Women are worse off in developing and recovering from temporomandibular disorder symptoms.

IF 3.9 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES

Scientific Reports Pub Date : 2025-02-08 DOI:10.1038/s41598-025-86502-0

Anna Lövgren, Simon Vallin, Birgitta Häggman-Henrikson, Flavia P Kapos, Christopher C Peck, Corine M Visscher, Per Liv

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Abstract

Decision-making for temporomandibular disorders (TMDs) is reported being a clinical challenge, partly due to uncertainities in assessment of long-term prognosis. Therefore, our aim was to explore variations over time in TMD symptoms and possible sex or age differences. In this cohort study, data were prospectively collected 2010-2017 from the general population in Västerbotten, Northern Sweden. Adults were eligible if they had undergone at least two routine dental check-ups that included screening for TMDs (3Q/TMD) from which states were defined as absence or presence of TMD pain and/or jaw catching/locking. The rate of transitions was estimated between TMD states within a time span of one year. A total of 94,769 individuals were included (49.9% women) with 205,684 repeated visits and 9,006 state transitions recorded over the 8-year period. Compared to men, women had higher rates of transitions from no TMDs to any TMD symptoms. Furthermore, women had a lower rate of transition from TMD pain only to no TMDs. The finding of a poorer prognosis in women, as well as previously reported potential gender differences in pain perception and reporting, reinforces that gender differences should be accounted for in the treatment planning stage for patients with onset of TMDs.

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女性在发展和恢复颞下颌紊乱症状方面更差。

据报道，颞下颌疾病（TMDs）的决策是一个临床挑战，部分原因是长期预后评估的不确定性。因此，我们的目的是探索TMD症状随时间的变化以及可能的性别或年龄差异。在这项队列研究中，从瑞典北部Västerbotten的普通人群中前瞻性地收集了2010-2017年的数据。成年人如果接受过至少两次常规牙科检查，包括筛查TMD (3Q/TMD)，其中状态被定义为没有或存在TMD疼痛和/或颌骨捕获/锁定。在一年的时间跨度内，估计了TMD状态之间的转换率。共纳入94,769人（49.9%为女性），在8年期间记录了205,684次重复访问和9,006次州转换。与男性相比，女性从无TMD到有TMD症状的转变率更高。此外，女性从只有TMD疼痛到没有TMD的转变率较低。女性预后较差的发现，以及先前报道的疼痛感知和报告的潜在性别差异，强化了在发病的tmd患者的治疗计划阶段应考虑到性别差异。

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

Scientific Reports Natural Science Disciplines-

CiteScore

7.50

自引率

4.30%

发文量

19567

审稿时长

3.9 months

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