Test–retest reliability was substantial (intraclass correlation coefficient = 0.837). The total SFAI score showed a significant correlation with orofacial pain, vertigo, and neck disability measurements. For a cut-off point of >10 points, the SFAI showed a sensitivity of 78% and specificity of 78.85% at differentiating between TMDs patients and healthy subjects, with an area under the curve (AUC) of 0.852. The Spanish version of the SFAI is a valid and reliable instrument for diagnosing people with TMDs and shows generally good psychometric properties.
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Affiliation(s)
- Noelia Zagalaz-Anula
- Department of Health Sciences, Campus Las Lagunillas, University of Jaén, 23071 Jaén, Spain; (N.Z.-A.); (E.O.-G.); (R.L.-V.)
| | | | | | - Roger Alonso-Royo
- FisioMedic Clinic, 41701 Dos Hermanas, Spain; (C.M.S.-T.); (R.A.-R.)
| | - Alfonso Javier Ibáñez-Vera
- Department of Health Sciences, Campus Las Lagunillas, University of Jaén, 23071 Jaén, Spain; (N.Z.-A.); (E.O.-G.); (R.L.-V.)
- Correspondence:
| | - Esteban Obrero-Gaitán
- Department of Health Sciences, Campus Las Lagunillas, University of Jaén, 23071 Jaén, Spain; (N.Z.-A.); (E.O.-G.); (R.L.-V.)
| | | | - Rafael Lomas-Vega
- Department of Health Sciences, Campus Las Lagunillas, University of Jaén, 23071 Jaén, Spain; (N.Z.-A.); (E.O.-G.); (R.L.-V.)
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YAMAN D, ALPASLAN C, KALAYCIOĞLU O. Investigation of asymptomatic temporomandibular disorders with Fonseca anamnestic index in clinical practice. ACTA ODONTOLOGICA TURCICA 2021. [DOI: 10.17214/gaziaot.815831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Yap AU, Sultana R, Natu VP. Stress and emotional distress: their associations with somatic and temporomandibular disorder-related symptoms. PSYCHOL HEALTH MED 2021; 27:876-887. [PMID: 33879010 DOI: 10.1080/13548506.2021.1908571] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Although Asians are posited to be predisposed to somatization, studies on the inter-relationships between emotional and physical symptoms in Asian youths are still limited. This study determined the associations between emotional, somatic, and Temporomandibular Disorder (TMD)-related symptoms in Asian youths. Youths were recruited from a local polytechnic and the prevalence/severity of emotional distress was ascertained with the Depression, Anxiety, and Stress Scale-21. Somatic and TMD-related symptoms were appraised with the Patient Health Questionnaire-15 and Fonseca Anamnestic Index. Data were analysed using non-parametric statistical and logistic regression analysis (p < 0.05). The study sample (n = 400; 209 females) had a mean age of 18.7 ± 1.7 years. Moderate-to-severe depression, anxiety, and stress were present in 31.0%, 36.8%, and 16.5% of the subjects respectively. Subjects with moderate-to-severe emotional distress had significantly higher somatic and TMD symptom scores (p < 0.001). Correlations between emotional and somatic/TMD symptom scores were moderately strong (rs = 0.46-0.61). Stepwise logistic regression indicated that moderate-to-severe somatization was associated with the female gender, anxiety, and stress, and moderate-to-severe TMDs were related to somatization and stress. Asian youths with elevated emotional distress experienced significantly higher levels of somatic and TMD-related symptoms. The stress construct appears to pose a greater risk for somatization and TMDs than depression and anxiety.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore.,National Dental Research Institute, National Dental Centre Singapore and Duke-NUS Medical School, SingHealth, Singapore.,School of Health and Social Sciences, Nanyang Polytechnic, Singapore
| | | | - Vaishali Prakash Natu
- School of Health and Social Sciences, Nanyang Polytechnic, and Faculty of Dentistry, National University of Singapore, Singapore
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Yap AU, Zhang MJ, Lei J, Fu KY. Diagnostic accuracy of the short-form Fonseca Anamnestic Index in relation to the Diagnostic Criteria for Temporomandibular Disorders. J Prosthet Dent 2021; 128:977-983. [PMID: 33795162 DOI: 10.1016/j.prosdent.2021.02.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 02/22/2021] [Accepted: 02/23/2021] [Indexed: 01/31/2023]
Abstract
STATEMENT OF PROBLEM Screening for temporomandibular disorders (TMDs) is important in research and clinical practice. The short-form Fonseca Anamnestic Index (SFAI) was recently introduced but had only been validated for muscle disorders. PURPOSE The purpose of this clinical study was to determine the diagnostic accuracy of the SFAI and its discrete and pooled items in relation to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) benchmark. MATERIAL AND METHODS A total of 866 consecutive participants with TMDs and 57 TMD-free controls (aged ≥18 years) were recruited. The participants (n=923; mean age 32.8 ±13.3 years; women 79.2%) answered the FAI, and TMD diagnoses were derived based on the DC/TMD protocol and algorithms. The 5-item SFAI, which comprised 2 pain-related and 3 function-related TMD questions, was subsequently acquired and assessed with reference to the DC/TMD diagnoses. The receiver operating characteristics (ROC) was used to verify accuracy (area under the curve [AUC]) and the best cutoff points. Sensitivity, specificity, predictive values, and likelihood ratios were also examined. RESULTS Pain-related (PT) and intra-articular (IT) TMDs were present in 48.3% (446/923) and 82.7% (763/923) of the participants, respectively. The SFAI demonstrated high accuracy for identifying all TMDs, PT, and IT (AUC of 0.97, 0.99, and 0.97, respectively). The best cutoff points were 12.5 for all TMDs/IT and 17.5 for PT. Sensitivity of the SFAI ranged from 90.7% to 97.5% while specificity varied from 93.0% to 96.5%, with the highest values for PT. As positive predictive values (99.4% to 99.5%) were greater than negative ones (41.7% to 83.3%), the SFAI was better at detecting the presence than the absence of TMDs. With reference to PT, the sensitivity, and specificity of the 2 discrete and pooled pain-related questions (questions 3 and 4), extended from 82.3% to 99.3% and 77.2% to 96.5% respectively. With regard to IT diagnoses, sensitivity and specificity ranged from 56.0% to 98.3% and 86.0% to 98.3% for the 3 discrete and pooled function-related items (questions 1, 2, and 5). CONCLUSIONS The SFAI presented high degrees of diagnostic accuracy in relation to the DC/TMD and can be used for screening TMDs. SFAI scores between 15 and 50 points should be used to identify the presence of TMDs, with scores ≥20 points specifying possible pain-related TMDs.
