Self-reported bruxism and temporomandibular disorders: findings from two specialised centres
Summary The aims of this investigation were to report the frequency of temporomandibular disorders (TMD) diagnoses and the prevalence of self‐reported awake and sleep bruxism as well as to describe the possible differences between findings of two specialised centres as a basis to suggest recommenda...
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| Published in | Journal of oral rehabilitation Vol. 39; no. 5; pp. 319 - 325 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.05.2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0305-182X 1365-2842 1365-2842 |
| DOI | 10.1111/j.1365-2842.2011.02281.x |
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| Abstract | Summary The aims of this investigation were to report the frequency of temporomandibular disorders (TMD) diagnoses and the prevalence of self‐reported awake and sleep bruxism as well as to describe the possible differences between findings of two specialised centres as a basis to suggest recommendations for future improvements in diagnostic homogeneity and accuracy. A standardised Research Diagnostic Criteria for TMD (RDC/TMD) assessment was performed on patients attending both TMD Clinics, viz., at the University of Padova, Italy (n = 219; 74% women) and at the University of Tel Aviv, Israel (n = 397; 79% women), to assign axis I physical diagnoses and to record data on self‐reported awake and sleep bruxism. Significant differences were shown between the two clinic samples as for the frequency of TMD diagnoses (chi‐square, P < 0·001) and the prevalence of at least one positive response to bruxism items (chi‐square, P < 0·001). The more widespread use of TMJ imaging techniques in one clinic sample led to a higher prevalence of multiple diagnoses, and the higher prevalence of self‐reported bruxism in patients with myofascial pain alone described in the other clinic sample was not replicated, suggesting that the different adoption of clinical and imaging criteria to diagnose TMD may influence also reports on their association with bruxism. From this investigation, it emerged that the features of the study samples as well as the different interpretation of the same diagnostic guidelines may have strong influence on epidemiological reports on bruxism and TMD prevalence and on the association between the two disorders. |
|---|---|
| AbstractList | Summary
The aims of this investigation were to report the frequency of temporomandibular disorders (TMD) diagnoses and the prevalence of self‐reported awake and sleep bruxism as well as to describe the possible differences between findings of two specialised centres as a basis to suggest recommendations for future improvements in diagnostic homogeneity and accuracy. A standardised Research Diagnostic Criteria for TMD (RDC/TMD) assessment was performed on patients attending both TMD Clinics, viz., at the University of Padova, Italy (
n
= 219; 74% women) and at the University of Tel Aviv, Israel (
n
= 397; 79% women), to assign axis I physical diagnoses and to record data on self‐reported awake and sleep bruxism. Significant differences were shown between the two clinic samples as for the frequency of TMD diagnoses (chi‐square,
P
< 0·001) and the prevalence of at least one positive response to bruxism items (chi‐square,
P
< 0·001). The more widespread use of TMJ imaging techniques in one clinic sample led to a higher prevalence of multiple diagnoses, and the higher prevalence of self‐reported bruxism in patients with myofascial pain alone described in the other clinic sample was not replicated, suggesting that the different adoption of clinical and imaging criteria to diagnose TMD may influence also reports on their association with bruxism. From this investigation, it emerged that the features of the study samples as well as the different interpretation of the same diagnostic guidelines may have strong influence on epidemiological reports on bruxism and TMD prevalence and on the association between the two disorders. The aims of this investigation were to report the frequency of temporomandibular disorders (TMD) diagnoses and the prevalence of self-reported awake and sleep bruxism as well as to describe the possible differences between findings of two specialised centres as a basis to suggest recommendations for future improvements in diagnostic homogeneity and accuracy. A standardised Research Diagnostic Criteria for TMD (RDC/TMD) assessment was performed on patients attending both TMD Clinics, viz., at the University of Padova, Italy (n=219; 74% women) and at the University of Tel Aviv, Israel (n=397; 79% women), to assign axis I physical diagnoses and to record data on self-reported awake and sleep bruxism. Significant differences were shown between the two clinic samples as for the frequency of TMD diagnoses (chi-square, P<0·001) and the prevalence of at least one positive response to bruxism items (chi-square, P<0·001). The more widespread use of TMJ imaging techniques in one clinic sample led to a higher prevalence of multiple diagnoses, and the higher prevalence of self-reported bruxism in patients with myofascial pain alone described in the other clinic sample was not replicated, suggesting that the different adoption of clinical and imaging criteria to diagnose TMD may influence also reports on their association with bruxism. From this investigation, it emerged that the features of the study samples as well as the different interpretation of the same diagnostic guidelines may have strong influence on epidemiological reports on bruxism and TMD prevalence and on the association between the two disorders.The aims of this investigation were to report the frequency of temporomandibular disorders (TMD) diagnoses and the prevalence of self-reported awake and sleep bruxism as well as to describe the possible differences between findings of two specialised centres as a basis to suggest recommendations for future improvements in diagnostic