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Multivariate analysis of risk factors in relation to TMD symptoms

Identifieur interne : 008449 ( Main/Exploration ); précédent : 008448; suivant : 008450

Multivariate analysis of risk factors in relation to TMD symptoms

Auteurs : H. Yatani [Japon] ; K. Hatanaka [Japon] ; Y. Matsuka [Japon] ; H. Minakuchi [Japon] ; T. Tomonari [Japon]

Source :

RBID : ISTEX:8268C43B0F12142566BEAC6063A6B461251DC26A

Descripteurs français

English descriptors

Abstract

The epidemiological studies on risk factors for temporomandibular disorders (TMD) are still extremely lacking. Therefore, their aetiological significance has scarcely been documented. The aim of this study was to quantitatively investigate the relationship between hypothesized risk factors and the precipitation and perpetuation of TMD symptoms. The same 672 adults who participated in a previous study (Matsuka et al., 1996) were selected for this study. All subjects had already answered a self‐administered questionnaire and the same questionnaire was sent to them 4 years after the first survey. The questionnaire failed to reach 58 subjects at the second survey. Of the remaining 614 subjects, 367 (166 males and 201 females with a mean age of 53·1 ± 14·2 years) returned the questionnaire, for a return rate of 59·8%. Information about three TMD symptoms [temporomandibular joint (TMJ) pain, limitation of mouth opening, TMJ noise] was obtained from the questionnaire, and fluctuation of these symptoms was assessed by comparing three pairs of answers between the first and second surveys. Information about 18 hypothesized risk factors for TMD (age, sex, trauma, bruxism, malocclusion, oral habit, etc.) were also obtained from the questionnaire at the first survey. To evaluate how strongly each risk factor was associated with precipitation and perpetuation of TMD symptoms, odds ratio of each risk factors for precipitating or perpetuating TMD symptoms was calculated by means of logistic regression analysis. Statistically significant risk factors for precipitating TMD symptoms were lip biting for TMJ pain (3·65) and trauma for limitation of mouth opening (3·20), and statistically significant risk factors for perpetuating TMD symptoms were female for TMJ pain (4·50) and TMJ noise (3·85) (odds ratio in parenthesis). The possible aetiological significance of these factors in TMD should be validated by future research.

Url:
DOI: 10.1046/j.1365-2842.2002.01026_31.x


Affiliations:


