Generalized joint laxity and its relation with oral habits and temporomandibular disorders in adolescent girls.
A group of 248 girls, aged 15-16 years, were randomly selected and examined both clinically and by questionnaire with regard to the signs and symptoms of temporomandibular disorders (TMD), generalized joint laxity (GJL), range of mandibular opening, temporomandibular joint (TMJ) hypermobility and presence of oral parafunctions. The prevalence of GJL was 43% and that of TMJ hypermobility (TMJH) was 27.3%. A significant, albeit weak, correlation was found between the two. In the presence of joint click, both active and passive opening were significantly larger. When either muscle or joint sensitivity to palpation was present, the difference between the active and passive range of mouth opening increased significantly. The presence of reported clicks was negatively associated with GJL. This association was not valid in the presence of parafunction. Some of the signs and symptoms of TMD affected the range of mouth opening. In the presence of joint clicks, the mean active and passive mandibular opening were significantly larger. In the presence of joint and muscle sensitivity to palpation, the difference between passive and active mouth opening was larger. This was possibly because of the effect of pain on the full active range of opening, which was invalid in the registration of the passive mandibular opening. GJL, when present, did not seem to jeopardize the health of the stomatognathic system as expressed in the signs and symptoms of TMD. There was a negative association between GJL and the presence of reported joint clicks and catch. When a parafunction was present in addition to GJL, this association was invalid but not reversed, as has been previously reported.
Department of Occlusion and Behavioral Sciences, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
E
E
Winocur
A
A
Gavish
M
M
Halachmi
A
A
Bloom
E
E
Gazit
D000293:Adolescent; D000704:Analysis of Variance; D001314:Auscultation; D002012:Bruxism / Q000150:complications; D016009:Chi-Square Distribution; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000453:epidemiology* / Q000209:etiology; D016014:Linear Models; D009259:Nail Biting / Q000009:adverse effects; D010173:Palpation; D015995:Prevalence; D016059:Range of Motion, Articular; D012494:Sampling Studies; D013016:Sound; D011795:Surveys and Questionnaires; D013704:Temporomandibular Joint / Q000503:physiopathology*; D013705:Temporomandibular Joint Disorders / Q000453:epidemiology* / Q000209:etiology*