A multiple stepwise logistic regression analysis of trauma history and 16 other history and dental cofactors in females with temporomandibular disorders.
The simultaneous contribution of 11 occlusal factors, dental attrition severity, orthodontic history, trauma (motor vehicle accident [MVA] and non-MVA), and age in defining two independent large populations of females diagnosed with five mutually exclusive temporomandibular disorders was tested through multiple stepwise logistic regression analysis. Non-MVA trauma was significant in both groups in defining disc displacement (DD) with and without reduction, and osteoarthrosis (OA) (both primary and following DD). Anterior open bite was also a significant factor in defining OA in both groups. Much smaller contributions were also made by missing teeth in one of the populations with OA following DD, and by retruded contact position-intercuspal position slide lengths and overjet in one of the primary OA populations. Motor vehicle accident trauma was significant in defining myofascial pain (MP) in both populations, and laterotrusive attrition mildly defined MP in one population. Only a minority of total variance was explained: 6% to 8% of DD with reduction; 10% to 14% of DD without reduction; 11% to 20% of OA following DD; 17% to 38% of primary OA; and 4% to 10% of MP. Non-MVA trauma was the major defining feature of the temporomandibular joint intracapsular disorders, and MVA trauma explained a very small percentage of the MP patients. Implications are discussed and recommendations are made for future research.
Seligman
D A
DA
Section of Diagnostic Sciences and Orofacial Pain, University of California at Los Angeles, School of Dentistry, USA.
Pullinger
A G
AG
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D016022:Case-Control Studies; D006259:Craniocerebral Trauma / Q000150:complications; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology; D016015:Logistic Models; D008310:Malocclusion / Q000150:complications; D008875:Middle Aged; D016017:Odds Ratio; D009971:Orthodontics, Corrective / Q000009:adverse effects; D010003:Osteoarthritis / Q000209:etiology; D015985:Precipitating Factors; D015995:Prevalence; D012189:Retrospective Studies; D013704:Temporomandibular Joint / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000453:epidemiology / Q000209:etiology*; D019217:Tooth Attrition / Q000150:complications; D014911:Whiplash Injuries / Q000150:complications