TMD in children and adolescents: prevalence of pain, gender differences, and perceived treatment need.

  • List T
  • Wahlund K
  • Wenneberg B
 et al. 
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AIMS: The aim of this study was to determine the prevalence of pain that is related to temporomandibular disorders (TMD), gender differences, and perceived treatment need in children and adolescents at a public dental clinic in Linköping, Sweden.

METHODS: A total of 862 children and adolescents aged 12 to 18 years received a questionnaire and their jaw opening was measured. Those who reported pain once a week or more in the masticatory system received a more comprehensive examination, including the Research Diagnostic Criteria for TMD and a neurologic examination (group 1). Group 2 reported pain less than once a week.

RESULTS: Seven percent of subjects (63/862) were diagnosed with TMD pain. Both genders exhibited similar distributions of TMD diagnoses, except that myofascial pain was significantly more common in girls than in boys. Prevalence of pain once a week or more was reported as: 21% in the head; 12% in the temples; and 3% in the face, temporomandibular joint, or jaws. The prevalence of TMD-related pain was significantly higher in girls than in boys. Self-reported TMD symptoms were significantly more common (P < 0.001) in group 1. No significant gender differences were found in group 1 for pain intensity, behavioral rating scale scores, medicine consumption, reported days of school absence, or perceived need for treatment.

CONCLUSION: Overall, TMD-related pain was more common in girls than in boys. A majority of children and adolescents who experienced pain once a week or more perceived a need for treatment. Seven percent of the examined subjects were diagnosed with TMD pain.

Author-supplied keywords

  • Adolescent
  • Chi-Square Distribution
  • Child
  • Chronic Disease
  • Cross-Sectional Studies
  • Facial Pain
  • Facial Pain: etiology
  • Female
  • Humans
  • Linear Models
  • Male
  • Needs Assessment
  • Pain Measurement
  • Prevalence
  • Questionnaires
  • Range of Motion, Articular
  • Sex Factors
  • Sound
  • Statistics, Nonparametric
  • Sweden
  • Sweden: epidemiology
  • Temporomandibular Joint Disorders
  • Temporomandibular Joint Disorders: complications
  • Temporomandibular Joint Disorders: epidemiology
  • Temporomandibular Joint Dysfunction Syndrome
  • Temporomandibular Joint Dysfunction Syndrome: comp
  • Temporomandibular Joint Dysfunction Syndrome: epid
  • Tension-Type Headache
  • Tension-Type Headache: etiology

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  • T List

  • K Wahlund

  • B Wenneberg

  • S F Dworkin

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