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BMC Oral Health
Published in: BMC Oral Health 1/2015

Open Access 01-12-2015 | Research article

Prevalence and association of self-reported anxiety, pain, and oral parafunctional habits with temporomandibular disorders in Japanese children and adolescents: a cross-sectional survey

Authors: Hiroyuki Karibe, Kisaki Shimazu, Ayuko Okamoto, Tomomi Kawakami, Yuichi Kato, Sachie Warita-Naoi

Published in: BMC Oral Health | Issue 1/2015

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Abstract

Background

Associations between temporomandibular disorder (TMD) and psychological variables, pain conditions, and daily activities have been reported more commonly in middle-aged individuals than in children. However, to determine factor-specific preventive programs for TMD, it is important to evaluate the associations between multiple factors and TMD symptoms during childhood. The aim of this study was to assess the relationship between TMD symptoms and other orofacial pain conditions, daily activities, and trait anxiety in a population-based cross-sectional survey of Japanese children and adolescents.

Methods

A total of 1,415 subjects (11–15 years old) self-reported their TMD symptoms, headache, neck pain, and toothache, and completed questionnaire scales that assessed 15 daily activities. Trait anxiety was assessed using the State Trait Anxiety Inventory for Children-Trait (STAIC-T) scale. Subjects were dichotomized into a TMD group or control group, based on whether they reported at least 1 TMD symptom: the TMD group (≥1 TMD symptom, n = 182) and the control group (no TMD symptoms, n = 1,233). Data were analyzed using the chi-square test and multivariate logistic regression analysis.

Results

The prevalence rates for headache and neck pain were significantly higher in the TMD group than in the control group (44.0% vs. 24.7% and 54.4% vs. 30.0%, respectively; both P < 0.001). The odds ratios for TMD symptoms in subjects with neck pain and frequent diurnal clenching were 2.08 (P < 0.001) and 3.69 (P = 0.011), respectively. Moreover, high STAIC-T scores were weakly associated with TMD symptoms.

