Prevalence of Temporomandibular Joint Dysfunction and Malocclusion in 10 - 12 year Old Children

10-12세 아동의 측두하악장애와 부정교합의 유병율에 관한 연구

  • Lee, Nam-Ki (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University) ;
  • Choi, Dong-Soon (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University) ;
  • Lee, Hye-Mi (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University) ;
  • Cha, Bong-Kuen (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University)
  • 이남기 (강릉대학교 치과대학 교정학교실) ;
  • 최동순 (강릉대학교 치과대학 교정학교실) ;
  • 이혜미 (강릉대학교 치과대학 교정학교실) ;
  • 차봉근 (강릉대학교 치과대학 교정학교실)
  • Received : 2008.01.24
  • Accepted : 2008.03.25
  • Published : 2008.03.30

Abstract

The purpose of this study was to evaluate the prevalence of symptoms and signs of temporomandibular joint dysfunction (TMD) and malocclusion in 10-12 year old children and to determine if a relationship exists between symptoms and signs of TMD and malocclusion. The subjects were composed of 465 school children (233 boys and 232 girls). Each subject was evaluated with simplified questionnaire and clinical examination to measure symptoms and signs of TMD and malocclusion. The results showed an elevated prevalence of headache (34.6%), which were more frequent in girls than boys. The most common cardinal sign of TMD was clicking (32.9%), which increased with age. TMJ lateral tenderness was present in 18.1% of the subjects and had a tendency to increase with age. Masseter muscle tenderness was found to be sensitive in 15.1%of the subjects and had a tendency to increase with age. Restriction of mandibular mobilitywas present in 30.3% of the subjects and had a tendency to increase with age. There was no significant difference in the prevalence of TMD signs between sex. The occlusal status showed Class I malocclusion in 73.3%, Class III in 12.9%,Class II division 1 in 11%, Class II division 2 in 2.8%. There was no significant difference in malocclusion traits between sex. There was statistically significant relationship between TMD signs and symptoms and class II division 1 and Class III malocclusion(p<0.05). The results indicate that the prevalence of TMD symptoms and signs in children is high, and the evaluation of TMD in children seems to be important.

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