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01-03-2021 | Craniomandibular Dysfunction and Stress | Original Article

Association between convergence insufficiency and temporomandibular disorder cross-sectional study

Authors: Douglas Meira dos Santos, Fabiano Politti, Ludmila Menezes Alves de Azevedo, Rita de Cassia das Neves Martins, Felipe Cunha Ricci, Kelly Sayuri Yun Masuda, Erika Maria Muramoto do Nascimento, Itana Lisane Spinato, Cid Andre Fidelis de Paula Gomes, Daniela Aparecida Biasotto-Gonzalez

Published in: Clinical Oral Investigations | Issue 3/2021

Abstract

Objectives

Evaluate whether there is an association between convergence insufficiency and temporomandibular disorder (TMD) and whether there is an association between pain and range of motion in different degrees of TMD.

Methods

We evaluated 138 individuals with TMD and 46 without TMD using the Research Diagnostic Criteria for temporomandibular disorders, the Fonseca Anamnestic Index (FAI), Numeric Pain Rating Scale, and the measurement of mandibular range of motion (ROM). Convergence insufficiency was diagnosed using the convergence test and Convergence Insufficiency Symptom Survey. Analysis of variance was used to compare age and mandibular ROM. The Kruskal–Wallis was used to compare mandibular ROM and pain between groups. The chi-square test was used to evaluate associations between TMD subgroups and the FAI, sex, and ocular convergence.

Results

The majority of individuals without TMD did not exhibit convergence insufficiency. The frequency convergence insufficiency was significantly higher among individuals with severe TMD (p < 0.003). Mean pain severity differed between individuals with and without TMD. Mandibular ROM diminished with the increase in TMD severity.

Conclusions

Convergence insufficiency, age, the increase in pain, and the reduction in mandibular range of motion were associated with the degrees of TMD severity. Despite the significant associations between convergence insufficiency and both pain and TMD severity, these variables cannot be indicated as predictive factors due to the low variability in the linear regression analysis.

Clinical relevance

The present findings can assist in decision making regarding the treatment of severe TMD and the evaluation of ocular convergence.

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Title: Association between convergence insufficiency and temporomandibular disorder cross-sectional study
Authors: Douglas Meira dos Santos
Fabiano Politti
Ludmila Menezes Alves de Azevedo
Rita de Cassia das Neves Martins
Felipe Cunha Ricci
Kelly Sayuri Yun Masuda
Erika Maria Muramoto do Nascimento
Itana Lisane Spinato
Cid Andre Fidelis de Paula Gomes
Daniela Aparecida Biasotto-Gonzalez
Publication date: 01-03-2021
Publisher: Springer Berlin Heidelberg
Keyword: Craniomandibular Dysfunction and Stress
Published in: Clinical Oral Investigations / Issue 3/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03372-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Association between convergence insufficiency and temporomandibular disorder cross-sectional study

Abstract

Objectives

Methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Clinical relevance

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