homogeneity and accuracy. A standardised Research Diagnostic Criteria for TMD (RDC/TMD) assessment was performed on patients attending both TMD Clinics, viz., at the University of Padova, Italy (n=219; 74% women) and at the University of Tel Aviv, Israel (n=397; 79% women), to assign axis I physical diagnoses and to record data on self-reported awake and sleep bruxism. Significant differences were shown between the two clinic samples as for the frequency of TMD diagnoses (chi-square, P<0·001) and the prevalence of at least one positive response to bruxism items (chi-square, P<0·001). The more widespread use of TMJ imaging techniques in one clinic sample led to a higher prevalence of multiple diagnoses, and the higher prevalence of self-reported bruxism in patients with myofascial pain alone described in the other clinic sample was not replicated, suggesting that the different adoption of clinical and imaging criteria to diagnose TMD may influence also reports on their association with bruxism. From this investigation, it emerged that the features of the study samples as well as the different interpretation of the same diagnostic guidelines may have strong influence on epidemiological reports on bruxism and TMD prevalence and on the association between the two disorders. The aims of this investigation were to report the frequency of temporomandibular disorders (TMD) diagnoses and the prevalence of self-reported awake and sleep bruxism as well as to describe the possible differences between findings of two specialised centres as a basis to suggest recommendations for future improvements in diagnostic homogeneity and accuracy. A standardised Research Diagnostic Criteria for TMD (RDC/TMD) assessment was performed on patients attending both TMD Clinics, viz., at the University of Padova, Italy (n=219; 74% women) and at the University of Tel Aviv, Israel (n=397; 79% women), to assign axis I physical diagnoses and to record data on self-reported awake and sleep bruxism. Significant differences were shown between the two clinic samples as for the frequency of TMD diagnoses (chi-square, P<0·001) and the prevalence of at least one positive response to bruxism items (chi-square, P<0·001). The more widespread use of TMJ imaging techniques in one clinic sample led to a higher prevalence of multiple diagnoses, and the higher prevalence of self-reported bruxism in patients with myofascial pain alone described in the other clinic sample was not replicated, suggesting that the different adoption of clinical and imaging criteria to diagnose TMD may influence also reports on their association with bruxism. From this investigation, it emerged that the features of the study samples as well as the different interpretation of the same diagnostic guidelines may have strong influence on epidemiological reports on bruxism and TMD prevalence and on the association between the two disorders. Summary The aims of this investigation were to report the frequency of temporomandibular disorders (TMD) diagnoses and the prevalence of self‐reported awake and sleep bruxism as well as to describe the possible differences between findings of two specialised centres as a basis to suggest recommendations for future improvements in diagnostic homogeneity and accuracy. A standardised Research Diagnostic Criteria for TMD (RDC/TMD) assessment was performed on patients attending both TMD Clinics, viz., at the University of Padova, Italy (n = 219; 74% women) and at the University of Tel Aviv, Israel (n = 397; 79% women), to assign axis I physical diagnoses and to record data on self‐reported awake and sleep bruxism. Significant differences were shown between the two clinic samples as for the frequency of TMD diagnoses (chi‐square, P < 0·001) and the prevalence of at least one positive response to bruxism items (chi‐square, P < 0·001). The more widespread use of TMJ imaging techniques in one clinic sample led to a higher prevalence of multiple diagnoses, and the higher prevalence of self‐reported bruxism in patients with myofascial pain alone described in the other clinic sample was not replicated, suggesting that the different adoption of clinical and imaging criteria to diagnose TMD may influence also reports on their association with bruxism. From this investigation, it emerged that the features of the study samples as well as the different interpretation of the same diagnostic guidelines may have strong influence on epidemiological reports on bruxism and TMD prevalence and on the association between the two disorders. |
| Author | MANFREDINI, D. GUARDA-NARDINI, L. WINOCUR, E. LOBBEZOO, F. |
| Author_xml | – sequence: 1 givenname: D. surname: MANFREDINI fullname: MANFREDINI, D. organization: Department of Maxillofacial Surgery, University of Padova, Padova, Italy – sequence: 2 givenname: E. surname: WINOCUR fullname: WINOCUR, E. organization: Orofacial Pain and TMD Clinic, Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dentistry, University of Tel Aviv, Tel Aviv, Israel – sequence: 3 givenname: L. surname: GUARDA-NARDINI fullname: GUARDA-NARDINI, L. organization: TMD Clinic, Department of Maxillofacial Surgery, University of Padova, Padova, Italy – sequence: 4 givenname: F. surname: LOBBEZOO fullname: LOBBEZOO, F. organization: Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA) and Research Institute MOVE, University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22251149$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Adolescent Adult Aged Aged, 80 and over bruxism Bruxism - epidemiology Facial Pain - epidemiology Female Humans Israel - epidemiology Italy - epidemiology Male Middle Aged Prevalence Research Diagnostic Criteria/temporomandibular disorders Retrospective Studies Self Report Sleep Bruxism - epidemiology temporomandibular disorders Temporomandibular Joint Dysfunction Syndrome - epidemiology Young Adult |
| Title | Self-reported bruxism and temporomandibular disorders: findings from two specialised centres |
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