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<term>Academic centre</term>
<term>Anterior temporalis</term>
<term>Anticipatory activity</term>
<term>Apnoea</term>
<term>Appliance</term>
<term>Arbitrary moulding</term>
<term>Arthrogenous origin</term>
<term>Auscultation</term>
<term>Bennett movement</term>
<term>Bennett side shift</term>
<term>Bilateral</term>
<term>Bilateral clenching</term>
<term>Bilateral measurement</term>
<term>Blackwell</term>
<term>Blackwell science</term>
<term>Bosman department</term>
<term>Botulinum toxin</term>
<term>Bres</term>
<term>Bruxers</term>
<term>Bruxism</term>
<term>Bruxism time index</term>
<term>Central incisor</term>
<term>Centre</term>
<term>Cervical</term>
<term>Cervical spine</term>
<term>Clenching</term>
<term>Clinical assessment</term>
<term>Clinical signs</term>
<term>Complete dentures</term>
<term>Contraction episodes</term>
<term>Contraction time</term>
<term>Contralateral side</term>
<term>Control appliance</term>
<term>Control group</term>
<term>Corresponding amas</term>
<term>Craniomandibular</term>
<term>Craniomandibular disorders</term>
<term>Crown height</term>
<term>Daily stress</term>
<term>Deformation displacement</term>
<term>Dental research</term>
<term>Dentine exposure</term>
<term>Dentistry</term>
<term>Dentistry amsterdam</term>
<term>Denture</term>
<term>Diagnostic criteria</term>
<term>Different design</term>
<term>Different foods</term>
<term>Digastric</term>
<term>Disorder</term>
<term>Edentate people</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Experimental muscle pain</term>
<term>Experimental occlusal interference</term>
<term>Facial pain</term>
<term>Flemish adolescent girls</term>
<term>Food resistance</term>
<term>Force transducer</term>
<term>Full dentures</term>
<term>Functional impression trays</term>
<term>Functional impressions</term>
<term>Glenoid fossa</term>
<term>Haemodynamic changes</term>
<term>Healthy subjects</term>
<term>Horizontal forces</term>
<term>Hospital anxiety</term>
<term>Hydrodynamic stimulation</term>
<term>Implant</term>
<term>Incisor</term>
<term>Interference period</term>
<term>Interobserver reliability</term>
<term>Interrater reliability</term>
<term>Item scores</term>
<term>Laryngeal</term>
<term>Laryngeal elevation</term>
<term>Laryngeal vibration</term>
<term>Lateral</term>
<term>Lateral pterygoid muscles</term>
<term>Life quality</term>
<term>Little modulation</term>
<term>Local anaesthesia</term>
<term>Local application</term>
<term>Local craniomandibular pain</term>
<term>Lower ridge region</term>
<term>Lower ridge resorption</term>
<term>Magnetic resonance imaging</term>
<term>Main complaint</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular contact movements</term>
<term>Mandibular movement</term>
<term>Mandibular movements</term>
<term>Mandibular posture</term>
<term>Masseter</term>
<term>Masseter muscle activity</term>
<term>Masseter muscles</term>
<term>Masticatory</term>
<term>Masticatory muscle palpation</term>
<term>Masticatory muscles</term>
<term>Masticatory performance</term>
<term>Masticatory system</term>
<term>Mcgill pain questionnaire</term>
<term>Molar</term>
<term>Mouth opening</term>
<term>Multiple regression analysis</term>
<term>Muscle activity</term>
<term>Myofascial pain</term>
<term>Myogenous</term>
<term>Myogenous pain</term>
<term>Naeije department</term>
<term>Narrow occlusal surface</term>
<term>Natural environment</term>
<term>Nerve responses</term>
<term>Netherlands</term>
<term>Occlusal</term>
<term>Occlusal anatomy</term>
<term>Occlusal appliance therapy</term>
<term>Occlusal surface</term>
<term>Occlusal tooth</term>
<term>Odds ratio</term>
<term>Okayama university</term>
<term>Oral function</term>
<term>Oral habits</term>
<term>Oral physiology</term>
<term>Oral rehabilitation</term>
<term>Other techniques</term>
<term>Other variables</term>
<term>Outcome variables</term>
<term>Pain intensity</term>
<term>Painful body areas</term>
<term>Palatal</term>
<term>Palatal appliances</term>
<term>Palpation</term>
<term>Patient group</term>
<term>Periodontal receptors</term>
<term>Personality characteristics</term>
<term>Physiology</term>
<term>Physiotherapeutic treatment modalities</term>
<term>Physiotherapy</term>
<term>Physiotherapy group</term>
<term>Positive effect</term>
<term>Posterior digastric</term>
<term>Posterior digastric muscle palpation</term>
<term>Posterior part</term>
<term>Posterior temporalis</term>
<term>Predictor variables</term>
<term>Premature contact</term>
<term>Present study</term>
<term>Pressure onset</term>
<term>Previous study</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Psychological characteristics</term>
<term>Psychological distress</term>
<term>Psychological factors</term>
<term>Psychosomatic disorders</term>
<term>Pulpal blood circulation</term>
<term>Randomized</term>