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Affiliation(s)
- Adrian Ujin Yap
- Guest Academic, Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, PR China; Clinical Associate Professor, Department of Dentistry, Ng Teng Fong General Hospital and Faculty of Dentistry, National University Health System, Singapore; Adjunct Associate Professor, National Dental Research Institute Singapore, National Dental Centre Singapore and Duke-NUS Medical School, SingHealth, Singapore
| | - Min-Juan Zhang
- Research Associate, Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, PR China; National Clinical Research Center for Oral Diseases, Beijing, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, PR China; Beijing Key Laboratory of Digital Stomatology, Beijing, PR China
| | - Jie Lei
- Associate Professor, Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, PR China; National Clinical Research Center for Oral Diseases, Beijing, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, PR China; Beijing Key Laboratory of Digital Stomatology, Beijing, PR China
| | - Kai-Yuan Fu
- Professor, Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, PR China; National Clinical Research Center for Oral Diseases, Beijing, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, PR China; Beijing Key Laboratory of Digital Stomatology, Beijing, PR China.
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15
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Yap AU, Cao Y, Zhang MJ, Lei J, Fu KY. Temporomandibular disorder severity and diagnostic groups: Their associations with sleep quality and impairments. Sleep Med 2021; 80:218-225. [PMID: 33607558 DOI: 10.1016/j.sleep.2021.01.063] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Accepted: 01/28/2021] [Indexed: 01/19/2023]
Abstract
OBJECTIVES This study evaluated the impact of TMD severity on sleep quality and established the associations between TMD diagnostic groups/pain subtypes and sleep impairments. METHODS A total of 1151 patients from a tertiary Dental Hospital were screened for eligibility. Consenting subjects who met the inclusion criteria were directed to complete a general/health questionnaire, the Fonseca Anamnestic Index (FAI), Diagnostic Criteria for Temporomandibular disorders (DC/TMD) Symptom Questionnaire, and Pittsburgh Sleep Quality Index (PSQI) at their intake visit. Patients who screened positive for TMDs with the FAI were subjected to a protocolized physical examination and TMD diagnostic groups/subtypes were subsequently derived based on the DC/TMD "diagnostic tree" and algorithms. Statistical analyses were conducted using non-parametric methods and logistic regression (α = 0.05). RESULTS The final sample consisted of 845 subjects with TMDs and 116 TMD-free controls. The mean age of the TMD and TMD-free subjects were 33.17 ± 13.55 and 31.66 ± 9.50 years. Subjects with severe and moderate TMDs had significantly greater global PSQI scores than those with mild and no TMDs (p < 0.001). Those with pain-related, intra-articular, and combined TMDs reported significantly poorer sleep quality than those with no TMDs (p < 0.001). Moreover, subjects with myalgia and myalgia plus arthralgia presented significantly greater sleep impairments than their counterparts with intra-articular disorders (p < 0.001). Multivariate logistic regression indicated that pain-related (OR = 3.23; CI = 1.69-6.14) and intra-articular TMDs (OR = 1.91; CI = 1.15-3.16) were most related to poor sleep. CONCLUSIONS Sleep quality worsened with increasing TMD severity and the presence of painful and intra-articular TMDs increased the likelihood of poor sleep.
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Affiliation(s)
- Adrian Ujin Yap
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China; Department of Dentistry, Ng Teng Fong General Hospital, National University Health System, Singapore; Faculty of Dentistry, National University of Singapore, Singapore; Duke-NUS Medical School, Singapore; National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore
| | - Ye Cao
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China; Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China; National Clinical Research Center for Oral Diseases, Beijing, China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China; Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Min-Juan Zhang
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China; Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China; National Clinical Research Center for Oral Diseases, Beijing, China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China; Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Jie Lei
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China; Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China; National Clinical Research Center for Oral Diseases, Beijing, China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China; Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Kai-Yuan Fu
- Center for TMD & Orofacial Pain, Peking University School & Hospital of Stomatology, Beijing, China; Department of Oral & Maxillofacial Radiology, Peking University School & Hospital of Stomatology, Beijing, China; National Clinical Research Center for Oral Diseases, Beijing, China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China; Beijing Key Laboratory of Digital Stomatology, Beijing, China.
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Transcultural Adaptation and Validation of the Fonseca Anamnestic Index in a Spanish Population with Temporomandibular Disorders. J Clin Med 2020; 9:jcm9103230. [PMID: 33050338 PMCID: PMC7600423 DOI: 10.3390/jcm9103230] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 10/03/2020] [Accepted: 10/06/2020] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The Fonseca Anamnestic Index (FAI) offers a simple method to screen temporomandibular disorders (TMD). This study aimed to validate the Spanish version of the FAI in patients with TMD. METHODS The sample consisted of 125 subjects (66 TMD and 59 controls) aged over 18 years. Construct validity, internal consistency, test-retest reliability, concurrent validity and capacity to discriminate between TMD and healthy subjects were analyzed. RESULTS The Spanish version of the FAI showed a structure formed by three factors. Cronbach's alpha was 0.826. The reliability of the items varied between substantial to almost perfect and was excellent for the total score (intraclass correlation coefficient = 0.937). The standard error of measurement (SEM) was 6.52, with a minimum detectable change (MDC) of 12.78. FAI score showed a significant correlation with headache, neck pain and vertigo measurements. A cut-off point >35 showed a sensitivity = 83.33% and a specificity = 77.97% in differentiating between healthy and TMD patients, with an area under the curve (AUC) = 0.865. CONCLUSIONS The Spanish version of the FAI is a valid and reliable instrument for diagnosing people with TMD, with appropriate general clinimetric properties. Discrimination between patients with and without TMD is excellent.
