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BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Craniomandibular Dysfunction and Stress | Research

The association of severely worn dentition resulting from betel nut chewing with temporomandibular disorders: a cross-sectional study

Authors: Yundong Liu, Tao Yin, Mi He, Changyun Fang, Shifang Peng

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

Most studies support parafunctions play an important role in temporomandibular disorders (TMD), whereas the association between tooth wear and TMD remains controversial. Betel nut chewing as a parafunction is popular in South and Southeast Asia. We therefore investigated the association of severely worn dentition resulting from betel nut chewing with TMD.

Methods

A cross-sectional analysis of 408 control participants (male: 380, female: 28, 43.62 ± 9.54 years) and 408 participants with betel nut chewing related severely worn dentition (male: 380, female: 28, 43.73 ± 8.93 years) who received dental and TMD checkup according to Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) in Health Management Center, Xiangya Hospital was performed. Betel nut chewing related severely worn dentition meant all the natural teeth had moderate to severe tooth wear [Tooth Wear Index (TWI) ≥ 2)] including ≥ 2 severe wear teeth (TWI ≥ 3) due to betel nut chewing. Multivariable logistic regression analysis was used.

Results

After adjusting for age, gender, betel nut chewing related severely worn dentition, oral submucosal fibrosis, number of missing teeth, number of dental quadrants with missing teeth, visible third molar and orthodontic history, variables of age, gender and betel nut chewing related severely worn dentition were significant for overall TMD. Multivariable analysis showed betel nut chewing related severely worn dentition was significantly associated with intra-articular TMD [odds ratio and 95% confidence intervals: 1.689 (1.271–2.244), P = 0.001] in a betel nut chewing dose-dependent manner.

