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Does adolescent self-reported TMD pain persist into early adulthood? A longitudinal study
Ing-Marie Nilsson1,2,3, Thomas List2,3
1Center for Oral Rehabilitation, FTV Östergötland, Norrköping, Sweden.
Acta Odontologica Scandinavica
|February 20, 2020
Summary
Adolescent temporomandibular disorder (TMD) pain triples the risk of developing TMD pain in young adulthood. Persistent TMD pain is linked to increased comorbid pain and psychosocial distress.
Area of Science:
- Oral and Maxillofacial Surgery
- Pain Medicine
- Epidemiology
Background:
- Temporomandibular disorder (TMD) pain is a common condition with potential long-term impacts.
- Understanding the developmental trajectory of TMD pain from adolescence to young adulthood is crucial for effective management.
Purpose of the Study:
- To conduct a longitudinal follow-up of individuals screened for TMD pain in adolescence.
- To assess the persistence of TMD pain and the development of comorbid conditions and pain-related disability into young adulthood.
Main Methods:
- A longitudinal study followed 2209 individuals screened for TMD pain between 2000-2003.
- Questionnaires administered during 2012-2014 assessed current TMD pain, comorbid conditions, and pain-related disability.
- Response rate was 36.5%; telephone interviews were offered to a randomized group.
Main Results:
- Individuals with TMD pain in adolescence had a significantly higher likelihood of experiencing TMD pain in young adulthood (45.1% vs. 15.8%).
- Persistent TMD pain was strongly associated with increased frequency of comorbid pains (p < .001).
- Moderate to severe depression scores (p < .001) and moderate pain-related disability were reported by individuals with persistent TMD pain.
Conclusions:
- Adolescent TMD pain is a significant risk factor, tripling the risk of TMD pain in young adulthood.
- Persistent TMD pain contributes to a higher burden of comorbid pain conditions and psychosocial distress.
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