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17
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Yap AU, Natu VP. Inter‐relationships between pain‐related temporomandibular disorders, somatic and psychological symptoms in Asian youths. J Oral Rehabil 2020; 47:1077-1083. [DOI: 10.1111/joor.13033] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 05/25/2020] [Accepted: 05/28/2020] [Indexed: 12/11/2022]
Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry Ng Teng Fong General HospitalNational University Health System Singapore Singapore
- Faculty of Dentistry National University of Singapore Singapore Singapore
- Duke‐NUS Medical School Singapore Singapore
- National Dental Research Institute SingaporeNational Dental Centre Singapore Singapore
- School of Health ScienceNanyang Polytechnic Singapore Singapore
| | - Vaishali Prakash Natu
- Faculty of Dentistry National University of Singapore Singapore Singapore
- School of Health ScienceNanyang Polytechnic Singapore Singapore
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18
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Dağ F, Taş S, Kaynak BA, Bölgen Çimen O. Temporomandibular dysfunction affects aerobic capacity in females: A preliminary study. Cranio 2020; 40:113-118. [PMID: 32155115 DOI: 10.1080/08869634.2020.1739190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objective: The purpose of this study was to investigate the aerobic capacity in patients with temporomandibular dysfunction (TMD) and to compare the results with those of the asymptomatic individuals.Methods: The TMD group included a total of 31 females between the ages of 18 and 25 years. The control group consisted of 31 asymptomatic females with an age range of 18 to 27 years. A graded exercise test was performed using an electronically braked arm crank ergometer. An indirect calorimeter system was used to calculate the peak oxygen consumption (VO2peak). In addition, peak heart rate (HRpeak) and respiratory quotient were calculated for each participant.Results: The TMD group had lower VO2peak (p = 0.017) and HRpeak (p = 0.012) in aerobic capacity tests; however, respiratory quotient was similar in both groups (p = 0.446).Discussion: The TMD group had lower aerobic capacity compared to the asymptomatic individuals.
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Affiliation(s)
- Figen Dağ
- School of Medicine, Department of Physical Medicine and Rehabilitation, Mersin University, Mersin, Turkey
| | - Serkan Taş
- School of Health Science, Department of Physiotherapy and Rehabilitation, Toros University, Mersin, Turkey
| | - Besime Ahu Kaynak
- School of Health Science, Department of Health Management, Toros University, Mersin, Turkey
| | - Ozlem Bölgen Çimen
- School of Medicine, Department of Physical Medicine and Rehabilitation, Mersin University, Mersin, Turkey
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19
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Pardo NB, Kerstein RB, Júnior MC, Ferreira LS, Abrahão M. Botulinum toxin type A for controlling bruxism assessed with computerized occlusal analysis: A pilot study. Cranio 2020; 40:207-216. [PMID: 32122286 DOI: 10.1080/08869634.2020.1724458] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objective: To assess botulinum toxin-A (BTX-A) on mandibular movements and bite force (BF%) in bruxism.Methods: Ten bruxers were divided into 2 groups based on BF% imbalance (G1: >10%, G2: <10%). BTX-A 140U was total injected into the masseter and temporalis muscles. A T-Scan® recorded BF%, occlusion time (OT), right, left, and protrusive disclusion time (DT) before administering BTX-A, as well as 15, 45, 90, and 120 days after injection.Results: The Friedman and Wilcoxon tests found significant differences in BF% in G1 subjects at 15 days (p = 0.028 s), OT at 90 (p = 0.043 s), and 120 (p = 0.027 s) days, DTR at 90 (p = 0.046 s) and 120 (p = 0.028 s) days, DTL at 15 (p = 0.043 s) and 90 (p = 0.027 s) days, and DTP 45-90 days (p = 0.043 s).Conclusion: BTX-A induced BF% starting at 15 days post-injection and influenced lateralities later.
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Affiliation(s)
- Nícea B Pardo
- Department of Otorhinolaryngology, Head and Neck Surgery, Universidade Federal de São Paulo - UNIFESP, São Paulo, Brazil
| | - Robert B Kerstein
- Former Assistant Clinical Professor, Department of Restorative Dentistry, Tufts University School of Dental Medicine, Boston, MA, USA
| | - Mario C Júnior
- Department of Otorhinolaryngology, Head and Neck Surgery, Universidade Federal de São Paulo - UNIFESP, São Paulo, Brazil
| | - Leila S Ferreira
- Department of Otorhinolaryngology, Head and Neck Surgery, Universidade Federal de São Paulo - UNIFESP, São Paulo, Brazil
| | - Márcio Abrahão
- Department of Otorhinolaryngology, Head and Neck Surgery, Universidade Federal de São Paulo - UNIFESP, São Paulo, Brazil
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20
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Yap AU, Qiu LY, Natu VP, Wong MC. Functional, physical and psychosocial impact of Temporomandibular Disorders in adolescents and young adults. Med Oral Patol Oral Cir Bucal 2020; 25:e188-e194. [PMID: 31893474 PMCID: PMC7103440 DOI: 10.4317/medoral.23298] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 09/16/2019] [Indexed: 11/23/2022] Open
Abstract
Background This community-based study investigated the functional, physical and psychosocial impact of Temporomandibular Disorders (TMDs) in adolescents and young adults. It also determined the discriminative capacity of a TMDs-specific oral health related quality of life (OHRQoL) instrument and compared three formats of appraising OHRQoL data.
Material and Methods Subjects were recruited from a local Polytechnic. The presence of TMDs was established with the Fonseca Anamnestic Index (FAI), whilst TMDs-specific OHRQoL was evaluated with the Oral Health Impact Profile–TMDs (OHIP-TMDs). Demographic information, FAI and OHIP-TMDs responses were gathered with an on-line questionnaire. Data was analysed using Mann-Whitney U-test, chi-square test and Spearman’s rho correlation with significance level set at 0.05.
Results Data from a total of 244 participants were compiled and examined. The “no TMDs” (NT) group consisted of 140 subjects (119 females; 21 males) with a mean age of 20.41±3.29 years, while the “with TMDs” (WT) group composed of 104 subjects (88 females; 16 males) aged 19.82±3.04 years. Significant differences in median severity scores were observed between subjects with and without TMDs for all OHIP-TMDs domains and total OHIP (p values < 0.001). For appraisal of extent and prevalence, significant differences were again observed (p values < 0.05) with the exception of the functional limitation and handicap domains.
