Prevalence and impact of signs and symptoms of temporomandibular disorders in dental students and faculty.
curriculum development
dental faculty
dental students
predoctoral dental education
prevalence
temporomandibular disorders
Journal
Journal of dental education
ISSN: 1930-7837
Titre abrégé: J Dent Educ
Pays: United States
ID NLM: 8000150
Informations de publication
Date de publication:
31 Jul 2024
31 Jul 2024
Historique:
revised:
22
04
2024
received:
22
01
2024
accepted:
04
07
2024
medline:
1
8
2024
pubmed:
1
8
2024
entrez:
1
8
2024
Statut:
aheadofprint
Résumé
Temporomandibular disorders (TMD) affect individuals undergoing increased stress, for example, dental professionals. No study to date has compared dental students and faculty in TMD manifestation. This cross-sectional study compared prevalence, risk factors, and impact on daily activities of self-reported TMD signs/symptoms between dental students and faculty at a predoctoral dental school, and between preclinical (first- to second-year) and clinical (third- to fourth-year) students. A REDCap survey was sent to dental students and faculty, assessing TMD signs/symptoms (TMD Symptom Questionnaire), pain intensity (Chronic Graded Pain Scale), jaw function (Jaw Function Limitation Scale), parafunctions (Oral Behavioral Checklist), previous TMD treatments, anxiety/depression symptoms (Patient Health Questionnaire), perceived stress (Perceived Stress Scale), and sleep quality (RU-SATED Scale). Outcomes were compared between groups using chi-square and t-tests, adjusting for covariates with analyses of covariance (ANCOVA). Data derived from N = 145 participants (N = 108 students, N = 37 faculty). Dental students reported significantly higher prevalence (90.1% vs. 75.7%, p = 0.020) and greater number of TMD signs/symptoms (5.3 ± 3.5 vs. 3.0 ± 2.7, p < 0.001) compared to faculty. Students reported significantly more parafunctional activities (p = 0.000), jaw-strain episodes (prolonged mouth opening, p = 0.007), higher stress level (p = 0.008), and lower sleep quality (p = 0.002) than faculty. Difference in number of TMD signs/symptoms was maintained after adjusting for stress, sleep quality, and parafunctional/jaw-strain activities. Clinical students utilized significantly more often evidence-based TMD treatment compared to preclinical students. High prevalence of self-reported TMD was observed among dental students and faculty, with students reporting higher prevalence and impairment despite working in the same environment. Findings underscore the importance of education on preventive measures early in dental training to address contributing factors and TMD management.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Minnesota Orthodontics
Informations de copyright
© 2024 American Dental Education Association.
Références
American Academy of Orofacial Pain, Klasser GD, Romero Reyes M, eds. Orofacial Pain Guidelines for Assessment, Diagnosis, and Management. 7th ed. Quintessence Publishing Co, Inc; 2023.
Schiffman EL, Fricton J, Haley DP, Shapiro BL. The prevalence and treatment needs of subjects with temporomandibular disorders. J Am Dent Assoc. 1990;120:295‐303.
Macfarlane TV, Blinkhorn AS, Davies RM, Kincey J, Worthington HV, Orofacial pain in the community: prevalence and associated impact. Community Dent Oral Epidemiol. 2002;30:52‐60.
Qamar Z, Alghamdi AMS, Haydarah NKB, et al. Impact of temporomandibular disorders on oral health‐related quality of life: a systematic review and meta‐analysis. J Oral Rehabil. 2023;50:706‐714.
National Academies of Sciences Engineering, and Medicine. Temporomandibular Disorders: Priorities for Research and Care. The National Academies Press; 2020.
Heir GM. Orofacial pain, the 12th specialty: the necessity. J Am Dent Assoc 2020;151(7):469‐471.
Maixner W, Diatchenko L, Dubner R, et al. Orofacial pain prospective evaluation and risk assessment study—the OPPERA study. J Pain 2011;12(suppl 11):T4‐T11.e2.
