Anamnestic index severity and signs and symptoms of TMD.
The aim of this study was to determine the frequency and to characterize the symptoms and clinical signs of temporomandibular disorders (TMD) related to each severity category of Fonseca's anamnestic index in a sample of Brazilian young adults (mean age 21.61+/-1.91 years, 87% females and 13% males), by the application of an anamnestic index proposed by Fonseca (1992) and by clinical examination considering mandibular range of motion and tenderness to palpation of stomatognathic system structures. A significant number of participants were classified with mild TMD (43.2%) and moderate TMD (34.8%). Pain frequency during mastication, temporomandibular joint (TMJ) pain, and TMJ sounds were shown to be good predictors of TMD severity. Neck pain, headache, difficulty during mouth opening and lateral deviation, and tenderness to palpation of masticatory sites and during protrusion accompanied the TMD severity but failed to demonstrate differences between moderate and severe groups, showing a poor ability to determine TMD severity progression. This study suggests that not only the frequency of signs and symptoms of TMD should be determined, but also symptom severity and its relationship to the presence of clinical signs in order to discriminate patients with real treatment needs in nonpatient samples.
Bevilaqua-Grossi
Débora
D
Departamento de Biomecanica, Medicina e Reabilitação do, Aparelho Locomotor, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brazil. deborabg@fmrp.usp.br
Chaves
Thaís Cristina
TC
de Oliveira
Anamaria S
AS
Monteiro-Pedro
Vanessa
V
D000293:Adolescent; D000328:Adult; D001938:Brazil; D004812:Epidemiologic Methods; D005157:Facial Pain / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008410:Masticatory Muscles / Q000503:physiopathology; D012720:Severity of Illness Index; D012737:Sex Factors; D013705:Temporomandibular Joint Disorders / Q000150:complications* / Q000503:physiopathology