Conclusions TMDs impacted physical and psychosocial well-being of adolescents and young adults. OHIP-TMDs, preferably appraised by severity, extent and prevalence, was able to discriminate between subjects with and without TMDs. It holds promise as a TMDs-specific OHRQoL instrument for epidemiological studies. Key words:Temporomandibular Disorders, Oral health, Quality of life, Biopsychosocial.
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Affiliation(s)
- A-U Yap
- School of Health Sciences, Nanyang Polytechnic, 150 Ang Mo Kio Ave 8, Singapore 569815
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21
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Zhang M, Yap AU, Lei J, Fu K. Psychometric evaluation of the Chinese version of the Fonseca anamnestic index for temporomandibular disorders. J Oral Rehabil 2019; 47:313-318. [PMID: 31549419 DOI: 10.1111/joor.12893] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 09/12/2019] [Accepted: 09/19/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Min‐juan Zhang
- Center for TMD & Orofacial Pain Peking University School & Hospital of Stomatology Beijing China
- Department of Oral & Maxillofacial Radiology Peking University School & Hospital of Stomatology Beijing China
- National Clinical Research Center for Oral Diseases Beijing China
- National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China
- Beijing Key Laboratory of Digital Stomatology Beijing China
| | - Adrian U‐Jin Yap
- Center for TMD & Orofacial Pain Peking University School & Hospital of Stomatology Beijing China
- Department of Dentistry Ng Teng Fong General Hospital National University Health System Singapore Singapore
- Faculty of Dentistry National University of Singapore Singapore Singapore
- National Dental Centre Singapore SingHealth Singapore Singapore
| | - Jie Lei
- Center for TMD & Orofacial Pain Peking University School & Hospital of Stomatology Beijing China
- Department of Oral & Maxillofacial Radiology Peking University School & Hospital of Stomatology Beijing China
- National Clinical Research Center for Oral Diseases Beijing China
- National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China
- Beijing Key Laboratory of Digital Stomatology Beijing China
| | - Kai‐Yuan Fu
- Center for TMD & Orofacial Pain Peking University School & Hospital of Stomatology Beijing China
- Department of Oral & Maxillofacial Radiology Peking University School & Hospital of Stomatology Beijing China
- National Clinical Research Center for Oral Diseases Beijing China
- National Engineering Laboratory for Digital and Material Technology of Stomatology Beijing China
- Beijing Key Laboratory of Digital Stomatology Beijing China
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Pinho T, Paço M, Simões D, Chaves P, Almeida V, Rocha J, Moreira L, Duarte J. Common Knowledge About Temporomandibular Disorders and Associated Factors With Its Symptoms: Evidence From a Portuguese Population-Based Survey. JOURNAL OF OROFACIAL SCIENCES 2019. [DOI: 10.4103/jofs.jofs_142_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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23
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Viegas RGDS, Bussadori SK, Vicente IVRDS, Teixeira VP, Bozzella MA, Gonçalves MLL, Motta LJ, Pereira ÉS, Tubel MPDF, Santos EM. Evaluation of primary headache associated with temporomandibular dysfunction in adolescents from Santos, SP, Brazil: an observational study. J Phys Ther Sci 2018; 30:1372-1376. [PMID: 30464368 PMCID: PMC6220096 DOI: 10.1589/jpts.30.1372] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 08/20/2018] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Evaluate the association of primary headache and Temporomandibular Dysfunction
in healthy adolescents from the Santos, SP, Brazil. [Participants and
Methods] A total of 208 adolescents, aged 11 to 16 years old were randomly selected at the
dentistry clinic at Universidade Metropolitana de Santos. For that, the Fonseca Anamnestic
Index was applied, including information such as: limitation when opening the mouth and
moving the jaw, headaches, pain in the temporomandibular joint, noises in the
temporomandibular joint, and the habit of tightening or grinding the teeth. The data were
submitted to descriptive statistical analysis and the χ2 test and Fisher’s
exact test were used to evaluate the association of categorical variables. [Results] The
results were 63% of male participants, and 61% of female participants had
Temporomandibular Dysfunction. In both genders headache was associated with the presence
of Temporomandibular Dysfunction, with 93 participants with light headache and 39 with
moderate headache. [Conclusion] There was an association between headache and the presence
of Temporomandibular Dysfunction, and the percentage of affected males was slightly higher
among this association. In the sample of adolescents who presented Temporomandibular
Dysfunction, moderate headache was the main reported symptom of both genders.