Conclusion

Betel nut chewing related severely worn dentition was associated with intra-articular TMD.
Literature
1.
Richards LC, Brown T. Dental attrition and degenerative arthritis of the temporomandibular joint. J Oral Rehabil. 1981;8(4):293–307.PubMedCrossRef
2.
Richards LC. Tooth wear and temporomandibular joint change in australian aboriginal populations. Am J Phys Anthropol. 1990;82(3):377–384.PubMedCrossRef
3.
Owen CP, Wilding RJ, Morris AG. Changes in mandibular condyle morphology related to tooth wear in a prehistoric human population. Arch Oral Biol. 1991;36(11):799–804.PubMedCrossRef
4.
Stone JH, Nelson GC, Fitzpatrick SM. Temporomandibular joint osteoarthritis at Chelechol ra Orrak, Palau. Int J Paleopathol. 2020;28:20–31.PubMedCrossRef
5.
Eversole LR, Pappas JR, Graham R. Dental occlusal wear and degenerative disease of the temporomandibular joint: a correlational study utilizing skeletal material from a contemporary population. J Oral Rehabil. 1985;12(5):401–406.PubMedCrossRef
6.
Pullinger AG, Seligman DA. The degree to which attrition characterizes differentiated patient groups of temporomandibular disorders. J Orofac Pain. 1993;7(2):196–208.PubMed
7.
Seligman DA, Pullinger AG. Analysis of occlusal variables, dental attrition, and age for distinguishing healthy controls from female patients with intracapsular temporomandibular disorders. J Prosthet Dent. 2000;83(1):76–82.PubMedCrossRef
8.
Seligman DA, Pullinger AG, Solberg WK. The prevalence of dental attrition and its association with factors of age, gender, occlusion, and TMJ symptomatology. J Dent Res. 1988;67(10):1323–1333.PubMedCrossRef
9.
Tsolka P, Walter JD, Wilson RF, Preiskel HW. Occlusal variables, bruxism and temporomandibular disorders: a clinical and kinesiographic assessment. J Oral Rehabil. 1995;22(12):849–856.PubMedCrossRef
10.
Gillborg S, Akerman S, Lundegren N, Ekberg EC. Temporomandibular Disorder Pain and related factors in an Adult Population: a cross-sectional study in Southern Sweden. J Oral Facial Pain Headache. 2017;31(1):37–45.PubMedCrossRef
11.
John MT, Frank H, Lobbezoo F, Drangsholt M, Dette KE. No association between incisal tooth wear and temporomandibular disorders. J Prosthet Dent. 2002;87(2):197–203.PubMedCrossRef
12.
Hirsch C, John MT, Lobbezoo F, Setz JM, Schaller HG. Incisal tooth wear and self-reported TMD pain in children and adolescents. Int J Prosthodont. 2004;17(2):205–210.PubMed
13.
Schierz O, John MT, Schroeder E, Lobbezoo F. Association between anterior tooth wear and temporomandibular disorder pain in a german population. J Prosthet Dent. 2007;97(5):305–309.PubMedCrossRef
14.
Oginni AO, Oginni FO, Adekoya-Sofowora CA. Signs and symptoms of temporomandibular disorders in nigerian adult patients with and without occlusal tooth wear. Community Dent Health. 2007;24(3):156–160.PubMed
15.
Fathima F, Dharman S, Senthil Murugan P. Association of occlusal wear facets in patients with temporomandibular disorders. Bioinformation. 2020;16(12):1060–1068.PubMedPubMedCentralCrossRef
16.
Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, Sanders AE, Dubner R, Diatchenko L, Meloto CB, Smith S, et al. Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res. 2016;95(10):1084–1092.PubMedPubMedCentralCrossRef
17.
Jimenez-Silva A, Pena-Duran C, Tobar-Reyes J, Frugone-Zambra R. Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: a systematic review from 2003 to 2014. Acta Odontol Scand. 2017;75(1):36–58.PubMedCrossRef
18.
Emodi-Perlman A, Eli I, Friedman-Rubin P, Goldsmith C, Reiter S, Winocur E. Bruxism, oral parafunctions, anamnestic and clinical findings of temporomandibular disorders in children. J Oral Rehabil. 2012;39(2):126–135.PubMedCrossRef
19.
Janal MN, Raphael KG, Klausner J, Teaford M. The role of tooth-grinding in the maintenance of myofascial face pain: a test of alternate models. Pain Med. 2007;8(6):486–496.PubMedCrossRef
20.
Osiewicz M, Lobbezoo F, Ciapala B, Pytko-Polonczyk J, Manfredini D. Pain Predictors in a Population of Temporomandibular Disorders Patients. J Clin Med 2020, 9(2).
21.
Almashraqi AA, Barngkgei I, Halboub ES, Al-Maweri SA, Al-Wesabi MA, Al-Kamel A, Alhammadi MS, Alamir AH. Cone beam computed tomography findings in the temporomandibular joints of chronic qat chewers: radiographic bone density and trabecular microstructural analyses. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;132(4):465–474.PubMedCrossRef
22.
Almashraqi AA, Halboub ES, Al-Maweri SA, Barngkgei I, Al-Wesabi MA, Al-Kamel A, Alhammadi MS, Alamir AH. Cone beam computed tomography findings in temporomandibular joint of chronic qat chewers: Dimensional and osteoarthritic changes. J Oral Rehabil. 2020;47(12):1538–1549.PubMedCrossRef
23.
Almashraqi AA, Ahmed EA, Mohamed NS, Al-Maweri SA, Halboub ES. Evaluation of the effects of chronic qat chewing on lateral pterygoid muscle using MRI. Cranio. 2022;40(2):135–143.PubMedCrossRef
24.
