Prevalence of signs and symptoms of temporomandibular disorders in children and adolescents with and without crossbites.

World journal of orthodontics Pub Date : 2010-01-01
Simona Tecco, Felice Festa
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Abstract

This study investigated the prevalence of signs and symptoms of temporomandibular disorders (TMD) in 1,134 orthodontically untreated children and adolescents (593 boys, 541 girls; age range 5 to 15 years) with and without crossbites. The sample with crossbites was further grouped according to the type (anterior, posterior, unilateral, or bilateral). The TMD symptoms bruxism (obvious active attrition/myalgia), joint sounds (clicking/crepitation), deviation during opening, reduced functional movements (maximum opening <40 mm), and myopain (originating in the masticatory muscles/related to masticatory functions) were evaluated based on the standardized RDC/TMD protocol (Research Diagnostic Criteria for Temporomandibular Disorders) and compared among the various groups. Girls had a significantly higher prevalence of myopain than boys (x(2)=3.882, P<.05). Furthermore, individuals with posterior unilateral crossbites showed a significantly higher prevalence of TMD symptoms (x(2)=33.877, P<.001) and reduced functional movements (x2 = 10.800, P<.05) than any other group. In conclusion, sex and type of crossbite play a role in the prevalence of TMD signs and symptoms.

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儿童和青少年伴和不伴交叉咬伤的颞下颌紊乱症状和体征的患病率
本研究调查了1134名未接受正畸治疗的儿童和青少年(593名男孩,541名女孩;年龄范围5至15岁),有无交叉咬合。将交叉咬合患者按类型(前牙、后牙、单侧、双侧)进行分组。TMD症状为磨牙(明显的主动磨损/肌痛),关节声音(咔嗒声/咯吱声),开口时偏差,功能运动减少(最大开口)
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