Anxiety and malocclusion are associated with temporomandibular disorders in adolescents diagnosed by RDC/TMD. A cross‐sectional study
Summary Background Temporomandibular Disorders (TMD) is a multifactorial condition, which could be associated to occlusal and psychological factors, such as anxiety. Objective Investigate if anxiety and malocclusion are associated with the prevalence of TMD in adolescents. Methods To ensure a popula...
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| Veröffentlicht in: | Journal of oral rehabilitation 2018-10, Vol.45 (10), p.747-755 |
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| container_title | Journal of oral rehabilitation |
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| creator | Paiva Bertoli, Fernanda Mara Bruzamolin, Carolina Dea Almeida Kranz, Graciely Osternack Losso, Estela Maris Brancher, Joao Armando Souza, Juliana Feltrin |
| description | Summary
Background
Temporomandibular Disorders (TMD) is a multifactorial condition, which could be associated to occlusal and psychological factors, such as anxiety.
Objective
Investigate if anxiety and malocclusion are associated with the prevalence of TMD in adolescents.
Methods
To ensure a population‐based representative sample, 934 adolescents aged 10 to 14 years old from Curitiba‐PR, Brazil were randomly selected and examined according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and malocclusion by a single‐calibrated examiner (Kappa > 0.80). Anxiety was assessed according to trait anxiety (STAI‐T), categorised as high, moderate and low levels. For occlusal exam, it was considered: Angel's molar relationship, anterior and posterior crossbite, excessive overjet, open and deep bite. The associations were analysed by the crude and adjusted prevalence ration (RPa) of TMJ, calculated by a Poisson multivariate regression with robust variance (α = 0.05).
Results
The prevalence of at least one type of malocclusion was found in 52.3%. Anxiety was found in high level (12.2%), moderate (70.4%) and low (17.5%). Presence of high anxiety was significantly associated with the prevalence of TMD symptoms (RPa = 4.06, P |
| doi_str_mv | 10.1111/joor.12684 |
| format | Article |
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Background
Temporomandibular Disorders (TMD) is a multifactorial condition, which could be associated to occlusal and psychological factors, such as anxiety.
Objective
Investigate if anxiety and malocclusion are associated with the prevalence of TMD in adolescents.
Methods
To ensure a population‐based representative sample, 934 adolescents aged 10 to 14 years old from Curitiba‐PR, Brazil were randomly selected and examined according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and malocclusion by a single‐calibrated examiner (Kappa > 0.80). Anxiety was assessed according to trait anxiety (STAI‐T), categorised as high, moderate and low levels. For occlusal exam, it was considered: Angel's molar relationship, anterior and posterior crossbite, excessive overjet, open and deep bite. The associations were analysed by the crude and adjusted prevalence ration (RPa) of TMJ, calculated by a Poisson multivariate regression with robust variance (α = 0.05).
Results
The prevalence of at least one type of malocclusion was found in 52.3%. Anxiety was found in high level (12.2%), moderate (70.4%) and low (17.5%). Presence of high anxiety was significantly associated with the prevalence of TMD symptoms (RPa = 4.06, P < 0.001), as well as the prevalence of myofascial pain (RPa = 24.78; P < 0.001) and prevalence of disc displacement with reduction (RPa = 11.08, P < 0.001). Adolescents Class II had higher prevalence of myofascial pain (Class II RPa = 1.73; P < 0.015) than adolescents Class I. Adolescents Class III presented higher prevalence of myofascial pain (PRa 2.53; P = 0.004) than adolescents Class I.
Conclusion
Anxiety is strongly associated with TMD in adolescents. Presence of Class II or III is associated with higher prevalence of myofascial pain in adolescentsPLESAE check and approve the edit made in the article title.</description><identifier>ISSN: 0305-182X</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1111/joor.12684</identifier><identifier>PMID: 29972708</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adolescent Health ; Adolescents ; Anxiety ; Anxiety - etiology ; Anxiety - physiopathology ; Anxiety - psychology ; Brazil ; Child ; Cross-Sectional Studies ; Dental occlusion ; Dentistry ; Facial Pain - etiology ; Facial Pain - physiopathology ; Facial Pain - psychology ; Female ; Humans ; Interdisciplinary Communication ; Male ; malocclusion ; Malocclusion - etiology ; Malocclusion - physiopathology ; Malocclusion - psychology ; Pain ; Pain Measurement ; Prevalence ; Risk Factors ; Teenagers ; temporomandibular joint disorders ; Temporomandibular Joint Disorders - complications ; Temporomandibular Joint Disorders - physiopathology ; Temporomandibular Joint Disorders - psychology</subject><ispartof>Journal of oral rehabilitation, 2018-10, Vol.45 (10), p.747-755</ispartof><rights>2018 John Wiley & Sons Ltd</rights><rights>2018 John Wiley & Sons Ltd.</rights><rights>Copyright © 2018 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3574-1826086d2dce8b93f4eda1158872e3430be5bd8d58fc737b2a2429c6d73a32dc3</citedby><cites>FETCH-LOGICAL-c3574-1826086d2dce8b93f4eda1158872e3430be5bd8d58fc737b2a2429c6d73a32dc3</cites><orcidid>0000-0001-9969-3721</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjoor.12684$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjoor.12684$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29972708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paiva Bertoli, Fernanda Mara</creatorcontrib><creatorcontrib>Bruzamolin, Carolina Dea</creatorcontrib><creatorcontrib>Almeida Kranz, Graciely Osternack</creatorcontrib><creatorcontrib>Losso, Estela Maris</creatorcontrib><creatorcontrib>Brancher, Joao Armando</creatorcontrib><creatorcontrib>Souza, Juliana Feltrin</creatorcontrib><title>Anxiety and malocclusion are associated with temporomandibular disorders in adolescents diagnosed by RDC/TMD. A cross‐sectional study</title><title>Journal of oral rehabilitation</title><addtitle>J Oral Rehabil</addtitle><description>Summary
Background
Temporomandibular Disorders (TMD) is a multifactorial condition, which could be associated to occlusal and psychological factors, such as anxiety.