Fillingim RB, Ohrbach R, Greenspan JD, et al. Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case‐control study. J Pain 2011;12(suppl 11):T46‐T60.
Jung W, Lee KE, Suh BJ. Influence of psychological factors on the prognosis of temporomandibular disorders pain. J Dent Sci. 2021;16:349‐355.
Fillingim RB, Ohrbach R, Greenspan JD, et al. Psychological factors associated with development of TMD: the OPPERA prospective cohort study. J Pain. 2013;14(suppl 12):T75‐T90.
Bair E, Ohrbach R, Fillingim RB, et al. Multivariable modeling of phenotypic risk factors for first‐onset TMD: the OPPERA prospective cohort study. J Pain. 2013;14(suppl 12):T102‐T115.
Sanders AE, Akinkugbe AA, Fillingim RB, et al. Causal mediation in the development of painful temporomandibular disorder. J Pain. 2017;18:428‐436.
Lung J, Bell L, Heslop M, Cuming S, Ariyawardana A. Prevalence of temporomandibular disorders among a cohort of university undergraduates in Australia. J Investig Clin Dent. 2018;9(3):e12341.
Wieckiewicz M, Grychowska N, Wojciechowski K, et al. Prevalence and correlation between TMD based on RDC/TMD diagnoses, oral parafunctions and psychoemotional stress in Polish university students. Biomed Res Int. 2014;2014:1.
Calixtre LB, Grüninger BL, Chaves TC, Oliveira AB. Is there an association between anxiety/depression and temporomandibular disorders in college students? J Appl Oral Sci. 2014;22(1):15‐21.
Habib SR, Al Rifaiy MQ, Awan KH, Alsaif A, Alshalan A, Altokais Y. Prevalence and severity of temporomandibular disorders among university students in Riyadh. Saudi Dent J. 2015;27(3):125‐130.
Huhtela OS, Näpänkangas R, Joensuu T, Raustia A, Kunttu K, Sipila K. Self‐reported Bruxism and symptoms of temporomandibular disorders in Finnish University students. J Oral Facial Pain Headache. 2016;30(4):311‐317.
Pedroni CR, De Oliveira AS, Guaratini MI. Prevalence study of signs and symptoms of temporomandibular disorders in university students. J Oral Rehabil. 2003;30(3):283‐289.
Sójka A, Stelcer B, Roy M, Mojs E, Pryliński M. Is there a relationship between psychological factors and TMD? Brain Behav. 2019;9(9):e01360.
Rocha CO, Peixoto RF, Resende CM, Alves AC, Oliveira AG, Barbosa GA. Psychosocial aspects and temporomandibular disorders in dental students. Quintessence Int. 2017;48(3):241‐249.
Medeiros RA, Vieira DL, Silva EVF, Rezende LVML, Santos RWD, Tabata LF. Prevalence of symptoms of temporomandibular disorders, oral behaviors, anxiety, and depression in dentistry students during the period of social isolation due to COVID‐19. J Appl Oral Sci. 2020;28:e20200445.
Ortiz‐Culca F, Cisneros‐Del Aguila M, Vasquez‐Segura M, Gonzales‐Vilchez R. Implementation of TMD pain screening questionnaire in Peruvian dental students. Acta Odontol Latinoam. 2019;32(2):65‐70.
Benoliel R, Sela G, Teich S, Sharav Y. Painful temporomandibular disorders and headaches in 359 dental and medical students. Quintessence Int. 2011;42(1):73‐78.
Bal B, Sarak G, Oral K. Oral health‐related quality of life and psychological states of dental students with temporomandibular disorders. J Dent Educ. 2022;86(11):1459‐1467.
Srivastava KC, Shrivastava D, Khan ZA, et al. Evaluation of temporomandibular disorders among dental students of Saudi Arabia using Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): a cross‐sectional study. BMC Oral Health. 2021;21(1):211.
Marklund S, Wänman A, Incidence and prevalence of myofascial pain in the jaw‐face region. A one‐year prospective study on dental students. Acta Odontol Scand. 2008;66(2):113‐121.
