Prevalence in the Dutch Adult Population and a Meta-analysis of Signs and Symptoms of Temporomandibular Disorder
Autor: | M.A. Van 't Hop, H. Kalsbeek, Pasquale G. F. C. M. Battistuzzi, Gert-Jan Truin, R.C.W. Burgersdijk, A.F. Käyser, R.J.A.M. de Kanter |
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Rok vydání: | 1993 |
Předmět: |
Adult
Male 0301 basic medicine Research design medicine.medical_specialty Adolescent Adult population Pain Physical examination Signs and symptoms 03 medical and health sciences Sex Factors 0302 clinical medicine Age groups Risk Factors Internal medicine Prevalence Dentition Humans Medicine General Dentistry Aged Netherlands medicine.diagnostic_test business.industry Temporomandibular disorder Age Factors 030206 dentistry Middle Aged Temporomandibular Joint Disorders stomatognathic diseases 030104 developmental biology Research Design Meta-analysis Physical therapy Female Perception business human activities |
Zdroj: | Journal of Dental Research. 72:1509-1518 |
ISSN: | 1544-0591 0022-0345 |
DOI: | 10.1177/00220345930720110901 |
Popis: | A nationwide survey of oral conditions, treatment needs, and attitudes toward dental health care in Dutch adults was carried out in 1986. One of the aims of the study was to assess the prevalence of signs and symptoms of temporomandibular disorder (TMD). A sample of 6577 persons (from 15 to 74 yr of age), stratified for gender, age, region, and socio-economic status, was contacted. Of this sample, 4496 persons participated in the behavioral part of the study, of whom 3526 were examined clinically. The TMD prevalence was based on (1) perceived signs and symptoms of TMD and (2) clinical examination of joint sounds, deviation, and pain on mandibular movements. A total of 21.5% of the Dutch adult population perceived some dysfunction, and 44.4% showed clinically assessed signs and symptoms of TMD. In nearly all age groups, the signs and symptoms of TMD appeared more in women than in men. Agreement between the results ofthe clinical examination and the anamnestic dysfunction index was significant (p < 0.0001); however, the Pearson's correlation coefficient was low (r = 0.29). The odds-value (risk-ratio) that subjects who perceived signs and symptoms of TMD would present with clinically assessed signs and symptoms of TMD was 2.3. The results of the survey were compared with results of a meta-analysis performed on 51 TMD prevalence studies. The analysis revealed (1) a perceived dysfunction rate of 30% and (2) a clinically assessed dysfunction of 44%, both based on compound samples of, respectively, over 15,000 (23 studies) and over 16,000 (22 studies) randomly selected subjects. |
Databáze: | OpenAIRE |
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