Are temporomandibular disorder symptoms and diagnoses associated with pubertal development in adolescents? An epidemiological study

作者：Hirsch Christian^*; Hoffmann Julia; Tuerp Jens C

来源：Journal of Orofacial Orthopedics, 2012, 73(1): 6-18.

DOI：10.1007/s00056-011-0056-x

• Orofacial pain
• Temporomandibular disorders
• Pubertal development
• Adolescents
• Hormones

In addition to low back pain, temporomandibular disorders (TMDs) are the most prevalent pain- and disability-related musculoskeletal conditions. However, the influence of pubertal development on TMD diagnoses remains unknown. %26lt;br%26gt;To assess whether the prevalence of TMD diagnoses, in addition to self-reported symptoms (pain, restricted mandibular mobility, clicking), change according to pubertal stage. %26lt;br%26gt;A random sample of 1,011 children and adolescents was chosen from the general population of 24,129 children and adolescents aged 10-17 years living in the urban area of Halle, Germany. Study participants were examined for TMD symptoms and diagnoses according to the Research Diagnostic Criteria for TMDs (RDC/TMD). Status of pubertal development was assessed using the Pubertal Development Scale (PDS). The chi(2) tests and multivariate logistic regression models were used, and odds ratios (ORs) and 95% confidence intervals calculated. %26lt;br%26gt;The observed increase in TMD symptoms during adolescence was mainly due to the higher frequency of self-reports of these symptoms by girls than boys (ORs for girls vs. boys: 1.42-1.53; p a parts per thousand currency signaEuro parts per thousand 0.05), whereas clinical TMD diagnoses (any RDC/TMD diagnosis, or RDC/TMD group IIa diagnosis) in adolescence increased mainly due to pubertal development itself (ORs for subjects beyond vs. before puberty: 1.58-2.00; p %26lt; 0.05; no significant sex-related effect was found). %26lt;br%26gt;Pubertal development increases the probability of self-reported TMD symptoms among girls, while the probability thereof decreases among boys. Independent of sex, pubertal growth increases the prevalence of RDC/TMD-related diagnoses-mainly disk displacement-in both sexes.

• 出版日期2012-1