<term>Recent studies</term>
<term>Recurrent headache</term>
<term>Reliability</term>
<term>Removable prosthodontics</term>
<term>Replacement dentures</term>
<term>Ridge incisal edge</term>
<term>Right masseter muscle</term>
<term>Ring rates</term>
<term>Risk factors</term>
<term>Sagittal distance</term>
<term>Several types</term>
<term>Side mandible</term>
<term>Spearman correlation</term>
<term>Splint therapy</term>
<term>Stabilization appliance</term>
<term>Statistical analysis</term>
<term>Sternocleidomastoid muscles</term>
<term>Stimulation cavity</term>
<term>Stomatognathic physiology</term>
<term>Such treatment</term>
<term>Superior laryngeal nerve</term>
<term>Supramedullary region</term>
<term>Symptom</term>
<term>Temporal muscles</term>
<term>Temporalis</term>
<term>Temporalis muscle</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Temporomandibular joints</term>
<term>Tongue motion</term>
<term>Tooth plastic rims</term>
<term>Treatment contrast</term>
<term>Treatment demand</term>
<term>Treatment effect</term>
<term>Treatment group</term>
<term>Treatment need</term>
<term>Treatment outcome</term>
<term>Twitch force</term>
<term>Unilateral</term>
<term>Unilateral clenching</term>
<term>Vallon department</term>
<term>Vertical distance</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
<term>Visual feedback</term>
<term>Younger persons</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Academic centre</term>
<term>Anterior temporalis</term>
<term>Anticipatory activity</term>
<term>Apnoea</term>
<term>Appliance</term>
<term>Arbitrary moulding</term>
<term>Arthrogenous origin</term>
<term>Auscultation</term>
<term>Bennett movement</term>
<term>Bennett side shift</term>
<term>Bilateral</term>
<term>Bilateral clenching</term>
<term>Bilateral measurement</term>
<term>Blackwell</term>
<term>Blackwell science</term>
<term>Bosman department</term>
<term>Botulinum toxin</term>
<term>Bres</term>
<term>Bruxers</term>
<term>Bruxism</term>
<term>Bruxism time index</term>
<term>Central incisor</term>
<term>Centre</term>
<term>Cervical</term>
<term>Cervical spine</term>
<term>Clenching</term>
<term>Clinical assessment</term>
<term>Clinical signs</term>
<term>Complete dentures</term>
<term>Contraction episodes</term>
<term>Contraction time</term>
<term>Contralateral side</term>
<term>Control appliance</term>
<term>Control group</term>
<term>Corresponding amas</term>
<term>Craniomandibular</term>
<term>Craniomandibular disorders</term>
<term>Crown height</term>
<term>Daily stress</term>
<term>Deformation displacement</term>
<term>Dental research</term>
<term>Dentine exposure</term>
<term>Dentistry</term>
<term>Dentistry amsterdam</term>
<term>Denture</term>
<term>Diagnostic criteria</term>
<term>Different design</term>
<term>Different foods</term>
<term>Digastric</term>
<term>Disorder</term>
<term>Edentate people</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Experimental muscle pain</term>
<term>Experimental occlusal interference</term>
<term>Facial pain</term>
<term>Flemish adolescent girls</term>
<term>Food resistance</term>
<term>Force transducer</term>
<term>Full dentures</term>
<term>Functional impression trays</term>
<term>Functional impressions</term>
<term>Glenoid fossa</term>
<term>Haemodynamic changes</term>
<term>Healthy subjects</term>
<term>Horizontal forces</term>
<term>Hospital anxiety</term>
<term>Hydrodynamic stimulation</term>
<term>Implant</term>
<term>Incisor</term>
<term>Interference period</term>
<term>Interobserver reliability</term>
<term>Interrater reliability</term>
<term>Item scores</term>
<term>Laryngeal</term>
<term>Laryngeal elevation</term>
<term>Laryngeal vibration</term>
<term>Lateral</term>
<term>Lateral pterygoid muscles</term>
<term>Life quality</term>
<term>Little modulation</term>
<term>Local anaesthesia</term>
<term>Local application</term>
<term>Local craniomandibular pain</term>
<term>Lower ridge region</term>
<term>Lower ridge resorption</term>
<term>Magnetic resonance imaging</term>
<term>Main complaint</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular contact movements</term>
<term>Mandibular movement</term>
<term>Mandibular movements</term>
<term>Mandibular posture</term>
<term>Masseter</term>
<term>Masseter muscle activity</term>
<term>Masseter muscles</term>
<term>Masticatory</term>
<term>Masticatory muscle palpation</term>
<term>Masticatory muscles</term>
<term>Masticatory performance</term>
<term>Masticatory system</term>
<term>Mcgill pain questionnaire</term>
<term>Molar</term>
<term>Mouth opening</term>
<term>Multiple regression analysis</term>
<term>Muscle activity</term>
<term>Myofascial pain</term>
<term>Myogenous</term>
<term>Myogenous pain</term>
<term>Naeije department</term>
<term>Narrow occlusal surface</term>
<term>Natural environment</term>
<term>Nerve responses</term>
