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VOLUME 23 , ISSUE 4 ( April, 2022 ) > List of Articles

ORIGINAL RESEARCH

Assessment of Symptoms Associated with Temporomandibular Dysfunction and Bruxism among Elderly Population: An Epidemiological Survey

Jayant Prakash, Kumar Ranvijay, Lairenjam S Devi, Mahesh Shenoy, Nishath S Abdul, Ganiga C Shivakumar

Keywords : Bruxism, Elderly population, Symptoms, Temporomandibular disorders

Citation Information : Prakash J, Ranvijay K, Devi LS, Shenoy M, Abdul NS, Shivakumar GC. Assessment of Symptoms Associated with Temporomandibular Dysfunction and Bruxism among Elderly Population: An Epidemiological Survey. J Contemp Dent Pract 2022; 23 (4):393-398.

DOI: 10.5005/jp-journals-10024-3253

License: CC BY-NC 4.0

Published Online: 11-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: The aim of the study was to assess the symptoms associated with temporomandibular disorders (TMD) and bruxism among elderly population in Ranchi, India. Materials and methods: A cross-sectional study was done on 600 elderly subjects; data regarding the signs and symptoms associated with temporomandibular disorder and bruxism were recorded using both structured questionnaire and clinical examination. Spearman correlation analysis was done to find the association between TMD and bruxism. Results: Out of 600 subjects, 49% were males and 51% were females. The overall prevalence of TMD-related symptoms like temporomandibular joint (TMJ) pain, difficulty in jaw opening, TMJ sounds, and bruxism were 10.5, 11.2, 14, and 17% among elderly subjects. TMD symptoms and bruxism were relatively more commonly seen among females when compared to males. According to logistic regression (significantly correlated independent variables, i.e., TMD symptoms among analyzed variables), the dependent variable like bruxism had highest odds ratio, i.e., 8 for 60–70 years age-group and 15.1 for 70–80 year age-group. Conclusion: There was a lesser prevalence of symptoms related to TMD and bruxism among the study population, and bruxism had the highest odds ratio in TMD between the analyzed variables. Clinical significance: Human aging contributes too many oral problems, while resolving these, the felt needs of the population are sometimes ignored which adds up to the growing list of issues. Studies have shown inconclusive evidence regarding the prevalence of symptoms related to TMD and bruxism as these are known to trouble elderly populations.