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Affiliation(s)
| | - Sandra Kalil Bussadori
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho: Vergueiro Street, 235/249 Liberdade, 01504000, São Paulo, SP, Brazil.,Faculty of Dentistry, Universidade Metropolitana de Santos, Brazil
| | | | - Victor Perez Teixeira
- Faculty of Dentistry, Universidade Metropolitana de Santos, Brazil.,Faculty of Medicine, Universidade Metropolitana de Santos, Brazil
| | - Marcela Alessandra Bozzella
- Postgraduate Program in Health and Environment, Universidade Metropolitana de Santos, Brazil.,Faculty of Dentistry, Universidade Metropolitana de Santos, Brazil
| | - Marcela Letícia Leal Gonçalves
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho: Vergueiro Street, 235/249 Liberdade, 01504000, São Paulo, SP, Brazil
| | - Lara Jansiski Motta
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho: Vergueiro Street, 235/249 Liberdade, 01504000, São Paulo, SP, Brazil
| | | | | | - Elaine Marcílio Santos
- Postgraduate Program in Health and Environment, Universidade Metropolitana de Santos, Brazil
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Natu VP, Yap AUJ, Su MH, Irfan Ali NM, Ansari A. Temporomandibular disorder symptoms and their association with quality of life, emotional states and sleep quality in South-East Asian youths. J Oral Rehabil 2018; 45:756-763. [DOI: 10.1111/joor.12692] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 07/02/2018] [Accepted: 07/16/2018] [Indexed: 12/01/2022]
Affiliation(s)
- Vaishali P. Natu
- School of Health Sciences; Nanyang Polytechnic; Singapore City Singapore
| | - Adrian U-J. Yap
- Department of Dentistry; Ng Teng Fong General Hospital; National University Health System; Singapore City Singapore
- Faculty of Dentistry; National University of Singapore; Singapore City Singapore
| | - Marilyn Huiting Su
- Allied Health Division; Singapore General Hospital; Singapore City Singapore
| | | | - Anshad Ansari
- School of Health Sciences; Nanyang Polytechnic; Singapore City Singapore
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25
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Sofyanti E, Boel T, Soegiharto B, Auerkari EI. TMD symptoms and vertical mandibular symmetry in young adult orthodontic patients in North Sumatra, Indonesia: a cross-sectional study. F1000Res 2018; 7:697. [PMID: 29946446 PMCID: PMC5998004 DOI: 10.12688/f1000research.14522.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/29/2018] [Indexed: 03/29/2024] Open
Abstract
Background: Temporomandibular joint disorder (TMD) includes symptoms of pain and dysfunction in the muscles of mastication and the temporomandibular joint. Differences in vertical condylar height, observed in the assessment of mandibular asymmetry, is a structural alteration that represents a risk factor for TMD. The study aimed to evaluate the association between TMD symptoms and vertical mandibular symmetry in young adult orthodontic patients in North Sumatra, Indonesia. Methods: The cross-sectional study included 18-25-year-old (mean ± SD, 21.9 ± 2.0 years) old orthodontic patients admitted to the Dental Hospital of Universitas Sumatera Utara, Medan, between June 2016 and March 2017. Vertical mandibular asymmetry was assessed from all 106 subjects using Kjellberg's technique from pre-treatment panoramic radiographs. The TMD symptoms were assessed by structural interviews using modified questionnaires based on Temporomandibular Disorder Diagnostic Index and Fonseca's Anamnestic Index. Results: Of the 106 subjects, 26 (24.5% of the total) with vertical mandibular symmetry and 39 (36.8%) with vertical mandibular asymmetry were positive for TMD symptoms. By contrast, 17 patients (16.0% of the total) with vertical condylar symmetry and 24 patients (22.6%) with vertical mandibular asymmetry were regarded negative for TMD symptoms. There was no significant difference (p=0.520) in TMD symptoms based on vertical mandibular symmetry. Conclusion: The results from this studied Sumatran population indicate that there are common TMD symptoms in young adult orthodontic patients, but there is no significant association between vertical mandibular asymmetry and TMD symptoms. Further study on the development of TMD, mandibular asymmetry and treatment planning for growing patients is suggested, using longitudinal and transitional approaches.
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Affiliation(s)
- Ervina Sofyanti
- Doctoral Program, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
- Department of Orthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Trelia Boel
- Department of Dentomaxillofacial Radiography, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Benny Soegiharto
- Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Elza I. Auerkari
- Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
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Sofyanti E, Boel T, Soegiharto B, Auerkari EI. TMD symptoms and vertical mandibular symmetry in young adult orthodontic patients in North Sumatra, Indonesia: a cross-sectional study. F1000Res 2018; 7:697. [PMID: 29946446 PMCID: PMC5998004 DOI: 10.12688/f1000research.14522.2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/09/2018] [Indexed: 11/20/2022] Open
Abstract
Background: Temporomandibular joint disorder (TMD) includes symptoms of pain and dysfunction in the muscles of mastication and the temporomandibular joint. Differences in vertical condylar height, observed in the assessment of mandibular asymmetry, is a structural alteration that represents a risk factor for TMD. The study aimed to evaluate the association between TMD symptoms and vertical mandibular symmetry in young adult orthodontic patients in North Sumatra, Indonesia. Methods: The cross-sectional study included 18-25-year-old (mean ± SD, 21.9 ± 2.0 years) old orthodontic patients admitted to the Dental Hospital of Universitas Sumatera Utara, Medan, between June 2016 and March 2017. Vertical mandibular asymmetry was assessed from all 106 subjects using Kjellberg's technique from pre-treatment panoramic radiographs. The TMD symptoms were assessed by structural interviews using modified questionnaires based on Temporomandibular Disorder Diagnostic Index and Fonseca's Anamnestic Index. Results: Of the 106 subjects, 26 (24.5% of the total) with vertical mandibular symmetry and 39 (36.8%) with vertical mandibular asymmetry were positive for TMD symptoms. By contrast, 17 patients (16.0% of the total) with vertical condylar symmetry and 24 patients (22.6%) with vertical mandibular asymmetry were regarded negative for TMD symptoms. There was no significant difference (p=0.520) in TMD symptoms based on vertical mandibular symmetry. Conclusion: The results from this studied Sumatran population indicate that there are common TMD symptoms in young adult orthodontic patients, but there is no significant association between vertical mandibular asymmetry and TMD symptoms. Further study on the development of TMD, mandibular asymmetry and treatment planning for growing patients is suggested, using longitudinal and transitional approaches.