Conclusions

In this young Japanese population, TMD symptoms were associated with other orofacial pain conditions, particularly neck pain, although they were only weakly associated with trait anxiety. Diurnal clenching was strongly associated with TMD symptoms. Health professionals should carefully consider these factors when developing appropriate management strategies for TMD in children and adolescents.
Literature
1.
Leeuw R de, Klasser GD (Eds): Orofacial pain. Guidelines for assessment, diagnosis, and management. 5th edition. Hanover Park: Quintessence Publishing Co; 2013:129–30. 150, 151–154
2.
Jedel E, Carlsson J, Stener-Victorin E: Health-related quality of life in child patients with temporomandibular disorder pain.Eur J Pain 2007, 11:557–63. 10.1016/j.ejpain.2006.07.007CrossRefPubMed
3.
List T, Wahlund K, Wenneberg B, Dworkin SF: TMD in children and adolescents: prevalence of pain, gender differences, and perceived treatment need.J Orofac Pain 1999, 13:9–20.PubMed
4.
Von Korff M, Dworkin SF, Le Resche L, Kruger A: An epidemiologic comparison of pain complaints.Pain 1988, 32:173–83. 10.1016/0304-3959(88)90066-8CrossRefPubMed
5.
Glaros AG, Urban D, Locke J: Headache and temporomandibular disorders: evidence for diagnostic and behavioural overlap.Cephalalgia 2007, 27:542–9. 10.1111/j.1468-2982.2007.01325.xCrossRefPubMed
6.
Svensson P: Muscle pain in the head: overlap between temporomandibular disorders and tension-type headaches.Curr Opin Neurol 2007, 20:320–5. 10.1097/WCO.0b013e328136c1f9CrossRefPubMed
7.
Karibe H, Goddard G, Kawakami T, Aoyagi K, Rudd P, McNeill C: Comparison of subjective symptoms among three diagnostic subgroups of adolescents with temporomandibular disorders.Int J Paediatr Dent 2010, 20:458–65. 10.1111/j.1365-263X.2010.01071.xCrossRefPubMed
8.
Wright EF, Domenech MA, Fischer JR Jr: Usefulness of posture training for patients with temporomandibular disorders.J Am Dent Assoc 2000, 131:202–10. 10.14219/jada.archive.2000.0148CrossRefPubMed
9.
Akhter R, Morita M, Ekuni D, Hassan NM, Furuta M, Yamanaka R, et al.: Self-reported aural symptoms, headache and temporomandibular disorders in Japanese young adults.BMC Musculoskelet Disord 2013, 14:58. 10.1186/1471-2474-14-58CrossRefPubMedPubMedCentral
10.
Carra MC, Huynh N, Morton P, Rompre PH, Papadakis A, Remise C, et al.: Prevalence and risk factors of sleep bruxism and wake-time tooth clenching in a 7- to 17-yr-old population.Eur J Oral Sci 2011, 119:386–94. 10.1111/j.1600-0722.2011.00846.xCrossRefPubMed
11.
Anastassaki Kohler A, Hugoson A, Magnusson T: Prevalence of symptoms indicative of temporomandibular disorders in adults: cross-sectional epidemiological investigations covering two decades.Acta Odontol Scand 2012, 70:213–23. 10.3109/00016357.2011.634832CrossRefPubMed
12.
Karibe H, Goddard G, Aoyagi K, Kawakami T, Warita S, Shimazu K, et al.: Comparison of subjective symptoms of temporomandibular disorders in young patients by age and gender.Cranio 2012, 30:114–20.CrossRefPubMed
13.
Motegi E, Miyazaki H, Ogura I, Konishi H, Sebata M: An orthodontic study of temporomandibular joint disorders. Part 1: Epidemiological research in Japanese 6–18 year olds.Angle Orthod 1992, 62:249–56.PubMed
14.
Soga S: A study on standardization of Japanese version of the STAIC.Jpn J Psychology 1983, 54:215–21. 10.4992/jjpsy.54.215CrossRef
15.
Dworkin SF, LeResche L: Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique.J Craniomandib Disord 1992, 6:301–55.PubMed
16.
Goddard G: Self-care tips for TMJ disorders. In TMJ the jaw connection. Santa Fe: Aurora Press; 1991:81–112.
17.
Bartko JJ: The intraclass correlation coefficient as a measure of reliability.Psychol Rep 1966, 19:3–11. 10.2466/pr0.1966.19.1.3CrossRefPubMed
18.
Spielberger C, Edwards C, Lushene R, Montuori J, Platzek D: STAIC preliminary manual for the state-trait anxiety inventory for children (“How I feel questionnaire”). California: Consulting Psychological Press, Inc; 1973.
19.
Guinot Jimeno F, Yuste Bielsa S, Cuadros Ferna Ndez C, Lorente Rodriguez AI, Mercade Bellido M: Objective and subjective measures for assessing anxiety in paediatric dental patients.Eur J Paediatr Dent 2011, 12:239–44.PubMed
20.
Farsi NM: Symptoms and signs of temporomandibular disorders and oral parafunctions among Saudi children.J Oral Rehabil 2003, 30:1200–8. 10.1111/j.1365-2842.2003.01187.xCrossRefPubMed
21.
Feteih RM: Signs and symptoms of temporomandibular disorders and oral parafunctions in urban Saudi Arabian adolescents: a research report.Head Face Med 2006, 2:25. 10.1186/1746-160X-2-25CrossRefPubMedPubMedCentral
22.
Godoy F, Rosenblatt A, Godoy-Bezerra J: Temporomandibular disorders and associated factors in Brazilian teenagers: a cross-sectional study.Int J Prosthodont 2007, 20:599–604.PubMed
23.
Koidis PT, Zarifi A, Grigoriadou E, Garefis P: Effect of age and sex on craniomandibular disorders.J Prosthet Dent 1993, 69:93–101. 10.1016/0022-3913(93)90247-LCrossRefPubMed
24.
Nilsson IM, Drangsholt M, List T: Impact of temporomandibular disorder pain in adolescents: differences by age and gender.J Orofac Pain 2009, 23:115–22.PubMed
25.
Sena MF, Mesquita KS, Santos FR, Silva FW, Serrano KV: Prevalence of temporomandibular dysfunction in children and adolescents.Rev Paul Pediatr 2013, 31:538–45. 10.1590/S0103-05822013000400018CrossRefPubMedPubMedCentral
