Malocclusions and clinical signs or subjective symptoms of temporomandibular disorders (TMD) in adults. Results of the population-based Study of Health in Pomerania (SHIP).
OBJECTIVE
The objective was to determine with reference to a representative sample of 4310 men and women aged 20 to 81 (response rate 68.8%) drawn from the population-based Study of Health in Pomerania (SHIP-0) whether associations exist between malocclusions and temporomandibular dysfunctions in adults. Besides clinically investigated signs, subjectively perceived symptoms of temporomandibular disorders (TMD) were studied in each individual together with malocclusions (plus normal occlusion), functional occlusion factors, and sociodemographic parameters. A multivariate logistic regression analysis was used, adjusted for age and discriminated for gender. The results were compared with those of other population-based studies identified by a systematic review undertaken by the present authors.


RESULTS
Some malocclusions were associated with signs or symptoms of TMD but tended to occur only rarely: unilateral open bite, negative overjet, and unilateral scissors-bite in men, and edge-to-edge bite in women. However, malocclusions (and functional occlusion factors) accounted for only a small part of the differences between the control population and the study population with signs or symptoms of TMD. In terms of the multifactorial problem of temporomandibular disorders they should be seen as cofactors. The results, together with those of other population-based studies, revealed no specific, i.e. recurring malocclusions (or other occlusal factors) presenting as risk markers.
Gesch
Dietmar
D
Department of Orthodontics, Center of Oral Health, University of Greifswald, Germany. gesch@uni-greifswald.de
Bernhardt
Olaf
O
Alte
Dietrich
D
Kocher
Thomas
T
John
Ulrich
U
Hensel
Elke
E
D000328:Adult; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003753:Dental Health Surveys; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008310:Malocclusion / Q000175:diagnosis / Q000453:epidemiology*; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis / Q000453:epidemiology*