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VOLUME 22 , ISSUE 2 ( February, 2021 ) > List of Articles


Prevalence of TMJ Disorders among Patients Attending the King Faisal University Dental Clinics, KSA

Nazargi Mahabob, Raouf Wahab Ali, Salma Alsalhi, Mostafa Alwabari, Anfal S Almarzooq, Sarah A Alnabi, Misba Fathima

Keywords : Fonseca's questionnaire, Missing tooth, Pain, Parafunctional movements, Temporomandibular disorders

Citation Information : Mahabob N, Ali RW, Alsalhi S, Alwabari M, Almarzooq AS, Alnabi SA, Fathima M. Prevalence of TMJ Disorders among Patients Attending the King Faisal University Dental Clinics, KSA. J Contemp Dent Pract 2021; 22 (2):152-155.

DOI: 10.5005/jp-journals-10024-3044

License: CC BY-NC 4.0

Published Online: 17-12-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Aim: To assess the prevalence of signs and symptoms of temporomandibular disorders (TMDs) in a sample population of Al-Hasa by Fonseca's questionnaire. Materials and methods: A group of 240 patients was randomly selected from outpatients, attending the dental clinical complex of King Faisal University. The participants were grouped based on gender and age-groups: 14 to 20, 21 to 40, 41 to 60, and 61 ≤ years. Each participant was provided with a questionnaire and points were given accordingly for each question. The sum of points was used to classify the severity of TMD. The obtained data were analyzed with SPSS 21 and the significance level of p was fixed at ≤ 0.05. Results: Among all participants examined, 131 participants had no TMD (54.6%), 79 had mild TMD (32.9%), 19 had moderate TMD (7.9%), and 11 had severe TMD (4.6%). TMD problem increases with age and significance level (p = 0.007) and females had more TMD problems than males (p = 0.008). Conclusion: The Fonseca's questionnaire is an effective tool for screening the signs and symptoms of TMDs, in a short period, and classifies patients according to their severity. According to the study results, approximately 45.4% of the patients had some degree of TMD problems. The present study is cross-sectional with a limited number of participants and it should be followed by a longitudinal study in the near future to validate. Clinical significance: Early detection of TMD problems will help in treatment planning and prognosis.

  1. Romero—Reyes M, Uyanik JM. Orofacial pain management: current perspectives. J Pain Res 2014;7:99–115. DOI: 10.2147/JPR.S37593.
  2. Ohrbach R, Dworkin S. The evolution of TMD diagnosis: past, present, future. J Dent Res 2016;95(10):1093–1101. DOI: 10.1177/0022034516653922.
  3. Chisnoiu AM, Picos AM, Popa S, et al. Factors involved in the etiology of temporomandibular disorders – a literature review. Clujul Med 2015;88(4):473–478. DOI: 10.15386/cjmed-485.
  4. Da Silva CG, Pachêco-Pereira C, Porporatti AL, et al. Prevalence of clinical signs of intra-articular temporomandibular disorders in children and adolescents: a systematic review and meta analysis. J Am Dent Assoc 2016;147(1):10–18. DOI: 10.1016/j.adaj.2015.07.017.
  5. Garrigós-Pedrón M, Elizagaray-García I, Domínguez-Gordillo AA, et al. Temporomandibular disorders: improving outcomes using a multidisciplinary approach. J Multidiscip Healthc 2019;12:733–747. DOI: 10.2147/JMDH.S178507.
  6. Gil-Martínez A, Paris-Alemany A, López-de-Uralde-Villanueva I, et al. Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions. J Pain Res 2018;11:571–585. DOI: 10.2147/JPR.S127950.
  7. Dervis NE. Prevalence of temporomandibular disorder in Turkish University Students: a questionnaire study. Balk J Dent Med 2019;23(2):80–87. DOI: 10.2478/bjdm-2019-0015.
  8. Fonseca DM, Bonfante G, Valle AL, et al. Diagnóstico pela anamnese da disfunção craniomandibular. Rev Gaúcha Odontol 1994;42(1):23–28.
  9. Alhussini DA, Mominkhan DM, Alhamed FJ, et al. Prevalence and awareness of temporomandibular joint disorders among patients in King Abdulaziz University, Dental Hospital. J Dent Health Oral Disord Ther 2017;8(5):603–608. DOI: 10.15406/jdhodt.2017.08.00300.
  10. Shivhare P, Singh V, Giri R, et al. Prevalence of temporomandibular disorders among Nepalese population. J Chitwan Med Coll 2019;9(3):34–42. DOI: 10.3126/jcmc.v9i3.25780.
  11. Karthik R, Fathima Hafila MI, Saravanan C, et al. Assessing prevalence of temporomandibular disorders among university students: a questionnaire study. Int Soc Prev Community Dent 2017;7:S24–S29. DOI: 10.4103/jispcd.JISPCD_146_17.
  12. Habib SR, Al Rifaiy MQ, Awan KH, et al. Prevalence and severity of temporomandibular disorders among university students in Riyadh. Saudi Dent J 2015;27(3):125–130. DOI: 10.1016/j.sdentj.2014.11.009.
  13. Elagib MFA, Al-Qahtani S, Raghavendra NR, et al. Prevalence of signs and symptoms of temporomandibular joint disorders among Saudi population – a cross-sectional study. International Journal of Scientific Study 2018;6(6):52–57. DOI: 10.17354/ijss/2018/248.
  14. Al Hayek SO, Al‐Thunayan MF, AlGhaihab AM, et al. Assessing stress associated with temporomandibular joint disorder through Fonseca's anamnestic index among the Saudi physicians. Clin Exp Dent Res 2019;5(1):52–58. DOI: 10.1002/cre2.157.
  15. Al-Gadhaan SM, Khan P, Alqahtani S, et al. Prevalence of TMJ disorders among the general population in southern region of Kingdom of Saudi Arabia – a survey report from dental centre of AFHSR. Med Res Chron 2018;5(1):36–42.
  16. Aldhalai MA, Alyami YAS, Al Haider YMB, et al. Prevalence and severity of temporomandibular joint disorders among populations in Najran Province. World J Dent 2017;8(2):90–95. DOI: 10.5005/jp-journals-10015-1419.
  17. Nadersha M. Prevalence of temporomandibular joint disorders in adults in Jeddah, Kingdom of Saudi Arabia: a cross-sectional study. J Contemp Dent Pract 2019;20(9):1009–1013. DOI: 10.5005/jp-journals-10024-2648.
  18. Lung J, Bell L, Heslop M, et al. Prevalence of temporomandibular disorders among a cohort of university undergraduates in Australia. J Invest Clin Dent 2018;9(3):e12341. DOI: 10.1111/jicd.12341.
  19. Jain S, Chourse S, Jain D. Prevalence and severity of temporomandibular disorders among the orthodontic patients using Fonseca's questionnaire. Contemp Clin Dent 2018;9(1):31–34. DOI: 10.4103/ccd.ccd_689_17.
  20. Alfawzan AA. An assessment of the prevalence and severity of temporomandibular disorders among undergraduate dental students at Qassim University. World J Dent 2020;11(2):134–138. DOI: 10.5005/jp-journals-10015-1715.
  21. Taneja P, Nagpal R, Marya CM, et al. Temporomandibular disorders among adolescents of Haryana, India: a cross-sectional study. Int J Clin Pediatr Dent 2019;12(6):501–505. DOI: 10.5005/jp-journals-10005-1689.
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