Symptoms of craniomandibular disorder in a sample of Finnish adolescents at the ages of 12 and 15 years

Subjective symptoms of craniomandibular disorder (CMD) were studied longitudinally in 167 children at the ages of 12 and 15 in order to investigate their importance for orthodontic diagnosis. The results showed that symptoms are quite common in adolescents (64- 67 per cent). However, most of the ado...

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Bibliographic Details
Published in:European journal of orthodontics 1989-11, Vol.11 (4), p.325-331
Main Authors: Heikinheimo, Kaisa, Salmi, Kalevi, Myllärniemi, Sinikka, Kirveskari, Pentti
Format: Article
Language:English
Subjects:
Adolescent
Bruxism - epidemiology
Child
Dentistry
Facial Pain - epidemiology
Female
Finland - epidemiology
Headache - epidemiology
Humans
Longitudinal Studies
Male
Malocclusion - therapy
Random Allocation
Sex Factors
Temporomandibular Joint Disorders - epidemiology
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Summary:Subjective symptoms of craniomandibular disorder (CMD) were studied longitudinally in 167 children at the ages of 12 and 15 in order to investigate their importance for orthodontic diagnosis. The results showed that symptoms are quite common in adolescents (64- 67 per cent). However, most of the adolescents experienced their symptoms only occasionally. Frequent occurrence of various, single symptoms of CMD varied from 0 to 7.2 percent. Recurrent headache was reported by 24 per cent of the adolescents at the age of 12, and by 22 per cent of them at the age of 15. The number of reported symptoms did not increase between the ages of 12 and 15 years, which is in agreement with other studies. The symptoms of CMD did not appear to be consistent. Locking of the joint was found to be the most stable symptom. About 50 per cent of those reporting TMJ-clicking, unexplainable ear symptoms or bruxism at the age of 12, had lost this symptom by the age of 1 5. For pain on mouth-opening, the symptom group at the age of 15 consisted of entirely new individuals. Because of their inconsistent nature during the final stages of occlusal development, too much attention should not be paid to single occurrences of CMD symptoms. In individual cases, however, important information for diagnosis and treatment planning can be obtained. Symptoms of craniomandibular disorder, recurrent headache, and oral parafunctions should be elicited and recorded at annual dental check-ups of children and adolescents.
ISSN:0141-5387
1460-2210
DOI:10.1093/oxfordjournals.ejo.a036003