Objective
Investigate if anxiety and malocclusion are associated with the prevalence of TMD in adolescents.
Methods
To ensure a population‐based representative sample, 934 adolescents aged 10 to 14 years old from Curitiba‐PR, Brazil were randomly selected and examined according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and malocclusion by a single‐calibrated examiner (Kappa > 0.80). Anxiety was assessed according to trait anxiety (STAI‐T), categorised as high, moderate and low levels. For occlusal exam, it was considered: Angel's molar relationship, anterior and posterior crossbite, excessive overjet, open and deep bite. The associations were analysed by the crude and adjusted prevalence ration (RPa) of TMJ, calculated by a Poisson multivariate regression with robust variance (α = 0.05).
Results
The prevalence of at least one type of malocclusion was found in 52.3%. Anxiety was found in high level (12.2%), moderate (70.4%) and low (17.5%). Presence of high anxiety was significantly associated with the prevalence of TMD symptoms (RPa = 4.06, P < 0.001), as well as the prevalence of myofascial pain (RPa = 24.78; P < 0.001) and prevalence of disc displacement with reduction (RPa = 11.08, P < 0.001). Adolescents Class II had higher prevalence of myofascial pain (Class II RPa = 1.73; P < 0.015) than adolescents Class I. Adolescents Class III presented higher prevalence of myofascial pain (PRa 2.53; P = 0.004) than adolescents Class I.
Conclusion
Anxiety is strongly associated with TMD in adolescents. Presence of Class II or III is associated with higher prevalence of myofascial pain in adolescentsPLESAE check and approve the edit made in the article title.</description><subject>Adolescent</subject><subject>Adolescent Health</subject><subject>Adolescents</subject><subject>Anxiety</subject><subject>Anxiety - etiology</subject><subject>Anxiety - physiopathology</subject><subject>Anxiety - psychology</subject><subject>Brazil</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Dental occlusion</subject><subject>Dentistry</subject><subject>Facial Pain - etiology</subject><subject>Facial Pain - physiopathology</subject><subject>Facial Pain - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Interdisciplinary Communication</subject><subject>Male</subject><subject>malocclusion</subject><subject>Malocclusion - etiology</subject><subject>Malocclusion - physiopathology</subject><subject>Malocclusion - psychology</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Teenagers</subject><subject>temporomandibular joint disorders</subject><subject>Temporomandibular Joint Disorders - complications</subject><subject>Temporomandibular Joint Disorders - physiopathology</subject><subject>Temporomandibular Joint Disorders - psychology</subject><issn>0305-182X</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1uEzEUhS0Eomlh0wdAltigSkn9MzN2llFKC6hVpKpI7EYe-6Y48oyD74zK7Nh122fkSXCawoJFvbkLf-fcc3UIOeZsxvM73cSYZlxUunhBJlxW5VToQrwkEyZZOeVafDsgh4gbxpiWpXpNDsR8roRiekLuF91PD_1ITedoa0K0NgzoY0dNAmoQo_WmB0fvfP-d9tBuY4pthn0zBJOo8xiTg4TUZ4mLAdBC12P-MLddxKxsRnp9tjy9uTqb0QW1KSL-_vWAYPu8xgSK_eDGN-TV2gSEt0_ziHw9_3iz_DS9XF18Xi4upzYnL3bHVExXTjgLupnLdQHOcF5qrQTIQrIGysZpV-q1VVI1wohCzG3llDQyi-QR-bD33ab4YwDs69bnxCGYDuKAtWBVoXRRCZ3R9_-hmziknDhTnAnBFVcyUyd76vGwBOt6m3xr0lhzVu_qqXf11I_1ZPjdk-XQtOD-oX_7yADfA3c-wPiMVf1ltbrem_4Bz_GdQQ</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Paiva Bertoli, Fernanda Mara</creator><creator>Bruzamolin, Carolina Dea</creator><creator>Almeida Kranz, Graciely Osternack</creator><creator>Losso, Estela Maris</creator><creator>Brancher, Joao Armando</creator><creator>Souza, Juliana Feltrin</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9969-3721</orcidid></search><sort><creationdate>201810</creationdate><title>Anxiety and malocclusion are associated with temporomandibular disorders in adolescents diagnosed by RDC/TMD. A cross‐sectional study</title><author>Paiva Bertoli, Fernanda Mara ; Bruzamolin, Carolina Dea ; Almeida Kranz, Graciely Osternack ; Losso, Estela Maris ; Brancher, Joao Armando ; Souza, Juliana Feltrin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3574-1826086d2dce8b93f4eda1158872e3430be5bd8d58fc737b2a2429c6d73a32dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adolescent Health</topic><topic>Adolescents</topic><topic>Anxiety</topic><topic>Anxiety - etiology</topic><topic>Anxiety - physiopathology</topic><topic>Anxiety - psychology</topic><topic>Brazil</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Dental occlusion</topic><topic>Dentistry</topic><topic>Facial Pain - etiology</topic><topic>Facial Pain - physiopathology</topic><topic>Facial Pain - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Interdisciplinary Communication</topic><topic>Male</topic><topic>malocclusion</topic><topic>Malocclusion - etiology</topic><topic>Malocclusion - physiopathology</topic><topic>Malocclusion - psychology</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Teenagers</topic><topic>temporomandibular joint disorders</topic><topic>Temporomandibular Joint Disorders - complications</topic><topic>Temporomandibular Joint Disorders - physiopathology</topic><topic>Temporomandibular Joint Disorders - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paiva Bertoli, Fernanda Mara</creatorcontrib><creatorcontrib>Bruzamolin, Carolina Dea</creatorcontrib><creatorcontrib>Almeida Kranz, Graciely Osternack</creatorcontrib><creatorcontrib>Losso, Estela Maris</creatorcontrib><creatorcontrib>Brancher, Joao Armando</creatorcontrib><creatorcontrib>Souza, Juliana Feltrin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paiva Bertoli, Fernanda Mara</au><au>Bruzamolin, Carolina Dea</au><au>Almeida Kranz, Graciely Osternack</au><au>Losso, Estela Maris</au><au>Brancher, Joao Armando</au><au>Souza, Juliana Feltrin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anxiety and malocclusion are associated with temporomandibular disorders in adolescents diagnosed by RDC/TMD. A cross‐sectional study</atitle><jtitle>Journal of oral rehabilitation</jtitle><addtitle>J Oral Rehabil</addtitle><date>2018-10</date><risdate>2018</risdate><volume>45</volume><issue>10</issue><spage>747</spage><epage>755</epage><pages>747-755</pages><issn>0305-182X</issn><eissn>1365-2842</eissn><abstract>Summary
Background
Temporomandibular Disorders (TMD) is a multifactorial condition, which could be associated to occlusal and psychological factors, such as anxiety.
Objective
Investigate if anxiety and malocclusion are associated with the prevalence of TMD in adolescents.
Methods
To ensure a population‐based representative sample, 934 adolescents aged 10 to 14 years old from Curitiba‐PR, Brazil were randomly selected and examined according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and malocclusion by a single‐calibrated examiner (Kappa > 0.80). Anxiety was assessed according to trait anxiety (STAI‐T), categorised as high, moderate and low levels. For occlusal exam, it was considered: Angel's molar relationship, anterior and posterior crossbite, excessive overjet, open and deep bite. The associations were analysed by the crude and adjusted prevalence ration (RPa) of TMJ, calculated by a Poisson multivariate regression with robust variance (α = 0.05).
Results
The prevalence of at least one type of malocclusion was found in 52.3%. Anxiety was found in high level (12.2%), moderate (70.4%) and low (17.5%). Presence of high anxiety was significantly associated with the prevalence of TMD symptoms (RPa = 4.06, P < 0.001), as well as the prevalence of myofascial pain (RPa = 24.78; P < 0.001) and prevalence of disc displacement with reduction (RPa = 11.08, P < 0.001). Adolescents Class II had higher prevalence of myofascial pain (Class II RPa = 1.73; P < 0.015) than adolescents Class I. Adolescents Class III presented higher prevalence of myofascial pain (PRa 2.53; P = 0.004) than adolescents Class I.
Conclusion
Anxiety is strongly associated with TMD in adolescents. Presence of Class II or III is associated with higher prevalence of myofascial pain in adolescentsPLESAE check and approve the edit made in the article title.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29972708</pmid><doi>10.1111/joor.12684</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9969-3721</orcidid></addata></record> |
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| subjects | Adolescent Adolescent Health Adolescents Anxiety Anxiety - etiology Anxiety - physiopathology Anxiety - psychology Brazil Child Cross-Sectional Studies Dental occlusion Dentistry Facial Pain - etiology Facial Pain - physiopathology Facial Pain - psychology Female Humans Interdisciplinary Communication Male malocclusion Malocclusion - etiology Malocclusion - physiopathology Malocclusion - psychology Pain Pain Measurement Prevalence Risk Factors Teenagers temporomandibular joint disorders Temporomandibular Joint Disorders - complications Temporomandibular Joint Disorders - physiopathology Temporomandibular Joint Disorders - psychology |
| title | Anxiety and malocclusion are associated with temporomandibular disorders in adolescents diagnosed by RDC/TMD. A cross‐sectional study |
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