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Patients referred to a specialist clinic because of suspected temporomandibular disorders: a survey of 3194 patients in respect of diagnoses, treatments, and treatment outcome.
Jönköping University, School of Health Science, HHJ. Oral health.
Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
2004 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 62, no 4, p. 183-192Article in journal (Refereed) Published
Abstract [en]

The aims were to study the patient population at a temporomandibular disorders (TMD) specialist clinic over time, and to try to find variables of importance for treatment outcome. The material consisted of 3194 consecutive patients who were referred to the clinic and underwent a clinical examination during the period 1995-2002. A number of patient and treatment-related variables that had been collected in an electronic database were analyzed retrospectively. The age and sex distribution of the present patient material was in line with several previous investigations of TMD patients. The mean age of both men and women was 42 years, and there was a large preponderance of women. A vast majority of the patients responded positively, and in few visits, on traditional conservative treatment methods. In line with previous studies, no strong predictors for treatment outcome were found. However, the diagnoses of disk displacement without reduction, arthritis in TMJs, and myalgia in masticatory muscles were predictors for a significant improvement, while the diagnosis orofacial pain of unspecified origin predicted a poorer prognosis.

Place, publisher, year, edition, pages
2004. Vol. 62, no 4, p. 183-192
Keyword [en]
Adolescent, Adult, Aged, Aged; 80 and over, Chi-Square Distribution, Child, Dislocations/diagnosis/therapy, Facial Pain/etiology/therapy, Female, Humans, Logistic Models, Male, Middle Aged, Occlusal Splints, Physical Therapy Modalities, Prognosis, Questionnaires, Retrospective Studies, Temporomandibular Joint Disorders/*diagnosis/*therapy, Treatment Outcome
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-4615DOI: 10.1080/00016350410001595PubMedID: 15513414OAI: oai:DiVA.org:hj-4615DiVA, id: diva2:35435
Available from: 2007-11-20 Created: 2007-11-20 Last updated: 2017-12-12Bibliographically approved
In thesis
1. On temporomandibular disorders: Time trends, associated factors, treatment need and treatment outcome
Open this publication in new window or tab >>On temporomandibular disorders: Time trends, associated factors, treatment need and treatment outcome
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

During the last few decades, and especially during the 1990s, an increase in musculoskeletal pain conditions and stress-related ill-health has been observed in Sweden. At the same time, an improvement in the oral health of the population has been noted. The overall aim of this thesis was to acquire knowledge relating to possible time trends for the presence of temporomandibular disorders (TMD) in the population. A further objective was to study factors that possibly influence the presence of these disorders and the outcome of their treatment.

Studies I–III are based on a series of repeated cross-sectional population-based investigations. Three independent samples of 130 individuals in the age groups of 3, 5, 10, 15, 20, 30, 40, 50, 60 and 70 years were randomly selected from the inhabitants of the city of Jonkoping, Sweden in 1983, 1993 and 2003. The total participation rate was 21%, 22% and 29% respectively. The participants were examined using a questionnaire, interview and a clinical examination of the stomatognathic system regarding the presence of symptoms and signs indicative of TMD. Study IV is a retrospective survey of a clinical sample of patients referred to and treated at the Department of Stomatognathic Physiology, The Institute for Postgraduate Dental Education, Jonkoping, in 1995–2002. The overall frequencies of symptoms and the rates for some clinical signs and consequently of an estimated treatment need in adults increased during the study period. In 2003, the prevalence of frequent headache in 20-year-olds, mainly females, had markedly increased. The reports of bruxism among adults increased from 1983 to 2003. Awareness of bruxism and self-perceived health impairment were associated with TMD symptoms and signs. A favourable treatment outcome was observed for the majority of patients with common TMD sub-diagnoses and no strong predictors of treatment outcome were found.

In conclusion, the results suggest some time trends towards an increased prevalence in the overall symptoms and some signs indicative of TMD in the Swedish adult population during the time period 1983–2003. A profound understanding of the social determinants of health is recommended when planning public health resources.

Place, publisher, year, edition, pages
Jönköping: School of Health Sciences, 2012. p. 120
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 38
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-19842 (URN)978-91-85835-37-9 (ISBN)
Public defence
2012-12-14, Forum Humanum, HHJ (School of Health Sciences), 13:00
Opponent
Supervisors
Available from: 2012-11-26 Created: 2012-11-16 Last updated: 2015-08-26Bibliographically approved

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Anastassaki, AlkistiMagnusson, Tomas

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