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Malocclusion complexity as an associated factor for temporomandibular disorders. A case-control study
Iván Daniel Zúñiga-Herrera1, José Rubén Herrera-Atoche1, Mauricio Escoffié-Ramírez1
1Department of Orthodontics, School of Dentistry, Autonomous University of Yucatan, Yucatán, México.
Cranio : the Journal of Craniomandibular Practice
|January 7, 2021
Summary
Temporomandibular disorders (TMD) are linked to complex malocclusion. Increased complexity in dental alignment significantly raises the risk of developing TMD, impacting oral health outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Oral Health
Background:
- Temporomandibular disorders (TMD) represent a significant clinical challenge.
- Malocclusion complexity is a key factor in orthodontic treatment planning.
- Understanding the relationship between malocclusion and TMD is crucial for patient care.
Purpose of the Study:
- To investigate the association between temporomandibular disorders (TMD) and the complexity of malocclusion.
- To quantify malocclusion complexity using the Index of Complexity Outcome and Need (ICON).
Main Methods:
- A prospective, cross-sectional study design was employed.
- 179 cases with TMD and 179 matched controls were analyzed.
- The Research Diagnostic Criteria for TMD and the ICON for malocclusion complexity were utilized.
- Binary logistic regression analysis identified significant associations.
Main Results:
- TMD presence was significantly associated with gender and malocclusion complexity (p < 0.05).
- Individuals with higher malocclusion complexity, as measured by ICON, showed a greater likelihood of having TMD.
- A clear dose-response relationship was observed: higher ICON levels correlated with increased TMD risk (p < 0.001).
Conclusions:
- Temporomandibular disorders (TMD) are demonstrably associated with malocclusion complexity.
- Increasing levels of malocclusion complexity elevate the risk of developing TMD.
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