Prevalence and associations of temporomandibular disorders in older Brazilian adults

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Gerodontology Pub Date : 2023-06-29 DOI:10.1111/ger.12701

Fabíola Bof de Andrade, Doralice Severo da Cruz Teixeira, Rafael da Silveira Moreira, Cesar de Oliveira

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Abstract

Objective

The objective of the study was to estimate the prevalence of temporomandibular disorders (TMD) and describe associations in a representative sample of community-dwelling older Brazilian adults.

Background

TMD cause recurrent or chronic pain and dysfunction with substantial impacts on quality of life, but little is known of their occurrence and associated factors among older adults.

Materials and Methods

This was a cross-sectional study using data from the second wave of the Brazilian Longitudinal Study of Aging, a nationally representative sample of older Brazilian adults aged 50 or older. The presence of temporomandibular disorder symptoms was measured by the Fonseca Anamnestic Index. Independent variables included sociodemographic characteristics, general health conditions and self-reported oral health measures. The association between the independent variables and TMD symptoms was evaluated using logistic regression models.

Results

Complete information for the variables of interest was available for 9391 individuals. The overall prevalence of TMD symptoms was 18.0% (95% CI 14.4–22.1). Relative to older adults aged 50–59 those in all age categories had lower odds of TMD symptoms. Individuals with depression, pain, sleep problems and self-reported poor general health had higher odds of reporting TMD symptoms. None of the oral health measures were related to TMD.

Conclusion

The prevalence of TMD symptoms among Brazilian older adults is associated with demographic and general health conditions, but not with dentition status.

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巴西老年人颞下颌关节紊乱症的发病率及其相关性。

研究目的本研究的目的是估计颞下颌关节紊乱症（TMD）的患病率，并描述巴西社区老年人代表性样本的相关性：TMD会导致反复或慢性疼痛和功能障碍，严重影响生活质量，但人们对其在老年人中的发生率和相关因素知之甚少：这是一项横断面研究，使用的是巴西老龄化纵向研究第二波的数据，该研究对巴西 50 岁及以上的老年人进行了具有全国代表性的抽样调查。是否存在颞下颌关节紊乱症状由丰塞卡颞下颌关节紊乱指数（Fonseca Anamnestic Index）进行测量。自变量包括社会人口特征、一般健康状况和自我报告的口腔健康指标。采用逻辑回归模型评估了自变量与 TMD 症状之间的关系：共有 9391 人提供了相关变量的完整信息。TMD 症状的总患病率为 18.0%（95% CI 14.4-22.1）。与 50-59 岁的老年人相比，所有年龄段的人出现 TMD 症状的几率都较低。患有抑郁症、疼痛、睡眠问题和自述一般健康状况较差的人报告 TMD 症状的几率较高。所有口腔健康指标均与 TMD 无关：结论：巴西老年人 TMD 症状的发生率与人口统计学和一般健康状况有关，但与牙齿状况无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.