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Risk indicators for signs and symptoms of temporomandibular dysfunction in children
Luciano José Pereira1, Rodrigo Campos Costa, Julieta Petruceli França
1Centro Universitário de Lavras, Unilavras, MG, Brazil. lucianojosepereira@yahoo.com.br
Insights
Children who grind their teeth (bruxing) or have posterior crossbite are more likely to develop temporomandibular dysfunction (TMD) signs and symptoms. This study identified key risk indicators for TMD in pediatric patients.
Area of Science:
- Pediatric Dentistry
- Craniofacial Research
- Oral Health
Background:
- Temporomandibular dysfunction (TMD) affects children, impacting their oral health and well-being.
- Identifying early risk factors is crucial for timely intervention and prevention strategies.
Purpose of the Study:
- To identify risk indicators for signs and symptoms of temporomandibular dysfunction (TMD) in children aged 4 to 12 years.
- To establish a foundation for targeted preventive measures in pediatric populations.
Main Methods:
- Assessed 106 children for TMD signs/symptoms, dentition/occlusal abnormalities, and habits like bruxing and digit sucking.
- Employed multivariate logistic regression analysis to determine statistically significant risk factors (P < 0.05).
Main Results:
- The prevalence of at least one TMD sign or symptom was 12.26%.
- Bruxing (teeth grinding) and posterior crossbite were identified as significant risk indicators for TMD.
- Bruxing showed an odds ratio of 6.08, and posterior crossbite 5.74.
Conclusions:
- Children exhibiting bruxing habits or having posterior crossbite face a higher probability of developing TMD.
- These findings underscore the importance of monitoring occlusal status and parafunctional habits in children for TMD risk assessment.
Objectives:
The aim of this study was to determine the risk indicators for signs and symptoms of temporomandibular dysfunction (TMD) in children between 4 and 12 years of age.
Study Design:
One hundred six patients were assessed for the following variables: (1) signs and symptoms of TMD (deviation when opening mouth, joint noises, limitation of movement, pain in the mandible or during movement), (2) dentition and occlusal abnormalities, and 3) habits (pacifier sucking, nonnutritive sucking, finger sucking, nail biting, and teeth grinding (bruxing). Multivariate logistic regression was performed with the level of significance set at P < 0.05.
Results:
The prevalence of at least one sign or symptom of TMD in the present sample was 12.26% (n = 13). Only bruxing (P = 0.01, odds ratio 6.08, CI 1.51-24.51) and posterior crossbite (P = 0.03, odds ratio 5.74, CI, 1.18-27.85) achieved statistical significance in the multivariate regression model and were considered risk indicators for signs and symptoms of TMD.
Conclusions:
Children with bruxing or clenching habits and those with posterior crossbite have a greater likelihood of developing signs and symptoms of TMD.
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