Psychological factors and the incidence of temporomandibular disorders in early adolescence.
The purpose of the present study was to evaluate the relationship between psychological variables and the clinical diagnosis of temporomandbular disorders (TMD) in 12-year-old adolescents. TMD pain was assessed by RDC/TMD examination (Research Diagnostic Criteria for Temporomandibular Disorders) (Axis I and II). Five-hundred and fifty-eight subjects (330 girls and 228 boys) were examined. Bivariate analyses were performed using the Chi-square test (chi(2)). The logistic regression models were adjusted estimating the Odds Ratios (OR), their 95% confidence intervals (CI), and significance levels. Only 2.19% of the boys and 8.18% of the girls presented one of the Axis I categories. All variables from axis II were related to TMD diagnosis (p < 0.001). Gender was significantly related to TMD diagnosis (p = 0.0028). The risk of TMD incidence for girls was 3.5 times higher than that for boys (Odds Ratio = 3.52, Confidence Interval 1.31-9.43). The individuals who presented the variable 'characteristics of pain intensity' (CPI) higher than 0 had 31 times more risk of TMD incidence (Odds Ratio = 31.361, Confidence interval 6.01-163.5). We concluded that psychological variables and female gender are important risk indicators related to TMD incidence, even in adolescents.
Pereira
Luciano José
LJ
Clinical Dentistry Graduate Program, Oral Diagnosis Area, Vale do Rio Verde University (UNINCOR), Três Corações, MG, Brazil. lucianojosepereira@yahoo.com.br
Pereira-Cenci
Tatiana
T
Pereira
Stela Márcia
SM
Cury
Altair Antoninha Del Bel
AA
Ambrosano
Glaucia Maria Bovi
GM
Pereira
Antônio Carlos
AC
Gavião
Maria Beatriz Duarte
MB
D000293:Adolescent; D000367:Age Factors; D001938:Brazil / Q000453:epidemiology; D002648:Child; D004812:Epidemiologic Methods; D005157:Facial Pain / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement; D012737:Sex Factors; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*