Abstract
STATEMENT OF PROBLEM: The association between dental occlusion and the development of intraarticular temporomandibular disorders remains unclear. PURPOSE: This study evaluated the prevalence of molar relationship, lateral guidance and nonworking side contacts and intraarticular temporomandibular disorders. MATERIAL AND METHODS: Eighty-two asymptomatic volunteers and 263 symptomatic temporomandibular disorder (TMD) patients completed a subjective questionnaire that documented the absence of jaw pain, joint noise, locking, and a positive history for TMD. Participants also underwent clinical and dental examination for signs and symptoms commonly associated with TMD or internal derangements. RESULTS: The most prevalent molar relationship was Class I. Symptomatic patients had a higher prevalence of Class II, Division 1 relationships on the left side compared with the asymptomatic volunteers with normal joints. There was a higher prevalence of canine guidance (52.04%; P <.005) on the right side in the symptomatic patients with disk displacement (DD). Volunteers with normal joints had a higher prevalence of 1 or more nonworking side contacts compared with symptomatic patients with normal joints (P <.001) and symptomatic patients with DD (P <. 001). CONCLUSION: This study suggests there are no systematic dental occlusal differences that clearly separate symptomatic from asymptomatic patients. Results indicate that it is unclear as to the relationship of the 3 analyzed factors and of intraarticular TMDs.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 410-415 |
| Number of pages | 6 |
| Journal | The Journal of Prosthetic Dentistry |
| Volume | 82 |
| Issue number | 4 |
| State | Published - Oct 1999 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Oral Surgery
Cite this
Prevalence of dental occlusal variables and intraarticular temporomandibular disorders : molar relationship, lateral guidance, and nonworking side contacts. / Kahn, J.; Tallents, R. H.; Katzberg, Richard W; Ross, M. E.; Murphy, W. C.
In: The Journal of Prosthetic Dentistry, Vol. 82, No. 4, 10.1999, p. 410-415.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prevalence of dental occlusal variables and intraarticular temporomandibular disorders
T2 - molar relationship, lateral guidance, and nonworking side contacts.
AU - Kahn, J.
AU - Tallents, R. H.
AU - Katzberg, Richard W
AU - Ross, M. E.
AU - Murphy, W. C.
PY - 1999/10
Y1 - 1999/10
N2 - STATEMENT OF PROBLEM: The association between dental occlusion and the development of intraarticular temporomandibular disorders remains unclear. PURPOSE: This study evaluated the prevalence of molar relationship, lateral guidance and nonworking side contacts and intraarticular temporomandibular disorders. MATERIAL AND METHODS: Eighty-two asymptomatic volunteers and 263 symptomatic temporomandibular disorder (TMD) patients completed a subjective questionnaire that documented the absence of jaw pain, joint noise, locking, and a positive history for TMD. Participants also underwent clinical and dental examination for signs and symptoms commonly associated with TMD or internal derangements. RESULTS: The most prevalent molar relationship was Class I. Symptomatic patients had a higher prevalence of Class II, Division 1 relationships on the left side compared with the asymptomatic volunteers with normal joints. There was a higher prevalence of canine guidance (52.04%; P <.005) on the right side in the symptomatic patients with disk displacement (DD). Volunteers with normal joints had a higher prevalence of 1 or more nonworking side contacts compared with symptomatic patients with normal joints (P <.001) and symptomatic patients with DD (P <. 001). CONCLUSION: This study suggests there are no systematic dental occlusal differences that clearly separate symptomatic from asymptomatic patients. Results indicate that it is unclear as to the relationship of the 3 analyzed factors and of intraarticular TMDs.
AB - STATEMENT OF PROBLEM: The association between dental occlusion and the development of intraarticular temporomandibular disorders remains unclear. PURPOSE: This study evaluated the prevalence of molar relationship, lateral guidance and nonworking side contacts and intraarticular temporomandibular disorders. MATERIAL AND METHODS: Eighty-two asymptomatic volunteers and 263 symptomatic temporomandibular disorder (TMD) patients completed a subjective questionnaire that documented the absence of jaw pain, joint noise, locking, and a positive history for TMD. Participants also underwent clinical and dental examination for signs and symptoms commonly associated with TMD or internal derangements. RESULTS: The most prevalent molar relationship was Class I. Symptomatic patients had a higher prevalence of Class II, Division 1 relationships on the left side compared with the asymptomatic volunteers with normal joints. There was a higher prevalence of canine guidance (52.04%; P <.005) on the right side in the symptomatic patients with disk displacement (DD). Volunteers with normal joints had a higher prevalence of 1 or more nonworking side contacts compared with symptomatic patients with normal joints (P <.001) and symptomatic patients with DD (P <. 001). CONCLUSION: This study suggests there are no systematic dental occlusal differences that clearly separate symptomatic from asymptomatic patients. Results indicate that it is unclear as to the relationship of the 3 analyzed factors and of intraarticular TMDs.
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M3 - Article
VL - 82
SP - 410
EP - 415
JO - Journal of Prosthetic Dentistry
JF - Journal of Prosthetic Dentistry
SN - 0022-3913
IS - 4
ER -