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Jaw function status in an elderly community sample

Identifieur interne : 002469 ( Istex/Curation ); précédent : 002468; suivant : 002470

Jaw function status in an elderly community sample

Auteurs : Carol A. Bibb [États-Unis] ; Kathryn A. Atchison [États-Unis] ; Andrew G. Pullinger [États-Unis] ; Geber T. Bittar [États-Unis]

Source :

RBID : ISTEX:4A9B8A2BEF0BFD3C494F855E765A1D978446D306

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Abstract

Abstract The purpose of this study was to assess jaw function status and disability in an elderly population. The sample consisted of 429 Medicare recipients dwelling in the community (mean age = 74.4±5 yr; 58% female and 42% male) who were enrolled in an HCFA‐sponsored prevention demonstration project. An evaluation of TMJ and jaw muscle status was conducted at the completion of a general dental examination. This included assessment of joint sounds (clicking or crepitus), joint and jaw muscle tenderness to palpation, and measurement of maximum opening. Pain or disability during jaw use and history of TMD problems were assessed by self‐report. The prevalence of TMJ clicking was 16%, crepitus 19%, TMJ tenderness 8%, jaw muscle tenderness 13%, and opening < 40 mm 22% Pain on jaw use was reported by 6.5%, and 12% reported a history of TMD problems. There was no significant relationship between TMD signs and symptoms and dental status. The lack of consistent relationship between TMD signs and symptoms and health status measures suggests that TMD is a localized disease process and not an extension of a general condition such as arthritis or depression, nor does it have major impact on activities of daily living. Examiner referral for treatment was low (1%) indicating that TMD was not a significant treatment concern in this sample of the elderly.

Url:
DOI: 10.1111/j.1600-0528.1995.tb00253.x

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ISTEX:4A9B8A2BEF0BFD3C494F855E765A1D978446D306

Le document en format XML

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<term>Localized disease process</term>
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<term>Positive history</term>
<term>Prevalence</term>
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<div type="abstract">Abstract The purpose of this study was to assess jaw function status and disability in an elderly population. The sample consisted of 429 Medicare recipients dwelling in the community (mean age = 74.4±5 yr; 58% female and 42% male) who were enrolled in an HCFA‐sponsored prevention demonstration project. An evaluation of TMJ and jaw muscle status was conducted at the completion of a general dental examination. This included assessment of joint sounds (clicking or crepitus), joint and jaw muscle tenderness to palpation, and measurement of maximum opening. Pain or disability during jaw use and history of TMD problems were assessed by self‐report. The prevalence of TMJ clicking was 16%, crepitus 19%, TMJ tenderness 8%, jaw muscle tenderness 13%, and opening < 40 mm 22% Pain on jaw use was reported by 6.5%, and 12% reported a history of TMD problems. There was no significant relationship between TMD signs and symptoms and dental status. The lack of consistent relationship between TMD signs and symptoms and health status measures suggests that TMD is a localized disease process and not an extension of a general condition such as arthritis or depression, nor does it have major impact on activities of daily living. Examiner referral for treatment was low (1%) indicating that TMD was not a significant treatment concern in this sample of the elderly.</div>
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