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Affiliation(s)
- Ervina Sofyanti
- Doctoral Program, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
- Department of Orthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Trelia Boel
- Department of Dentomaxillofacial Radiography, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Benny Soegiharto
- Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Elza I. Auerkari
- Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
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Grozdinska A, Hofmann E, Schmid M, Hirschfelder U. Prevalence of temporomandibular disorders in patients with Hashimoto thyroiditis. J Orofac Orthop 2018; 79:277-288. [PMID: 29777250 DOI: 10.1007/s00056-018-0140-6] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 04/17/2018] [Indexed: 12/14/2022]
Abstract
OBJECTIVES Autoimmune thyroid disease (AITD), also known as Hashimoto thyroiditis (HT), is a degenerative inflammatory disease with high prevalence among women and has been associated with fibromyalgia and widespread chronic pain. The goal was to determine the frequency of temporomandibular disorders (TMD) in patients with HT. METHODS In all, 119 women (age 19-60 years) were divided into a study (52 women diagnosed with HT) and a control (67 healthy individuals, of which 15 were excluded) group. Serum concentrations of thyroid-stimulating hormone (TSH), free triiodothyronine (fT3), free thyroxine (fT4), anti-thyroglobulin (Tg) and anti-thyroid peroxidase (TPO) antibody levels were measured. The temporomandibular jaw and muscles were examined using the German Society of Functional Diagnostics and Therapy guidelines. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) was used to assess TMD. Standardized questionnaires, incorporating epidemiological criteria, state and treatment of the thyroid disease, Helkimo Index (HI), and Fonseca Anamnestic Index (FAI), were filled out by all patients. RESULTS The two groups did not differ in terms of demographic parameters or mandibular jaw mobility. Significantly higher levels of anti-TPO and anti-Tg were attested in all subjects of the HT group. Markedly elevated prevalence of TMD was found in the HT group. Muscle pain and stiffness were found in 45 (86.5%) subjects of the HT group (p < 0.001), of whom 33 (63.4%) also had disc displacement with reposition (p < 0.001). Whereas 50% of the control group showed no TMD symptoms, all subjects in the HT group had symptoms. CONCLUSIONS A significantly elevated prevalence of TMD was found in patients with HT. Thus, patients with TMD who do not respond to therapy should be referred for thyroid diagnostic workup.
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Affiliation(s)
- Alina Grozdinska
- Department of Orthodontics and Orofacial Orthopedics, University of Erlangen Medical School, Erlangen, Germany.
| | - Elisabeth Hofmann
- Department of Orthodontics and Orofacial Orthopedics, University of Regensburg Medical School, Regensburg, Germany
| | - Matthias Schmid
- Department of Medical Biometry, Informatics and Epidemiology, Rheinische Friedrichs-Wilhelms University, Bonn, Germany
| | - Ursula Hirschfelder
- Department of Orthodontics and Orofacial Orthopedics, University of Erlangen Medical School, Erlangen, Germany
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Pastore GP, Goulart DR, Pastore PR, Prati AJ, de Moraes M. Self-medication Among Myofascial Pain Patients: A Preliminary Study. Open Dent J 2018; 12:347-353. [PMID: 29875887 PMCID: PMC5958295 DOI: 10.2174/1874210601812010347] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2017] [Revised: 04/12/2018] [Accepted: 04/23/2018] [Indexed: 11/22/2022] Open
Abstract
Background Self-medication has been reported as an option which people choose to relieve the suffering of conditions that cause pain, however, this could delay the correct diagnosis and therapy. Objective The aim of the present study was to determine the prevalence of self-medication among patients with Temporomandibular Disorder (TMD), and to analyze correlations with the severity of the disease. Methods A prospective study was conducted with patients who had been diagnosed with TMD. The patients were submitted to anamnesis and a physical examination. This research also used the Fonseca`s Anamnestic Index (FAI) and a questionnaire that was developed specifically for this study, containing questions related to the first health professional contacted and self-medication. The data were analyzed using comparative and correlative analysis (Version 18.0 of SPSS software), with the level of significance set at p<0.05. Results Thirty-four patients were included, with a prevalence of females (91.2%) and a mean age of 39.76 years. Half of the patients claimed to have chosen their own medications at time, especially analgesics. Sodium dipyrone was used by 12 of the participants. Dentists were the most commonly contacted health professionals (55.5%). No correlation was found between self-medication and the severity of TMD according to the FAI. Furthermore, the time period between the onset of symptoms and the first consultation was not affected by self-medication. Conclusion Self-medication seems to be highly prevalent among patients with TMD, although this practice does not seem to alter the severity of the disease.
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Affiliation(s)
- Gabriel Pires Pastore
- Department of Oral and Maxillofacial Surgery, Paulista University - UNIP, São Paulo, Brazil.,Institute of Education and Research - IEP / Sírio Libanês Hospital, São Paulo, Brazil.,Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
| | - Douglas Rangel Goulart
- Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil.,Department of Dentistry, UNIEURO University Center, Brasília, Brazil
| | | | | | - Márcio de Moraes
- Department of Oral Diagnosis, Oral and Maxillofacial Surgery Division, State University of Campinas, Piracicaba Dental School, Piracicaba, Brazil
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de Arruda JA, Figueiredo E, Monteiro JL, Barbosa LM, Rodrigues C, Vasconcelos B. Orofacial clinical features in Arnold Chiari type I malformation: A case series. J Clin Exp Dent 2018; 10:e378-e382. [PMID: 29750100 PMCID: PMC5937955 DOI: 10.4317/jced.54419] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Accepted: 03/14/2018] [Indexed: 11/05/2022] Open
Abstract
Background Arnold Chiari malformation (ACM) is characterized by an anatomical defect at the base of the skull where the cerebellum and the spinal cord herniate through the foramen magnum into the cervical spinal canal. Among the subtypes of the condition, ACM type I (ACM-I) is particularly outstanding because of the severity of symptoms. This study aimed to analyze the orofacial clinical manifestations of patients with ACM-I, and discuss their demographic distribution and clinical features in light of the literature. Material and Methods A case series with patients with ACM-I treated between 2012 and 2015 was described. The sample consisted of patients who were referred by the Department of Neurosurgery to the Oral and Maxillofacial Surgery Service of Hospital da Restauração in Brazil for the assessment of facial symptomatology. A questionnaire was applied to evaluate the presence of painful orofacial findings. Data are reported using descriptive statistical methods. Results Mean patient age was 39.3 years and the sample consisted mostly of male patients. A high prevalence of headache (50%) and pain in the neck (66.7%) and masticatory muscles (50%) was found. Only one patient reported difficulty in performing mandibular movements and two reported jaw clicking sounds. Mean mouth opening was 40.83 mm. Conclusions ACM-I patients may exhibit orofacial symptoms which may mimic temporomandibular joint disorders. This study brings interesting information that could help clinicians and oral and maxillofacial surgeons to understand this uncommon condition and also help with the diagnosis of patients with similar physical characteristics by referring them to a neurosurgeon. Key words:Arnold-Chiari malformation, facial pain, diagnosis, orofacial.
