DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20204439

Perception of the relationship between temporomandibular dysfunction and orthodontic treatment among Saudi population

Deema Al Shammery, Hiba Alfayez, Maha Al Bukairi, Mashael Al Otaibi, Saja Al Eidan, Yara Al Sinani, Amjad Bin Selayem, Reem Al Hamid

Abstract


Background: The consensus about the relationship between temporomandibular dysfunction (TMD) and orthodontic treatment has gone from a cause and effect association between TMD and orthodontic treatment to the idea that there is no reliable evidence supporting this statement. The objective of the study was to assess the perception of the relationship between TMD and orthodontic treatment among Saudi population.

Methods: This is a cross-sectional survey about the relationship between TMD and orthodontic treatment which was prepared and sent to Saudi population through social medias. Answers were treated by means of descriptive statistics and strong associations between variables were assessed by Fischer’s test.

Results: A total of 826 participant were involved in the study and were divided according to age into two groups. Questions about history of receiving orthodontic treatment, knowledge about the tempo-mandibular joint, relationship of orthodontic treatment and TMD and the thought that orthodontic treatment may increase symptoms of TMD were all significant with p<0.005.

Conclusion: This study suggests that orthodontists' beliefs about the relationship between orthodontic treatment and TMD are in accordance with scientific evidence only when referring to treatment and prevention of TMD. The majority of orthodontists believe that, despite scientific evidence, orthodontic treatment can cause TMD.


Keywords


Temporomandibular joint disorders, Orthodontic appliances, Orthodontics, Relationship, Perception

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References


Leite RA, Rodrigues JF, Sakima MT, Sakima T. Relationship between temporomandibular disorders and orthodontic treatment: a literature review. Dent J Orthodon. 2013;18(1):150-7.

Araújo PVdS, Saraiva WM, Pereira NC, Vieira-Andrade RG, Santos CCdO, Fonseca-Silva T. Evaluation of Symptoms of Temporomandibular Disorders in Orthodontic Appliance Users. Inter J Odontostomatol. 2018;12:99-104.

Jain S, Chourse S, Jain D. Prevalence and Severity of Temporomandibular Disorders among the Orthodontic Patients Using Fonseca's Questionnaire. Contemp Clinic Dent. 2018;9(1):31-34.

Fernández-González FJ, Cañigral A, López-Caballo JL. Influence of orthodontic treatment on temporomandibular disorders. A systematic review. J Clinic Exper Dentist. 2015;7(2):e320-7.

Egermark-Eriksson I. Mandibular dysfunction in children and in individuals with dual bite. Swed Dent J Suppl. 1982;10:1-45.

Wigdorowicz-Makowerowa N, Grodzki C, Panek H, Ma´slanka T, Plonka K, Palacha A. Epidemiologic studies on prevalence and etiology of functional disturbances of the masticatory system. J Prost Dent. 1979;41(1):76-82.

Thilander B, Rubio G, Pena L, de Mayorga C. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. Ang Orthodont. 2002;72(2):146-54.

Machado E, Machado P, Cunali PA, Grehs RA. Ortodontia como fator de risco para disfunções temporomandibulares: uma revisão sistemática. Dent Pres J Orthodont. 2010;15:e1-10.

Mohlin B, Axelsson S, Paulin G. TMD in relation to malocclusion and orthodontic treatment. Ang Orthodont. 2007;77(3):542-548.

Kremenak CR, Kinser DD, Harman HA, Menard CC, Jakobsen JR. Orthodontic risk factors for temporomandibular disorders (TMD). I: Premolar extractions. Amer J Orthodon Dentofacl Orthop. 1992;101(1):13-20.

Hwang SH, Park SG. Experience of Orthodontic Treatment and Symptoms of Temporomandibular Joint in South Korean Adults. Iran J Pub Healt. 2018;47(1):13-17.

Egermark I, Carlsson GE, Magnusson T. A prospective long-term study of signs and symptoms of temporomandibular disorders in patients who received orthodontic treatment in childhood. Angl Orthodont. 2005;75(4):645-50.

Sadowsky C, Theisen TA, Sakols EI. Orthodontic treatment and temporomandibular joint sounds--a longitudinal study. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the Amer Board Orthodon. 1991;99(5):441-7.

Macfarlane TV, Kenealy P, Kingdon HA. Twenty-year cohort study of health gain from orthodontic treatment: temporomandibular disorders. Amer Board Orthodon. 2009;135(6):692.e691-98.

Ruf S, Bock NC. Long-term (≥15 years) effects of Class II treatment: a longitudinal and cross-sectional study on signs and symptoms of temporomandibular disorders. Eur J Orthodon. 2019;41(2):172-179.

Coêlho TGS, Caracas HCPM. Perception of the relationship between TMD and orthodontic treatment among orthodontists. Dent Pres J Orthodon. 2015;20:45-51.

Chidzonga MM. Temporomandibular joint ankylosis: review of thirty-two cases. Brit J Oral Maxillofac Surg. 1999;37(2):123-6.

Kaban LB, Perrott DH, Fisher K. A protocol for management of temporomandibular joint ankylosis. J Oral Maxillofac Surg. 1990;48(11):1145-51.

Uhac I, Kovac Z, Muhvić-Urek M, Kovacević D, Francisković T, Simunović-Soskić M. The prevalence of temporomandibular disorders in war veterans with post-traumatic stress disorder. Military Med. 2006;171(11):1147-9.

Akhter R, Hassan NM, Ohkubo R, Tsukazaki T, Aida J, Morita M. The relationship between jaw injury, third molar removal, and orthodontic treatment and TMD symptoms in university students in Japan. J Orofac Pain. 2008;22(1):50-6.

Raustia AM, Oikarinen KS. Effect of surgical removal of the mandibular third molars on signs and symptoms of temporomandibular dysfunction: a pilot study. J Craniomand Pract. 1991;9(4):356-60.

Threlfall AG, Kanaa MD, Davies SJ, Tickle M. Possible link between extraction of wisdom teeth and temporomandibular disc displacement with reduction: matched case control study. Brit J Oral Maxillofac Surg. 2005;43(1):13-6.

Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk Factors for Diagnostic Subgroups of Painful Temporomandibular Disorders (TMD). J Dent Res. 2002;81(4):284-8.