Association of Malocclusion with Temporomandibular Disorders: A Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Data Collection
2.3. Variables Recorded
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Clinical Outcome | Mean ± SD or n (%) |
---|---|
Arthralgia | 683 (63.7%) |
TMJ arthralgia level (VAS, 0–10) | 6.54 ± 2.54 |
Mouth opening limitation | 684 (58.5%) |
MMO (mm) | 39.59 ± 8.46 |
Myalgia Degree (0–3) | 2.16 ± 1.04 |
TMJ Crepitus | 251 (23.3%) |
TMJ Clicks | 541 (50.2%) |
Disc Position | |
woD | 299 (25.6%) |
DDwR | 396 (33.8%) |
DDwoR | 265 (22.6%) |
DDwR/DDwoR | 87 (7.4%) |
Dimitroulis Classification | |
1 | 317 (27.3%) |
2 | 413 (35.6%) |
3 | 228 (19.7%) |
4 | 196 (16.9%) |
5 | 6 (0.5%) |
Oral Signs of Bruxism | 368 (31.5%) |
Clinical Outcome | Class I Mean ± SD or n (%) | Class II Mean ± SD or n (%) | Class III Mean ± SD or n (%) | Class I vs. II p-Value, Cramer’s V or U, z |
---|---|---|---|---|
Arthralgia | 506 (62.8%) | 100 (73.0%) | 6 (60.0%) | 0.021, 0.075 |
TMJ arthralgia level (VAS, 0–10) | 6.62 ± 2.50 | 6.57 ± 2.45 | 6.56 ± 2.53 | 0.749, 48,120, −0.319 |
Limitation of mouth opening | 477 (58.7%) | 96 (69.6%) | 7 (70.0%) | 0.016, 0.078 |
MMO (mm) | 39.93 ± 8.67 | 38.13 ± 7.78 | 42.40 ± 5.85 | 0.01, 63,060, 5, −2.575 |
Myalgia Degree | 0.002, 0.104 | |||
0 | 114 (14.1%) | 12 (8.7%) | 1 (10.0%) | |
1 | 74 (9.1%) | 7 (3.6%) | 0 (0%) | |
2 | 216 (26.7%) | 49 (35.5%) | 5 (50.0%) | |
3 | 406 (50.1%) | 72 (52.2%) | 4 (40.0%) | |
TMJ clicks | 405 (50.0%) | 66 (47.8%) | 2 (20.0%) | 0.637, −0.015 |
TMJ crepitus | 173 (21.4%) | 42 (30.7%) | 1 (10.0%) | 0.017, 0.078 |
Oral signs of bruxism | 534 (67.0%) | 103 (75.7%) | 6 (60.0%) | 0.043, 0.066 |
Disc Position | ||||
woD | 226 (29.4%) | 33 (24.6%) | 2 (22.2%) | 0.002, 0128 |
DDwR | 305 (39.6%) | 37 (27.6%) | 1 (11.1%) | |
DDwoR | 186 (24.2%) | 49 (36.6%) | 5 (55.6%) | |
DDwR/DDwoR | 53 (6.9%) | 15 (11.2%) | 1 (11.1%) |
Clinical Outcome | Without Oral Signs of Bruxism Mean ± SD or n (%) | Oral Signs of Bruxism Mean ± SD or n (%) | Class I vs. II p-Value, Cramer’s V or U, z |
---|---|---|---|
Arthralgia | 21 (61.8%) | 78 (76.5%) | 0.095, 0.143 |
TMJ arthralgia level (VAS, 0–10) | 5.76 ± 2.88 | 6.75 ± 2.30 | 0.131, 1390, 5, −1.51 |
Limitation mouth opening | 23 (67.6%) | 72 (69.6%) | 0.805, 0.021 |
MMO (mm) | 39.50 ± 9.62 | 37.99 ± 6.98 | 0.090, 1411, 5, −1.69 |
Myalgia Degree | 0.003, 0.319 | ||
0 | 7 (20.6%) | 4 (4.9%) | |
1 | 3 (8.8%) | 2 (1.9%) | |
2 | 13 (38.2%) | 36 (35.0%) | |
3 | 11 (32.4%) | 60 (58.3%) | |
TMJ clicks | 18 (52.9%) | 48 (46.6%) | 0.521, −0.055 |
TMJ crepitus | 8 (23.5%) | 34 (33.3%) | 0.284, 0.092 |
Disc Position | |||
woD | 10 (30.3%) | 23 (23.0%) | 0.048, 0.240 |
DDwR | 14 (42.4%) | 23 (23.0%) | |
DDwoR | 7 (21.2%) | 41 (41.0%) | |
DDwR/DDwoR | 2 (6.1%) | 13 (13.0%) | |
Dimitroulis Classification | |||
1 | 7 (20.6%) | 16 (15.5%) | |
2 | 15 (44.1%) | 32 (31.1%) | |
3 | 9 (26.5%) | 19 (18.4%) | 0.045, 0.267 |
4 | 2 (5.9%) | 34 (33.0%) | |
5 | 1 (2.9%) | 2 (1.9%) |
Previous Treatment/Risk Factor | Class I n (%) | Class II n (%) | p-Value, Cramer’s V |
---|---|---|---|
Orthognathic surgery | 1 (0.1%) | 0 (0.0%) | 0.680, 0.013 |
Orthodontic treatment | 117 (14.4%) | 25 (18.1%) | 0.259, 0.037 |
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Ângelo, D.F.; Faria-Teixeira, M.C.; Maffia, F.; Sanz, D.; Sarkis, M.; Marques, R.; Mota, B.; João, R.S.; Cardoso, H.J. Association of Malocclusion with Temporomandibular Disorders: A Cross-Sectional Study. J. Clin. Med. 2024, 13, 4909. https://doi.org/10.3390/jcm13164909
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. Journal of Clinical Medicine. 2024; 13(16):4909. https://doi.org/10.3390/jcm13164909
Chicago/Turabian StyleÂngelo, David Faustino, Maria Cristina Faria-Teixeira, Francesco Maffia, David Sanz, Marcella Sarkis, Rute Marques, Beatriz Mota, Ricardo São João, and Henrique José Cardoso. 2024. "Association of Malocclusion with Temporomandibular Disorders: A Cross-Sectional Study" Journal of Clinical Medicine 13, no. 16: 4909. https://doi.org/10.3390/jcm13164909