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Affiliation(s)
- José-Alcides de Arruda
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | | | - João-Luiz Monteiro
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil
| | - Livia-Mirelle Barbosa
- Department of Maxillofacial Prosthesis and Surgery, School of Dentistry, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Cleomar Rodrigues
- Department of Oral Imaging, School of Dentistry, Faculdades Integradas da União Educacional do Planalto Central, Brasília, DF, Brazil
| | - Belmiro Vasconcelos
- Hospital da Restauração, Universidade de Pernambuco, Recife, PE, Brazil.,Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil
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Rehan OM, Saleh HAK, Raffat HA, Abu-Taleb NS. Osseous changes in the temporomandibular joint in rheumatoid arthritis: A cone-beam computed tomography study. Imaging Sci Dent 2018; 48:1-9. [PMID: 29581944 PMCID: PMC5863014 DOI: 10.5624/isd.2018.48.1.1] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Revised: 01/09/2018] [Accepted: 01/24/2018] [Indexed: 11/18/2022] Open
Abstract
Purpose To evaluate osseous changes of temporomandibular joint (TMJ) in patients with rheumatoid arthritis (RA) using cone-beam computed tomography (CBCT) and to correlate the imaging findings with the severity of TMJ dysfunction, clinical findings, and laboratory findings. Materials and Methods This study consisted of 28 subjects, including 14 RA patients and 14 controls, who were scheduled to undergo CBCT imaging for the diagnosis of a complaint not related to or affecting the TMJ. The Fonseca's questionnaire was used to assess the severity of TMJ dysfunction. Rheumatoid factor (RF) and the erythrocyte sedimentation rate (ESR) were assessed in the RA patients. CBCT was then performed in all subjects and osseous TMJ abnormalities were assessed. Results According to the Fonseca's questionnaire, 14.3% of the patients had no TMJ dysfunction, while 50%, 21.4%, and 14.3% had mild, moderate, and severe dysfunction, respectively. RF was positive in 64.3% of patients, and the ESR level was high in 100%. Imaging findings revealed a statistically significantly higher prevalence of erosion (85.7%), flattening (89.3%), osteophyte formation (32.1%), subchondral cyst (32.1%), sclerosis (64.3%), and condylar irregularities (28.6%) in the RA patients than in the controls. No correlations were found between CBCT findings and the clinical findings, the severity of TMJ dysfunction, disease duration, or laboratory results. Conclusion RA patients might show extensive osseous abnormalities with no/mild clinical signs or symptoms of TMJ dysfunction that necessitate TMJ imaging for these patients. CBCT is a valuable and efficient modality that can assess osseous TMJ changes in RA patients.
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Affiliation(s)
- Ola Mohamed Rehan
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Hoda Abdel Kader Saleh
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Hala Ahmed Raffat
- Department of Rheumatology and Rehabilitation, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Noha Saleh Abu-Taleb
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Cairo University, Cairo, Egypt
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Paço M, Chaves P, Pinho F, Lemos C, Costa R, Duarte JA, Pinho T. Common symptoms of temporomandibular disorders do not mean same treatment plans: A case series. Int Orthod 2018. [PMID: 29540283 DOI: 10.1016/j.ortho.2018.01.029] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Temporomandibular disorders (TMDs) present several risks and different contributing factors with consequently diverse treatment approaches. It is important to recognize what patients' characteristics may benefit from orthodontics, from physiotherapy, from other treatment modalities or even from a combined approach. CASES PRESENTATION We present three cases of patients with common TMDs signs and/or symptoms and different treatment approaches and outcomes, and our aim is to understand what might explain the different outcomes observed and also provide a rationale about the skeletal, muscular, facial and occlusal characteristics that may be indicative of a particular intervention benefit. CONCLUSION It has been shown that orthodontics plays an important role solving occlusal problems as well as changes in the vertical dimension. On the other hand, physiotherapy was effective in pain management and range improvement, when musculoskeletal changes were clearly found. Finally, it has also been shown that a multidisciplinary approach may be crucial, and the clinician should be aware of a comprehensive assessment, valuing all the contributing factors, namely the psychological ones.
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Affiliation(s)
- Maria Paço
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra-Paredes, Portugal
| | - Paula Chaves
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra-Paredes, Portugal
| | - Francisco Pinho
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra-Paredes, Portugal; Universidade de Aveiro, Escola Superior de Saúde, Aveiro, Portugal; Algoritmi-Universidade do Minho, Guimarães, Portugal
| | - Carolina Lemos
- IBMC-Inst. Biologia Molecular e Celular; i3S-Inst. Inovação e Investigação em Saúde, Universidade do Porto, Portugal
| | - Rui Costa
- Universidade de Aveiro, Escola Superior de Saúde, Aveiro, Portugal
| | - José A Duarte
- CIAFEL, Faculdade de Desporto da Universidade do Porto, Porto, Portugal
| | - Teresa Pinho
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, Gandra-Paredes, Portugal; IBMC-Inst. Biologia Molecular e Celular; i3S-Inst. Inovação e Investigação em Saúde, Universidade do Porto, Portugal.
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Paço M, Chaves P, Pinho F, Lemos C, Costa R, Duarte JA, Pinho T. Une même symptomatologie articulaire temporomandibulaire n’implique pas nécessairement la même thérapeutique : une série de cas cliniques. Int Orthod 2018. [DOI: 10.1016/j.ortho.2018.01.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Pires PF, de Castro EM, Pelai EB, de Arruda ABC, Rodrigues-Bigaton D. Analysis of the accuracy and reliability of the Short-Form Fonseca Anamnestic Index in the diagnosis of myogenous temporomandibular disorder in women. Braz J Phys Ther 2018. [PMID: 29519746 DOI: 10.1016/j.bjpt.2018.02.003] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The Fonseca Anamnestic Index is a questionnaire used to classify individuals with temporomandibular disorders. Previous studies have shown that the Fonseca Anamnestic Index provides a multidimensional measurement of the temporomandibular disorders construct and that the main dimension presents a good fit to the model according to the item response theory. OBJECTIVE To evaluate the between-day reliability, accuracy, and best cut-off score of the Short-Form Fonseca Anamnestic Index for the diagnosis of myogenous temporomandibular disorders. METHODS The sample consisted of 123 women (57 with myogenous temporomandibular disorders and 66 asymptomatic), evaluated by the Research Diagnostic Criteria for Temporomandibular Disorders. The participants answered the Short-Form Fonseca Anamnestic Index on two occasions with a seven-day interval between tests. For the analysis of between-day reliability, the intraclass correlation coefficient, the standard error of measurement and the minimum detectable change were used. The Receiver Operating Characteristic curve was used to determine the diagnostic accuracy and the best cut-off point. RESULTS The Short-Form Fonseca Anamnestic Index demonstrated excellent reliability (intraclass correlation coefficient≥0.95) for all items and for the total Short-Form Fonseca Anamnestic Index score (intraclass correlation coefficient=0.98; standard error of measurement=3.28; minimum detectable change=9.09). The level of accuracy of the Short-Form Fonseca Anamnestic Index for the diagnosis of myogenous temporomandibular disorders was high (area under the curve of 0.97), with a better cut-off score of 17.5 points. CONCLUSION The Fonseca Anamnestic Index should be used in its short form to classify the absence of myogenous temporomandibular disorders (scores between 0 and 15 points) or presence of myogenous temporomandibular disorders (scores between 20 and 50 points) in women.