Almashraqi AA, Ahmed EA, Mohamed NS, Halboub ES. An MRI evaluation of the effects of qat chewing habit on the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;126(3):272–282e272.PubMedCrossRef
25.
Al Moaleem MM, Okshah AS, Al-Shahrani AA, Alshadidi AA, Shaabi FI, Mobark AH, Mattoo KA. Prevalence and severity of temporomandibular disorders among undergraduate medical students in association with Khat Chewing. J Contemp Dent Pract. 2017;18(1):23–28.PubMedCrossRef
26.
Paduano S, Md DDS, Bucci R, Dds P, Rongo R, Dds P, Silva RD, Michelotti AD. Prevalence of temporomandibular disorders and oral parafunctions in adolescents from public schools in Southern Italy. Cranio. 2020;38(6):370–375.PubMedCrossRef
27.
Mejersjo C, Ovesson D, Mossberg B. Oral parafunctions, piercing and signs and symptoms of temporomandibular disorders in high school students. Acta Odontol Scand. 2016;74(4):279–284.PubMedCrossRef
28.
Tabrizi R, Karagah T, Aliabadi E, Hoseini SA. Does gum chewing increase the prevalence of temporomandibular disorders in individuals with gum chewing habits? J Craniofac Surg. 2014;25(5):1818–1821.PubMedCrossRef
29.
Rao MB, Rao CB. Incidence of tempero-mandibular joint pain dysfunction syndrome in rural population. Int J Oral Surg. 1981;10(4):261–265.PubMedCrossRef
30.
Marotta N, Ferrillo M, Demeco A, Drago Ferrante V, Inzitari MT, Pellegrino R, Pino I, Russo I, de Sire A, Ammendolia A. Effects of Radial extracorporeal shock Wave Therapy in reducing Pain in patients with Temporomandibular Disorders: a pilot randomized controlled trial. Appl Sci. 2022;12:3821.CrossRef
31.
Ferrillo M, Ammendolia A, Paduano S, Calafiore D, Marotta N, Migliario M, Fortunato L, Giudice A, Michelotti A, de Sire A. Efficacy of rehabilitation on reducing pain in muscle-related temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials. J Back Musculoskelet Rehabil. 2022;35(5):921–936.PubMedCrossRef
32.
Zhang SS, Li WH, Gao YJ, Liu ZW, Liu L, Tang JQ, Ling TY. Betel-quid and oral submucous fibrosis: a cross-sectional study in Hunan province, China. J Oral Pathol Med. 2012;41(10):748–754.PubMedCrossRef
33.
34.
Wieckiewicz M, Grychowska N, Nahajowski M, Hnitecka S, Kempiak K, Charemska K, Balicz A, Chirkowska A, Zietek M, Winocur E. Prevalence and overlaps of headaches and pain-related temporomandibular disorders among the Polish Urban population. J Oral Facial Pain Headache. 2020;34(1):31–39.PubMedCrossRef
35.
Minervini G, Franco R, Marrapodi MM, Crimi S, Badnjevic A, Cervino G, Bianchi A, Cicciu M. Correlation between Temporomandibular Disorders (TMD) and posture evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): a systematic review with Meta-analysis. J Clin Med 2023, 12(7).
36.
Minervini G, Franco R, Marrapodi MM, Mehta V, Fiorillo L, Badnjevic A, Cervino G, Cicciu M. The Association between COVID-19 related anxiety, stress, Depression, Temporomandibular Disorders, and headaches from Childhood to Adulthood: a systematic review. Brain Sci 2023, 13(3).
37.
Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, et al. Diagnostic criteria for Temporomandibular Disorders (DC/TMD) for clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Groupdagger. J Oral Facial Pain Headache. 2014;28(1):6–27.PubMedPubMedCentralCrossRef
38.
Wetselaar P, Lobbezoo F. The tooth wear evaluation system: a modular clinical guideline for the diagnosis and management planning of worn dentitions. J Oral Rehabil. 2016;43(1):69–80.PubMedCrossRef
39.
Wang MQ, Xue F, He JJ, Chen JH, Chen CS, Raustia A. Missing posterior teeth and risk of temporomandibular disorders. J Dent Res. 2009;88(10):942–945.PubMedCrossRef
40.
Chung SC, Kim YK, Kim HS. Prevalence and patterns of nocturnal bruxofacets on stabilization splints in temporomandibular disorder patients. Cranio. 2000;18(2):92–97.PubMedCrossRef
41.
Attia HS, Mosleh MI, Jan AM, Shawky MM, Jadu FM. Age, gender and parafunctional habits as prognostic factors for temporomandibular joint arthrocentesis. Cranio. 2018;36(2):121–127.PubMedCrossRef
42.
Glaros AG, Owais Z, Lausten L. Reduction in parafunctional activity: a potential mechanism for the effectiveness of splint therapy. J Oral Rehabil. 2007;34(2):97–104.PubMedCrossRef
43.
Yadav S. A study on prevalence of Dental Attrition and its relation to factors of age, gender and to the Signs of TMJ Dysfunction. J Indian Prosthodont Soc. 2011;11(2):98–105.PubMedPubMedCentralCrossRef
44.
Carlsson GE, Egermark I, Magnusson T. Predictors of signs and symptoms of temporomandibular disorders: a 20-year follow-up study from childhood to adulthood. Acta Odontol Scand. 2002;60(3):180–185.PubMedCrossRef
45.
Pergamalian A, Rudy TE, Zaki HS, Greco CM. The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent. 2003;90(2):194–200.PubMedCrossRef
Metadata
Title
The association of severely worn dentition resulting from betel nut chewing with temporomandibular disorders: a cross-sectional study
Authors
Yundong Liu
Tao Yin
Mi He
Changyun Fang
Shifang Peng
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03160-2

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