IADR Abstract Archives
Prevalence of Temporomandibular Joint Disorder at Dental School Pre-Doctoral Clinic
Objectives: Currently, there are no studies looking at the prevalence of Temporomandibular Jaw Disorders (TMD) among patients who visit Dental School Clinics for routine dental treatment. The objective of this study is to evaluate the prevalence of TMD signs and symptoms among patients in the pre-doctoral clinics at Tufts University School of Dental Medicine (TUSDM) and determine if there is an association between findings from Demographics, Exams, Medical History and development of TMD.
Methods: Following IRB approval, medical records from patients who reported presence of Temporomandibular Jaw (TMJ) pain and/or clicking/crepitus in the past 5 years (2010-2015) were reviewed. A specifically designed questionnaire incorporated into a comprehensive exam at pre-doctoral clinics at TUSDM was used to select a random sample of 230 patients who reported presence of TMJ pain. (N=230) A discrepancy in the sample size was identified among variables due to incomplete responses in the questionnaires found in some patient charts. The following variables were analyzed; Age, Gender, Location of Pain, Pain on Palpation, Pain during Movement, Crepitus, Clicking, Jaw pain, Headache, Fibromyalgia, TMD Consult and Sleep Apnea. In Table 1, the prevalence and 95% confidence intervals for each were calculated based on the number of corresponding response (n).
Results: The total number of patients who visited the dental clinic during the 5 years was 44,580. A total of 1,100(2.5%) patients reported presence of clicking or crepitus. 555(1.26%) reported presence of TMJ pain and the mean age was 45.6 years old.
Conclusions: This analysis of the record reviews of 230 patients demonstrates the overall prevalence of TMD among patients visiting pre-doctoral clinics. Results from this study indicate that there is a need for educating pre-doctoral students to identify TMD and seek appropriate referral. Further studies with a larger sample size among other dental school clinics are recommended to confirm our findings.
Methods: Following IRB approval, medical records from patients who reported presence of Temporomandibular Jaw (TMJ) pain and/or clicking/crepitus in the past 5 years (2010-2015) were reviewed. A specifically designed questionnaire incorporated into a comprehensive exam at pre-doctoral clinics at TUSDM was used to select a random sample of 230 patients who reported presence of TMJ pain. (N=230) A discrepancy in the sample size was identified among variables due to incomplete responses in the questionnaires found in some patient charts. The following variables were analyzed; Age, Gender, Location of Pain, Pain on Palpation, Pain during Movement, Crepitus, Clicking, Jaw pain, Headache, Fibromyalgia, TMD Consult and Sleep Apnea. In Table 1, the prevalence and 95% confidence intervals for each were calculated based on the number of corresponding response (n).
Results: The total number of patients who visited the dental clinic during the 5 years was 44,580. A total of 1,100(2.5%) patients reported presence of clicking or crepitus. 555(1.26%) reported presence of TMJ pain and the mean age was 45.6 years old.
Conclusions: This analysis of the record reviews of 230 patients demonstrates the overall prevalence of TMD among patients visiting pre-doctoral clinics. Results from this study indicate that there is a need for educating pre-doctoral students to identify TMD and seek appropriate referral. Further studies with a larger sample size among other dental school clinics are recommended to confirm our findings.
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