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Affiliation(s)
- Paulo Fernandes Pires
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil
| | - Ester Moreira de Castro
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil
| | - Elisa Bizetti Pelai
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil
| | - Ana Beatriz Chiconelo de Arruda
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programa de Graduação em Fisioterapia, Piracicaba, SP, Brazil
| | - Delaine Rodrigues-Bigaton
- Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil.
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Herpich CM, Gomes CAFDP, Dibai-Filho AV, Politti F, Souza CDS, Biasotto-Gonzalez DA. Correlation Between Severity of Temporomandibular Disorder, Pain Intensity, and Pressure Pain Threshold. J Manipulative Physiol Ther 2018; 41:47-51. [DOI: 10.1016/j.jmpt.2017.08.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Revised: 08/10/2017] [Accepted: 08/23/2017] [Indexed: 11/15/2022]
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Bicaj T, Shala K, Krasniqi TP, Ahmedi E, Dula L, Lila-Krasniqi Z. Frequency of Symptoms of Temporomandibular Disorders among Prishtina Dental Students. Open Access Maced J Med Sci 2017; 5:781-784. [PMID: 29104690 PMCID: PMC5661719 DOI: 10.3889/oamjms.2017.165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 07/20/2017] [Accepted: 07/21/2017] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Early diagnosis of temporomandibular disorders (TMD) is important for prevention of greater damages of the parts of the oro-facial system. There are early symptoms that can be used as predictors of TMD. AIM The study aimed to assess the frequency of the symptoms of TMD among dental students. METHODS Total number of 166 respondents, all undergraduate dental students, (84 female, 82 male), mean age 22, participated in this study. For the study, the questionnaire of Fonseca was used. There were ten questions to answer with: no, sometimes and yes. Fonseca-Clinical index classification is: 0-15 points, no TMD; 20-40 points, mild TMD; 45-65 points, moderate TMD and 70-100 points, severe TMD. RESULTS Forty-six point four percentages of the students, had no symptoms of TMD, 44.6 % had mild TMD, 7.8% moderate TMD and only 1.2 % had severe TMD. By conventional criteria, there is not any statistical difference of the TMD between male and female (χ2 = 1.133, p = 0.769). CONCLUSION Fonseca questionnaire has its importance in the early diagnosis of TMD that can occur in the young population.
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Affiliation(s)
- Teuta Bicaj
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
| | - Kujtim Shala
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
| | - Teuta Pustina Krasniqi
- Rectorate of the University of Prishtina, Vice Rector for Quality Assurance and Development; Medical Faculty, University of Prishtina, Prosthetic Dentistry, Dental Branch, Prishtina, Kosovo
| | - Enis Ahmedi
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
| | - Linda Dula
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
| | - Zana Lila-Krasniqi
- University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo
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Sampaio NDM, Oliveira MC, Ortega ADO, Santos LDB, Alves TDB. Temporomandibular disorders in elderly individuals: the influence of institutionalization and sociodemographic factors. Codas 2017; 29:e20160114. [DOI: 10.1590/2317-1782/20162016114] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Accepted: 10/24/2016] [Indexed: 11/21/2022] Open
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Cabral RP, Moiolli-Rodrigues ME, Motta FLK, de Souza Motta FCK, da Silva JR, Malheiros L, Martins N, Trepte L, Abrão ALG, Maiworm A, Oliveira LC, Cardoso RL, Arnóbio A, Presta GA, de Sá Caputo DDC, Filho SDS, Frederico ÉHFF, Bernardo-Filho M, de Paoli S. Temporomandibular Disorder in University Students of the <i>Parque das Rosas Campus, Universidade Estácio de Sá</i> That Practice Sports. Health (London) 2016. [DOI: 10.4236/health.2016.81003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Cavalcanti MDOA, Gomes I, Goldim JR. [Perceived coercion of noninstitutionalized elderly patients undergoing research for the diagnosis of temporomandibular joint dysfunction]. Rev Gaucha Enferm 2015; 36:28-34. [PMID: 26334405 DOI: 10.1590/1983-1447.2015.02.49109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Accepted: 04/07/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate perceived coercion (PC) of noninstitutionalized elderly patients undergoing research for the diagnosis of temporomandibular joint dysfunction. METHOD A cross-sectional study conducted with 1,112 elderly individuals aged 60 or older, enrolled in the Family Health Programme of the municipality of Areia, State of Paraíba, Brazil, from January to June 2013. The data collection tool was the Perceived Coercion Scale (PSC). RESULTS The participants were predominantly women (62.5%) in the 60 to 69 age group (45.9%), illiterate (57.9% percent), married or in a common law marriage (54.1%), retired (83.6%), and receiving a monthly income under the minimum wage (72.0%). The average overall PC was 1.25+ 1.15 and Trend 1 (41,4%). There was a difference between the group of individuals who were literate, married and in a common law marriage and the members of the other groups. CONCLUSION Results showed that the elderly patients were minimally coerced when deciding whether to participate in research for diagnosing temporomandibular joint dysfunction. They also revealed a significant association of PC with literacy and marital status.
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