26.
Hirsch C, Hoffmann J, Turp JC: Are temporomandibular disorder symptoms and diagnoses associated with pubertal development in adolescents? An epidemiological study.J Orofac Orthop 2012, 73:6–18. 10.1007/s00056-011-0056-xCrossRefPubMed
27.
LeResche L, Mancl LA, Drangsholt MT, Saunders K, Korff MV: Relationship of pain and symptoms to pubertal development in adolescents.Pain 2005, 118:201–9. 10.1016/j.pain.2005.08.011CrossRefPubMed
28.
Warren MP, Fried JL: Temporomandibular disorders and hormones in women.Cells Tissues Organs 2001, 169:187–92. 10.1159/000047881CrossRefPubMed
29.
Huddleston Slater JJ, Lobbezoo F, Onland-Moret NC, Naeije M: Anterior disc displacement with reduction and symptomatic hypermobility in the human temporomandibular joint: prevalence rates and risk factors in children and teenagers.J Orofac Pain 2007, 21:55–62.PubMed
30.
LeResche L, Mancl LA, Drangsholt MT, Huang G, Von Korff M: Predictors of onset of facial pain and temporomandibular disorders in early adolescence.Pain 2007, 129:269–78. 10.1016/j.pain.2006.10.012CrossRefPubMed
31.
Pereira LJ, Pereira-Cenci T, Pereira SM, Cury AA, Ambrosano GM, Pereira AC, et al.: Psychological factors and the incidence of temporomandibular disorders in early adolescence.Braz Oral Res 2009, 23:155–60. 10.1590/S1806-83242009000200011CrossRefPubMed
32.
Carlson CR, Reid KI, Curran SL, Studts J, Okeson JP, Falace D, et al.: Psychological and physiological parameters of masticatory muscle pain.Pain 1998, 76:297–307. 10.1016/S0304-3959(98)00063-3CrossRefPubMed
33.
List T, Wahlund K, Larsson B: Psychosocial functioning and dental factors in adolescents with temporomandibular disorders: a case–control study.J Orofac Pain 2001, 15:218–27.PubMed
34.
Suvinen TI, Nystrom M, Evalahti M, Kleemola-Kujala E, Waltimo A, Kononen M: An 8-year follow-up study of temporomandibular disorder and psychosomatic symptoms from adolescence to young adulthood.J Orofac Pain 2004, 18:126–30.PubMed
35.
Ries LG, Berzin F: Analysis of the postural stability in individuals with or without signs and symptoms of temporomandibular disorder.Braz Oral Res 2008, 22:378–83.CrossRefPubMed
36.
Nilsson IM, List T, Drangsholt M: Headache and co-morbid pains associated with TMD pain in adolescents.J Dent Res 2013, 92:802–7. 10.1177/0022034513496255CrossRefPubMed
37.
Franco AL, Fernandes G, Goncalves DA, Bonafe FS, Camparis CM: Headache associated with temporomandibular disorders among young Brazilian adolescents.Clin J Pain 2014, 30:340–5. 10.1097/AJP.0b013e31829ca62fCrossRefPubMed
38.
Liljestrom MR, Le Bell Y, Laimi K, Anttila P, Aromaa M, Jamsa T, et al.: Are signs of temporomandibular disorders stable and predictable in adolescents with headache?Cephalalgia 2008, 28:619–25. 10.1111/j.1468-2982.2008.01593.xCrossRefPubMed
39.
Augustine C, Makofsky HW, Britt C, Adomsky B, Deshler JM, Ramirez P, et al.: Use of the Occivator for the correction of forward head posture, and the implications for temporomandibular disorders: a pilot study.Cranio 2008, 26:136–43.CrossRefPubMed
40.
Komiyama O, Kawara M, Arai M, Asano T, Kobayashi K: Posture correction as part of behavioural therapy in treatment of myofascial pain with limited opening.J Oral Rehabil 1999, 26:428–35. 10.1046/j.1365-2842.1999.00412.xCrossRefPubMed
41.
Olivo SA, Bravo J, Magee DJ, Thie NM, Major PW, Flores-Mir C: The association between head and cervical posture and temporomandibular disorders: a systematic review.J Orofac Pain 2006, 20:9–23.PubMed
42.
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, 39:126–35. 10.1111/j.1365-2842.2011.02254.xCrossRefPubMed
43.
Michelotti A, Cioffi I, Festa P, Scala G, Farella M: Oral parafunctions as risk factors for diagnostic TMD subgroups.J Oral Rehabil 2010, 37:157–62. 10.1111/j.1365-2842.2009.02033.xCrossRefPubMed
44.
Vanderas AP, Papagiannoulis L: Multifactorial analysis of the aetiology of craniomandibular dysfunction in children.Int J Paediatr Dent 2002, 12:336–46. 10.1046/j.1365-263X.2002.00380.xCrossRefPubMed
45.
Winocur E, Littner D, Adams I, Gavish A: Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescents: a gender comparison.Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006, 102:482–7. 10.1016/j.tripleo.2005.11.007CrossRefPubMed
46.
Cheifetz AT, Osganian SK, Allred EN, Needleman HL: Prevalence of bruxism and associated correlates in children as reported by parents.J Dent Child (Chic) 2005, 72:67–73.
47.
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, 17:205–10.PubMed
48.
Nishiyama A, Kino K, Sugisaki M, Tsukagoshi K: Influence of psychosocial factors and habitual behavior in temporomandibular disorder-related symptoms in a working population in Japan.Open Dent J 2012, 6:240–7. 10.2174/1874210601206010240CrossRefPubMedPubMedCentral
Metadata
Title
Prevalence and association of self-reported anxiety, pain, and oral parafunctional habits with temporomandibular disorders in Japanese children and adolescents: a cross-sectional survey
Authors
Hiroyuki Karibe
Kisaki Shimazu
Ayuko Okamoto
Tomomi Kawakami
Yuichi Kato
Sachie Warita-Naoi
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2015
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-15-8

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