Exploring the association between orthodontic treatment and temporomandibular disorders in pediatric patient: A retrospective study.

Q2 Dentistry
Journal of Orthodontic Science Pub Date : 2024-11-25 eCollection Date: 2024-01-01 DOI:10.4103/jos.jos_22_24
Snigdha Pattanaik, Vishnu P Veeraraghavan, Arun K Dasari, Subhrajeet Narayan Sahoo, Kaladhar Reddy Aileni, Hema Suryawanshi, Santosh R Patil
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Abstract

Objective: This retrospective study aimed to investigate the association between orthodontic treatment and development of temporomandibular disorders (TMDs) in pediatric patients.

Methods: This study analyzed 122 pediatric patients (age 10-18 years) who underwent orthodontic treatment. The inclusion criteria included comprehensive orthodontic records and substantial clinical documentation, while the exclusion criteria targeted preexisting TMDs or syndromes affecting the temporomandibular joint. Demographic details, treatment characteristics, and radiographic analyses, including standardized cephalometric measurements, were recorded. Clinical records were systematically reviewed for signs and symptoms of TMD, with categorization based on TMD severity using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD).

Results: Demographic characteristics revealed a mean age of 14.2 years, with a sex distribution of 36.9% males and 63.1% females. Pain, clicking/popping sounds, and limited jaw movement were reported by 23.0%, 16.4%, and 12.3% of the patients, respectively. TMD severity classification showed that 73.8% had no symptoms, 20.5% had mild symptoms, 4.1% had moderate symptoms, and 1.6% had severe symptoms. Statistical analyses revealed a significant association between TMD symptoms and sex (P = 0.023). Correlations among TMD severity, treatment duration (P = 0.036), and cephalometric changes were observed. Radiographic findings showed a moderate correlation with the gonial angle (r = 0.42) and a strong correlation with the condylar position (r = 0.58).

Conclusion: This study provides insights into the complex relationship between orthodontic treatment and TMD development in pediatric patients. These findings suggest potential associations between treatment characteristics, cephalometric changes, and TMD symptoms.

探讨正畸治疗与儿童颞下颌疾病之间的关系:一项回顾性研究。
目的:本回顾性研究旨在探讨正畸治疗与儿童颞下颌疾病(TMDs)发展的关系。方法:本研究分析了122例接受正畸治疗的儿童患者(10-18岁)。纳入标准包括全面的正畸记录和大量的临床文献,而排除标准针对先前存在的颞下颌关节疾病或影响颞下颌关节的综合征。记录了人口统计学细节、治疗特征和放射学分析,包括标准化的头侧测量。临床记录系统回顾TMD的体征和症状,并根据TMD严重程度使用颞下颌疾病研究诊断标准(RDC/TMD)进行分类。结果:人口统计学特征显示平均年龄14.2岁,性别分布中男性占36.9%,女性占63.1%。分别有23.0%、16.4%和12.3%的患者报告了疼痛、咔哒声/爆裂声和下颌运动受限。TMD严重程度分级显示,无症状者占73.8%,轻度者占20.5%,中度者占4.1%,重度者占1.6%。统计分析显示TMD症状与性别有显著相关性(P = 0.023)。观察TMD严重程度、治疗时间(P = 0.036)与头颅测量变化之间的相关性。x线检查结果显示与股骨角有中度相关性(r = 0.42),与髁突位置有很强相关性(r = 0.58)。结论:本研究揭示了儿童正畸治疗与TMD发展之间的复杂关系。这些发现提示治疗特点、头测量改变和TMD症状之间存在潜在关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Orthodontic Science
Journal of Orthodontic Science Dentistry-Orthodontics
CiteScore
0.90
自引率
0.00%
发文量
46
审稿时长
19 weeks
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