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Temporomandibular disorders : a case-control study

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Temporomandibular disorders : a case-control study

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dc.contributor.author Poveda Roda, Rafael es
dc.contributor.author Bagán Sebastián, José Vicente es
dc.contributor.author Sanchís Bielsa, José María es
dc.contributor.author Carbonell Pastor, Enrique es
dc.date.accessioned 2017-07-24T11:03:29Z
dc.date.available 2017-07-24T11:03:29Z
dc.date.issued 2012 es
dc.identifier.citation Poveda Roda, Rafael ; Bagán Sebastián, José Vicente ; Sanchís Bielsa, José María ; Carbonell Pastor, Enrique. Temporomandibular disorders : a case-control study. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 17 5 2012: 26- es
dc.identifier.uri http://hdl.handle.net/10550/59889
dc.description.abstract Objective: To compare the risk factors and clinical manifestations of patients with temporomandibular disorders (TMDs) diagnosed according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) (axis I) versus an age and gender matched control group. Study D esign: A total of 162 patients explored according to the RDC/TMD (mean age 40.6±18.8 years, range 7-90; 11.1% males and 88.9% females) were compared with 119 controls, measuring differences in TMD risk factors (sleep disturbances, stress, psychoactive medication, parafunctions, loss of posterior support, ligament hyperlaxity) and clinical variables (joint sounds, painful muscle and joint palpation, maximum aperture). Results: Myofascial pain (MFP) (single or multiple diagnoses) was the most frequent diagnosis (42%). The most common diagnostic combination was MFP plus arthralgia (16.0%). Statistically significant differences were observed in clenching (OR 2.3; 95%CI: 1.4-3.8) and in maximum active aperture (MAA) on comparing the two groups both globally (TMD vs. controls) (patients 36.7±8.6 mm, controls 43.1±5.8 mm; F=45.41, p = 0.000) and on comparing according to diagnostic categories. MFP explained most of the observed differences in the risk factors: stress perception (OR=1.98;I.C.:1.01-3.89), psychoactive medication (OR=2.21; I.C.:1.12-4.37), parafunctions (OR=2.14;I.C.:1.12-4.11), and ligament laxity (OR=2.6;I.C.:1.01-6.68). Joint sounds were more frequent in patients with MFP (39.7% vs. 24.0%; ?2=4.66; p=0.03), and painful joint palpation was more common in patients with disc displacement with reduction (DDWR)(15.9% vs. 5.0%; ?2 = 5.2; p = 0.02) and osteoarthrosis (20.8% vs. 5.0%; ?2 = 7.0; p = 0.008). Conclusions: There is a high prevalence of signs and symptoms of TMDs in the general population. Significant differences are observed in clenching and MAA between patients and controls considered both globally and for each diagnostic category individually. The analyzed risk factors (except loss of posterior support) show a statistically significant OR for the diagnosis of MFP. es
dc.title Temporomandibular disorders : a case-control study es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.18040 es
dc.type.hasVersion VoR es_ES

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