<term>Netherlands</term>
<term>Occlusal</term>
<term>Occlusal anatomy</term>
<term>Occlusal appliance therapy</term>
<term>Occlusal surface</term>
<term>Occlusal tooth</term>
<term>Odds ratio</term>
<term>Okayama university</term>
<term>Oral function</term>
<term>Oral habits</term>
<term>Oral physiology</term>
<term>Oral rehabilitation</term>
<term>Other techniques</term>
<term>Other variables</term>
<term>Outcome variables</term>
<term>Pain intensity</term>
<term>Painful body areas</term>
<term>Palatal</term>
<term>Palatal appliances</term>
<term>Palpation</term>
<term>Patient group</term>
<term>Periodontal receptors</term>
<term>Personality characteristics</term>
<term>Physiology</term>
<term>Physiotherapeutic treatment modalities</term>
<term>Physiotherapy</term>
<term>Physiotherapy group</term>
<term>Positive effect</term>
<term>Posterior digastric</term>
<term>Posterior digastric muscle palpation</term>
<term>Posterior part</term>
<term>Posterior temporalis</term>
<term>Predictor variables</term>
<term>Premature contact</term>
<term>Present study</term>
<term>Pressure onset</term>
<term>Previous study</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Psychological characteristics</term>
<term>Psychological distress</term>
<term>Psychological factors</term>
<term>Psychosomatic disorders</term>
<term>Pulpal blood circulation</term>
<term>Randomized</term>
<term>Recent studies</term>
<term>Recurrent headache</term>
<term>Reliability</term>
<term>Removable prosthodontics</term>
<term>Replacement dentures</term>
<term>Ridge incisal edge</term>
<term>Right masseter muscle</term>
<term>Ring rates</term>
<term>Risk factors</term>
<term>Sagittal distance</term>
<term>Several types</term>
<term>Side mandible</term>
<term>Spearman correlation</term>
<term>Splint therapy</term>
<term>Stabilization appliance</term>
<term>Statistical analysis</term>
<term>Sternocleidomastoid muscles</term>
<term>Stimulation cavity</term>
<term>Stomatognathic physiology</term>
<term>Such treatment</term>
<term>Superior laryngeal nerve</term>
<term>Supramedullary region</term>
<term>Symptom</term>
<term>Temporal muscles</term>
<term>Temporalis</term>
<term>Temporalis muscle</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Temporomandibular joints</term>
<term>Tongue motion</term>
<term>Tooth plastic rims</term>
<term>Treatment contrast</term>
<term>Treatment demand</term>
<term>Treatment effect</term>
<term>Treatment group</term>
<term>Treatment need</term>
<term>Treatment outcome</term>
<term>Twitch force</term>
<term>Unilateral</term>
<term>Unilateral clenching</term>
<term>Vallon department</term>
<term>Vertical distance</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
<term>Visual feedback</term>
<term>Younger persons</term>
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<front>
<div type="abstract" xml:lang="en">The epidemiological studies on risk factors for temporomandibular disorders (TMD) are still extremely lacking. Therefore, their aetiological significance has scarcely been documented. The aim of this study was to quantitatively investigate the relationship between hypothesized risk factors and the precipitation and perpetuation of TMD symptoms. The same 672 adults who participated in a previous study (Matsuka et al., 1996) were selected for this study. All subjects had already answered a self‐administered questionnaire and the same questionnaire was sent to them 4 years after the first survey. The questionnaire failed to reach 58 subjects at the second survey. Of the remaining 614 subjects, 367 (166 males and 201 females with a mean age of 53·1 ± 14·2 years) returned the questionnaire, for a return rate of 59·8%. Information about three TMD symptoms [temporomandibular joint (TMJ) pain, limitation of mouth opening, TMJ noise] was obtained from the questionnaire, and fluctuation of these symptoms was assessed by comparing three pairs of answers between the first and second surveys. Information about 18 hypothesized risk factors for TMD (age, sex, trauma, bruxism, malocclusion, oral habit, etc.) were also obtained from the questionnaire at the first survey. To evaluate how strongly each risk factor was associated with precipitation and perpetuation of TMD symptoms, odds ratio of each risk factors for precipitating or perpetuating TMD symptoms was calculated by means of logistic regression analysis. Statistically significant risk factors for precipitating TMD symptoms were lip biting for TMJ pain (3·65) and trauma for limitation of mouth opening (3·20), and statistically significant risk factors for perpetuating TMD symptoms were female for TMJ pain (4·50) and TMJ noise (3·85) (odds ratio in parenthesis). The possible aetiological significance of these factors in TMD should be validated by future research.</div>
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