Eraslan R, Ozturk T. Comparison of the relationship between temporomandibular disorder and oral habits or quality of life in dentistry students in different years of education. Chin J Dent Res. 2022;25:22‐232.
Karaman A, Sapan Z. Evaluation of temporomandibular disorders, quality of life, and oral habits among dentistry students. Cranio. 2023;41:316‐322.
Choudhary SH, Kale LM, Mishra SS, Sodhi S, Muley PB, Pandey ND. An institutional survey for knowledge‐based and self‐awareness assessment in temporomandibular joint disorders among dental students. Ind J Dent Res. 2016;27(3):262‐267.
Najmuddin M, Shabi AY, Alqadi AM, et al. Assessment of knowledge and self‐awareness about temporomandibular joint disorders among dental students. Eur J Gen Dent. 2022;11:189‐194.
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)—a metadata‐driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377‐381.
Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6‐27.
Smith BH, Penny KI, Purves AM, et al. The Chronic Pain Grade questionnaire: validation and reliability in postal research. Pain. 1997;71(2):141‐147.
Ohrbach R, Larsson P, List T. The jaw functional limitation scale: development, reliability, and validity of 8‐item and 20‐item versions. J Orofac Pain. 2008;22(3):219‐230.
Ohrbach R, Beneduce C, Markiewicz M, McCall W. Psychometric properties of the Oral Behaviors Checklist: preliminary findings. J Dent Res. 2004;83(special issue A):1194.
Fricton J, Nelson A, Monsein M. IMPATH: microcomputer assessment of behavioral and psychosocial factors in craniomandibular disorders. J Craniomandib Pract. 1987;5(4):372‐381.
Kroenke K, Spitzer RL, Williams JB, Löwe B. An ultra‐brief screening scale for anxiety and depression: the PHQ‐4. Psychosomatics. 2009;50(6):613‐621.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385‐396.
Ravyts SG, Dzierzewski JM, Perez E, Donovan EK, Dautovich ND. Sleep health as measured by RU SATED: a psychometric evaluation. Behav Sleep Med. 2021;19(1):48‐56.
Hayes M, Cockrell D, Smith DR. A systematic review of musculoskeletal disorders among dental professionals. Int J Dent Hyg. 2009;7(3):159‐165.
Leggat PA, Kedjarune U, Smith DR. Occupational health problems in modern dentistry: a review. Ind Health. 2007;45(5):611‐621.
Myers HL, Myers LB. It's difficult being a dentist': stress and health in the general dental practitioner. Br Dent J. 2004;197(2):89‐93.
Gonzalez YM, Schiffman E, Gordon SM, et al. Development of a brief and effective temporomandibular disorder pain screening questionnaire: reliability and validity. J Am Dent Assoc. 2011;142(10):1183‐1191.
Fricton J, Eli B, Gupta A, Johnson N. Preventing chronic pain after acute jaw sprain or strain. J Am Dent Assoc. 2016;147(12):979‐986.
Armijo‐Olivo S, Pitance L, Singh V, Neto F, Thie N, Michelotti A. Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta‐analysis. Phys Ther. 2016;96(1):9‐25.
Calixtre LB, Moreira RF, Franchini GH, Alburquerque‐Sendin F, Oliveira AB. Manual therapy for the management of pain and limited range of motion in subjects with signs and symptoms of temporomandibular disorder: a systematic review of randomised controlled trials. J Oral Rehabil. 2015;42(11):847‐861.
Beiter R, Nash R, McCrady M, et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord 2015;173:90‐96.
Blanco C, Okuda M, Wright C, et al. Mental health of college students and their non‐college‐attending peers: results from the National Epidemiologic Study on Alcohol and Related Conditions. Arch Gen Psychiatry. 2008;65(12):1429‐1437.
Lövgren A, Österlund C, Ilgunas A, Lampa E, Hellström F. A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontol Scand. 2018;76(6):387‐393.
Slade GD, Ohrbach R, Greenspan JD, et al. Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res. 2016;95(10):1084‐1092.