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  1. Marie MM, Pietkiewicz M. La Bruxomania [Bruxism]. Rev Stomatol 1907;14:107–116.
  2. Frohman BS. Application of psychotherapy to dental problems. Dent Cosmet 1931;73(11):1117–1122.
  3. Kanathila H, Pangi A, Poojary B, et al. Diagnosis and treatment of bruxism: concepts from past and present. Int J Appl Dent Sci 2018;4(1):290–295.
  4. Varalakshmi Reddy S, Praveen Kumar M, Sravanthi D, et al. Bruxism: a literature review. J Int Oral Health 2014;6(6):105–109. PMID: 25628497.
  5. Vanderas AP, Manetas KJ. Relationship between malocclusion and bruxism in children and adolescents: a review. Pediatr Dent 1995;17(1):7–12. PMID: 7899111.
  6. Krishna Prasad D, Swaminathan AA, Anupama Prasad D. A review of current concepts in bruxism-diagnosis and management. Nitte Univ J Health Sci 2014;4(4):129–136. DOI: 10.1055/s-0040-1703852.
  7. Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil 2001;28(12):1085–1091. DOI: 10.1046/j.1365-2842.2001.00839.x.
  8. Mayorquim MV, Filho IJZ, de Araujo TSB, et al. Pediatric bruxism: from etiology to treatment: a review. Acta Sci Dent Sci 2018; 2(3):17–20.
  9. Achmud H, Wahyuni S, Ramadhany YF. A review the relationship of bruxism with temporo-mandibular disorders in children. Sys Rev Pharm 2020;11(6):136–142.
  10. Alves CL, Fagundes DM, Soares PBF, et al. Knowledge of parents/caregivers about bruxism in children treated at the pediatric dentistry clinic. Sleep Sci 2019;12(3):185–189. DOI: 10.5935/1984-0063.20190083.
  11. Reis LO, Ribeiro RA, Martins CC, et al. Association between bruxism and temporo-mandibular disorders in children: a systematic review and meta-analysis. Int J Pediatr Dent 2019;29(5):585–595. DOI: 10.1111/ipd.12496.
  12. Lobbezoo F, Ahlberg J, Raphael KG, et al. International consensus on the assessment of bruxism: report of a working progress. J Oral Rehabil 2018;45(11):837–844. DOI: 10.1111/joor.12663.
  13. Manfredini D, Winocur E, Guarda Nardini L, et al. Epidemiology of bruxism in adults: a systematic review of literature. J Orofac Pain 2013; 27(2):99–110. DOI: 10.11607/jop.921.
  14. Bader G, Lavigne GJ. Sleep bruxism: an overview of an oromandibular sleep movement disorder. Sleep Med Rev 2000;4(1):27–43. DOI: 10.1053/smrv.1999.0070.
  15. Manfredini D, Restrepo C, Diaz-Serrano K, et al. Prevalence of sleep bruxism in children: a systematic review of the literature. J Oral Rehabil 2013;40(8):631–642. DOI: 10.1111/joor.12069.
  16. Carra MC, Huynh N, Morton P, et al. Prevalence and risk factors of sleep bruxism and wake-time tooth clenching in a 7- to 17-yr-old population. Eur J Oral Sci 2011;119(5):386–394. DOI: 10.1111/j.1600-0722.2011.00846.x.
  17. Murray GM, Peck CC. Orofacial pain and jaw muscle activity: a new model. J Orofac Pain 2007;21(4):263–278. PMID: 18018989.
  18. Carrara SV, Conti PCR, Barbosa JS. Statement of the 1st consensus on temporo-mandibular disorders and orofacial pain. Dental Press J Orthod 2010;15(3):114–120. DOI: 10.1590/S2176-94512010000300014.
  19. Raphael KG, Santiago V, Lobbezoo F. Is bruxism a disorder or a behavior? Rethinking the international consensus on defining and grading of bruxism. J Oral Rehabil 2016;43(10):791–798. DOI: 10.1111/joor.12413.
  20. Arafa AF, Mostafa NM, Moussa SA. Assessment of associated with bruxism. J Dent Oral Disord Ther 2019;7(1):1–6.
  21. Chauhan D, Kaundal J, Karol S, et al. Prevalence of signs and symptoms of temporo-mandibular disorders in urban and rural children of northern hilly state, Himachal Pradesh, India: a cross sectional survey. J Commun Health 2013;4(1):21–25. DOI: 10.4103/2155-8213.110182.
  22. Farsi NM. Symptoms and signs of temporo-mandibular disorders and oral para functions among Saudi Children. J Oral Rehabil 2003;30(12):1200–1208. DOI: 10.1111/j.1365-2842.2003.01187.x.
  23. Castelo PM, Gaviao MB, Pereira LJ, et al. Relationship between oral parafunctional/nutritive sucking habits and temporomandibular joint dysfunction in primary dentition. Int J Paediatr Dent 2005;15(1):29–36. DOI: 10.1111/j.1365-263X.2005.00608.x.
  24. Barbosa Tde S, Miyakoda LS, Pocztaruk Rde L, et al. Temporomandibular disorders and bruxism in childhood and adolescence: review of the literature. Int J Pediatr Otorhinolaryngol 2008;72(3):299–314. DOI: 10.1016/j.ijporl.2007.11.006.
  25. Unell L, Johansson A, Ekback G, et al. Prevalence of troublesome symptoms related to Temporo-mandibular disorders and awareness of bruxism in 65- and 75-year-old subjects. Gerodontology 2012;29:e772–e779. DOI: 10.1111/j.1741-2358.2011.00558.x.
