Prevalence and severity of TMD in orthodontic patients

Abstract

Introduction. Temporomandibular disorder (TMD) is a collective term for numerous symptoms, with the most common being masticatory muscle pain, pain in temporomandibular joints, limited mouth opening, irregular jaw movements, headaches and sound effects in TMJ. The aim was to determine the prevalence and severity of TMD in orthodontic patients determining whether the type of malocclusion affects the prevalence and severity of TMD. Material and Methods. The study was conducted in the form of Fonseca Anamnestic Index, which classifies TMD severity among examinees (no TMD, mild, moderate and severe TMD). The experimental group consisted of orthodontic patients with confirmed malocclusions, while the control group consisted of dental students with a Class I occlusion and no need for orthodontic treatment. Orthodontic patients were classified into the three subgroups based on malocclusions. Results. In the experimental group, 45.03% of orthodontic patients had some degree of TMD, while among students, that percentage was 56.41%. Compared to Class I, higher percentage of TMD was found among patients with distal and mesial occlusion in experimental group. In the experimental and control groups, the greatest percentage of participants showed mild TMD. The prevalence of TMD was greater in females than in males in the experimental group. Conclusion. The high prevalence of TMD in the control group speaks in favor of its complex etiology, with stress having an important role. Malocclusion is one of many factors which can contribute to the occurrence and severity of TMD, but it cannot be considered the most significant.