Predictive model for temporomandibular disorder in adolescents: Decision tree

Author:

Waked Jorge Pontual1ORCID,de Aguiar Camilla Siqueira2,Aroucha João Marcílio Coelho Neto Lins3,Godoy Gustavo Pina4,de Melo Ricardo Eugenio Varela Ayres2,Caldas Arnaldo4

Affiliation:

1. Academic Unit of Biological Sciences, Center for Rural Health and Technology Federal University of Campina Grande Patos Brazil

2. Department of Prosthesis and Oral Surgery, Health Science Center Federal University of Pernambuco Recife Brazil

3. Department of Clinical and Preventive Dentistry, Health Science Center Federal University of Pernambuco Recife Brazil

4. Post‐Graduation Programme of Dentistry Federal University of Pernambuco Recife Brazil

Abstract

AbstractBackgroundTemporomandibular disorders (TMD) do not only occur in adults but also in adolescents, with negative impacts on their development.AimTo propose a predictive model for TMD in adolescents using a decision tree (DT) analysis and to identify groups at high and low risk of developing TMD in the city of Recife, PE, Brazil.DesignThis cross‐sectional study was conducted in Recife on 1342 schoolchildren of both sexes aged 10–17 years. The analyses were performed using Pearson's chi‐squared test and Fisher's exact test, as well as the CHAID algorithm for the construction of the DT. The SPSS statistical program was used.ResultsThe prevalence of TMD was 33.2%. Statistically significant associations were observed between TMD and sex, depression, self‐reported orofacial pain, and orofacial pain on clinical examination. The DT consisted of self‐reported orofacial pain, orofacial pain on physical examination, and depression, with an overall predictive power of 73.0%.ConclusionThe proposed tree has a good predictive capacity and permits to identify groups at high risk of developing TMD among adolescents, such as those with self‐reported orofacial pain or orofacial pain on examination associated with depression.

Publisher

Wiley

Subject

General Dentistry

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