  26. Patersen PE, Kandelman D, Arpin S, et al. Global oral health of older people–call for public health action. Community Dent Health 2010;27(4 Suppl. 2):257–267. PMID: 21313969.
  27. Thompson WM. Epidemiology of oral health conditions in older people. Gerodontology 2014;31 Suppl. 1:9–16. DOI: 10.1111/ger.12085.
  28. LeResche L. Epidemiology of temporo-mandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8(3):291–305. DOI: 10.1177/10454411970080030401.
  29. Carlsson GE, LeResche L. Epidemiology of temporo-mandibular disorders. In: Sessle BJ, Bryant PS, Dionne RA, editors. Temporo-mandibular disorders and related pain conditions, progress in pain research and management. vol. 4. Seattle: IASP Press, 1995. p. 211–226.
  30. De Leeuw R, editor. Orofacial pain. Guidelines for assessment, diagnosis, and management. Chicago: Quintessence; 2008. p. 132–133.
  31. Osterberg T, Carlsson GE. Relationship between symptoms of temporomandibular disorders and dental status, general health and psychosomatic factors in two cohorts of 70-year-old subjects. Gerodontology 2007;24(3):129–135. DOI: 10.1111/j.1741-2358.2007.00162.x.
  32. Schmidt-Kaunisaho K, Hiltunen K, Ainamo A. Prevalence of symptoms of cranio-mandibular disorders in a population of elderly inhabitants in Helsinki, Finland. Acta Odontol Scand 1994;52(3):135–139. DOI: 10.3109/00016359409027587.
  33. Johansson A, Unell L, Carlsson GE, et al. Differences in four reported symptoms related to Temporo-mandibular disorders in a cohort of 50-year-old subjects followed up after 10 years. Acta Odontol Scand 2008;66(1):50–57. DOI: 10.1080/00016350801922775.
  34. Wänman A. Longitudinal course of symptoms of craniomandibular disorders in men and women. Acta Odontol Scand 1996;54(6): 337–342. DOI: 10.3109/00016359609003548.
  35. Dao TT, LeResche L. Gender differences in pain. J Orofac Pain 2000;14(3):169–195. PMID: 11203754.
  36. Johansson A, Unell L, Carlsson GE, et al. Gender differences in symptoms related to temporo-mandibular disorders in a population of 50-year-old subjects. J Orofac Pain 2003;17(1):29–35. PMID: 12756928.
  37. Magnusson T, Egermark I, Carlsson GE. A prospective investigation over two decades on signs and symptoms of Temporo-mandibular disorders and associated variables. A final summary. Acta Odontol Scand 2005;63(2):99–109. DOI: 10.1080/00016350510019739.
  38. Osterberg T, Carlsson GE, Wedel A, et al. A cross-sectional and longitudinal study of cranio-mandibular dysfunction in an elderly population. J Craniomandib Disord 1992;6(4):237–245. PMID: 1298758.
  39. Schmitter M, Rammelsberg P, Hassel A. The prevalence of signs and symptoms of temporo-mandibular disorders in very old subjects. J Oral Rehabil 2005;32(7):467–473. DOI: 10.1111/j.1365-2842.2005.01449.x.
  40. Wänman A, Agerberg G. Temporomandibular joint sounds in adolescents: a longitudinal study. Oral Surg Oral Med Oral Pathol 1990;69(1):2–9. DOI: 10.1016/0030-4220(90)90259-u.
  41. Könönen M, Waltimo A, Nyström M. Does clicking in adolescence lead to painful Temporo-mandibular joint locking? Lancet 1996;347(9008):1080–1081. DOI: 10.1016/s0140-6736(96)90280-9.
  42. Naeije M, Kalaykova S, Visscher CM, et al. Evaluation of the research diagnostic criteria for temporo-mandibular disorders for the recognition of an anterior disc displacement with reduction. J Orofac Pain 2009;23(4):303–311. PMID: 19888478.
  43. Carlsson GE, Egermark I, Magnusson T. Predictors of bruxism/oral parafunctions and tooth wear in subjects over a 20-year follow-up. J Orofac Pain 2003;17(1):50–57. PMID: 12756931.
  44. Ahlberg J, Savolainen A, Rantala M, et al. Reported bruxism and biopsychosocial symptoms: a longitudinal study. Community Dent Oral Epidemiol 2004;32(4):307–311. DOI: 10.1111/j.1600-0528.2004.00163.x.
  45. Lobbezoo F, Lavigne GJ. Do bruxism and temporo-mandibular disorders have a cause-and-effect relationship? J Orofac Pain 1997;11(1):15–23 (Review). PMID: 10332307.
  46. Kato T, Thie NM, Huynh N, et al. Topical review: sleep bruxism and the role of peripheral sensory influences. J Orofac Pain 2003;17(3):191–213. PMID: 14520766.
  47. Manfredini D, Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(6):e26–e50. DOI: 10.1016/j.tripleo.2010.02.013.
  48. De Boever JA, Carlsson GE, Klineberg IJ. Need for occlusal therapy and prosthodontic treatment in the management of Temporo-mandibular disorders. Part I. Occlusal interferences and occlusal adjustment. J Oral Rehabil 2000;27(5):367–379. DOI: 10.1046/j.1365-2842.2000.00574.x.
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